6-week old kitten, very sick, no answers...please help!

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noxandhermione

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Hi everyone.
I'm at a loss on what to do, so I've turned to the Internet for help. Two weeks ago, on a Thursday, I took in a month-old kitten who had been abandoned by his mother. I took him to the vet immediately to get him checked out; he was so tiny and sleepy. What we first discover: kitten, now named Nox, had at some point suffered a head injury causing a dime size wound in between his ears on the top of his head. It had healed into what looked like a very hard matted piece of fur. The vet checks for ringworm - negative - and opens the wound again so it can heal properly. We put him on amoxicillin (.1 ml 2x a day), and I take him home and begin feeding him Perki-Lac milk replacer mixed with canned kitten food. The vet originally told me to attempt to get 25-30 mls a day in Nox. At 12.5 oz, she had done the math and told me that's what he needed, and I blindly listen.
Saturday comes around. Nox has been walking around and moving a lot, though it's obvious he is unstable on his feet because he constantly falls over and is very shaky while walking. I take him back to the vet because I cannot get him to pee or poop in litter or with stimulation. The vet shows me how to do it, and begins to assume Nox has Panleukopenia, but conducts no tests to determine so. At this point, Nox has lost a half oz, but is still pretty much able to move around and willing to eat for me out of a syringe.
Monday night arrives, and Nox will barely sit up for me. He refuses to walk and is beginning to not eat. I walk in the room where I keep him to find him laying on his side with explosive, light brown and watery diarrhea all over the carpet and still coming out of him. I clean him up when he's done, and plan to call the vet in the morning.
Tuesday: we get Nox to the vet in the afternoon. At this point he can't even hold his own head up. He still weighs 12 oz, but his temp is 93 and is blood pressure is extremely low. The vet gives him a shot of 24 hour nutrients and continues to suggest Panleukopenia with no tests conducted. We test his poop for parasites that may be in his system, which comes back negative. The vet tells me to knock his feedings down to 22 mls a day, and to keep him warm on a heating pad at all times unless he's overheated. I take him home and begin the heating, and Nox begins to throw up violently. At this point, I'm a wreck because it's obvious my baby is in pain and I have no idea how to help. I honestly thought I was going to lose him that night. In the morning, he has another bought of diarrhea, so I decide to take him off the soft kitten food and stick with just milk replacer for a while. He seems to improve a little, as in no longer having diarrhea or vomitting, but he is still very weak and cannot hold his head up, let alone walk. He doesn't want to eat for me anymore, so I force feed him the 22 mls a day.
Friday comes around and he's skin and bones. I've called the vet multiple times to ask for advice on how to help him, and all she can say is that it sounds like Panleukopenia, and that all his symptoms are "not good." I turn to an animal rescuer I follow on Facebook for answers because the vet is useless. At this point, I'm worried Nox is becoming anemic. He had fleas from the moment I got him, and every three days I would treat him with a spray on a washcloth and pull the *******s off of him. I got around 40 off of him in the three treatments I had done to that point, and had even given him a dawn bath. The rescuer brings to my attention that I was severely under feeding Nox, because at 12 oz, he was supposed to be getting around 90 mls a day, rather than 22, as my vet had told me. I panic and feel horrible because that would explain why he had become so skinny, and immediately make a plan to slowly increase his intake of food.
Saturday morning: Nox hadn't pooped since his last diarrhea episode on Wednesday morning, so I spend 20 minutes stimulating him and he finally poops for me. It's about 5 inches long, but solid looking and healthy. I rejoice! But he still won't walk or will barely hold his head up for me.
Tuesday arrives and Nox has been stable since his poop on Saturday. Not much improvement as far as moving, but he pees like a racehorse and has had little bouts of softer dark brown poop (not solid but not quite diarrhea). I decide that I want to get a second opinion, so I take him to a different vet that night. We had been feeding him on average 65-70 mls a day, slowly increased since the previous Friday, and he weighed 14 oz! His temp was about 98 degrees, and the new vet ran two blood tests to see about the other vets prognosis. The blood tests came back negative for both Panleukopenia, and Feline Leukemia, because his white blood cell count was high rather than low, which is an indicator of either of those diseases. New vet gives me a new medicine to administer now (Doxycycline) on top of the Amoxicillin, and FortiFlora to add into his food one time a day. She suggests I begin the weaning process, and so I start to add the soft food back in with a different milk replacer that he likes better and wants to eat, though still only out of a syringe. I also begin to give him a serving of GMC high calorie nutrical a day.
Wednesday: Nox has diarrhea again, though it is not as watery and is darker brown than before. I take him back to the vet, and we decide to take him back off the soft food, and add gerber baby food as a substitute, which he likes. At this point he weighs 14.9 oz.
Thursday: we finish the amoxicillin treatment.
Today: Nox weighs 15 oz, is averaging about 80 mls a day of food. Still on FortiFlora 1x a day, and Doxycycline 1x a day. No more fleas. Still willingly eats milk replacer and baby food out of syringe. But has yet to walk again or even sit up on his own without much help. His temp is almost up to 100, and everything seems to be stable, but he won't walk, eat, or potty on his own. He's about 6 weeks at this point, so it worries me that he's so dependent still. We have begun physical therapy to get him to work his muscles (10 reps each leg joint 3x a day), but he doesn't have any desire to use them. He can hold his head up now on his own though.
At this point, I have no idea what to do. I can't find answers anywhere as to what is wrong with him. A head injury is likely, but he walked when we got him, so I don't see how that could be the cause. The new vet thinks it may be feline Herpes, though that doesn't seem as bad as what he's going through. She wants to wait a little bit before we test him for that though because he's been through so much lately.
Please help. If you have any ideas or suggestions, I am all ears. This is my baby, and I'm just so worried that something is very wrong. I can barely sleep anymore because I'm constantly checking on him, and I've spent hundreds of dollars on vet bills and supplies for Nox. I just want him to feel better and be happy.
I know this is a long read, but thank you anyone who reads it all and can help in any way.
 

