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HELP! Cat vomits EVERYTHING!  Also suffers from DIARRHEA.

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Debabe - 10 Sep 2003 09:58 GMT
I would greatly appreciate input from this group on an ongoing problem
with my 10-year-old cat.  She has always had a vomiting problem (yes,
she is given Petromalt for hairballs), but it seems to have worsened
in the last few months.  She is also experiencing diarrhea.  I have
made more than half a dozen trips to the vet and we have tried nearly
everything: restricting her diet in an attempt to eliminate food
allergies, medication for diarrhea, etc. Many times, if her stomach is
empty, she vomits bile.  We have tried 1/4 of a Zantac tablet, but she
seems to vomit even more.  She has had a full blood panel, which has
ruled out chronic renal failure or diabetes.

Two month ago, the vet found a lump in her abdomen.  Not certain what
it was, and with a dim prognosis, they went in for exploratory/removal
surgery.  His educated guess was cancer and he felt perhaps she should
be allowed to expire quietly on the operating table.  Fortunately, and
surprisingly, the lump was a build up of bile in her gall bladder,
which they removed and she seemed to be doing better for a while.
However, she is experiencing diarrhea and she vomits nearly all cat
food -- and she is on prescription Science Diet!  At this time, the
only food she is able to keep down is baby food, but this is not a
good long-term diet for a cat.

There are five doctors in my vet's office: I have seen three of them
trying to discover the cause of her diarrhea & vomiting.  No luck so
far.  She is quite thin and I think that lack of proper nutrition
(from both the baby food and hunger) have made her tired & listless.
I have seen her bound up the stairs, and she drinks water, but I know
she is hungry because I have heard her stomach growl.

Anyone have any experience with these symptoms or any ideas?  As you
might imagine, I am a bit desperate.  Any suggestions are most
welcome.

Thank you in advance.  You have always been a most supportive
newsgroup and I respect your knowledge and appreciate your kindness.

Deborah

P.S.  "I asked the checker at my grocery store how he knew I was
purchasing baby food for my cat.  He explained that when a shopper
buys meat and vegetable baby food, it is usually for a baby and when
they only purchase meat baby food, it is usually for a cat.  And they
sell ALOT of baby food to cat people!"
Gail - 10 Sep 2003 10:42 GMT
Have they ruled out inflammatory bowel disease? This is a common disorder
that causes diarrhea or vomiting. It can be confirmed by a biopsy. My cat
was diagnosed via ultrasound where they saw her intestines thickened. I
would take her to a specialist, if possible and one that specializes in
internal veterinary medicine (ASAP).
Gail
> I would greatly appreciate input from this group on an ongoing problem
> with my 10-year-old cat.  She has always had a vomiting problem (yes,
[quoted text clipped - 39 lines]
> they only purchase meat baby food, it is usually for a cat.  And they
> sell ALOT of baby food to cat people!"
Phil P. - 10 Sep 2003 11:25 GMT
> Have they ruled out inflammatory bowel disease? This is a common disorder
> that causes diarrhea or vomiting. It can be confirmed by a biopsy. My cat
> was diagnosed via ultrasound where they saw her intestines thickened. I
> would take her to a specialist, if possible and one that specializes in
> internal veterinary medicine (ASAP).
> Gail

That is the best advice Deborah can get.

To Deborah,

Go to http://www.acvim.org/Kittleson/search.htm and do a search for an
internal medicine Diplomate/Specialist in your area. American College of
Veterinary Internal Medicine Diplomates are about the best there is.

If you can't find an ACVIM specialist in your area, my second choice would
be an ABVP Diplomate/Feline Specialist (American Board of Veterinary
Practitioners).

Go to http://www.abvp.com/diplosearch1.htm http://www.abvp.com/

Good luck,

Phil
Debabe - 20 Sep 2003 02:43 GMT
Hello:

I wanted to give you the latest on my cat, Pumpkin.  I want to thank
you all very much for your response to my message, both with postings
and e-mails.  Based entirely on your feedback & advice, I went to the
vet and requested a biopsy for check for inflammatory bowel disease.
The doctors referred to the results of all the blood tests and so far,
everything was good.  But, I insisted and she went in for exploratory
surgery today, a scant month after her gall bladder surgery.

The vet just called me and, even though the we won't know the test
results for a few days, he thinks he may have found the problem:

INTESTINAL LYMPHOMA

Needless to say, I am a bit stunned. I have been doing some research
(how did we all survive without the internet?), I found out the
following:

"...Intestinal lymphoma is now the most common form of lymphoma in the
cat.  The average patient is an elderly cat with a history of either
vomiting, diarrhea, or both... It is very difficult to distinguish
inflammatory bowel disease from lymphoma without a full-thickness
biopsy (a full-thickness piece of intestine) obtained via exploratory
surgery."

Again, the lab results have not come in and the diagnosis is by no
means definitive, but I am trying to prepare for what may be ahead.  I
know that some of you have had experience with intestinal lymphoma.  I
am again asking for your input.

Thank you, thank you.

Deborah

"Intestinal lymphoma tends to be more responsive to therapy than the
mediastinal form of lymphoma. -- Cats with intestinal lymphoma treated
with prednisone alone have a life expectancy of 45-60 days. Other
protocols using multiple drugs yield median survival times of
approximately seven months. -- As with dogs, chemotherapy protocols
are associated with minimal side effects."

