Cat Fell Now Won't Eat

My cat that fell down a stairwell won't eat.  Backstory is that he fell, went to the vet, was x-rayed and given tramadol.   Vet said no major injury and just give him time.

Two weeks later he was still very lame, but leg looked very unstable.

Over the weekend he started eating less and less and peeing less and less.  I took him back on Monday, they took lots more x rays and now think he needs surgery on the knee and gave him more tramadol.  HE had Ibd and takes pred for that. 

Then back on Tuesday because he still wasn't eating.   Got fluids both days and anti-naseau yesterday.

I still can barely get him to eat.  I don't know what else to do. Even when he had bloody diarrhea from the ibd he was always hungry.

The vet also said his liver looked small on the xray, but didn't know if that was cause for concern.

Any thoughts, ideas.  Thanks.

how is your kitty doing? 

Tramadol can cause constipation in cats, which would then cause loss of appetite.  Have you noticed any change in his litter box usage?  This could definitely be an issue.  It also causes upset stomach.  Has that anti-nausea kicked in yet?

It's possible, especially since his liver looked small on the xray, that the liver issue is why he's not eating.  Did they do blood workup?  I know my girl;s liver values get out of whack, and when they do, her appetite suffers. 

Are you force feeding him?  Did you warn you about Hepatic Lipidosis if he doesnt' consume enough?  That is something to take very serious.

I'm happy to report that he is doing much better!!!!  I think what helped is:

Natural Balance Food in the Pouches:  The nice thing about this food is you can leave it out and it doesn't dry out.  He eats a bit over the course of a few hours.

Confinement:  During the day he is in a bedroom, but I finally blocked the bed off with cardboard so he can't jump up on it.  He still would try and jump everywhere despite the injury.

At night I have him in one of those dog playpens from amazon:
You're right about him probably being constipated.  He couldn't get enough leverage in the regular size litter box and would try to go and couldn't.  Luckily I have other littler boxes that I made out of big rubbermaid containers, so once I put one of those in the sick room he was able to poop in it.

Directions for litterbox are here:  http://catsadored.com/LITTERBOXES/LITTER_BOXES.htm

I still have not gotten a call about scheduling the surgery.

I made one of those TALL litter boxes a couple of years ago because I have one who digs and tosses litter all over the place.  What a life saver.  Not sure how it helps a constipated cat, but if it does, all the better.

I also DO have a chronically constipated cat,  however, and what I find really helps is to give her miralax twice a day, every day.  Just 1/8 teaspoon mixed in a tiny bit of water, then mixed into her food.  It has no smell or taste, and doesn't gel up, so she doesn't (apparently) know it's there.  And it works!  Might be something to think about while your guy is on the Tramodol.

Glad he's doing better! 

Even with the height mine still manage to get litter outside the door.  OH well.

The big box helps because he can stand up straighter when he poops.   It's really painful for him to squat and put stress on his knee and with the smaller box he has to.   Granted it requires quite a bit of pushing but he gets the job done.

Boy it sure is hard to get them to not want to jump or run.  I suppose they live in the moment and so thinking about the consequences of doing things that make the injury worse just doesn't compute for them.