Chronic Vomiting in Cats


Chronic vomiting is a progression from acute vomiting. It is described as persistent or continuous vomiting which is for over 2 weeks resulting in decreased absorption of nutrients, body fluid loss, weakness and weight loss. Chronic vomiting is an indication of severe underlying cause such as kidney of liver failure, diabetes, cancer, tumors and ulcers, infections and other known diseases.

Causes

Chronic vomiting can be caused by:
› Gastrointestinal diseases, blockage of GI tract, Cancer, tumors and ulcers
› Bacterial infections such as Salmonellosis, Helicobacteriosis
› Fungal infections such as Aspergillosis, Histoplasmosis
› Parasitic infections such as Roundworms, Hookworms, Giardiasis
› Reactions to known drugs, medications and overdoses
› Poisoning associated with known chemicals, disinfectants, pesticides, insecticides,
› Environmental causes
› Ingesting contaminated water, food, spoil and stale food, dietary changes (high fat, lactose, food supplements)
› Diseases such as Diabetes Mellitus, Hypothyroidism, Pancreatitis (Inflammation of the pancreas), Inflammatory Bowel Disease (IBD)
› Kidney and Liver diseases
› Mal-absorption disorders such as Lymphangiectasia (protein losing disease)
› Mal-digestion disorders
› Dietary changes

Clinical Signs & Symptoms

Common symptoms seen are:
› Hematemesis (Vomiting Blood)
› Hematochezia (Blood in stool)
› Pyrexia (Fever)
› Lethargy
› Depression
› weight Loss
› Vomiting with bile
› Diarrhea (Loose stools)
› Anorexia (Loss of Appetite)
› Abdominal Pain
› Dehydration

Diagnosis

Veterinarians will require a complete history of your cat which includes medical history, vaccination records, existing health concerns, current and previous medications, onset of symptoms, diet and exercise routine and any information which can help in establishing a correct diagnosis. Diagnosis is done with a combination of tests. These include routine lab examinations and special tests which can detect the presence of the parasite. They are:

› Physical examination
› Complete Blood Count (CBC)
› Biochemical profile
› Urinalysis
› Fecal Examination
› Abdominal Radiograph (X-rays)

Treatment

Treatment depends on the underlying cause. Sometimes vomiting can resolve without medications. However this should not be practiced. Common treatments include:
Not feeding any food or water for a period of 12 to 24 hours and introducing prescription diet, low fat diet, warm, moist, non chew-able food
› IV Fluids (for recovery)
› Fluid therapy (in-case of dehydration)
› Medications to reduce and stop vomiting
› Prescription diets

Prevention

There is no prevention for chronic vomiting. Causes are many. This is a clinical sign resulting from a disease or condition.

Home Care

Treatments is an ongoing process. This could take weeks even a few months depending on the underlying cause. You have to administer and monitor all prescribed medicines as directed by your veterinarian. If you observe any behavioral changes or if the condition does not improve, please contact your veterinarian immediately.
› It is mandatory to provide a stress-free environment for your pet. Keep water and food bowls within reach, avoid exercise and physical activity, keep away from noise and any kind of commotion. Do not travel with pets.
› Routine and regular checkups to monitor the progress, weight. Further teats may be necessary.
› Humans can get infected. Children, pregnant women and ones handling infected pets need to exercise extreme caution. Wear gloves when dealing with a pet, cleaning the litter boxes, disposing any and all contaminated materials, garbage disposals etc. A thorough wash of hands is advised. Practice hygiene.
› Do not allow your pet to roam freely. They like to scavenge especially from garbage bins, leftover food in kitchen.
› Dietary changes to warm, moist food. Avoid feeding meat, uncooked foods, chew-able foods.
› De-worming medications will be given if resulting from parasitic infections.
DO NOT GIVE MEDICATIONS without consulting your veterinarian.

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