 

> Have they ruled out inflammatory bowel disease? This is a common disorder
> that causes diarrhea or vomiting. It can be confirmed by a biopsy. My cat
[quoted text clipped - 45 lines]
> > they only purchase meat baby food, it is usually for a cat.  And they
> > sell ALOT of baby food to cat people!"
Gail - 20 Sep 2003 03:37 GMT
Thank you for letting us know. I've been concerned about her. I hope that it
is not lymphoma and maybe it is still IBD. If it is the former, treatments
are available which can put her in remission. I'm glad you insisted upon
further testing. Also if it is lymphoma, I would see a veterinary
oncologist. I am not trusting of your vets, sorry to say.
Gail
> Hello:
>
[quoted text clipped - 87 lines]
> > > they only purchase meat baby food, it is usually for a cat.  And they
> > > sell ALOT of baby food to cat people!"
dgk - 20 Sep 2003 11:15 GMT
>Hello:
>
[quoted text clipped - 14 lines]
>(how did we all survive without the internet?), I found out the
>following:
...

My cat (Nico the Wonder Cat) died from that back in June of this year
around age 17. IBD > Lymphoma. I don't think they called it intestinal
lymphoma. They called it (if I remember this right)  Chronic
Lymphosarcoma. He had been throwing up for years but my vet said that
he was just getting old and all tests were negative. I should have
pursued it more but figured he was ok. After he stopped eating I took
him to the emergency hospital (Long Island Veterinary Specialists if
you're around NYC).

After he recovered from four days in the hospital finding out what he
had, he came home. For three weeks I fed him through a feeding tube
(peg tube) and then he was eating on his own. I pilled him for the
rest of his life (about 4 months) alternating Prednisone and Leukeran
(look it up) daily. For two months he got progressively better and was
somewhat back to his old self, but never really. He developed
diarreaha after the hospital visit (never had it before) and it never
went away. He also never climbed the cat tree after he got sick. But a
week before he went to the hospital I got him a kitten to play with to
replace another cat who had died a few weeks before so maybe that
contributed to his changed behavior.

He started losing weight around the third month and wouldn't eat much
and was throwing up again. During the fourth month (June) he spent a
few days under the bed and stopped eating. Back to his regular vet who
turned back his ear, which was jaundiced which meant his liver was
failing and he was just going to start having seizures. So I put him
to sleep while I held him. Not a good day.

If I had known what was going to happen when I brought him into the
hospital I might never have done it. I might just have let him die
then as he was about to do. That cat meant a lot to me. Sixteen years
is a long time to me and was his whole life. I didn't want him to go.

He suffered those first few weeks I think, and clearly was losing it
toward the end. Maybe he was just supposed to go earlier. I'm not
saying to put Pumpkin to sleep now since all these things work out a
bit differently. But you're either going to have to pill her everyday,
wearing gloves for the Leukeran because you sure don't want it getting
into you (assuming you end up with Leukeran). And if she responds well
and has a good life, go for it. If not, well, we're all going to die.

Or you're going to have to take her for weeky Chemo injections, which
is probably no picnic either. No good choices I'm afraid. By the way,
I was told that median survival time was 18 months. Well, maybe it is,
but not for Nico. That's mostly why I did it. Perhaps that 18 month
estimate is for younger cats. Find out.

I wish you and Pumpkin the best.
-L. - 20 Sep 2003 17:37 GMT
> Hello:
>
[quoted text clipped - 10 lines]
>
> INTESTINAL LYMPHOMA

FWIW, this was a possible diagnosis for my cat Peewee who has been
pretty sick recently.  The vet said that it is very treatable in most
cases and that the chemo is something you can give at home.  So, don't
freak out too much yet - talk to you vet further about a treatment
plan.

Best of luck to you and Pumpkin!

-L.
Karen Chuplis - 10 Sep 2003 12:35 GMT
> I would greatly appreciate input from this group on an ongoing problem
> with my 10-year-old cat.  She has always had a vomiting problem (yes,
[quoted text clipped - 39 lines]
> they only purchase meat baby food, it is usually for a cat.  And they
> sell ALOT of baby food to cat people!"

If she can keep baby food down her, perhaps you can buy some nutritional
supplements to put in it making it her own food. There must be some additive
in regular catfood it causing a problem. You will have to work with a vet on
this, but it's sure what I would try.

Karen
Liz - 10 Sep 2003 15:49 GMT
> However, she is experiencing diarrhea and she vomits nearly all cat
> food -- and she is on prescription Science Diet!  At this time, the
> only food she is able to keep down is baby food, but this is not a
> good long-term diet for a cat.

http://www.purinaone.com/catcare_cond_atoz_article.asp?Seed=640&ArticleNumber=27
&ICDB_Session=1


If she is able to keep something down, I would temporarily rule out
internal problems and focus on the food. Have you tried other brands
of cat food? If so, which? Do you feed her dry or wet?
dgk - 10 Sep 2003 18:46 GMT
>I would greatly appreciate input from this group on an ongoing problem
>with my 10-year-old cat.  She has always had a vomiting problem (yes,
[quoted text clipped - 6 lines]
>seems to vomit even more.  She has had a full blood panel, which has
>ruled out chronic renal failure or diabetes.
Gail and Phil both mentioned IBD and I can't understand how your vets
didn't say the same thing. You are describing the same symptoms as my
cat who had IBD (which progressed to Lymphoma which killed him). Well,
to be fair, there are many causes of vomiting but IBD is a top
candidate.

Get that cat on Prednisone. Yahoo has a group on feline ibd and you
can get some more specific help there. They seem very taken with the
idea that dry foods are terrible for IBD babies, which seems
reasonable. Much holistic stuff but that doesn't mean that they are
wrong about things.
k - 10 Sep 2003 22:24 GMT
Post in alt.med.veterinary
If not accessible on your newsreader, you
can access it via http://groups.google.com

> I would greatly appreciate input from this group on an ongoing problem
> with my 10-year-old cat.  She has always had a vomiting problem (yes,
[quoted text clipped - 39 lines]
> they only purchase meat baby food, it is usually for a cat.  And they
> sell ALOT of baby food to cat people!"
 
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