Cat acute vomitting

Re: Cat acute vomitting

Maria D.K. — Fri, 29 Apr 2011 10:13:22 GMT

No change in urine or frequency of urinating. I'll probably chnage his anti-emetic. Thank you so much for all thr advice and opinions, i'm sitll very concerned and sadly endoscopy is largely unavailable.

Re: Cat acute vomitting

Andrew Kent — Fri, 29 Apr 2011 08:16:20 GMT

I think you need to be careful using metoclop if there is still a chance of a FB as you may make the situation worse. I agree you need a more comprehensive blood profile to include biochem , electrolytes and fPLI if possible. Is he urinating? If that's all clear and it persists at this severity then he will probably need endoscopy (if available) or an ex-lap Andy

Re: Cat acute vomitting

Maria D.K. — Fri, 29 Apr 2011 06:17:57 GMT

*He seems to be eating well during the day, i fed him 3-4 times in small amounts, but in the morning he vomits before his first meal or soon after it.

Re: Cat acute vomitting

Maria D.K. — Fri, 29 Apr 2011 06:14:26 GMT

*To add : his abdomen is tense, but not painful.On his rads there were little to no gasses in his GIT.

Re: Cat acute vomitting

Maria D.K. — Fri, 29 Apr 2011 06:11:32 GMT

Hello again. This is day 3 since the vomitting started, the cat is with me all the time now (since i am sick aswell) under my supervision.

To start answering your questions : Its a 4 year old male cat, that lives indoors but often goes outside alone.Yesterday he vomitted on an empty stomach a yellow-ish mucous liquid. To prevent that today early i gave him p.o Vetacid (Famitidine), 20 mins later i gave him Degan (metodopramide hydrochloride) and fed him another 30 mins later. He vomitted all he had eaten - his diet for the last two days has been Royal Canine's Intestinal food. It wasnt even partly digested yet.

He still drinks water on his own, has an apettie, no notable increase in temperature,feces formed, no behavioral change.

Two weeks ago he was vaccinated, 3 weeks ago he was given wormmeds.

The blood test was full i.e WBC,WBC,Hb etc. I'm thinking he needs biochemistry done too.

He has has a couple of acute gastritis presentations for the 3 years i've had him, they always passed within a day.

Re: Cat acute vomitting

Julie Innes — Fri, 29 Apr 2011 00:47:36 GMT

Hi, I had a similar case a few weeks ago with my neighbour's cat. they thought it MAY have eaten a cat toy. I could feel a small hard mass, xray (barium) showed possible small mass, went to ex lap, turned out to be enlarged LNs (this was after V+ for 3d, and not eating) TN, nothing else.

It made a miraculous recovery after the op (plus some antibiotics and metoclop), thankfully.

What age is the cat?

Re: Cat acute vomitting

Andrew Kent — Thu, 28 Apr 2011 22:02:08 GMT

The advice on use of cerenia in cats is that it should be at half the dog dose (0.05ml per Kg) but yes seems to work very well!

I believe metoclop is now licensed in cats but agree that the justification for cerenia is fairly simple when a pro-kinetic effect is not desired.

Andy

Re: Cat acute vomitting

Richard Fox — Thu, 28 Apr 2011 07:31:44 GMT

[quote]You think if I went to the doctor vomiting for a day they would take bloods, scope me and take some radiographs?[/quote]

True - but then GP's ignore most things anyhow - yes its appetite is apparently OK as you say but still V+ - anyhow I'd just monitor it closely - I was not advocating ex-lap, rads, etc. I would palpate abdo, check paramters, maybe do bloods if still V+ after 2-3 days and if signs worsening pursue other diagnostics

Re: Cat acute vomitting

CatherineThomas — Thu, 28 Apr 2011 06:55:00 GMT

[quote user="emerald"]

Are you using it for anti-emesis? Why not metoclop?

Thanks

[/quote]

You wouldn't want to use metoclop if theres a chance of a linear FB would you?

