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Victoria | 5 years ago
Cat With Feeding Tube Vomits Water And Food Post Surgery. Hello, My Cat Had A Squamous …

Cat with feeding tube vomits water and food post surgery.
Hello, my cat had a squamous cell carcinoma removed from the left side of his face. He wasn’t interested in food or water after the surgery, so the vet installed a feeding tube. After one day of tube feeding, he started vomiting everything out – can’t hold down water or food. He was treated for nausea twice – with a Serenia injection one day, and with Zorfan (forgive the spelling errors) on the following day, but he continues throwing up (within minutes of administration of the medication. He hasn’t pooped for 11 days now, but x-ray found stool in his colon – but he is too weak to excrete it. So currently he is at the ER on IV fluids. Any ideas on why his vomiting can’t be treated? Could he have a gag reflex to the feeding tube? Is there an alternative to tube feeding (he won’t eat or drink on his own). Thank you.

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  1. Krista Magnifico

    hello,
    i am sorry this wasnt answered in a more timely fashion. I will try to answer it for others sake. I would say that the issue is the primary cause to the vomiting has still not been addressed or resolved.. I think its time for a review of the diagnostics you have run, xrays, blood work and possibly adding or rechecking an ultrasound. Also at some point we talk about biopsies of the stomach. I hope your kitty ended up doing ok.

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Diana | 5 years ago
My Vet Strongly Suspects My Cat Has A Nasal Polyp. She Has Be Snoring/snarling Consistently …

My vet strongly suspects my cat has a nasal polyp. She has be snoring/snarling consistently for 2.5 years, but is otherwise fine. When it began, I first had a potential infection treated with two antibiotics, followed by a teeth cleaning, that yielded no issues with the teeth, and ended with a nasal flush. My vet was hoping to be able to see and grab the polyp during the flush, but couldn’t. Because she was otherwise healthy, eating, and playing, I went without treating it. Recently, she was treated for a G.I. flair up that had her not eating. She had begun not eating or moving get bowels for days. Once vomiting was added in, I took her to Metropolitan Emergency Vet. They gave her an ultrasound, saw the inflammation and gas in her abdomen, took a CBC, gave her fluids and nausea medication and sent her home a couple hours later for $800. Her bloodwork was was fine, aside from dehydration. She continued not to eat, so I brought her to my vet a day and a half later. They did an x-ray and saw the lower intestine looked aggravated. They kept her for the weekend and gave her fluids and more nausea medication. She returned to me after two days and began eating again at home. I’m awaiting the additional $600 bill for that. While being discharged, one of the docs urged me to address what she felt strongly was likely a polyp in her nasal cavity, as she believed it may now be large enough that it’s limiting her ability to smell, which may have contributed to the refusal to eat with the G.I. issue coexisting for a few days. She referred me to the specialty docs locally to have the nasal polyp removed. They are quoting me $3,195 plus. They said it would be $195 for a internal med consult, $1,500 for a “necessary” CT, and $1,500 or more for the Rhinoscopy. My vet said Lilah is otherwise a healthy 12 year old cat. I am sick with the cost, as I will need to put it all on a credit card. I have called around to multiple other specialty vets and I’m getting comparable quotes. I have had family members suggest I euthanize my cat over a nasal polyp, which I absolutely will not do. I stumbled across a Utube video of you removing a nasal polyp, so I tracked you down by name, wondering if you could help Lilah? I’m two hours from your practice, which is close enough. I’d really appreciate you getting back to me. As of now, we have a consult scheduled for 3/4, and I’m sick over the cost.

Thank you,
Diana Maginn

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  1. Krista Magnifico

    Hello,
    Well! That’s quite a huge long laundry list of issues. Has anyone done a FeLV/ FIV test? What does the blood work look like?
    While no one can rule out a polyp without a scope or ct scan this does sound like a long list of issues and I worry there is an underlying issue causing many of them. I would ask your vet to sedate her and look behind the soft palate to see if there is a visible polyp that might be able to be removed with traction avulsion. Otherwise I think the retro flex endoscopy and ct are the only way to diagnose. Although I would ask some very hard and direct questions about what can actually be done if they’d one it buried dee within the nasal cavity? I hope this helps.

