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Hello. Thanks for writing in. My name is***** and I would be happy to help you. I do have a couple questions to see if I can better assess your situation.
Has your vet ran any blood work?
If so, do you know what was ran and what the results were?
Thanks for the information. I assume the thyroid value was included in the blood work as well? Hyperthyroidism can cause chronic vomiting in cats. With most of these chronic vomiting cats, there is an underlying inflammatory bowel disease disorder, but with older cats, you have to consider gastrointestinal lymphoma as well. With either disease, you can sometimes see an increase in thickening of the small intestinal tract and/or stomach, but that isn't always the case. I would consider running a GI panel which will measure serum cobalamin and folate levels and some potential gastrointestinal infections. In many cases, the cobalamin levels may be low and just need supplementation (usually requires injections). Beyond that, it sounds like the next test would be stomach and small intestinal endoscopy with potential biopsy of any lesions noted. That is the only way to definitely rule out inflammatory bowel disease and GI lymphoma. In many cases, if the bloodwork is completely normal, I will try them on a course of prednisolone for IBD to see if that helps as well. Please let me know if you have any other questions or concerns. Hope this helps.
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