Ear infections are very common in cats and will cause head tilting. This can be cured with antibiotics prescribed by a vet. I have a degree in Animal Science and Medical Technology but my advice doesn't replace that of a vet. However I realize that many pet owners, as much as they love their pet, may be in a situation where they just don't have the resources to treat their pet, and I am of the opinion that it is better to help the owner try to help their pet rather than let it perish, but please, if you can come up with the resources at all to take your kitten to a vet.
That being said, you can buy antibiotics over-the-counter at feed stores. They are labeled for use in cattle and swine, but can be used "off label" for cats, but you must be very careful to calculate the dosage. If you want information on how to do this let me know but you must be able to give injections either intramuscularly or intradermal (under the skin). I don't advocate doing this unless the owner absolutely has no means to seek vet care.
Unfortunately, head tilting and twitching can also indicate brain damage which can be caused by an infection in the brain. If your catis an outdoor cat, it is possible that it is infected with the FLV (feline leukemia virus) which can get into the brain. Only a vet can test for FLV and tell you if that is the case. If there is no money for this, about all you can do is keep an eye on the cat. There are several different ways this can go but the prognosis is generally not good. Some cats can work through the virus (it takes about 12 weeks) and recover, but usually need nursing, such as antibiotics to ward of secondary infections, hand feeding etc. Some cats recover and then develop fatal leukemia in a few years. Unfortunately, when it gets in the brain most will succumb. I had an outdoor cat that this happened to and it did well for a time on it's own-eating, drinking, sleeping but eventually I had to bring him in and hand feed him with a liquid diet and syringe, and take him to the litter box and hold him up periodically because he could not stand. I kept him on antibiotics, and kept him clean by sponge bathing him, and comfortable with clean fresh bedding. He did eventually work through it, but it took several weeks of nursing and he was left with a head tilt, but otherwise did well. I had another cat at the same time that looked like she was going to make it but then started having convulsions and had to be put to sleep. It is very heartbreaking. I had a vet working with me who was very supportive and would help by giving prednisone shots which would alleviate some of her symptoms.
This happened in our barn cats and the vaccination for FLV is not that helpful in prevention. If your kitten has FLV it will be sleeping a lot more, really all day, than it used to.
Only you can decide how you want to deal with this but I urge you if at all possible to seek veterinary care. Please bring him in for the time being and do everything you can to make him comfortable and give him the best shot at beating this. Take a box and make a comfortable and clean little bed for him, changing bedding often. They are not hard to bring in because generally they sleep all day in their little box. Take him to the litter box occasionally; after they eat is a good time, or when they first wake up from a long nap. Place a high quality food nearby and a little bowl of clean, fresh water daily. If he doesn't seem to be eating or drinking much, buy a 30-ml syringe at the feed store. Get a high quality canned food like Science Diet and thin it down with water until you can draw it up in the syringe. Be patient and feed it slowly to him, about 10 ml per feeding. Also give him water with the syringe and try to get about 50 ml of water in him daily. No matter what the outcome he will reward you with love and appreciation. Good luck.
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