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Krista Magnifico | 5 years ago
First Sick Puppy Exam, Meet Denver. This Is A Story Of A New Puppy And His First Vet Visit Because He Wasn’t Feeling Well.
Treatment Cost (USD): $211.00
Denvers first exam was when he was not feeling well. He was having vomiting and diarrhea and not eating well.\ for about a day. As with all puppy illness it is really important to not wait long if they aren't doing well. Puppies are fragile and they can dehydrate very quickly.
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JOHN | 5 years ago
I Have A Two Year Old Male Yellow Lab That Has Already Had Two Obstruction Surgeries. …

I have a two year old male yellow lab that has already had two obstruction surgeries. Both of these, Scout stopped eating and drinking and was vomiting. Last week we believe he ate a sock in which he has been eating on and off, he is drinking, peeing and is pooping. He wakes up every morning wagging his tail and is in good spirits, just lacking some energy on the days he doesn’t eat. He weighed 80 pounds on his previous checkup, yesterday we took him to our local vet, he weighed 70 lbs. The performed an x ray on him and said they believe it was a soft material that he swallowed and couldn’t determine if it was in his intestine or in his colon. While at the vet Scout was wagging his tail, holding the leash in his mouth as he usually does and ate about 20 treats. My vet charged me $360 and told me they recommend me to go to the animal hospital for an ultrasound to get a better idea of where this sock is located. I waited for 4 hours for them to tell me that they performed the ultrasound, it was somewhat inconclusive, his colon was enlarged and recommended exploratory surgery. I requested we wait to see if he will pass this. They kept him overnight, asked for an $800 deposit and called this morning saying that he was the same, and took x-rays to say it hasn’t moved. Your thoughts, suggestions or advice?

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  1. Krista Magnifico

    Hello,
    I am very (extremely) concerned about e weight loss. In my opinion in a dog rhat age it is a huge red flag. It cannot be ignored and should absolutely put everyone on high alert that there is an issue. For this reason alone and the hyporexia I would say an exploratory is indicated after all other diagnostics have proven unhelpful.
    In my experience nothing (absolutely nothing except maybe a ct or mri ) at helping to put answers together. I also think that if they don’t find a foreign body that biopsy samples are helpful to diagnose weight loss (the worry is cancer). The other diagnostic option is a barium study. It’s old school but helpful in gi cases.
    Now I say all of that assuming there aren’t any budgetary constraints. If there are and a foreign body is on the list of possibilities I recommend an exam, cbc, and Chem panel and X-ray or ultrasound. If the patient is bright and active and eating drinking ambulating and NOT vomiting you can watch and wait as long as they remain acting and feeling normal. If they are vomiting or not acting like themselves the best to do is surgery. If surgery is not affordable call around and try to find a place it is more affordable. (For example it might be 4-6000 at a speciality hospital but 1-2000 at a general practice. If even this is not Affordable try a few days of intravenous fluids and lots of walking. Both keep the gut moving and help move stuff through. Hope this helps.

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Shiria | 5 years ago
Kitten With Completely Atonic Colon, Possible Causes? (Long Text Ahead) So Nov. 3th In The Evening …

