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Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 15160
Experience:  Over 20 years of experience as a veterinarian.
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Cat has been vomiting FLEM, Not stomache acic days, like a

Customer Question

Customer: cat has been vomiting FLEM, Not stomache acic for 3 days, like a human will do if they have sinus drainage. will not eat or drink, but Wants to, but every time she tried it comes up immediately, seem even the smell of food make her vomit.
JA: Thanks. Can you give me any more details about your issue?
Customer: 3 year old female, long hair. seems to have started 3 days ago with a hairball. nothing but thick Flem ever since.
JA: OK got it. Last thing — JustAnswer charges a fee (generally around $19) to post your type of question to Cat Veterinary Experts (you only pay if satisfied). There are a couple customers ahead of you. Are you willing to wait a bit?
Customer: I can wait a few. will giving her a seringe of water help ?
JA: OK. Now I'm going to take you to a page to place a secure deposit with JustAnswer. Don't worry, this chat is saved. After that, we will finish helping you.
Submitted: 11 months ago.
Category: Cat Veterinary
Expert:  Dr. Kara replied 11 months ago.

Hello, my name is***** and I have over 20 years of experience as a veterinarian. I am sorry to hear that your girl isn't feeling well, vomiting, refusing to eat or drink, and if she does try it comes back up immediately.

The "phlegm" that you are seeing in her vomit is likely stomach or esophageal mucous which is thicker than usual due to dehydration from all of her vomiting.

She is likely dehydrated because he is vomiting, but if even water is making her vomit you need to take it away from her for now.

In most cases vomiting is triggered by eating something they should not, too much table food, too many treats or something they find outdoors.

More serious causes of vomiting in include viral or bacterial infections, a dietary allergy or sensitivity, internal organ failure (kidney or liver disease), or a full or partial gastrointestinal obstruction.

In a younger kitty, especially one that hasn't finished her vaccine series, a viral infection or a foreign body leading to a partial or full gastrointestinal obstruction would be the most likely cause and both can be deadly. Not all cats with viral infections run a fever initially, sometimes they are too weak to mount a fever response.

Because she is young, this has been going on for more than a day, and she cannot keep down even water ideally she would see a veterinarian now. Cats that cannot eat for more than 72 hours run the risk of developing hepatic lipidosis also known as fatty liver disease. This is caused by overwhelming the liver with fats being broken down for energy to live when they don't eat, making the liver unable to function normally.

If having her examined isn't possible for whatever reason there are some things we can try at home, but we cannot replace in clinic intravenous fluids and injectable medications so if she isn't responding quickly she should see a veterinarian promptly.

To try and settle her stomach you can give either:

1) Pepcid ac (famotidine) at a dose of one quarter of a 10mg tablet per 5 to 10 pounds of body weight every 12 hours

OR

2) Prilosec (omeprazole) at a dose of one quarter of a 10mg tablet per 5 to 10 pounds of body weight every 24 hours

These are acid reducers and may help her feel less nauseous and hopefully stop the vomiting and improve her appetite. They are quite safe and can be used for several days if necessary.

I would pick up all food for now and water for a couple hours to allow her stomach to settle after the acid reducers.

In a couple hours when you give her water or clear broth make sure it is in small amounts only. If she drinks too much too quickly that can lead to vomiting. To get some electrolytes in you can also offer her a 50:50 mix of pedialyte and water.

If there is no vomiting for 6 hours offer a bland diet of 2/3 boiled, minced, white skinless chicken and 1/3 boiled, white rice mixed with some low salt chicken broth to make it easy to lap up and swallow and get additional fluids into her. If she refuses that, you can offer a little meat baby food. If she refuses both then don't push it, she needs hands on veterinary care as soon as possible.

But if things go well and she does eat the bland diet and doesn't vomit feed her the bland diet for 3 to 4 days then slowly start to mix back in her regular food, a little more at each meal. It should take about 5 to 7 days to slowly convert her back to her regular diet.

If she continues to vomit even with the acid reducers, runs a fever (more than 103F rectally), or has a lower than normal temperature (less than 99F), has a tense painful belly, or if she refuses to eat even after the acid reducer is given she should see a veterinarian for an examination, diagnostics, injectable anti-nausea drugs, intravenous fluids and supportive care.

Please let me know if you have any further questions.

Customer: replied 11 months ago.
103 temp, already had a shot for nausea that did nothing. blood work will be in tomorrow. so far you've told me what I already found out on the internet for Free. Just Answers waisted no time in taking Full Payment from my bank account ( That pisses me off !) Not you, THEM !
Expert:  Dr. Kara replied 11 months ago.

It sounds like she is running a low grade fever.

That can be secondary to an infection, or inflammation which can be seen with an obstruction or inflammatory bowel disease or even cancer (less likely at her young age).

I am very glad to hear that bloodwork is pending, that will hopefully give more direction on where to look.

I would want her on fluids, both because she isn't eating and I want to support organ function, and to try to bring down her temperature. Intravenous fluids are best, ***** ***** fluids are an option too.

You can certainly try adding an acid reducer (Pepcid or Prilosec as I recommended above) as they won't interfere with the injection she was given and may help. Was she given Cerenia (maropitant)?

You can also try feeding a little meat baby food.

Until I have more testing results that's all I can tell you for now. Her symptoms are pretty vague.

I have nothing to do with the financial end, and rest assured nothing passes to me until you rate my response.

If you are unhappy I can forward this to customer service & they can close the question and refund your deposit.