Opinions Need: Kitty is Vomiting, Fatigued and has Diarrhea

heyitsfae

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Last week I noticed that my boy, Winston wasn't eating as much as he normally does. He's 20 pounds and loves his meals so it's unheard of for him to leave food behind in his bowl. Last week he was leaving half of his meal unfinished. I thought it was a little odd but he was acting normally so I didn't think much of it (I figured maybe he was tired of his food or something).

This weekend the lack of appetite was accompanied by vomiting. About half the time that Winston would eat something, he would throw it up after. I immediately made an appointment with his vet and brought him in on Sunday morning. His physical exam looked good, he had x-rays done which showed some gas in his intestines but nothing that the vet was overly concerned about. He had blood work done which only showed a slightly elevated white blood cell count which I was told is normal for cats at the vet due to the stress (his blood sugar looked good so we can rule out diabetes). So they gave him some fluids, anti-nausea medication and some wet food that was supposed to be easy on his tummy. He nibbled on the food that afternoon and managed to keep it down.

Monday he didn't eat much but he managed to keep his food down again. He was definitely not himself though and spent the day sleeping and barely moving.

Tuesday he was also lethargic and he seemed to get his appetite back a bit because he inhaled a whole can of food and then threw it up again about three hours later. The vet called to check on him, said he was "a bit of a mystery" and recommended that I keep an eye on him and see how he's doing today (Wednesday). Tuesday night I noticed that Winston was having some diarrhea. Not much though ... it seemed like he spent a lot of time in his litter box without much for results.

Today he's been acting more like himself... which has been promising. Climbing the cat tree, talking to me, sleeping on my bed and following me around. He ate a can of food for breakfast with no issues but this evening he threw up his dinner and had a tiny bit more diarrhea (and, not much success in the litter box department though... lots of digging and no real pooping).

He's going back to the vet first thing in the morning but I was wondering if anyone might have any ideas as to what could be behind this?

It's probably also important to note that Winston has Feline Herpes and takes 1000mg of L-Lysine every day to keep it in check. As I mentioned, he is 20 pounds ... so he's a bigger boy.

I have noticed that when Winnie eats his L-Lysine chew he gums it and then spits it out and tries again ... which is something he hadn't done prior to last week.

Also, I'm not sure if this is related or not but it's worth mentioning that he's been sneezing from time to time over the last week.

Any ideas as to what this might be would be very welcome since he seems to be stumping my vet.
 

vball91

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Hmmm,I think I have heard that hairballs can show up as gas on an x-ray. I am wondering if he has a partial hairball blockage which could help explain the vomiting and lack of bowel movement. Many vibes for Winston. I hope you and your vet can figure out what's wrong.
 

cprcheetah

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I have never heard that an elevated WBC can be due to stress (be working in the vet field for 20 years) now yes an elevated glucose can be due to stress.  Cats can get things like stomach ulcers and irritible bowel both of those things can cause vomiting.  The IBS can cause the diarrhea.   He could also have an obstruction or something.  Is he a cat that normally eats things he shouldn't?  It may not have shown up on the xray sometimes they have to do a barium series. 
 
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heyitsfae

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Is he a cat that normally eats things he shouldn't?  It may not have shown up on the xray sometimes they have to do a barium series. 
He's not one to eat anything that isn't food but I'm not ruling out the possibility completely. I suspect that they'll do another x-ray tomorrow. Hopefully something will show up ... not knowing is the worst.
 
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heyitsfae

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UPDATE: Winston went back to the vet today and had to be hospitalized so that he can have an IV of fluids 24/7. The vet is suspecting that he may have pancreatitis. While he's in the hospital he's getting a second x-ray done to completely rule out the possibility of an obstruction and they will also be running a specific blood test to check on the health of his pancreas (I forget the name that the vet used for it). He's also getting some anti-nausea medication so that it might be a little easier for him to eat.

Hopefully we'll know what's going with him for sure tomorrow when all of his blood work is back and the vet has had a chance to observe him.
 

abbyntim

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My cat Tim started vomiting after every meal about a month ago. After a trip to the emergency vet and a stay with our regular vet, which included x-rays, blood tests, urine tests, fluids, anti-nausea medication that really didn't work, and physical exams and test reviews by three different veterinarians, no one could say for sure what was wrong. My cat was also sneezing, plus he was coughing.

I felt very helpless and alone as I tried to figure out what was going on. The first place I looked was the ingredient labels on his food to see if there was any pattern with his vomit episodes. Initially, the only commonality I could see was chicken, so, with the knowledge of the vet, I started him on Nature's Variety Instinct Limited Ingredient canned food (neither cat cared for the Natural Balance LID).

As several weeks have gone by and I've had a chance to observe him and review ingredients, I began to suspect carrageenan and not necessarily chicken. In fact, I may try feeding him some chicken this weekend to see what happens. I suspect a few other things, but it will take time to find out. But so far, no vomit. No sneezing. No coughing. And some of his weird behaviors have stopped; in particular, his formerly-obsessive chewing of things. He doesn't do that anymore.

I wanted to share this because there may not be any specific medical reason why your cat is vomiting. It may be a sensitivity to something in his food, or even an allergy. You may want to take a close look at what he's eating to see if you can pinpoint anything.

Good luck, I know how you feel.
 
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heyitsfae

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Any ulcers in his mouth?
No ulcers in the mouth. His vet also checked his tongue and the back of his throat to make sure he didn't have hair or string or something like that back there.
I wanted to share this because there may not be any specific medical reason why your cat is vomiting. It may be a sensitivity to something in his food, or even an allergy. You may want to take a close look at what he's eating to see if you can pinpoint anything.

Good luck, I know how you feel.
Thank you so much for sharing this. I'm so glad that your boy is doing better. Winston has three main foods that he eats so I'll sit down with the ingredients list tonight to see if I can find any commonalities that may be disagreeing with him.
 

linkfarm

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Wonder if it might be colitis (inflammation of large intestine)

There are many causes of colitis, including bacteria, fungi, viruses, allergies and parasites, among other diseases. Signs include straining to poop, lack of appetite, dehydration and vomiting

Cats may have diarrhea but because it hurts to poop becomes constipated.
 
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heyitsfae

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UPDATE:  I just got a call from Winston's vet and my boy is coming home tonight! His second set of x-rays confirmed that it wasn't an obstruction of any kind and his blood test did confirm that he does have pancreatitis.

The vet says that Winston is now eating whenever food is offered and that he has kept everything down so far. He's on an IV for fluids and has been given anti-nausea medication and is now on antibiotics. I'm told that this is something that Winnie will have for life but that it's something that he can live with if I manage it properly. Of course, I'm 200% willing to do whatever it takes for my guy to live a long, happy life.

So the good news is that we have an official diagnosis! I pick him up at 5 today and I have a list a mile long of questions to ask the vet about what he can/can't eat now.

I wanted to thank you all for your advise and sympathies. Like @AbbyNTim said, it feels very lonely sometimes with a sick pet and no diagnosis so thank you all a million times over for your support.

I'm sure that you can expect a million more questions from me as we move forward to the management of Winnie's diagnosis.
 
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