Cat repulsed by food, being fed via a nasogastric tube

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Anonymous user Icon representing the flag French
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Hi everyone,

I’m looking for some advice or similar experiences regarding my 13-year-old cat, Chaussette. After three days in the vet hospital, the two vets he’s seen are still stumped... and I’m really starting to worry.

On the first day, he threw up blood three times in a few hours, so we rushed him to the VET.

He hasn’t eaten a thing on his own for 7 days now. He’s been tube-fed through a nasal tube and has been wearing a cone (Elizabethan collar) for the last three days. At home, we’ve tried everything: milk, Hill’s A/ D wet food (which is supposed to be super tasty), tuna, cooked ham... all the things he usually loves. But nothing works; when I put it under his nose, he backs away and looks nauseated, shakes his head, and sticks his tongue out. He’s clearly repulsed by it!!! The vet is being quite reassuring because his ultrasound scans were normal and his full blood count came back perfect. The vet told me it’s vital he starts eating on his own again and thinks it’s just a case of severe inflammation of the digestive tract.

At first, I thought it was just the nasal tube and the cone that were bothering him and making him not want to eat, but the fact that he has such a strong reaction and that look of total disgust really worries me. Has this ever happened to you??? Could he have something stuck in his oesophagus? A mouth abscess? Surely the vet would have spotted that, right?

For the timeline: It started on Monday evening. Chaussette wouldn't touch his wet food after spending the evening outside. He was acting a bit strange—eyes half-closed, walking slowly. At 11pm, he threw up a bit of a brownish liquid. He’s done that before, so I didn’t panic.

The next morning at 6am, he threw up again—bile tinged with blood. Very worrying. My husband and I decided to wait a few hours to see, but when he brought up blood again (a lot of it) with bile, my husband rushed him to the vet. The physical exam and palpation were fine. He was prescribed Phosphaluvet (a gastric coating liquid) and Emeprid to be given orally three times a day. He fights it, and after taking the Phosphaluvet, he starts drooling heavily and it's all thick and sticky.

Back to the vet the next day for an initial ultrasound. Everything looked okay, except for some dilated intestines. Blood tests were fine—everything is perfect despite him being 13! He stayed overnight at the vet and has been tube-fed via a nasal tube with Royal Canin recovery liquid for the last 3 days, along with Kaopectate (an anti-diarrheal and gastric coating). A follow-up ultrasound the next day was also fine. He hasn’t vomited again, either at home or at the clinic. He had two slightly soft stools with a bit of blood in them at the vet's, but he’s urinating normally.

At home, he tends to hide away a bit, but he moves normally with his tail up and can still jump onto the bed as usual. He doesn't seem completely flat, except for when he gets back from the vet (it stresses him out massively). His pupils are responsive, and he’s definitely let us know he’s unhappy by meowing like usual (he’s a veeeery chatty cat).

CAN ANYONE HELP ME?

Translated from French
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21 answers
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  • L
    Laurie79guapa Icon representing the flag French
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    Hi everyone, It’s with a broken heart that I’m letting you know Guapa crossed the rainbow bridge last night 💔 I rushed her to the emergency vet after she took a turn for the worse very quickly. They diagnosed her with wet FIP which was quite advanced. Her little kidneys were starting to be affected, she had fluid in her chest which was making it hard for her to breathe, and her liver was damaged too. They told me she was going to suffer and that she was far too weak for any further tests. I was able to stay with her right until the end, and she closed her eyes in my arms while I told her how much I love her and that she’ll stay in my heart forever. Thank you for all your help and advice.
    Translated from French
    L
    Laurie79guapa Icon representing the flag French
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    It’s honestly so hard feeling so helpless.

    Thank you for all your kind wishes.

    I’ll update you as soon as I’ve heard more from the specialist.

    Best wishes

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    M
    Myra Icon representing the flag French
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    Thanks for the update.

    There really is nothing worse than not being able to find the cause. On the other hand, it means there’s still plenty of hope.

    Fingers crossed you can get an appointment with that specialist soon.

    Sending you all our positive vibes, and give Guapa a stroke from us.

    Translated from French
    L
    Laurie79guapa Icon representing the flag French
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    Hi everyone,

    We had the appointment for the endoscopy at the specialist clinic this morning,

    Everything looks normal and nothing showed up in Guapa's exam.

    We’re just waiting on the biopsies which were sent off to the lab, with the results due within a fortnight. It’s going to be a very long wait, but hopefully they’ll tell us a bit more.

