Update
Day 4
We had our follow up visit yesterday. The vet believes he is improving (though this was her first time seeing him since the initial event was treated at the emergency vet). If I had to put a number to it I would say he is 40% better. His walking has improved, He can walk on the hard wood flooring in the house as long as he is careful. The vertigo seems to have subsided for the most part. His eye movements are minimal. However the balance is still heavily affected and the head tilt is still pretty severe. Also he swings his head about pretty badly.

They tested his ears again and again it came back with no infection, but he screamed when they tested his left ear so there must be something going on in there. The vet sent him home with Antibiotics and more anti-nausea meds and we will monitor the situation.

My main concern right now is to get him eating and drinking again normally and making sure he does not hurt himself trying to move around. I really hope this clears up soon. He is currently snoozing behind me in my office.


I'm not sure what happened on Day Zero (if you posted, I can't see it), but what you're describing here on Day 4 reminds me of when my cat had what the emergency vet described as idiopathic vestibular disorder. When it first hit, her vertigo was so severe she couldn't stand, and even when laying down, her head would keep turning to one side (not tilting, but turning; I have heard, however, that dogs [after recovering] sometimes retain a tilt). She also hardly ate at all.

The symptoms faded after the first 48 hours, and she was able to walk mostly okay afterwards. Appetite returned, too.

Her ears were fine, so it probably wasn't an infection, but I didn't spend the money to see if it was something neurological. (So, without any definitive explanation for the cause, it was labeled idiopathic.)
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@darniil Rufus was also diagnosed with idiopathic vestibular disorder. I hope if there is anything permanent that the head tilt is the only issue he has to deal with. He is 13 years old and I don't want what time he has left to be suffering.

If my cat's experience is any indication, aside from the vertigo (which did return twice after the first incident for my cat), there's little to no discomfort for them. (But then again, animals do seem to be able to deal with discomfort more easily than humans do.) Geist's personality was very much her normal self after she recovered from her first bout. Not quite as agile, but she was still herself.

The tricky part will be the food/hydration whenever the symptoms present themselves. I managed to get my cat to eat a little if I gave her something pungent like canned fish. Not sure what Rufus would prefer.
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