How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. B. Your Own Question
Dr. B.
Dr. B., Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 18991
Experience:  Small animal veterinarian with a special interest in cats, happy to discuss any questions you have.
60269376
Type Your Cat Veterinary Question Here...
Dr. B. is online now
A new question is answered every 9 seconds

My kitten woke up this am throwing up small amounts of

Customer Question

My kitten woke up this am throwing up small amounts of frothy liquid and is scooting her bottom across the floor. She is very lethargic and seems to have lost weight overnight
Submitted: 10 months ago.
Category: Cat Veterinary
Expert:  Dr. B. replied 10 months ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

Can she keep water down?

Are her gums pink or pale/white? Moist or sticky?

If you press on her belly, does she have any discomfort, tenderness, or tensing?

Could she have eaten something she should not have (ie bones, toys, plants, chemicals, etc)?

Has she had any diarrhea? Any redness around her back end?

Customer: replied 10 months ago.
She just drank water and seems to be able to keep it down. Her gums are a little pale but wet. She didnt seem to have any discomfort when i touched her tummy but she does have diarrhea and a funny tummy growling when she just used the litter box. She hasn't eaten this am
Expert:  Dr. B. replied 10 months ago.

Thank you,

First, we do need to tread with care if Lola has nausea, vomiting, and diarrhea. This is because kittens have little body resource to spare and often can become dehydrated or start to lose weight very quickly as you have seen. As well, if her gums are paler then usual for her, then we'd need to be especially careful since gut blockage or bleeding (from her eating something non-edible) or even heavy flea/worm burdens can cause that as well. With all this in mind and based on the signs we are seeing, we do have a few concerns. Common causes we need to consider include bacterial or viral gastroenteritis, parasites/protozoa infections, general dietary indiscretions, and again ingestion of harmful items (ie toxins, plants, non-edible items).

Now as long as those gums are very pale and she was able to keep water down, we'd want to try some home supportive care to see if we can settle her stomach. To start, if she hasn’t just vomited (since otherwise we’d need to rest her stomach for a few hours first), then you can consider treating her with an antacid. Common pet safe OTC ones we can use include Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid), or Tagamet (More Info/Dose Here @ http://www.petplace.com/article/drug-library/library/over-the-counter/cimetidine-hcl-tagamet). Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. Of course, do check with her vet before use if she has any known health issues or is on any medications you didn’t mention. As well, if you try this and find her nausea too severe to keep it down, then that is usually a red flag that we need her vet to bypass her mouth with injectable anti-vomiting medication.

Once that has had time to absorb and she is steadier on her stomach, you can consider starting her on a light/easily digestible diet. Start with a small volume (a spoonful). Examples you can use are boiled chicken, boiled white fish, scrambled eggs, or meat baby food (as long as its garlic/onion free) or meat baby food (garlic/onion free). When you offer that spoonful, give her 30 minutes to settle. If she keeps the food down, you can give a bit more and so on. As her stomach stabilizes, you can offer more. The aim of these diets is that they will be better tolerated/absorbed by the compromised gut. Therefore, it should get more nutrients in and result in less GI upset and reduce diarrhea as well. As long as improvement is being seen, I usually advise that the diet be continued until her signs are settled, and that they are then slowly weaned back to their normal diet.

Since dehydration is a risk here, we need to keep an eye on her hydration. To check this and ensure she’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure her eyes are not looking sunken and that she doesn’t have a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you are seeing any signs of dehydration already, then that would be our cue to have her seen before this becomes an additional issue for her (especially as it is often dehydration that makes them feel unwell).

Finally, as long as you have not seen blood in those stools, you can consider trying a pet safe anti-diarrheal. As I am sure you appreciate, these would not be a cure if the cause were infectious; but it can still be of benefit. It will reduce diarrhea load, allow the body to absorb more water/nutrients, and soothe the upset gut. In regards ***** ***** options for your wee one, the one we most commonly use is Kaolin/Kaopectate (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/kaolin-and-pectin-kapectolin-k-p). This is available OTC at most pharmacies. Otherwise, Propectalin, Canikur, Fast Balance, and Protexin Pro-Fiber (which is available OTC at vets, pet stores, and even Amazon) would be another option. All will slow diarrhea and those last ones have the added bonus of providing support to the delicate good GI bacteria. So, these can be used as a short-term means of soothing this upset GI.

Overall, a wide range of agents could trigger the GI upset we are seeing. And with Lola being so young, we do need to be very proactive and careful here. In her case, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down, appears dehydrated already, or doesn’t respond to the above within 12-24 hours (since she is so young); then we'd want to get her vet involved. They can assess her hydration, rule out fever, make sure there is nothing in her stomach that shouldn't be there or any sinister viruses present. Depending on their findings, her vet can treat her with injectable anti-vomiting medication, fluids, +/- antibiotics to settle her stomach, and get her back feeling like herself.

Please take care,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. **Afterwards, I would be grateful if you would rate my service by clicking on the "Rate my Expert' button at the top of the page as this is the only way I am credited for helping you. Thank you for your feedback!: )

Expert:  Dr. B. replied 10 months ago.
Hi Rachel,

I'm just following up on our conversation about Lola. How is everything going?

Dr. B.