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Vomiting in Cats

By Dana G. Allen, DVM, MSc, DACVIM, Department of Clinical Studies, Ontario Veterinary College
Sharon Campbell, DVM, MS, DACVIM, Manager, Pharmacovigilance Regulatory Affairs, Veterinary Medicine Research and Development, Pfizer Inc.
Ben H. Colmery, DVM, DAVDC,
James G. Fox, DVM, MS, DACLAM, Professor and Director, Division of Comparative Medicine, Massachusetts Institute of Technology
Carlton L. Gyles, DVM, PhD, Professor Emeritus, Department of Pathobiology, Ontario Veterinary College, University of Guelph
Walter Ingwersen, DVM, DVSc, DACVIM, Specialist, Companion Animals, Boehringer Ingelheim (Canada) Ltd, Vetmedica
Lisa E. Moore, DVM, DACVIM,
Sofie Muylle, DVM, PhD, Faculty of Veterinary Medicine, Department of Morphology, Ghent University
Sharon Patton, MS, PhD, Professor of Parasitology, Department of Biomedical and Diagnostic Sciences, College of Veterinary Medicine, University of Tennessee
Andrew S. Peregrine, BVMS, PhD, DVM, DEVPC, DACVM, Associate Professor, Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
Stanley I. Rubin, DVM, MS, DACVIM, Clinical Professor, Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign
H. Carolien Rutgers, DVM, MS, DACVIM, DECVIM-CA, DSAM, MRCVS, Senior Lecturer, The Royal Veterinary College, University of London
Jörg M. Steiner, DrMedVet, PhD, DACVIM, DECVIM-CA, AGAF, Associate Professor and Director, Gastrointestinal Laboratory, Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A & M University
Thomas W. Swerczek, DVM, PhD, Professor, Department of Veterinary Science, University of Kentucky

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Vomiting in cats is the forceful ejection of the contents (such as food or fluids) of the stomach and upper small in testine. It is normally preceded by excessive drooling, retching, and forceful contractions of the abdominal muscles and the diaphragm. Vomiting can be caused by digestive system disease, kidney or liver failure, pancreatitis, or nervous system disorders (including ingestion of poisons).

Vomiting differs from regurgitation, which is a passive motion. With regurgitation, the expelled food and fluid tends to be undigested and may have a cylindrical shape reflecting the shape of the esophagus. Coughing or difficulty breathing are more often associated with regurgitation than with vomiting.

Short-term or occasional vomiting is generally not associated with other abnormalities. Longterm vomiting may be associated with weakness, lethargy, weight loss, dehydration, and electrolyte (salt) imbalance. Whenever possible, control of vomiting is achieved by identifying and eliminating the cause while allowing the digestive system time to recover.

Short-term or Occasional Vomiting

When a cat has been vomiting for only a short time (less than 3 to 4 days) and no other signs of disease are present, treatment to relieve signs may be all that is needed. Generally, the treatment for short-term vomiting requires withholding food and limiting access to water for 24 hours. Cats with kidney or heart disease may require a hospital stay with intravenous fluid treatment during this time. If the vomiting has stopped after 24 hours, the cat may be offered small amounts of water. If no further vomiting occurs, feeding can usually be resumed slowly.

Longterm or Severe Vomiting

Longterm vomiting, vomiting that occurs more often than once or twice daily, and vomiting accompanied by blood, abdominal pain, depression, dehydration, weakness, fever, or other adverse signs requires a detailed examination by your veterinarian. This may include blood and urine tests as well as abdominal x-rays. In many cases, endoscopic evaluation and biopsy of the stomach and small intestine are the only tests that can determine the cause of the vomiting.

A cat with longterm vomiting may need to be treated for conditions such as dehydration, salt imbalances, and acid-base disorders that have developed. Drugs to control vomiting can be prescribed for animals with persistent vomiting, dehydration, and weakness.

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