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Vomiting Kitty :( LONG detailed post & questions...

post #1 of 9
Thread Starter 
Hi I've read topics on this forum before, but I've never posted. And this is a doozy of a first time...

I have two cats who are generally VERY healthy. One (Rusty) has the occasional asthma, and the other (Frogger) has always been a puke-y kitty. I'm not sure if it's from overeating, or eating too fast, but it's not unusual for us to hear him puking in the other room, or waking up to find a pile, about 1-2 times a week.

But for the past 4 days, he's been unusually sick. Here's the recent history...

TWO WEEKS AGO, we took our cats to the vet for his yearly vaccines, blood-work, etc. Everything was totally normal, clean bill of health. Both our cats (brothers) are mutts (polydactyl american shorthair), 8 years old, and weigh 10-11 pounds. They're indoor cats who get to go into the backyard with supervision, and Frogger likes to eat grass when he's out there. Like I said, they're both generally very healthy, until...

THIS PAST TUESDAY, about 2-3 hours after eating his normal diet of dry food (science diet oral care), Frogger vomited the entire contents of his stomach, partially digested food, followed by clear liquid -- about 3-4 "rounds" of vomiting. Given that he's a puke-y kitty, we didn't think too much of it, even though there was more vomit than usual. It certainly didn't bother Frogger, who went back to his bowl to eat more dry food. About three hours later, same thing happened. We started to worry. This time, when Frogger ran back to his bowl to "refill," we took it away. Later that night, we gave him a small amount of wet food (science diet hairball control), which he did manage to keep down.

WEDNESDAY, we woke up, gave Frogger a very small amount of dry food, which about three hours later, he vomited up. At this point we took note of his cycle -- he would eat, sleep for 2-3 hours, wake up, lick his nose, smack his mouth as if he had a bad taste, grow apprehensive, go to the litter box (without eliminating) and step out of the litter box and vomit three times until his stomach was empty. We called the vet and took him in. In the exam, Frogger looked fine, teeth healthy, organs fine to the touch, heart and lungs sounded clear, temperature fine. They gave him subcutaneous liquids (which gave him a camel hump! kinda cute) so he wouldn't get dehydrated, and sent us home with cemetadine (like pepcid i think?), sucrofate (to coat his esophagus/stomach), and a laxative (since we were concerned this was all happening because he was constipated and kept going into the litter box when he felt nauseous). We took him home and he seemed to feel better that night -- we withheld food so there was no vomiting.

THURSDAY, we woke up, gave Frogger his meds, waited awhile before giving him a small amount of prescription wet food (Hills ID). He seemed to do fine, but three hours later, he vomited just as before. We waited several hours before giving him a little more wet food, but this time it only took 15 minutes before he threw it up. We called the vet and told her about his progress (or lack thereof) and she said to bring him in for xrays the next day (i think to rule out a swallowed foreign object).

FRIDAY, we took him in, he had his xrays (all clear, though his intestines seemed a little inflamed). At this point, vet thought it was Pancreatitis and took blood to run that test. The vet also gave him an anti-nausea shot, more subcutaneous fluids, and metronidazole. (We were also supposed to pick up "liquid pepcid" to give him 2mg every 12 hours, but I went to 3 drugstores before I found out there is no such thing!). We took him home, and though he seemed exhausted from the vet, he was happy and even ate some wet food without vomiting (probably because of the anti-nausea shot?).

Today is SATURDAY, and he's had a few more small helpings of wet food and hasn't vomited. Yay. We heard back from the vet, and it's not pancreatitis. So that's good I guess. We're still giving him the sucrofate (i think i'm spelling that wrong) and now the metronidazole and pepcid (a 10mg pill I split into approx. 2mg portions), but after we give him meds, or after he eats, or plays, he still does the lip smacking/bad taste in his mouth thing... I can't tell if it's like he's gagging (doesn't sound like it) or tasting something foul -- by the look of the expression, it seems like something caught in the back of his throat (but the vet did look down his throat and nothing's there).

