Your cat needs to see a vet for a proper diagnosis and treatment. He will be given a "senior exam". There are many things that can be done to make an older cats life much more comfortable and enjoyable. Take him in……you'll be glad did!

good luck!

Take him to your regular vet. He should know the cat's history and will be able to advise you best.

You really need to take him to the vet. Our kittens both had tapeworms, and they did a skin treatment, we just put it on the skin right in between the shoulder blades. It was very noninvasive. Also, you should definitely be able to tell if he has tapeworms, we kept finding dried things around the house that looked like sesame seeds.

Also, be really careful about always washing your hands. I somehow got the tapeworms from my cats, not fun at all!

No homeopathic remedy is going to get rid of worms. It just isn't going to be effective in this situation. Since you don't know for sure that he does have worms, take him and a stool sample to your vet and get him diagnosed. The vet can assess the best course of action with you. If he is that frail, I suspect worms will be a much bigger problem for him than the wormer. They worm tiny kittens that are also in an extremely fragile stage of life – people don't realize how high kitten mortality is – and yet they do fine.

No, there's nothing "homeopathic" that will kill the worm. The vet can kill the worm with a simple injection that is quite painless and quick. Get him to the vet ASAP. A tapeworm deprives a cat of nutrition and at 14 years old your cat could quickly waste away and DIE.

FYI – a cat doesn't get "tapeworms". It's ONE worm with a head (the scolex) that suctions to the inside of the cat's stomach. It then grows segments (proglottids) each with female and male sex organs and capable of reproducing. These segments are what you see coming out of your cat when the worm gets so big there's no more room in the stomach for it.