Cat Vomiting: Causes and Treatment

Cat Vomiting Feature

It’s always upsetting when you notice your cat vomiting, never mind the mess that needs to be cleaned up. But how can you know if your cat’s vomiting is harmless or something to be concerned about?

Vomiting, also called throwing up, is the emptying of the cat’s stomach contents. Cats vomit for many different reasons. Some of the causes of vomiting are extremely serious, and others are less worrisome. It pays to know a little bit about vomiting in cats so you know what to do if your cat ever throws up. 

Vomiting Versus Regurgitation

Cat vomiting versus regurgitation image

You can identify whether your cat is vomiting or regurgitating by observing him in the act. While vomiting involves heaving and stomach contractions, regurgitation is quick and looks almost effortless.

Although the two occurrences look similar, vomiting is different from regurgitation. Regurgitation empties not the stomach, but the esophagus (the long tube that delivers food to the stomach).

Regurgitation happens immediately after the cat swallows food. Rather than the heaving and stomach contractions you will see just preceding a vomit episode, regurgitation happens fast and looks almost effortless.

Vomit may or may not contain pieces of partially digested food or even undigested food. However, with regurgitation you will always see food, which often comes out in one long tube shape (the shape of the cat’s esophagus). Regurgitation can be caused by congenial factors (something the cat is born with) or it can develop in response to a disease. If you suspect your cat is regurgitating, it’s important to seek out veterinary care.

Vomiting Versus Hairballs

Cat vomiting hairball

When cats vomit hairballs, they are expelling hair that’s coalesced in their body, rather than regurgitating or vomiting food. 

Any time your cat cough up a hairball, she is vomiting. However, once the hairball is out, the vomiting should stop. This is not to say that hairballs are never serious matters. Sometimes, a cat may vomit repeatedly in an attempt to eliminate a large hairball in the stomach. If the vomiting is not productive and the hairball is not expelled, the hairball can become lodged in the gastrointestinal tracts, causing potentially life-threatening problems. 

Causes of Cat Vomiting

Vomiting is a sign that something is upsetting your cat’s gastrointestinal system. Some causes of vomiting in cats, like hairballs, are less serious but others like poisoning and pancreatitis can be deadly. Certain health issues may also cause vomiting in addition to other symptoms. Some of the more common causes of vomiting in cats include: 

  • Cancer
  • Constipation
  • Coughing
  • Diabetes
  • Eating spoiled food
  • Eating human foods that are toxic to cats
  • Exposure to toxic levels of pyrethrins or pyrethroids
  • Food allergies
  • Hairballs 
  • Hyperthyroidism
  • Infection (bacterial or viral) 
  • Inflammatory bowel disease (IBD)
  • Ingesting plant material
  • Internal parasites
  • Kidney disease
  • Liver disease or liver failure
  • Motion sickness
  • Neurological or inner-ear disorders
  • Pancreatitis
  • Poisoning 
  • Foreign body lodged in the stomach or intestines (obstruction)
  • Switching to a new food suddenly

Poisoning is always a serious concern any time your cat is vomiting.

If your cat is vomiting and you suspect she might have eaten something she shouldn’t have, seek urgent care. Some common causes of poisoning in cats include consuming toxic plants like lilies, ingesting rodent poison (including eating a dead rat or mouse that consumed the poison), using dog flea and tick preventive products on your cat, exposure to garden chemicals and insecticides, swallowing antifreeze, eating human foods that are toxic to cats, and ingesting human medications.  

What to Do If Your Cat Is Being Sick

Person petting a cat who has been sick

If you’ve seen your cat vomiting, you need to identify the cause and then care for them accordingly.

In addition to finding vomit on the floor, some other signs that your cat is feeling nauseous include drooling, gagging, retching, licking her lips, repeatedly swallowing, and acting uncomfortable or restless. Your cat might vomit up food or she might vomit liquid or bile. The vomit may be thick or foamy. If you see hair, plant material or anything else in the vomit, make a note of it and tell your veterinarian—it might be a clue to what is causing the vomiting. 

