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Cat regurgitating fluid.

Species: Cat
Breed: Calico tabby short h
Age: 2-5 years
We have a (female) calico cat who was regurgitating 4 - 5 times per day and not eating. Because she wasn't eating, she was regurgitating small bits of nearly clear fluid with equally shaped greenish particles in it. She was quieter than usual, but still moving about and not attempting to hide. We admitted her to a veterinary hospital with a concern she'd become dehydrated. She is now on her 4th day without food and is on IV fluids at the veterinary hospital. She is no longer regurgitating. Her bloodwork is normal and showed no sign of feline leukemia or HIV; her x-rays show no signs of gastro problems or foreign objects. It was reported she has 1 kidney larger than the other and shaped differently, which we were told may or may not be a congenital abnormality. Urinalysis was normal, although the veterinarian stated the urine looked like it contained blood. The veterinarian is now offering us ultrasound tests on the kidneys (or abdomen?), but isn't offering any real prognosis or explanation as to what this has to do with her lack of appetite or vomiting. She was a stray and is very insecure, and we're wondering if her continued lack of appetite may be simply that she is extremely tense in the hospital environment; we're thinking of bringing her home for 24 hours to see if she'll begin eating. Any thoughts you could provide in her case would be appreciated.

Many thanks,
Hillary


Online vet, Dr. Marie

Dr. Marie replied:

Oh dear, I am sorry to hear that Zoe is having all of these problems. It sounds like this is a tough go for all of you!

From what you have described I would definitely advise that you keep her at the vet clinic. If she is not eating and she goes home and is not on IV fluids she will get even more dehydrated.

Cases like this are frustrating. It does sound like your vet is doing all of the right things though. I am wondering if perhaps she has pancreatitis. Often cats with pancreatitis can have no obvious changes on bloodwork. The treatment for this is IV fluids and medicines to help with nausea.

You can ask your vet if they have a medication called remeron. I have had good success with giving this medication as an appetite stimulant in cats like yours.

It does sound like you are on the right track. The fact that she is not vomiting/regurgitating any more is a very good sign.

I hope she is ok. Let me know if you have more questions.

Dr. Marie.



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Disclaimer: Although Dr. Marie is a qualified veterinarian, the information found on this site is not meant to replace the advice of your own veterinarian. AskAVetQuestion.com and Dr. Marie do not accept any responsibility for any loss, damage, injury, death, or disease which may arise from reliance on information contained on this site. Do not use information found on this site for diagnosing or treating your pet. Anything you read here is for information only.

Customer reply:

Dr. Marie,

Thank you so much for your quick response!

We allowed the veterinarian to proceed with the ultrasound, and a renal infection was discovered; moreover, you were correct about pancreatitis. She is being given appetite stimulants, and she shall be on antibiotics likely for about 8 weeks. If she begins to eat within the next 24 hours, we can take her home.

I shall update once more, after we see our veterinarian this evening.

Once again, many thanks for your response!

Hillary


Online vet, Dr. Marie

Dr. Marie replied:

You're very welcome and thank you for the update! Let me know if you have further questions!

Dr. Marie.



Customer reply:

Hi Dr. Marie,

Zoe has home and happy for 24 hours now, and she is eating and drinking again. Her diagnosis is chronic pancreatitis and pyelonephritis.

We have been given 3 medications to give her. Zentonil (100mg) and Ursodiol(250mg,1/4T) are to be given daily; Mirtazapine (15mg) every 3 days. She'll return every 10 days for an antibiotic injection for the pyelonephritis.

The liver support meds and appetite stimulant are in pill form. We have a pill syringe, and she was very good about it all, but this morning she regurgitated the liver support pills about an hour afterwards. She did drink a small bit of water from her dish after pill administration, but I'm not convinced it was enough to wash down the pills completely. This was our fist attempt.

Have you any suggestions that might help us to pill Zoe successfully?

Many thanks!
Hillary


Online vet, Dr. Marie

Dr. Marie replied:

Hi there Hilary...so glad to hear that Zoe is home and eating again!

Those Zentonil pills can indeed be hard to give. There is a great video on the Cornell University web site that I usually refer my clients to for tips on giving cats pills.

You can find it at:
http://partnersah.vet.cornell.edu/pet/fhc/pill_or_capsule

If she is still not managing to keep it down you can talk to your vet about whether or not she needs to stay on the Zentonyl. It is good for liver support but if it is upsetting her stomach they may decide to stop it.

Hope all goes well!

Dr. Marie.



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Dr. MarieDr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.

Is an online vet visit just as good as a trip to your veterinarian? No! But, many times, asking an online veterinarian a question can help save you money. While Dr. Marie can't officially diagnose your pet or prescribe medications, she can often advise you on whether a vet visit is necessary. You can also ask Dr. Marie for a second opinion on your pet's condition.