Re: Cat acute vomitting

Rob Loxley — Thu, 28 Apr 2011 00:44:12 GMT

[quote user="emerald"]Are you using it for anti-emesis? Why not metoclop?[/quote]

It's a much better anti-emetic than metoclop?

Re: Cat acute vomitting

Michael Woodhouse — Wed, 27 Apr 2011 21:56:51 GMT

[quote user="Richard Fox"]erm where does it say bright and eating well - its not eating and vomiting up water[/quote]

In the OP!

[quote user="Maria D.K."]No loss of apetite, drinks water at own will, no change in behavior[/quote]

That's what I would read by no loss of appetite and normal behaviour. A bright well cat that is just being sick.

You think if I went to the doctor vomiting for a day they would take bloods, scope me and take some radiographs?

Re: Cat acute vomitting

emerald — Wed, 27 Apr 2011 21:41:31 GMT

Are you using it for anti-emesis? Why not metoclop?

Thanks

Re: Cat acute vomitting

nikki — Wed, 27 Apr 2011 21:36:05 GMT

it's not but it's regularly used. it works well. there is no licensed alternative so fine to use under the cascade.

Re: Cat acute vomitting

emerald — Wed, 27 Apr 2011 21:20:45 GMT

I thought cerenia wasn't licensed in cats?

Re: Cat acute vomitting

Richard Fox — Wed, 27 Apr 2011 18:03:14 GMT

" After a shot of Quamatel the abdominal pain subsides, the cat hasn't been fed since yesterdat afternoon when it first started to vomit.This morning 10 minutes after drinking water it vomited again."

erm where does it say bright and eating well - its not eating and vomiting up water - sure its probably nothing but is not normal! IMO a V+ cat is not quite the same as a V+ dog - sure wait and see and conservative therapy but certainly watch closely?

Re: Cat acute vomitting

Michael Woodhouse — Wed, 27 Apr 2011 17:46:03 GMT

[quote user="Kate Richardson"]I'm not sure what Quamatel is[/quote]

H2 antasgonist

I am a little amazed how far you are all going with a cat that's bright, eating and has been sick for 24 hours. Cerenia would be my first point of call and then have a look tomorrow.

Re: Cat acute vomitting

Kate Richardson — Wed, 27 Apr 2011 17:43:29 GMT

Hi. Firstly how old is the cat? Sex? Breed? Indoor or outdoor cat?

First thoughts based on the info provided would be a simple acute gastritis or pancreatitis. What bloods did you check- was it a full profile or minimal data base.

I'm not sure what Quamatel is, but if abdomen is painful and you are fairly certain this is not a foreign body, (which would be less comon in a cat compared to a dog), I would probably treat with iv fluids if the cat is dehydrated, pain relief, probable buprenorphine (Vetergesic) and an anti-emetic such as maropitant (Cerenia). Offer it really small amounts of water at a time and then move to small amounts (a teaspoon) of something bland.

Is it definitely vomiting or is it regurgitating? An oesophageal problem might be worth considering if you think it may be regurgitating. I assume it has had no medications of any kind in the past 2 weeks that could have irritated its oesophagus, or stomach?

You could also try antacid treatments such as ranitidine or omeprazole, or gut protectants such as sucralfate which may help with a gastritis.

As others have mentioned, endoscopy may be useful, and also an abdominal ultrasound scan if you have access.

Re: Cat acute vomitting

Eamon McAllister — Wed, 27 Apr 2011 12:59:05 GMT

Coeliotomy? Hard to believe but I once had a cat with a gastric torsion.

Re: Cat acute vomitting

Richard Fox — Wed, 27 Apr 2011 12:44:00 GMT

Panrcreatitis ?

Re: Cat acute vomitting

Gerry Henry — Wed, 27 Apr 2011 12:13:50 GMT

? linear FB. Also would be worth 'scoping stomach.