If your cat vomits just once and seems to be acting normal otherwise, it’s possible that it was an isolated occurrence of stomach upset or perhaps a hairball (especially if you find a clump of hair in the vomit). You can take a wait-and-see approach, watching for more vomiting and taking note of your cat’s demeanor. If the vomiting subsides on its own, and your cat is acting fine, the vomiting may have resolved on its own.

On the other hand, if your cat is experiencing repeated vomiting, if you see blood in the vomit or if your cat is acting very sick, she should be seen by your veterinarian as soon as possible. Continuous vomiting in and of itself can cause life-threatening dehydration, so frequent vomiting requires immediate veterinary care. Consider the following when your cat is vomiting:

Frequency of vomiting: Persistent vomiting (more than once or twice in 24 hours) requires veterinary attention. Vomiting that continues longer than a day or two, even if it’s only once or twice in 24 hours), should also be investigated.

Cat’s demeanor: If your cat is vomiting and is also acting very ill (lying around, not wanting to eat or play, vocalizing excessively, having accidents outside the litter box), or if your cat is experiencing diarrhea or constipation along with the vomiting, bring her in for an exam as soon as you can. 

Appearance of blood: Vomiting blood is called hematemesis. Blood in cat vomit might look bright red or it might look dark brown or black, like coffee grounds. Dark blood indicated that the cat may be experiencing internal bleeding—a medical emergency. Any time a cat is vomiting blood, she should be examined by a professional. 

There are two types of vomiting: acute vomiting and chronic vomiting. Acute vomiting is vomiting that comes on all of a sudden. You might see acute vomiting in cases of cats that have been poisoned, cats that eat spoiled food (food poisoning) and sudden-onset illness.

Chronic vomiting occurs occasionally and somewhat regularity over time. Some cat owners become used to their cat throwing up, but frequent vomiting is not something to write off as something the cat just “does.” Although it can be normal for a cat to vomit every once in a while, if your cat is throwing up more than once or twice a month, it could mean something is going on that requires intervention. Persistent occasional vomiting doesn’t necessarily have to result in weight loss to be problematic. In the case of chronic vomiting, a visit to the veterinarian is in order.

What to Give a Cat for Vomiting

Treatment for vomiting depends on what is making your cat throw up. For instance, if your cat has ingested something toxic, treatment will be aimed at eliminating the poison and providing supportive care. If your cat has swallowed a foreign object that is lodged in his intestinal tract, surgery might be necessary to resolve the blockage. If your cat has a medical condition like diabetes, pancreatitis or inflammatory bowel disease, the vet will initiate treatment to address the underlying disease as well as the vomiting.  

The veterinarian will examine your cat and ask you questions about how she’s been acting and whether or not she might have gotten into something like spoiled food or poisonous plants. The vet might also recommend some tests like blood work, urinalysis, or X-rays or ultrasound. Once the underlying cause of the vomiting has been determined, treatment can be initiated. Sometimes no cause can be determined. It’s not uncommon for a cat’s digestive tract to become upset and need a little help settling down. General treatment for vomiting may include one or more of the following:

Antiemetic (anti-vomiting) medication: An antiemetic drug will calm your cat’s nausea and stop the vomiting. 

Fluids: If your cat is dehydrated from repeated vomiting, fluids may be given. Depending on how dehydrated your cat is, fluid therapy may be administered either under the skin (subcutaneous) or intravenous via an IV catheter. 

Bland diet: After a vomiting episode, your cat’s digestive system will be very unsettled, so your veterinarian might recommend feeding a bland, easily digested diet for a few days. Your vet might send you home with a prescription diet that’s very gentle on the stomach or might recommend another type of cat food or even a home-cooked diet to feed until your cat’s stomach has settled down.

Never Ignore Vomiting.

When your cat is vomiting, don’t wait too long to seek veterinary care. Some causes of vomiting are serious, even life-threatening. Also, the longer you wait the sicker your cat will become, which can make it more difficult to treat your cat’s condition and lead to more costly treatment.

Jackie Brown

About Jackie Brown

Jackie Brown is a freelance writer specializing in the pet industry. She writes on all pet and veterinary topics, including general health and care, nutrition, grooming, behavior, training, veterinary and health topics, rescue and animal welfare, lifestyle, and the human-animal bond. Jackie is the former editor of numerous pet magazines and is a regular contributor to pet magazines and websites.

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