micknsnicks2mom

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hi and welcome to TCS!

i'm so very sorry your little Nox has been having these issues. 


i don't have experience in this area but i'm sure someone who does have experience will be along shortly.
 
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StefanZ

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Re food for weaks. Can you get goats milk? preferably raw.   To use either as whole food, or supplement.  This may make an improvement.

If you cant find real goats milk , GNC kmr is done with goat milk as base. Try to get this.

Can you get BeneBac probiotic?  PetAg makes this.  May be better than fortiflora.

Get also home glucose sugar - brand name may be dextrose or dextropur.  If you cant find it, you can use common hoeny, or rather, thick honey water.

Add a few drops into his food slurry.   Gives nice extra energy.

If in emergency, you can even just smear some on his lips and gum - glucose sugar goes into blood already from the mouth.

Re the immobility.  Its a riddle, and possibly some deeper problem and why his mom abandonend him - she felt somehting was amiss. But it is speculating.

It may be so he still is weak after his earlier misery.  I think humans whom were very severly emaciated and severly sick, may be weak convalescents for a good period of time...

So continue to massage him / do this therapy.    Brush him with a toothbrush too, it feels like mommas licking. 

But I also suspect he feels like an abandoned orphan...  Feeling Alone and deserted, without the will to fight for life any more...

Get him a stuffed companion animal.  Good if you have fleece in his bedding - it too feels like mommas fur.     Carrying at your chest in another idea.

I do presume you are talking sweetly and friendly a lot with him already...

When you leave him alone, have soft relaxing music on...

Im sorry, many vets seems not knowleable when its taking care on small, weak kittens.  When they have a visible wound or damage they are better, but very often not with weak kittens.

In such cases is a rescuer or a good Forum alike ours a much better bet.

Please continue to report, and come with questions.
 

StefanZ

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Re the exact amounts of  kmr or goats milk, its 8ml /  oz a day.  So a kitten of  15oz  should have about 120ml a day.

If you begin with other more substantial food, its more energy tight, so the amount will be more difficult to count, but tend to be lesser.  Still, you have the idea.

Pedialyte is good esp if he gets more diarrheas. Of Bought pedialyte is flavorless for babies best, but you can also make your own.

Glucose sugar, some suitable salt, clean water...
 

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I don't have experience with kittens but wanted to tell you thank you for taking care of this fella. also doxy and amox can cause stomach upset=so make sure you feed first then give the meds-I have to reread your story-I only got to halfway but wanted to pop in quick to acknowledge that I read your questions. you can also add olive oil drops into the formula IF he doesn't poop. only a few drops is needed.

Steph gave you some great tips. some people use unflavored pedialyte and mix it 50/50 with formula in place of water as it has minerals etc that could be pooped out from the antibiotics.

Thank you for trying to save this fella. So very lucky to find you!!
 

foxxycat

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ok to me it sounds like he is malnutritioned and that's why he wont move on his own. How is the color of his gums? How are the eyes? are they bright and alert?

He needs more nutrition. At this point=feed him as much as he will eat-if he is tired-let him sleep. I think you are doing everything right.

also keep him warm as he is underweight and needs all the help. cradle him, talk to him which I am sure you are. You are his mom now.

We have another kitten on here who was not able to walk and it took several months of help to get him walking-he too suffered being injured and I think it was 4 to 6 months before he could walk. The lady who has him she would stimulate him to pee/poo and he was a happy baby. But in the beginning he was in bad shape.