So here are my questions...
1. We're supposed to keep Frogger on the current meds for a week and bring him in for a recheck (unless he gets worse)... But since it's not pancreatitis, which the vet seemed convinced it was going to be, what else would explain this sudden onset of vomiting? I've searched the internet, but haven't found any good answers. Most people point to hairballs, overeating, foreign objects, pancreatitis -- all things we've ruled out. Just wondering what the vet will look for next if the vomiting continues...

2. Why does he make that face after eating/meds/playing? Could it be acid reflux? Do cats get acid reflux? If so, I wonder if the pepcid is enough to deal with all of this? Is anyone else's cat on pepcid?

3. It seems like a huge coincidence that our very healthy cat goes to the vet for his exam, and two weeks later this happens. Is it at all possible that while there, something went wrong when they tried to extract the urine sample/bloodwork/etc? (Something the vet would be hesitant to consider?) Has anyone heard of anything like this happening?

4. Lastly, Frogger's been sneezing for the past two weeks after cleaning/eating. I didn't think anything of it until today, as it's only 1-2 sneezes a day. Could this possibly be related to the vomiting? (viral/fungal/bacterial infection?)

Sorry this is so long but I figured the more info the better.

If anyone's had similar experiences, please let me know. I love my cats a ridiculous amount, and since they're usually so perfectly healthy, I'm a little freaked out and want to make sure I don't make Frogger MORE sick by giving him all these meds (especially when no one seems to know what he has...).

THANKS!!!
Louise
post #2 of 9
Maybe he caught something from the vets.
My Coco gets Pepcid a/d.
I have it compounded into liquid.
It hs helped her.
post #3 of 9
Welcome to TCS. When he went to the Vet did they take a urine analysis? The reason I'm asking is, I had to just bring my Patch to the Vet, he was constantly throwing up for days. Couldn't keep anything on his stomach. Now he is a cat that has problems with UTI's, however, he never, never threw up with a UTI, he would try to urinate but nothing would come out. Well the Vet said it was infection he has struvite crystals. I asked the Vet is that why he's throwing up she said yes. That is all the symtoms he had he was urinating fine. I'm giving him an antibiotic. Just a suggestion. Good luck.
post #4 of 9
Quote:
Originally Posted by aswient View Post
Welcome to TCS. When he went to the Vet did they take a urine analysis? The reason I'm asking is, I had to just bring my Patch to the Vet, he was constantly throwing up for days. Couldn't keep anything on his stomach. Now he is a cat that has problems with UTI's, however, he never, never threw up with a UTI, he would try to urinate but nothing would come out. Well the Vet said it was infection he has struvite crystals. I asked the Vet is that why he's throwing up she said yes. That is all the symtoms he had he was urinating fine. I'm giving him an antibiotic. Just a suggestion. Good luck.


When Zara had a UTI her only symptom was throwing up.

I would hope that doing all those vet visits they considered the possibility of a UTI but you didn't mention a urine analysis.
post #5 of 9
Except that you said he had an x-ray of his insides, the symptoms sure sound like an intestinal blockage or constipation.
post #6 of 9
Quote:
Originally Posted by mrblanche View Post
Except that you said he had an x-ray of his insides, the symptoms sure sound like an intestinal blockage or constipation.
A blockage is one of the things my vet considered. In fact, even after detecting the UTI she still took an x-ray to make sure nothing showed up although she said some blockages may not be visible on an x-ray.
post #7 of 9
The unproductive visit to the litter box is a big, important clue, in my mind.
post #8 of 9
I have a kitty with chronic pancreatitis (actually triaditis) and it sounds like Frogger has the same symptoms. Please read Stomper's thread.
http://www.thecatsite.com/forums/sho...ight=triaditis

The vomiting a few hours after eating and continuing to vomit liquid is what my kitty does when he has a very severe attack.

The meds you are giving Frogger are for IBD. The metronidazole is really nasty tasting and give my kitty a stomach ache. The lip smacking is a sign of nauseousness in kitties.

I hope your vet ran a fPLI ($100-$160) test because that is the only way to know if Frogger is having a pancreatitis attack or not. That and a biopsy.

