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    Chronic Vomiting in Cats

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    Dalia Extrapolis
    This document provides a diagnostic and therapeutic approach for cats experiencing chronic vomiting, defined as vomiting two or more times per month. It outlines the following steps: 1. Perform an ultrasound of the stomach and small intestines and check for thickened walls. If thickening is found, perform bloodwork. If no thickening, still perform bloodwork. 2. If bloodwork is normal, try a hypoallergenic food trial or empirical treatment with medications and diet for 6-8 weeks. If vomiting persists or condition declines, repeat ultrasound. 3. If ultrasound then shows thickening or condition hasn't improved, obtain biopsy samples via laparotomy. Biopsies can identify underlying causes like enteritis or

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    Chronic Vomiting in Cats

    Uploaded by

    Dalia Extrapolis
    20 views1 page
    This document provides a diagnostic and therapeutic approach for cats experiencing chronic vomiting, defined as vomiting two or more times per month. It outlines the following steps: 1. Perform an ultrasound of the stomach and small intestines and check for thickened walls. If thickening is found, perform bloodwork. If no thickening, still perform bloodwork. 2. If bloodwork is normal, try a hypoallergenic food trial or empirical treatment with medications and diet for 6-8 weeks. If vomiting persists or condition declines, repeat ultrasound. 3. If ultrasound then shows thickening or condition hasn't improved, obtain biopsy samples via laparotomy. Biopsies can identify underlying causes like enteritis or

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    Chronic vomiting in cats

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    This document provides a diagnostic and therapeutic approach for cats experiencing chronic vomiting, defined as vomiting two or more times per month. It outlines the following steps: 1. Perform an ultrasound of the stomach and small intestines and check for thickened walls. If thickening is found, perform bloodwork. If no thickening, still perform bloodwork. 2. If bloodwork is normal, try a hypoallergenic food trial or empirical treatment with medications and diet for 6-8 weeks. If vomiting persists or condition declines, repeat ultrasound. 3. If ultrasound then shows thickening or condition hasn't improved, obtain biopsy samples via laparotomy. Biopsies can identify underlying causes like enteritis or

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views1 page

    Chronic Vomiting in Cats

    Uploaded by

    Dalia Extrapolis
    This document provides a diagnostic and therapeutic approach for cats experiencing chronic vomiting, defined as vomiting two or more times per month. It outlines the following steps: 1. Perform an ultrasound of the stomach and small intestines and check for thickened walls. If thickening is found, perform bloodwork. If no thickening, still perform bloodwork. 2. If bloodwork is normal, try a hypoallergenic food trial or empirical treatment with medications and diet for 6-8 weeks. If vomiting persists or condition declines, repeat ultrasound. 3. If ultrasound then shows thickening or condition hasn't improved, obtain biopsy samples via laparotomy. Biopsies can identify underlying causes like enteritis or

    Copyright:

    © All Rights Reserved
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    of 1

    FELINE Chronic vomiting

    Diagnostic and therapeutic approach


    to chronic vomiting in cats
    If a cat is experiencing chronic vomiting—two times a month or more–perform
    an ultrasonographic examination of the stomach and small intestines.

    If the results show thickened stomach or bowel walls (two If the results show normal stomach and small bowel walls
    or more measurements ≥ 0.28 cm), perform a serum in six or more segments measured, perform a serum
    chemistry profile, a thyroxine concentration measurement, chemistry profile, a thyroxine concentration measurement,
    and a complete blood count.* and a complete blood count.*

    If the blood work results are normal, follow Plan A or Plan B. If the blood work results are abnormal, treat the disease
    identified by the results. If the vomiting continues despite
    treatment, go to Plan A.

    Plan A: Perform a laparotomy to ob- Plan B: Perform a therapeutic trial consisting of either:
    tain full-thickness biopsy samples of 1. A six- to eight-week hypoallergenic food trial
    three or more sites in the small bowel 2. Empirical treatment with metronidazole, probiotics, fenbendazole,
    as well as the liver and pancreas. B12 injections, and a low-carbohydrate, high-protein diet.
    Only obtain samples of the stomach if
    the wall is thickened on ultrasound.

    Recheck the patient in six weeks to see if the vomiting has subsided.
    Submit the samples for histopatho-
    logic examination, which should
    reveal the underlying process. If
    the results are ambiguous, perform If the patient has If the patient has de- If the patient has improved,
    immunohistochemistry (IHC) or PCR not improved, try clined or not improved you have two options:
    testing for antigen receptor the other treat- with either trial, per- 1. Continue the diet, pro-
    rearrangements (PARR). ment trial option form a repeat ultraso- biotics, or B12 injections
    you did not pick nographic examination long-term.
    previously or go to of the stomach and 2. Stop the therapy to see if
    Plan A. small intestines. a relapse occurs.
    These tests may reveal enteritis or
    lymphoma (95% of the time it is one
    of these causes) or another disease If the examination re- If the examination
    process that should be treated veals a thickened small findings are normal,
    appropriately. bowel wall or stomach consider Plan A
    on one or two measure- based solely on the
    *Blood work may be done first, especially if there are ments, go to Plan A. clinical signs.
    signs of hyperthyroidism.

    Veterinary Medicine | dvm360.com

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