Head Tilt - Deafness

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george775

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I adopted a 10 year old male cat over a year ago. Cat has been fine, a bit skittish at times but very alert and playful. He's nurtured and is indoor only. He developed a head tilt about a week ago and his balance was slightly off, not too bad just had a tilted head, eating and drinking normally and showing no obvious signs of pain. However I understand he's a cat. Anyway, long story short I took him to the vets office early this week and they diagnosed ear infection, cleaned his ears (said they were very dirty) and put on some anti fungal ointment Otipac. He was also given a Penicillin injection and a Dexamethasone injection. Sent him home with Baytril and Prednisolone.

First day back the cat slept, didn't move much and didn't eat at all. I got him to take a mix of tuna and water but that was it. Next day the cat is almost non responsive. Not responding to anything and extremely lethargic. He could hardly stand, would fall over or just collapse. He was refusing all food and water. I call the vets office and they advise bring him in. Take him back, they run every test known to man on him and tell me he has some fluid in his lungs but otherwise they can't explain why he's acting how he is and the treatments the previous day shouldn't cause this. Keeping in mind I hadn't yet been able to give him any of his take home medication. I asked how he went from a head tilt to a near corpse in the space of a day and they denied any treatments would cause that. I've used the same office for years and I trust them. One day later the cat is coming back to life, eating, drinking, excited for the smell of catnip and substantially more stable on his feet, still not as he was before treatment.

Today I noticed why the cat isn't responding to almost anything. He appears to be deaf, 90% can't hear a thing deaf. Normally when I come home he runs up to greet me but not since I took him home. He seems surprised when I pet him if he hasn't seen me. He's eating mostly normally, drinking, using his litterbox without issue. He's navigating the house without any problems and is more himself just deaf? I assume it's the combination of treatments and/or the ointment in his ears?
 

Furballsmom

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I remember when I had my ears worked on, everything I was hearing was echos for a while. I wonder if the vets work on his ears had a similar effect, while the deafness is something that was going to occur anyway, from your description of his behavior before you took him in.
 
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george775

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I remember when I had my ears worked on, everything I was hearing was echos for a while. I wonder if the vets work on his ears had a similar effect, while the deafness is something that was going to occur anyway, from your description of his behavior before you took him in.
I'm sure you're correct. Thinking back he wasn't reacting in his usual ways to hearing other people outside, pets or responding when I called. He was still responding just days ago. I can't help but think the ear infection got to him before I got him to the vet. Hopefully it'll return if not, I hate to say it. That cat is happy by what he can't hear now.
 

FeebysOwner

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HI. I really think you should either take the cat back to the vet or at least call them and give them another update on his current status. The other issue to talk to the vet about is when to start the meds they sent you home with. Those meds are the same types as what he received via injection - so if it were me, I would want to know if I should wait a period of time before starting them, as the injection versions may not have yet worn off, thereby overlapping treatments.

I also think you should press the issue a bit with the vet about this possible deafness - particularly if you don't think it was going on before his issues started just a week ago.
 

Alldara

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I adopted a 10 year old male cat over a year ago. Cat has been fine, a bit skittish at times but very alert and playful. He's nurtured and is indoor only. He developed a head tilt about a week ago and his balance was slightly off, not too bad just had a tilted head, eating and drinking normally and showing no obvious signs of pain. However I understand he's a cat. Anyway, long story short I took him to the vets office early this week and they diagnosed ear infection, cleaned his ears (said they were very dirty) and put on some anti fungal ointment Otipac. He was also given a Penicillin injection and a Dexamethasone injection. Sent him home with Baytril and Prednisolone.

First day back the cat slept, didn't move much and didn't eat at all. I got him to take a mix of tuna and water but that was it. Next day the cat is almost non responsive. Not responding to anything and extremely lethargic. He could hardly stand, would fall over or just collapse. He was refusing all food and water. I call the vets office and they advise bring him in. Take him back, they run every test known to man on him and tell me he has some fluid in his lungs but otherwise they can't explain why he's acting how he is and the treatments the previous day shouldn't cause this. Keeping in mind I hadn't yet been able to give him any of his take home medication. I asked how he went from a head tilt to a near corpse in the space of a day and they denied any treatments would cause that. I've used the same office for years and I trust them. One day later the cat is coming back to life, eating, drinking, excited for the smell of catnip and substantially more stable on his feet, still not as he was before treatment.

