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My cat vomits on average 3x weekly, is not listless, gums

nice & pink, will hog...
My cat vomits on average 3x weekly, is not listless, gums nice & pink, will hog all other cats food. I feed him dry food & he drinks water regularly.sometimes it is bridge in color/no blood & he has energy3yrsold. Help
JA: I'll do all I can to help. This sounds like it might be serious. I'll let the Veterinarian know what's going on ASAP. Is there anything else the Veterinarian should be aware of about your cat?
Customer: Nothing
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Answered in 6 minutes by:
1/13/2018
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 31,810
Experience: University of California at Davis graduate veterinarian with 45 years of experience.
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Cats vomiting as frequently as yours has been doing are most often diagnosed with inflammatory bowel disease (IBD) - an idiopathic (unknown cause) inflammation of the gastrointestinal tract which usually responds to a glucocorticoid (steroid) such as prednisolone, the antiinflammatory antibiotic metronidazole, or both. We also need to consider a particularly nasty type of hairball called a trichobezoar, foreign body ingestion, chronic pancreatitis or hepatitis, as well as a food intolerance. Yourvet will want to thoroughly examine your cat including performing diagnostics in the form of blood and urine tests. If nothing untoward is found, an abdominal ultrasound is indicated because that imaging modality is particularly sensitive for evaluating the gastrointestinal tract itself. We're mainly interested in seeing if the inflammation associated with IBD or its sequela small cell lymphoma (older cats, usually) is present.

Food intolerance/allergy is addressed with prescription hypoallergenic diets. These special foods contain just one novel (rabbit, duck, e.g.) animal protein or proteins that have been chemically altered (hydrolyzed) to the point that your cat's immune system doesn't "see" anything to be allergic to. The over the counter hypoallergenic foods too often contain proteins not listed on the label - soy is a common one - and these proteins would confound our evaluation of the efficacy of the hypoallergenic diet. The prescription foods are available from your vet. There are many novel protein foods and a prototypical hydrolyzed protein food is Hill’s Prescription Diet z/d ultra (a hydrolyzed protein diet is my preference because it avoids the possibility of my patient being intolerant to even a novel protein). A positive response is usually seen within a few weeks if we’ve eliminated the offending food allergen. Food intolerance can arise at any age and even after our patient has been eating the same food for quite some time. Please respond with further questions or concerns if you wish.

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 31,810
Experience: University of California at Davis graduate veterinarian with 45 years of experience.
Verified
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Thank you for your kind accept. I appreciate it. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.

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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 31,810
31,810 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience.

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