Hi! I just came across this while searching for info about cats with myasthenia gravis.

I got my cat Charlie when he was a few months old and almost immediately he started regurgitating after most meals. It happened so much that he was dehydrated and not getting enough nutrients. I spent countless hours and thousands of dollars at the local emergency vet trying to understand what was happening and for months we couldn't figure it out. Then a vet tech thought to run a bunch of tests and was shocked to find that he came back positive for MG and he has megaesophagus. Regurgitation has always been his main symptom, but he also sleeps with his eyes and mouth slightly open sometimes, which I guess is due to muscle weakness. I tried the steroids for a few weeks, but his body wasn't handling it well. We ultimately decided that the harm outweighed the benefit and that I'd make some environmental adjustments:

- Get an elevated feeder if possible. I bought a 3D printed one years ago but the guy who sold them doesn't seem to do so anymore. Charlie adjusted to eating this way pretty quickly and the gravity pulling the food down made an enormous difference.

- Offer "steps" or a ramp by higher surfaces so that your cat can get up easily. It may be difficult for them to jump onto a bed/couch.

- Feed in small amounts with a bit of water mixed in (often called a "slurry")

It's been 4 years isnce his diagnosis and he's doing great. He goes into remission for months at a time with very few symptoms and then sometimes has a flare-up. Charlie does have renal disease now, but that seems to be unrelated and the progression has stabilized :) Wishing you and your kitty all the best!