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If your pet is persistently vomiting or is vomiting paired with diarrhea, these are considered an \u201cORANGE\u201d \u2013 or urgent case \u2013 on our Fast Track Triage system. We recommend having your pet evaluated by your family veterinarian or local animal emergency hospital within 12 hours. Call ahead of your arrival so the veterinary team knows to expect you. <\/span><\/strong><\/p>\n If your pet has experience two or fewer vomiting episodes, this is considered a \u201cYELLOW\u201d \u2013 or semi-urgent case \u2013 on our Fast Track Triage system. We recommend having your pet evaluated by your family veterinarian or local animal emergency hospital within 24 hours. Call ahead of your arrival so the veterinary team knows to expect you, and if your pet\u2019s condition worsens, call the team back to inform them of the status change. <\/span><\/strong><\/p>\n As a board-certified veterinary internist, I often ask clients, \u201cIf you were vomiting once a week, would you consider this normal?\u201d Certainly, most people would not. Yet veterinarians frequently hear clients speak of their cats vomiting \u201call the time\u201d or \u201cwhenever he eats too fast,\u201d often with the added disclaimer, \u201cthat\u2019s just what he does.\u201d<\/p>\n The fact is, with the exception of an occasional hair ball, our feline companions should not routinely vomit. Cats vomit for many reasons. To start down the path to a diagnosis, veterinarians first try to decide whether the problem originated in the gastrointestinal (GI) tract, is a result of an underlying metabolic (organ function disease), or if the cause began in the small intestines.<\/p>\n Diseases that originate in the GI tract can include:<\/p>\n To diagnose, lab work and imaging (x-rays and ultrasound) are often necessary.<\/p>\n Examples of underlying metabolic diseases include:<\/p>\n Many of my chronic vomiting patients, especially those that also have an intermittent lack of appetite and poor weight gain, have some form of inflammatory bowel disease. A subset of these patients may have true food intolerance, but many have developed alterations in their local immune system that have led to changes in the intestine. These changes result in impaired digestion and absorption of their food which manifests as vomiting and weight loss. Finally, one of the most serious causes of chronic vomiting and weight loss in cats is intestinal cancer (lymphoma being the most common).<\/p>\n If your feline friend is vomiting frequently, especially if the vomitus is food or fluid (not just fur) or if the vomiting is associated with weight loss and behavior changes, please see your family veterinarian to work on determining a diagnosis. He or she will discuss with you:<\/p>\n A thorough comprehensive examination, review of weight trends, complete lab work, and imaging are often the initial steps of a diagnostic work-up. Many patients will be trialed with a new diet and symptomatic medications may be used. If these initial steps are not helpful in resolving the problem, then your family vet may choose to do further imaging of the GI tract. An abdominal ultrasound can be very helpful in identifying patients that may be at risk for more significant causes of vomiting including inflammatory bowel disease and lymphoma. Some cats will require biopsies for definitive diagnosis.<\/p>\n The good news is that many cats with chronic vomiting can be treated and their symptoms are well-managed. However, identifying the underlying cause early is often key to treatment success. If you have questions or concerns about the health of your cat, contact your family veterinarian.<\/p>\n
\n1. Gastrointestinal (GI) Tract<\/h3>\n
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<\/p>\n2. Underlying Metabolic Disease<\/h3>\n
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3. Small Intestine<\/h3>\n
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