Kitten with completely atonic colon, possible causes? (Long text ahead)
So Nov. 3th in the evening we got 2 kittens, estimated 6 weeks old, thin. However due to being cold outside they already had very thick fur, so it wasn’t visible how thin they were. Weight was 550 & 650gr.
The finder said they have been more active before and only now they were able to get those two. They borrowed to live traps to get the mother and another kitten.
Both were seen eating. They were treated against worms (Milbemycinoxim/Praziquantel) and fleas (Lotilaner)
Nov 4th: Overnight everything was eaten, poo was solid. Kittens were responsive and alert. To the evening only half was eaten. Poo was still solid.
Nov 5th: Nothing was eaten over night, the little one seemed a bit weaker. I started to feed them with a syringe. They started with diarrhea, but that sometimes happens when feeding with a syringe.
Nov. 6th: They still don’t eat by themselves. The smaller one still seemed weaker, but otherwise it seemed fine. A bit diarrhea. In the evening I found it the litter box, not being able to stand, barely reacting. It hat vomited (at least it looked like it), and still had poo stuck on it. It was immediately brought to a vet. It received glucose solution s.c., something against vomiting, pain and an antibiotics. Lung sounded free, heart (ultrasound) was fine, too. A test of parvovirosis came back negative. I took both of them home that night, so I could feed it smaller portions more often and to give more fluids. 2 hours later to was able to stand again. I fed them every 3-4 hours, fluids every 6 (only small amounts obviously). It was lying on a warmth mat. The bigger one was fine, but avoided it’s litter mate.
Nov. 7th: No further improvement. None of them was eating on their own. The smaller one was still lying down most of the time, sleeping, but would react when I came to feed them. It would stand up and walk to the litterbox between the feedings, but the poo had a weird consistency. Not really diarrhea, but veeeery sticky, so it always carried it back to it’s sleeping place. So I had to clean it before every feeding. A test on giardia was positive, treatment started with Carnidazol. Continue to feed them with a Syringe and fluids for the smaller one. Fluids were always absorbed to the next feeding, but it still was a bit dehydrated (skin fold test). The bigger one would play in between and seemed fine otherwise.
Nov. 8th: No changes in the smaller one during the day, still weaker, able to walk, sit and stand, but sleeping most of the time. Today there was rarely poo in the toilet. I assumed that the treatment started working and it was a good sign (although I already had the feeling that something was wrong… wish I would have trusted that feeling). In the evening it seemed weaker, but would still accept being fed with a syringe. It felt different, less body tension, but would still walk away/go to the t. 10pm feeding. More calm, didn’t want to eat that much, peed on me. Meowed louder during giving the fluids than usual and tried to get away. 2am clock, the fluids weren’t absorbed completely, it’s abdomen felt like a sponge. I only fed a tiny amount. 6am weaker, would lie down immediately, breathing was shallow and faster, meowing, I didn’t feed it, fluids still not absorbed. Rushed to the vet.
-> Heart had a low frequency, breathing fast and shallow
-> X-Ray lungs were free, only a tiny amount of fluids in the abdomen, however the complete colon and stomach were filled with food. There was no visible blockage or air.
-> Ultrasound: Absolutely no movement in the colon/stomach, no blockage or air seen either. Kidneys and liver seemed fine
-> Punctation of the abdomen: ca. 3-4ml of fluids, lots of proteins, a bit of blood. Didn’t look like FIP. Possible that the fluids came out of the colon.
It was given something against vomiting, pain, antibiotics, something to help the cardiovascular system and something to get the colon moving again. To help with its breathing got a mask with additional oxygen. However in the next hour it got worse, so we decided to let it go. After it was gone food came back out of it’s mouth. And it didn’t even smell like it had started to digest.
It’s littermate is still with me and fine. It started to eat on its own yesterday.
Now I obviously ask myself what i could have done better/different. By now I think I should have started with additional syringe feeding earlier – at least with the smaller one. And I should have reacted when my feeling told me that something was wrong, even when there were no obvious changes yet. I somehow have the feeling that I sis something wrong and killed it. Did I give too much fluids (but lungs were free and only a bit fluid in the abdomen)? Did I feed too much? Other kittens eat even more without problems – and the other one is fine.
And what can be the causes for the complete stop of movement in the colon/stomach?
I know that FIP can cause this and an ileus (but there were no visible blockage, everything was filled with food), are there other causes? Can giardia do this?