All you can do is every hour or other hour of feedings. you can continue the babyfood-formula or you can get kitten canned food-mash it up good and mix it 50/50 with the kitten milk formula-but for now  I would do liquids only for a few more days-his body needs to get accustomed to the liquids before you introduce solids. Maybe by Sunday add canned kitten food mush and see if he will eat it. I am really thankful that you are doing all you can do for this baby.

Even if things don't work out=he will know love and warmth. Just remember that it is out of our hands whether they live or not BUT you are doing an awesome job and don't beat yourself up=you did the best you could with what you were given. I am glad you found a new vet-that one that said only 22ml a day is well lets just say-idiot. Most kittens can't be overfed-generally if they cry then they are hungry and to keep feeding. Keep us updated!
 
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noxandhermione

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I have wondered if he is lonely. We try to hold him on our chests whenever we're with him, but at night and when we're gone we lay him in a cat bed with a heating pad halfway on it so he can move off if need be, and include hand towels and soft socks to help fill the extra space. I will try adding stuffed animals (I have plenty from my childhood) and fleece.
As far as his diet, I want to try all these things you've suggested, I'm just worried too much change all the time will upset his already volatile stomach. We try to feed the meds in the middle of feedings so he has a little something in his tummy first and then finish with more food so he's not left with bad taste in his mouth.
His gums are a pale pink. The new vet said they're good - she wouldn't want them any paler, but they are okay. Sometimes his eyes are droopy, mostly when he's tired. Sometimes his eyes are bright and open, but he doesn't seem to see much. I know he can see but it's almost like he spaces out.
Also, because of you guys I have a little more hope. I was beginning to wonder if it would just be best to put him down, because I don't want him to hurt or be miserable, though my gut has always told me to keep fighting. So that's what I'll do. I'm gonna keep fighting for my little Nox.
 
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noxandhermione

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We have a healthy adult cat who wants nothing to do with him. Whenever she sees him or smells him on me she hisses (she's normally a very sweet kitty). She's been a momma so I was hoping she'd help nurture him but she doesn't like him at all. She's gotten more used to him, but will still hiss if he's too close. In fact, even my moms cats hiss at him. I wonder if they can sense how bad off he is?
 

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Also, if you find some good vitamine preparate for cats - say labelled "for nursing mommas and convalescents"  you can add some of it to him.  May help...

Can you get goats milk?  This is renown to be mild, shouldnt disturb even a sensitive stomach.  Quite opposite, goats milk is one of the few  foods sensitive stomachs manage without problems...   Raw is best if you can get it, it will even give him some immuninity...   It presume of course the goat is healthy and the hygiene is good, but this is the usual...
 

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I know with kittens abandoned, we put a clock in their beds that tick so they have comfort that mimics moms heartbeat. The diarrhea is def diet related. And given everythi g else hes been through he is a fighter and you are a saint!

I would pet him a lot behind his ears. Thats where mommies groom their babies most of the time. See if he will respond to that. He needs loads of sleep still and moving his legs is good. Keep a diaper under him for accidents and im sure he will strebgthen as he ages.

Head injuries are hard to assess at thia point. It sounds lime hes just trying to grow and you are an ever wonderful mommy. Hugs to you!
 

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How is our little fighter doing this morning??? Yes keep him warm-remember you need to heat up the food to mouse temperature prior to feeding-kittens cant regulate their body temperature like we do and feeding a cold kitten could cause more problems. oftentimes people swaddle the kitten and hold it for half an hour to warm the kitten up then feed it warm food-it may help the digestion go easier. As long as no vomiting that is a really good sign-means the body is accepting the liquids.

Nox is very lucky to have you!
 

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Doxycycline isn't sposed to be taken with food or milk. It should be taken two hours before or after. It binds to the calcium in milk and is much less affective and harder on the stomach. It's a rough drug to take. Me and the kitties had to take it for four months for a mycoplasma infection... It was brutal. We were all puking and felt like crap from it. It's one of the only things that will kill various mycobacteriums though.
 
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noxandhermione

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We are at the vet for an emergency right now. He became over heated this morning and we ended up cooling him down too much. He's been poked and prodded all morning, and I'm so mentally and emotionally exhausted. The vet said we could go either way but since he's still fighting we can too. I just don't know how much more I can take with him. I love him so much and I don't want him to suffer but I don't want to give up either.
 
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noxandhermione

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We are fighting. His temp is up to 94 from 90. We're going to try different meds.
 

darkhorse321

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Sending fighting prayers for your little kitty. [emoji]128150[/emoji][emoji]128149[/emoji][emoji]10084[/emoji]
 

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It's almost impossible to pull them back from the edge once there temperature starts fluctuating like that. Your doing everything you can possibly do, but how much longer can you do this. It's beyond the point of mentally and physically exhausting. It's not giving up when you've fought the hard fight and done everything you can do and it's still not enough. We're all with you whatever you decide to do.
 
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