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Throwing up and diarrhea. A tabby cat. Rex one and a half…

Customer Question
Throwing up and diarrhea ...

Throwing up and diarrhea

Veterinarian's Assistant: I'm sorry to hear that. What sort of animal are we talking about?

A tabby cat

Veterinarian's Assistant: OK. Hopefully it didn't make a mess. Did the tabby cat eat anything unusual?

No

Veterinarian's Assistant: OK. The Expert will know what to do. What is the tabby cat's name and age?

Rex one and a half years old

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Rex?

He has been a normal cat until now

Submitted: 4 months ago.Category: Cat Veterinary
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Customer reply replied 4 months ago
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11/26/2017
Cat Veterinarian: Dr. B., Cat Veterinarian replied 4 months ago
Dr. B.
Dr. B., Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 22,590
Experience: Small animal veterinarian with a special interest in cats, happy to discuss any questions you have.
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Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today.

Now if Rex has vomiting and diarrhea, we do need to tread with care as he will be high risk for dehydration and lethargy/weakness from nutrient loss. Now with signs of both upper and lower GI upset, we'd be most concerned that his signs are due to a bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretion, and harmful ingestion (ie toxins, plants, non-edible items).

With this all in mind, as long as you are sure he didn't eat anything harmful (else we'd want him seen urgently) we can try some home supportive care. To start, if he hasn’t just vomited (since otherwise we’d need to rest his stomach for a few hours first), then you can consider treating him an OTC pet safe antacid [ie Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid), 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 double check with your vet if he has a known health issues or is on any medications you haven't mentioned. Though if he cannot keep it down due to nausea, that is usually a red flag that we need to bypass his mouth with injectable anti-vomiting medication from his vet.

Afterwards, you can try an easily digestible diet like boiled chicken, boiled white fish, scrambled eggs, or meat baby food (as long as its garlic/onion free). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. 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/ diarrhea. Fiber (ie canned pumpkin) and OTC probiotics (ie Benebac, Fortiflora) can be added to these meals to firm those loose stools quicker and support digestion.

Furthermore, you can consider trying Rex with a pet safe anti-diarrheal. As I am sure you appreciate, these would not be a cure for infectious issues; 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, 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(of course avoid Imodium, Pepto Bismol or salicylic acid/aspirin containing products as those aren't cat friendly). Otherwise, Propectalin, Canikur, Fast Balance, and Protexin Pro-Fiber (all 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 his upset GI.

Finally, as dehydration is a risk in these situations, do keep an eye on his hydration. To check that, there are a few things you can look for. Besides gum moisture, make sure his eyes aren't sunken and that he doesn’t have a "skin tent" when you lift the skin. To see how to check those dehydration signs, here is a good video ( http://www.ehow.com/video_12232503_dog-dehydrated.html ) to look at. If you do see any signs of dehydration already, that's our cue to have him seen before this becomes an additional issue (especially as it is often dehydration that makes them feel unwell).

Overall, his signs do raise some concerns here. Therefore, we’d want to start the above supportive now. If he 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 his vet involved. They can assess his hydration, rule out fever, make sure there is nothing in his stomach that shouldn't be there or any sinister viruses present. Depending on their findings, his vet can treat him with injectable anti-vomiting medication +/- antibiotics to settle his stomach, and get him back feeling like himself.

Kind regards,

Dr. B.

******************************************************************************

I aim to provide best care for you just as I do for my own clients & their pets. If you have any other questions, please ask – I’m happy to help but please rate me with the **STARS** (or leave a written rating of 1-5; 5 being great) as this is the only way I am credited for my work by the site & this allows me to continue to help here. This is included in your question fee. Once you rate, your question will not close & you can still ask follow-up questions. Thank you. : )**

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Cat Veterinarian: Dr. B., Cat Veterinarian replied 4 months ago
Hi,

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

Dr. B.
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Dr. B.
Dr. B.
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