Inflammed intestines can indicate IBD and IBD can affect the stomach. However I have never had them be able to diagnosis this by x-ray vs ultrasound. Even then they want to do a biospy to be sure.

I am with Mrblanche about the blockage. You need to make sure this is ruled out. Blockage is more likely to show up on xray than the inflammed intestines of IBD.

Not pooping is a very bad thing, it means Frogger is not actually eating and/or keeping down enough food to create poop. This lack of nutrition in its own right will become an emergency rather quickly by causing liver damage.

How is is weight? What are his liver enzymes? Have they changed in the last week. My kitty has a compelely normal check up..all bloodwork normal and 8 days later he had liver enzyme increases had lost a pound and was in a severe IBD/pancreatitis attack which has now lasted for over a month and a half. Sorry to be so alarmist, but you have a serious issue on your hands with Frogger.

One more issue to look at is megaesophogus. This will sometimes make them vomit shortly after eating mostly undigested food that has sat in the esophogus. Need a barium swallow study to determine this. Based on the timing and type of vomit Frogger is doing this doesn't really fit, but is another possibility.
post #9 of 9
Thread Starter 
Thanks SOOOO much for all the responses

The good news is: Frogger has only vomited twice in the last week! And both times weren't NEARLY as bad as what was happening before. More like he just ate too fast.

The frustrating thing is we have NO idea really what the problem was. I guess I'm hoping it was something that the metronidazole took care of, or maybe it was an undetectable hairball that he passed. We still have him on Pepcid (2.5 mg daily), and I give him a little petromalt here and there, just in case (and because it's like a treat for him). Oh, and he's still on wet food twice a day (no dry food). Today we're actually going to give him a little dry food and see how he does.

Speaking of dry food, for the past three years he was on science diet oral care, and we used to always leave a full bowl out so they could eat when and how much they wanted. This was never a problem, but now I'm wondering if we should change things in case that was the problem. Maybe Frogger should be on wet food all the time? That wouldn't be a problem for us. I'm just not sure what would be the best for my cats. Any thoughts on the dry food/wet food/which brands topic? (The one MINOR problem I have is that we're going out of town next weekend, and usually we'd just leave a big bowl of food and water and our cats would be fine. That's gonna be tricky if Frogger needs to be on wet food -- and also not good to change his dry food brand right before leaving town... Sigh.)

Specific responses ~

Kittymonsters: Frogger is pooping normally now (though it was a little less last week when he was so sick). I don't know about his liver enzymes (no clue if they were measured). I'm sure Frogger must have lost SOME weight, simply because he was vomiting more than he was ingesting. And the vet ran some sort of blood test to rule out pancreatitis, and it was pricy, so I think it was the fPLI. Any chance that the test was false negative? Is that common?

mrblanche: Yes, I was most concerned about the unproductive litter box trips, and since there was no contrast study done (just an xray) I was still worried that it was an impacted hairball, which is why I'm still giving Frogger a little Petromalt each day, just in case.

mschauer and aswient: You know, at the original vet visit (the check-up, before Frogger got sick) they DID take a urine sample, which was fine. But when he got sick, I was actually paranoid that in obtaining the sample, maybe they gave him an infection (that's not even possible). When I was at the vet for Frogger's sick visits, I asked if he might have a UTI, but this was dismissed because he'd just had a healthy urine sample two weeks prior. So... Who knows. That may have been the problem. If it WAS the problem, could it have gone away on its own? Or maybe the metronidazole made it go away? Hmmm...

mews2much: I've just been cutting a 10mg pepcid tablet into 4 pieces, and wrapping it in a fish flake (bonito flake) and feeding it to Frogger. He loves fish flakes SO MUCH that he doesn't even notice the pill. This method did NOT work with the metronidazole, which we tried every which way to give to him, in all his favorite treats, but he would always smell/taste the pill and spit it out, then gag/foam at the mouth. That med must taste horrible.

I'm relieved my kitty is better, but still annoyed to not know what was wrong! This would've all been easier if Frogger could speak English. (He just curled up in my lap, purring -- if he could speak, I think he'd say thanks to all of you for the help!)

Thank you!!!!

Louise
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