    Guapa had a really hard time coming round from the anaesthetic; she’s actually still quite groggy. I’m hoping she gets a good night's sleep and feels a bit better tomorrow.

    I’ve been advised to go and see a specialist at a referral hospital to get a second opinion on the tests that have been done.

    In the meantime, I’m still tube feeding her and she's on antibiotics, anti-sickness meds, and steroids.

    I’m keeping everything crossed that she gets better; she’s my absolute world and I love her so much.

    Thank you all for your messages.

    Evening all

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    ?
    Anonymous user Icon representing the flag French
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    Hi Landoras, Thank you for your post. It's obviously too late for Gary now, but it might be useful for other people.
    Translated from French
    Landoras
    Landoras Icon representing the flag French
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    There is an effective treatment for FIP now, but it’s quite expensive and is still considered experimental in some countries (it has been widely proven to work, but due to patent issues, vets and pharmacies aren't always allowed to sell it. It’s widely available in other countries like the US).

    Please don't hesitate to get back to me if your cat has FIP. You don't necessarily need to see a specialist for this; your regular vet can diagnose FIP by looking out for these signs:

    If it's Wet FIP:

    - Presence of pleural or abdominal effusion (fluid build-up)

    - Loss of appetite

    - Lethargy

    - Laboured breathing

    - The cat seems in pain

    - Life expectancy of 15 days on average: treatment must start as soon as wet FIP is suspected to maximise the chances of a full recovery.

    Basic tests to carry out:

    - Blood test with albumin/globulin (A/G) ratio

    - Fluid tap (sampling the effusion)

    - Abdominal ultrasound

    If it's Dry FIP / Ocular or Neurological FIP:

    - Sometimes there are no specific symptoms

    - Sometimes a slight loss of appetite, disorientation, asthma or breathing difficulties, a persistent cough, a dilated pupil, mobility issues, or loss of balance, depending on the type of dry FIP and the affected area. It’s a long list, which makes dry FIP very difficult to detect.

    Basic tests:

    - Blood test with albumin/globulin (A/G) ratio

    To get hold of the treatment, a group has been set up on Facebook. You’ll find plenty of information on FIP there, along with testimonials and support.

    Translated from French
    L
    Laurie79guapa Icon representing the flag French
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    Of course, I’ll keep you all updated.

    Thank you for your kindness.

    Speak soon, hopefully with some good news,

    Translated from French
    ?
    Anonymous user Icon representing the flag French
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    Thank you for being so kind. It’s been nearly a year now, but I’m still so incredibly sad and I cry for him almost every day. Do keep us posted on the endoscopy results.
    Translated from French
    L
    Laurie79guapa Icon representing the flag French
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    Thanks for your reply. And thank you so much for your kind wishes.

    Other than the fact she snores softly when she’s sleeping and hyperventilates at the vet’s when she’s stressed, Guapa hasn't shown any breathing problems. The vet didn't find anything in her chest, abdomen or heart during the ultrasounds and the CT scan.

    You’re right, an endoscopy should be able to tell us if there’s any internal damage.

    Even though it’s been nearly a year, I’m so sorry for your loss regarding Gary.

    I know that if Guapa starts to suffer, I will make that awful decision when the time comes; I really don't want her to be in pain. Even if it would completely destroy me, I won’t let her suffer.

    You definitely did the right thing for him.

    Thanks again for all the information, I’m going to speak to my vet about it tomorrow morning.

    Have a lovely day.

    Translated from French
    ?
    Anonymous user Icon representing the flag French
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    At that time, my Gary was having respiratory issues; he’d suffered from a very severe bout of pneumonia six months earlier and had developed emphysema because the pulmonary alveoli were rupturing one after the other. In reality, he had dry FIP that hadn't been detected (he had other vague symptoms – dry FIP is notoriously difficult to diagnose). He passed away in September 2020. I live in a tiny village in a very rural area and we don’t have any specialists within a 150-mile radius, so he didn’t get to have tests as in-depth as your Guapa. I would have gladly travelled even further to try and save him, but the vet hadn't mentioned it as an option. He had initially suspected lung cancer. I still took him to the only clinic in the region that performed ultrasounds to get a second opinion, and his records were even sent off to a specialist centre for a further review. For a month, we gave him Ventolin and Cortisone inhalations twice a day using a baby nebuliser, which helped stabilise his lungs. Sadly, the FIP soon caused further damage and we had to have him put to sleep as he was starting to be in terrible pain. He was 9 years old. I really hope the endoscopy provides you with a diagnosis and a treatment plan. My thoughts are with you. Nicole
    Translated from French
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