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  1. Krista Magnifico

    Hello,
    First it is important to give yourself a very firm and big pet on the back. You have gone above and beyond and saved these kittens from a slow awful death. Next this isn’t a question about the colon this is a question about what is causing all of the clinical signs you are seeing. Ileus (slow or absent moving gi tract) has many many causes but something caused it. Probably has everything to do with the same something causing everything else you are seeing. There is a huge list of possible causes. Infection, congenital disease, malnutrition before they got to you. Infectious disease like rabies, etc etc. my recommendation is to stick with the basics of keeping them warm, fed, and treated for parasites (internal and external). After that (or before your preference often dictated by amount owner can spend) is to keep asking for second opinions and keep running. Diagnostics. I really applaud your dedication and I have to say as much as sometimes we try we just aren’t able to save them all. This is especially true with kittens. Which have been some of the most rewarding and most heart breaking of all the cases I have seen.

    1. Shiria Post author

      Hello,
      thanks so much for your answer and the nice words. Malnutrition would be definitly possible, it’s nearly winter here and they were thin when we got them. Maybe it was too much for the gi tract after not getting much for some time.
      What additional diagnostics would you have recommended to do? I think bloodworks could have been an option, but what parameters? Just the large profile or other tests (besides FIV/FelV)?
      I added the xRay. I was only present at the ultrasound, where I couldn’t see air. The xRay shows air in the stomach and colon. But otherwise everything is just… filled – theres not really something visible. Kidney and Liver could be seen in the ultrasound and looked normal. The “swelling” on it’s belly is the fluid that wasn’t absorbed – altough it felt a bit harder that a fluid bubble under the skin usually does.

      The other one is still fine, active and playing, starting to eat on it’s own. Purring and cuddly. Yesterday we got the 3rd littermate, the mother is nowhere to be found until now. I haven’t seen the new one eat yet, but it was hungry when i fed it with a syringe – and it liked it. So I’ll just feed it a bit too, just not as much. That’s also nice for bonding. But it ate what was in the trap – so it knows cat food. It’s still very afraid, so I guess it will mostly come outside when I’m not in the same room.
      We also got another one, a little male that the fidners named Nero – same area but not same place – but same age (a bit younger possibly) and also black furred. But this one is in bad shape, too. Very calm and tired. Lying most of the time. It’s just skin and bones, dehydrated. I haven’t seen it eating or using the litter box yet – and since the other two use it and the towel it lays on is wet sometimes I think it doesn’t really go. But it is able to stand and walk – I think it’s just to tired/weak to do so without need. This one is also fed every 3-4 hours and gets fluids. I heard him sneezing, so maybe it’s getting cat flu.
      All were treated against internal and external parasites and no diarrhea until now from the new ones.

      Thanks again for taking your time to read my wall of text(s) and answering so detailed.

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Diedra Cardamone | 5 years ago
I Recently Purchased A “furminator” Brush For My Cat With Medium Long Hair So That I …

I recently purchased a “furminator” brush for my cat with medium long hair so that I can brush her daily to help cut down on her hair balls. The brush works great! So, I am working on brushing daily and have purchased over the counter hair all control dry cat food to use with basic wet food. What is my next step if she is still vomiting Hair balls once in a while? Thanks!

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  1. Krista Magnifico

    Hello,
    Great questions. If you are still having issues talk to your vet about having your cat shaved down. You can also try otc catlax. But if you have excessive vomiiting don’t forget to ask about a possible medical issue. I worry some of these guys have an underlying medical condition that causes them to be chronically nauseous so they over groom and Chronically vomit. Chronic vomiting can have a huge range of causes but for these cases I start with a thorough history, exam, bloodwork, X-ray and ultrasound. Then I talk about an anti nausea medication trial highly digest able food and managing stress. But like I said this can be a long rule out list. Start at the easy and most likely and go from there. Monitor weight closely and document the vomiting with time, amount and vomitus description. It call help to identify the location of the primary issue. Let us know what happens. And ps I love the Furminator. It works great!

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Krista Magnifico | 5 years ago
Meet Malibu, A 14 Yr Old Indoor Cat With A Pyometra
Treatment Cost (USD): $455.00
Eating some. Lethargic. White discharge from vulva? Licking a lot. No vomiting or diarrhea. Indoor only. Patient is NOT spayed. Last heat cycle about 8 weeks ago.
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Kaitlin | 6 years ago
My One Year Old Cat Threw Up Twice On August 23rd, But She Was Not Acting …

My one year old cat threw up twice on August 23rd, but she was not acting lethargic and was still eating and drinking normally so I thought she maybe threw up because of a hair ball. She threw up again today twice, with one being a very small amount. She is not acting lethargic and is active and playing. She is also drinking normally but she has not eaten as much as normal. Both times she threw up when I was not at home. She did start eating when I got home today though. I also free feed her but haven’t had issues with her vomiting due to eating to fast or vomiting in the entire time I have had her (one year). I’m not sure what the cause of her vomiting could be.

