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Dr. B.
Dr. B., Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 21199
Experience:  Small animal veterinarian with a special interest in cats, happy to discuss any questions you have.
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She is panting and throwing up foam. Clearly in distress and

Customer Question

She is panting and throwing up foam. Clearly in distress and it came on all of a suddent
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the cat eat anything unusual?
Customer: Not unless she got into something in the garage.
JA: What is the cat's name and age?
Customer: Boudica 10 years old
JA: Is there anything else the Veterinarian should be aware of about Boudica?
Customer: No she is in good health. Healthy diet, bathroom habits, does not go outside,
Submitted: 2 months ago.
Category: Cat Veterinary
Expert:  Dr. B. replied 2 months ago.

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

How long has she has these signs?

Can she keep water down?

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

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

Could she have eaten something harmful (ie bones, toys, plants, chemicals, etc)?

Customer: replied 2 months ago.
This started less than 30 minutes ago.
She is not iterested in water.
Gums are pink and moist
She doesn't like to be touched or picked up right now
Expert:  Dr. B. replied 2 months ago.

Thank you,

Now if she has just started with severe vomiting, may be uncomfortable and distressed; we do need to be careful here. In regards, ***** ***** we can see this with bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, or ingestion of harmful items (ie toxins, plants, non-edible items).

Provided harmful ingestions are less likely, we can try some home supportive care to see if we can settle her stomach. To start, you can try an OTC pet safe antacid like Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid) or Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac). Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. Of course, do check with your 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 the nausea just too severe to keep it down, then that is usually a red flag that we need the local vet to bypass her mouth with injectable anti-vomiting medication.

After that has had time to absorb, we can start small meals of a light/easily digestible diet. Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). When you offer these meals, give her 30 minutes after to settle. If she keeps the food down, you can give a bit more and so on. 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. 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, we need to keep a close 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 do find these dehydration signs, then that would be our cue to have her seen before this becomes an additional issue (especially as it is often dehydration that makes them feel unwell).

Overall, a wide range of agents could trigger the signs we are seeing with wee Boudica. Therefore, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down at any point, appears dehydrated already, or doesn’t respond to the above within 12-24 hours; 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, your vet can treat her with injectable anti-vomiting medication +/- antibiotics to get her back feeling like herself.

Kind regards,

Dr. B.

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Expert:  Dr. B. replied 2 months ago.
Hi,

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

Dr. B.