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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 23781
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
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She just vomitted and urinated at the same time on the

Customer Question

She just vomitted and urinated at the same time on the floor.
JA: I'm sorry to hear that. What sort of animal are we talking about?
Customer: Older cat, she's 16
JA: OK. Hopefully it didn't make a mess. Did the cat eat anything unusual?
Customer: No, totally normal activity
JA: OK. The Veterinarian will know what to do. What is the cat's name?
Customer: Blue
JA: Is there anything else the Veterinarian should be aware of about Blue?
Customer: She had her elder exam a few months ago and all was fine, kidneys and everything
Submitted: 3 months ago.
Category: Cat Veterinary
Expert:  Dr. Michael Salkin replied 3 months ago.

There are two reasonable scenarios with Blue. The first is that she now suffers frrom a geriatric urinary tract infection (UTI/E. coli is most common) and these can nauseate patients. Urgency is a hallmark of lower UTIs and would explain her not making it to her litterbox.

The second is that her vomiting was associated with a sudden drop in blood pressure which can be seen with peracute (sudden) hypersensitivity reactions such as anaphylaxis and cardiac abnormalities resulting in arrhythmia (irregular heart rate). Hypotension can weaken my patient to the point of temporary urinary incontinence.

It would be a good idea to have her vet take another look at her paying particular attention to Blue's heart and also to culture Blue's urine looking for bacteria. At 16 years of age all untoward symptoms are important. Please respond with further questions or concerns if you wish.

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