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  1. Sarah

    Hi there-
    I hate to sound gross, but was her food fully digested? Was the event close to when she was finished eating? If that is the case, she may have just eaten to fast. Also- have you switched foods? Sometimes that can upset a stomach. If she is acting normally and going to the bathroom and being her normal self, I would just keep an eye on her and make sure she stays that way. Any sudden change, I would call the vet. If you have an appointment soon, I would mention it to them.

    1. Kaitlin Post author

      Hi! Thank you so much for your comment! Her food was fully digested I believe. And both times it happened in the hallway outside my room. I live in a shared apartment and keep her food in my room, so it didn’t happen by her food bowl. I’m guessing it was not close to when she was finished eating since her food looked fully digested. I can’t say for certain because both times it happened when I was at school or at work. I did switch her food but the first time that she vomited she was on her old food (which was kitten food) and after that I switched her to an adult cat food since she turned one that month. I’m not sure if stress could cause her to vomit, but I was home with her a lot this summer and now that I am back at school, she’s home by herself a lot. When I come home she meows a lot and rubs up against me, wanting to be pet for a while. I think she may have some separation anxiety, but I am not sure if that could possibly cause her to be sick or if I’m just overthinking it.

  2. Krista Magnifico

    Hello,
    Based on age alone I think that if I were your vet I would talk to you about intestinal parasites (best diagnosed with a fecal exam sent to the lab) and a discussion of food and environment. I think these are really good places to start. And best for your cats well being. Hope this helps. Please let us know what happens.

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Lydia Schlitzkus | 6 years ago
An Unblocking Procedure On A 4 Year Old Feline (cat)
Treatment Cost (USD): $1446.00
Ricky came in to Jarrettsville Vet Center with symptoms of not urinating and hiding in his house as well as vomiting. His owners were concerned that he wasn't acting like himself. After an examination he was determined to have a urinary blockage. Ricky had urinary problems for about a month prior to the eventual blockage. This is a common occurrence with cats and it is important to talk with your vet about a treatment plan.
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Madeline | 6 years ago
I Have A 12 Year Old Cat Who Vomits Almost Every Day Since I Adopted Her 5 Months …

I have a 12 year old cat who vomits almost every day since I adopted her 5 months ago. She has been to the vet several times and a sonogram revealed she has chronic pancreatitis. They didn’t see any other issues. She was eating canned Fancy Feast with water, but now I have her on NomNomNow because I thought fresh food would help her. But she is still vomiting. It’s usually food at first but then she moves spots and vomits bile or saliva/foam. Once or twice the saliva looked bloody (took her to the vet right after). The vet had her on vitamin E, pepcid, and a round of antibiotics. Nothing helped. She has never been very playful but she is behaving relatively normally, eats, grooms, poops, etc. I don’t know what else to do! Thanks for any advice!

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  1. Sarah

    Hi-
    I’m so sorry you’re having such a time trying to help this cat. Has your vet ruled out everything else as far as a diagnosis? Perhaps there is something else that is worsening her initial issue? Have you tried feeding more meals throughout the day, but smaller portions? (A little at a time)

  2. Krista Magnifico

    Hello,
    I would suggest you talk about a few things with your vet like a sensitive stomach diet like i/d or even try a stomach protectant like sulcralfate or even maripotent or metoclopramide. I often try medications with a diet change. Ideally a wet food diet fed in small amounts with increased frequency. Or ask about an ultrasound or even upper gi endoscopy. My point is that there are lots of options to discuss and try. I would first start with a fecal exam for intestinal parasites. Hope this helps. Let us know what happens.