10/01/2024
As promised, today's post is about vomiting in cats. Some of you might be thinking... why... cats just vomit. Nope, this is a myth. Did you know that almost 98% of cats who have chronic vomiting, changes in weight, diarrhea, or changes in appetite or any combination those symptoms have a diagnosable disease?! Mind blown right!? Cats don't vomit all the time. It's not normal for them!
Vomiting in cats can be triggered by a lot of things. Similar to dogs, things INSIDE the GI tract vs OUTSIDE the GI tract are good broad categories to start with. Younger cats tend to eat or chew things they are not suppose to. So things like string, foreign material, chewing on plants that can cause stomach irritation could trigger a bout of vomiting. If your cat has fleas... even one flea... and they groom it and eat it... they will be incubating tape worms! Tape worms look like dried white rice around their hind end... and all it takes is grooming that ONE flea.
In one study, almost half the cats with chronic GI symptoms were diagnosed with inflammatory bowel disease. These cats stopped having GI signs with changes in their diet and in some cases oral medication. If you could stop stepping in cold, old, yucky cat vomit with a change in diet.... isn't it worth the check up?
Your regular veterinarian may start with routine diagnostics such as x-rays, blood work, urine test, and f***l analysis. If those results are normal, they may recommend advanced testing such as abdominal ultrasound, biopsies, or a GI panel blood test. The blood test checks for pancreatitis and the body's ability to absorb certain things like folate and cobalamin.
In middle aged to older cats, we worry more about things OUTSIDE of the GI tract causing nausea and vomiting. Kidney disease, liver disease, pancreatitis, hyperthyroidism. Annual wellness blood work and urine screening can help catch early kidney disease. It takes about 75% of kidney function LOSS to see symptoms and outwards signs of this disease.If you could catch it when they only lost 25% of function with a blood test, you might be able to keep your cat out of kidney failure with a diet change alone! We think it's totally worth it!
The other special things about cats, (we all know that they DON'T like to be the same as dogs) is that they can develop fatty liver syndrome or hepatic lipidosis. This condition occurs from chronic anorexia or not eating. However overweight cats are more sensitive to this and even 24 to 48 hours of not eating can lead to elevated liver values. When cats stop eating, their liver responds by mobilizing fats. Sometimes, it can over react or be dramatic, and mobilize TOO many fats. It essentially floods the liver with fat and puts it into liver failure. Sometimes, the reason why your cat is STILL not eating and vomiting is not due the origianl insult, it's now because the liver is not working and they are in liver failure.
Most cats can recover from this situation IF the underlying cause of anorexia/not eating is treatable. However it can require ICU care and a temporary feeding tube.
If your cat is a chronic vomiter, ie has been vomiting 2 to 3 times a week for 3 month but is otherwise fine and eating... do not panic and bring them to the ER. Go to your regular vet for the work up.
If your cat vomits 2 to 3 times in one day and stops eating for 24 hours... then maybe we need to be a little bit more aggressive and make sure our liver is happy and that the original trigger is treated.
Kittens and eldery cats with chronic conditions should be seen for even 1 or 2 episodes of vomiting. They have less reserved and can run into trouble even with 1 or 2 episodes.
If it sounds like your cat is bringing up a hairball but doesn't bring anything up... this might not be vomiting but a feline asthma cough. If they are breathing fine and acting normally, this ca wait until your regular vet can see you. If they are breathing hard and having a lot of these events in one day, we might need to see them before they have a bad episode.
When in doubt, you can always call us to trouble shoot!