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 @mamy07 Thanks for that information, did you manage to get your cat sorted? What was the solution to help him breathe more easily? My vet mentioned that this is the sort of thing an endoscopy could detect, and the specialists would take the opportunity to carry out some biopsies during the procedure. When Guapa is at the vet’s she gets very stressed and often hyperventilates, so the vet said he couldn’t really tell for sure; however, he has already done an ultrasound, a CT scan, blood tests and a heart check, and there are no obvious problems. I really hope from the bottom of my heart that the endoscopy reveals the cause of the issue and that there’s a solution to get her treated as soon as possible. Thanks again, Have a good day
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    Anonymous user Icon representing the flag French
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    Hi Laurie, just a thought, you never know... my cat also had trapped air in his stomach and intestines, and it was down to breathing difficulties. Mind you, I'm not saying that’s definitely the case for your girl; I'm not a vet and I'm not offering a diagnosis. Hang in there for the next few days. We’re thinking of you.
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    L
    Laurie79guapa Icon representing the flag French
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    Hello, thank you so much for your time.

    Yes, the vet and I agreed that if there’s no improvement over the weekend, we’ll schedule an endoscopy for next week at a specialist clinic they partner with. I need to call my vet first thing tomorrow morning.

    Cost isn't an issue; I'm not worried about the expense when it comes to my baby's well-being. I’ve let the vet know that.

    We’ve been over everything and he told me that apart from the anaesthesia—which is a risk with any procedure—there’s no risk in doing the endoscopy and it’s painless for cats.

    I believe they go in through the mouth, at least that’s what my vet told me, and she’ll either stay in overnight if the clinic wants to do a check-up before the procedure, or she'll be a day patient. The vet at the specialist clinic will make the final decision.

    As you say, if the endoscopy doesn’t show anything, we’ll be completely in the dark. Other than some gas and distension in her stomach and intestines, nothing explains why she's so lethargic and refusing to eat.

    Regarding the little sore in her mouth, she’s been on antibiotics for 10 days now and has had two steroid injections, but there’s been no improvement. However, the vet doubts that’s the cause of everything because the sore is very small.

    Thank you so much for your kind wishes; I hope with all my heart that she gets better too. I can’t even imagine my life without her, and just thinking about it breaks my heart.

    I love her so much.

    Thank you for your help and advice.

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    M
    Myra Icon representing the flag French
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    Hi, thanks for your reply. The vet is worried because she's stopped eating, but apart from finding some gas in her stomach and intestines and a tiny sore in her mouth, he can't find the cause. He's done blood tests, an ultrasound, a CT scan, and a dental check under sedation. She was hospitalised for a week to have a feeding tube fitted, with daily clinical checks, and I brought her home yesterday because she’s much less stressed at home. He told me that an endoscopy is the only thing left to do, which he can't perform himself, so I need to look into it for next week if there's no improvement over the weekend. What do you think? Thanks. Hi, Pussykhat will only reply if she's still using the site... and anyway, every case is different. I wouldn't focus too much on that. The vet is probably right; only an endoscopy can really explore the digestive tract and see if there’s anything truly abnormal in there. The problem is, it’s quite expensive (I think somewhere between £350 and £600) and if it’s done rectally, there’s a lot of prep involved over several days to make sure the bowels are clear. That might be the key to the problem, but we have to face the fact that they might not find anything there either. These are always tough decisions to make. Either way, you can always check with a veterinary clinic tomorrow, but if you're going to do it, don’t wait; the little one isn't young anymore and she’s getting weaker by the day. What does your vet think about the potential risks? It would be good if a vet student on this site could weigh in as well. Fingers crossed that your little girl pulls through, as many of us have been in similar situations with mixed results, and honestly, when you love your pets, you wouldn't wish it on anyone!
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    Laurie79guapa Icon representing the flag French
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    Hi there,

    Thank you so much.

    I really hope with all my heart that she gets better.

    I’m absolutely devastated to see her like this.

    I’ll message pussikath, thank you ever so much.

    Have a good day

    Translated from French
    L
    Laurie79guapa Icon representing the flag French
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    Hi, thanks for your reply. The vet is worried because she’s stopped eating, but apart from finding some gas in her stomach and intestines and a tiny sore in her mouth, he can’t find the cause. He’s done blood tests, an ultrasound, a CT scan, and an oral exam under sedation. She was hospitalised for a week to have a feeding tube fitted, with daily clinical checks, and I brought her back yesterday as she’s much less stressed at home. He told me the only thing left to do is an endoscopy, which he can’t perform himself, so I’ll need to arrange that for next week if there’s no improvement over the weekend. What do you think? Thanks.
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    M
    Myra Icon representing the flag French
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    Hi, It seems Pussykhat doesn't frequent the site anymore. I don't want to alarm you, but the fact that a pet refuses to eat is often a sign of an underlying issue. It’s odd that the vet isn't more concerned. Was there a diagnosis? What tests were carried out to try and find the cause? If I were you, I’d go and see another vet for a second opinion as soon as possible, taking the results of the tests already done to try and get to the bottom of it, as the fact she keeps losing weight is a real worry! Best of luck to you and please keep us updated.
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    L
    Laurie79guapa Icon representing the flag French
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    Hi there, I’m sorry to be posting on this two years later, but I’ve just come across your thread and it turns out my 9-year-old girl has exactly the same symptoms. Everything is the same, except for the blood in the vomit and stools. She hasn’t eaten on her own for three weeks now, including a week-long stay at the vet hospital to have an oesophageal feeding tube fitted. There’s been no improvement; she’s losing weight and is only being fed through the tube. She’s coping well with the tube and is using her litter tray properly, even though her stools are very runny. However, since she’s only on a liquid diet, the vet isn’t concerned about that. I only brought her back home yesterday evening; she’s had a little drink for the first time in ages, but she won't touch her food. Could you tell me what the diagnosis was for your cat and how things turned out? Did he start eating normally again after just a few days with the tube? Many thanks.
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    Anonymous user Icon representing the flag French
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    Hi everyone.

    Chaussette is doing better! He’s started eating small amounts of food on his own again, despite still having the feeding tube in.

    Yes, the vet considered the possibility of poisoning straight away and did a quick blood test to check his clotting levels.

    I’m calling the vet this morning to see what they think. Hopefully, we can get the tube removed so he can eat without coughing so much, and even give himself a proper groom!

    Eight days of pure stress... I just hope he makes a full recovery!

    Thanks for all your replies!

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    M
    Myra Icon representing the flag French
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    I assume the possibility of poisoning has been considered? Anyway, he’s still hanging in there and the symptoms seem to be easing off. I reckon his tail being up is a pretty good sign. Maybe it’s best to wait a little longer before removing the feeding tube, just to be sure, but not so long that he loses the habit of eating for himself. When are the vets planning to take it out? I don't think he’ll touch any food if you offer it to him right now with all that gear on him anyway. Please keep us posted.
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