Today I noticed why the cat isn't responding to almost anything. He appears to be deaf, 90% can't hear a thing deaf. Normally when I come home he runs up to greet me but not since I took him home. He seems surprised when I pet him if he hasn't seen me. He's eating mostly normally, drinking, using his litterbox without issue. He's navigating the house without any problems and is more himself just deaf? I assume it's the combination of treatments and/or the ointment in his ears?
When Lily got an ear infection the vet refused to believe it was an ear infection. Her ear smelled, she was unbalanced and had ataxia. Got sent home with nothing. Within 24 hours she couldn't walk on her own, wouldn't eat. It's not the treatment. It is the infection. Cat ear infections are not common like dog ones and are VERY serious. Lily spent 4 days with little to no balance and being syringe fed. She was put on some serious antibiotic/antifungal medication. She did loose some hearing from the infection, but it did improve as the infection starting coming out.

Please see the VCA site below and ensure that your vet keeps him on medication for the appropriate amount of time. This is vital or it will be like Lily's and become resistant. We eventually had to have her PTS.

Ear Infections in Cats (Otitis Externa).
 
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george775

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The ear infection diagnosis turned into a stroke diagnosis. I got the results of the tests back which were sent for review by a specialist and with the cats improving condition I was informed he had a stroke unfortunately. His balance has significantly improved, his coordination is getting better. He is eating but has difficulty doing do so at times. He seems ok eating from a flat dish, drinking normally from an angled dish, he can't eat dry food anymore. Lots of sleeping and eating, he sits on me but also seems to like to hide away and be alone.
 

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He may need a blood thinner to prevent further strokes. I'm so sorry this had to happen. It does sound like he is slowly getting better though, I am so happy about that. I have had several deaf cats in my past, and have found they adjust amazingly well. We always stomped our feet on the ground to let them know we are coming and flashed the lights on and off to call him for dinner. Just love that sweet boy as long as you can........
 
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george775

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He may need a blood thinner to prevent further strokes. I'm so sorry this had to happen. It does sound like he is slowly getting better though, I am so happy about that. I have had several deaf cats in my past, and have found they adjust amazingly well. We always stomped our feet on the ground to let them know we are coming and flashed the lights on and off to call him for dinner. Just love that sweet boy as long as you can........
Thanks, He'll be back with the vet next week. Hopefully he pulls through ok, he does seem to be alert and more himself then sleepy and hungry and alert and repeat. I'll do everything I can to maintain his quality of life for as long as it's beneficial to the cat. Hopefully he hangs around a few more years. I got an him as an older cat to keep my other almost 15 year old cat company after his brother died over a year ago.
 
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george775

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His condition peaked on Tuesday (21st June) last week, he's gotten steadily worse starting the following Friday/Saturday. It's Thursday 30th June now and he's back to being highly unstable on his feet, he's almost blind but has or had some hearing return. This has been a decline in him since 21st. I've a feeling he may have had another stroke? Now he's just laying on the ground almost unable to move and taking in very little food/water. He was still eating ok last night and drinking tons of water. I took him to the vet again two days ago because he was getting worse and had next to no bm. They suggested a number of things (I'd already googled) and at this point I felt frustrated. I asked if they could help things along for him as I felt he's probably blocked and they gave him a laxative which to be fair hasn't really had any time to work on him. He had a small dry/hard bm on Monday 27th and I did explain this to the vet, different vet than the first one that saw him same office. To be expected when showing up without an appointment.

I'm taking him back today and hoping they can unblock him and get some medication into him. I'd like to see him recover but I also won't sit idly by and let an animal just waste away like this. He still seems like he wants to eat and is trying to drink. He's still clinging on and not giving up.
 
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george775

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Unknown neurological disorder was diagnosed. Vet said the cat improved because of the steroids once they wore off his true condition returned. He stated possible tumor in the brain causing pressure. He was having seizures, had one right on the table and I'd noticed similar behavior at home but initially thought he was stretching out. Advise was more diagnostic testing or to put him to sleep. He said if this was his animal he'd put him to sleep due to quality of life which unfortunately the cat now had very little of. It's sad and unfortunate but it had to be done. He had a good run of it and was before this happened an active, happy cat.
 

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On behalf of The Cat Site, I am very sorry for your loss. When a cat passes, we lock the thread out of respect. If you would like to post a tribute to your boy in our Crossing the Bridge forum, you are welcome to do so. Your adoption of him at 10 years old shows a great deal of compassion for an older cat and he was able to spend the time he had left in a loving home.

Crossing the Bridge
 
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