? Vomited multiple times, not eating. Took to Er & they found no ketones. Any ideas?

S

soreto

Member Since 2025
Kitty usually grazes wet food all day/night. I woke up to him vomiting this morning & I believe it's cause he didn't have enough to eat overnight. I fed him & gave him insulin. He ate but then vomited it up soon after. He took a nap, woke up & vomited some more. He kept throwing up a few more times, just foam.

I took him to Er & they gave him nausea meds (cerenia). They checked his ketones & it was normal. I offered him food when we got home, but he still hasn't eaten. He's napping now.

I am used to him vomiting when his BG is too high (& it WAS high this morning, 300), but not him not eating.

His readings today: AMPS 300, +3 280, +7 340 (note how he has not eaten but his +7 is high.)

The Er suggested more tests but it was so expensive that I am going to do it at regular vet.

Any ideas what this could be?
 
Possibly pancreatitis, could also be related to kidney function. You should ask your regular vet run blood work if you haven’t had it done recently, and if they can test for pancreatitis, hopefully they have a Catalyst One In-House Analyzer, they can add it, and it gives you a number, not just a yes/no like the old SNAP fPL. Vets used to have to send the blood out for a spec fPL to get a diagnosis of pancreatitis.

Hopefully the Cerenia shot will help, it’s supposed to be for 24 hours. If not, as part of your regular vet visit, you may need to ask for more anti nausea meds, either Cerenia or Ondansetron, which target different nausea receptors. I gave both to Mav when he had pancreatitis. You may also need an appy stimulant, like Mirtaz and pain meds like buprenorphine if it is pancreatitis, since that can be painful . Here is the primer on pancreatitis. Info - A Primer On Pancreatitis

And some good helpful tips on encouraging your cat to eat. Suggestions on How to Stimulate Kitty's Appetite
 
@Christie & Maverick

Thanks so much for the detailed reply! this was really helpful!

I took him to vet today & it was pancreatitis. They recommended hospitalization but it was so expensive & also he tends to not eat at the vet, so i told them no. they gave him some fluids & i will have to learn to administer fluids daily for dehydration. They did not give me a pain med but did give me Mirtaz. Does this sound right to you? I dont know what different thing they would do if he was hospitalized?

He is eating again & his BG is much better.

Are there foods that can trigger pancreatitis? Or is this just most likely a diabetes side effect? I ask because he got sick so quickly. There is a boiled chicken I give him from a local grocery. He's eaten it for years, but I now wonder if maybe they changed the way it's made & there might be an ingredient that makes him sick? i looked at the ingredient list today & the only things other than chicken is vinegar, potato starch, yeast extract & chicken broth.
 
The meds typically given for pancreatitis are some combo of pain meds, appetite stimulant, anti nausea, anti vomiting, and fluids. Some cats may only need one of those, others may need all of them. It depends on symptoms. Hospitalization means being hooked up to an IV for fluids and injectable meds and constant monitoring. Hospitalization may be needed for a severe pancreatitis episode. Leroy has been hospitalized for pancreatitis before.

Pancreatitis is common in diabetic cats. It used to be thought that high fat foods causes it but no one really knows.
 
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