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8 year old short hair tabby has been vomiting for 3 days.

Customer Question
8 year old short...

8 year old short hair tabby has been vomiting for 3 days

Veterinarian's Assistant: I'll do all I can to help. Hopefully it didn't make a mess. Did the tabby eat anything unusual?

Not that I am aware of. He is on a sensitive skin and stomach diet

Veterinarian's Assistant: What is the tabby's name?

Rocky

Submitted: 5 months ago.Category: Cat Veterinary
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Answered in 3 hours by:
1/1/2018
Cat Veterinarian: Dr. B., Cat Veterinarian replied 5 months ago
Dr. B.
Dr. B., Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 23,050
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 with your wee one today.

What does his vomit look like?

Can he keep water down?

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

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

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

Any diarrhea?

Has he been passing urine normally?

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Customer reply replied 5 months ago
Vomit yellow liquid at this point.
I’ve offered water but he doesn’t seem interested
Gums are pretty pale but moist
He is an indoor/outdoor cat, so he could have eaten something??
I haven’t noticed any diarrhea
He passé irons last night around 10 pm
Customer reply replied 5 months ago
passed urine
Customer reply replied 5 months ago
Looking at his gums just now caused him to vomit
Cat Veterinarian: Dr. B., Cat Veterinarian replied 5 months ago

Hello again,

Poor lad if he is that nauseous, as lifting their lip usually won't cause vomiting. Anyway, if they are paler then usual, we do need to tread with care as it can be a sign of internal bleeding, anemia, or compromised GI circulation. So, if he is very pale or becomes paler at any point, then we'd need him seen urgently. Otherwise, I'd note that out main suspects for Rocky's signs would be a bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa, dietary indiscretion, or a harmful ingestion (ie toxins, plants, non-edible items). As well, at his age we cannot fully exclude this being secondary to a systemic issue (ie kidney or liver disease, IBD, cancer, etc). So if it has been 3 days, we do need to tread with care; especially as cats can develop secondary liver compromise (fatty liver disease)if they are off food for long.

With this in mind, we can try some home supportive care to try to settle him. To start, if he hasn’t just vomited (otherwise we’d want to rest the stomach for a few hours), you can try him with 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, give it 20 minutes before 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. Also if you give this and he cannot keep it down that is usually a red flag for us to bypass his mouth with injectable anti-vomiting medication from his vet.

Once he is more settled, you can try giving small meals of an easily digestible diet based on what he tolerates (ie boiled chicken, boiled white fish, scrambled eggs, or meat baby food (garlic/onion free only)) There are also OTC vet diets (ie Hill’s I/D or Royal Canin’s sensitivity) that can be used 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. As long as improvement is being seen, we usually feed this until they settle and then wean slowly back to what you normally feed.

Since dehydration is a risk here, we need to keep an eye on his hydration. To check this and make sure dehydration isn’t an issue, there are a few parameters you can test. Further to checking 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 these, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). Though any of these signs and that’d be our cue to have him seen before this becomes an additional issue (especially since its often dehydration that makes them feel unwell).

Overall, Rocky's signs do raise a few concerns for us. Therefore, we’d want to start the above to try to settle this for him. Though if he cannot keep that or water down, appears dehydrated already, or doesn’t respond within 12-24 hours; then we'd want to get his vet involved. They can assess his hydration, check for fever, ensure nothing in his stomach that shouldn't be, or any sinister infections present. Depending on their findings, his vet can treat with injectable anti-vomiting medication +/- antibiotics to get him settled and back to feeling like himself.

Kind regards,

Dr. B.

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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 5 months ago

Hello again,

How is everything with your wee one?

Warm regards,

Dr. B.

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