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Join our community of cat lovers on the Mumsnet Cat forum for kitten advice and help with cat behaviour.

Vomiting/hyperthyroidism

24 replies

SunshineIndoors123 · 24/04/2022 09:14

Hello, I'm new here and hoping someone can share some wisdom as I don't know what to try next.

Cat is 8, we rescued him last June so had him coming up to 12 months. He's a gorgeous, loving, well behaved boy. When we adopted him, we were told he had hyperthyroidism but it wasn't a problem, was well controlled and he took his medication without issue. He just needed his bloods checked every six months. I've had cats before but never one with a health condition, but this seemed manageable so we took him in. I'm leading with this info, as it may or may not be relevant to the rest of it.

He came to live with us and we changed NOTHING. Kept him on the same food (Whiskas wet food) and gave him his meds twice a day in a treat, which he always took without issue. At some point, he started vomiting frequently. I have wracked my brains and I can't think of anything that we started doing differently that might have triggered this. He is always well in himself when he vomits, never bothered by it, still peeing/pooing etc. Just throws up then carries on as normal.

In September, he had his thyroid levels checked and they were high. We assumed this was because of the vomiting he wasn't absorbing the medication. So his dose was increased and his bloods rechecked, and his thyroid levels were in normal range.

The vomited continued. We brought some slow feeder bowls for him to eat from which seemed at first to have some success and he vomited less. But then the vomiting increased. We've tried him on different food (wet felix) to see if a change in diet would help. It didn't. We noticed his food was coming back up whole, as if he wasn't chewing, so we switched him to dry food (Iams) to see if it forced him to slow down and chew. Again, limited success for a while - he even put on weight and his coat was thicker and shiner. But then the frequency of the vomiting increased again. Thyroid checked again, levels low. Medication reduced, level still low. So the vet has suggested we stop his meds for 3 weeks as he is so young for hyperthyroidism and we don't know how he originally presented with it. She isn't convinced he actually has it. So, we're a week with no meds and the vomiting is worse than ever.

We chanegd him to sensitive stomach food yesterday, no change, still vomiting nearly every time he eats. Full, whole, unchewed biscuits. I'm almost convinced the regurgitation is because he isn't chewing and is eating too fast, rather than a health problem but the vet won't investigate/try him on any meds for reflux until his thyroid is under control incase it being out of range is causing the vomiting. I suspect he does have hyperthyroidism and his level will be high next time we check as he is more hyperactive since we stopped his meds and his skin has gone very dry. I think he has lost the weight he put on (only 2.9kg when we got him, so him putting on weight was a good thing).

Today, I'm going for the opposite approach with food and I'm going to try him on a smooth food (will look at what the supermarket has to offer) as if he won't chew wet chunks/biscuits then maybe he might be better on a pate type food as essentially it is "already chewed". But if this doesn't work I'm literally all out of ideas. No idea what to do or try next.

I'm worried he'll end up dying before his time because he'll end up malnourished. I love him so much, he's such a content, affectionate little thing and I just want him to live a long, happy life with us.

Thanks if you've read this far, I know it is really long but I didn't want to leave anything out. Any advice or ideas I haven't thought of would be much appreciated.

OP posts:
AwkwardPaws27 · 24/04/2022 09:19

That sounds really tough OP!
I'd suggest trying the pate type food with the gobblestop/slow feeder bowls so he literally has to lick it up, and not inhale it.
Maybe try offering small frequent meals (so sprea his food over 4 meals instead of 2?) if possible?
Where does he eat? If its on the floor, can you feed him somewhere higher up? He may possibly feel more secure and less likely to bolt his food. Girl cat likes to eat at the top of her cat tree.

AwkwardPaws27 · 24/04/2022 09:25

Also - Whiskas and Felix are pretty low quality foods.
Maybe trial something like Hills i/d (it's a prescription diet, digestive care range) or a better quality wet food like Lily's Kitchen or Applaws?
They are more expensive but if he keeps them down and it reduces the need for frequent vet appointments it might be worthwhile?

SunshineIndoors123 · 24/04/2022 11:54

Thank you for replying. We already give him smaller portions throughout the day, again this has had hit and miss success. But I think at least he keeps some of it down that way rather than throwing up whole meals.

He does eat on the floor. He isn't much of a climber so I'm not sure where/how I could feed him higher up, but it is definitely worth a try - I'm willing to try anything.

I have just bought him some tins of purina gourmet pate. I've given him a bit of one to start off with, so far he has kept it down and seems interested for more, so I'll keep going with small amounts throughout the day and see how we go. Fingers crossed!

OP posts:
AwkwardPaws27 · 24/04/2022 21:28

It sounds really tough but like you are doing all the right things - I really hope the new food works out

lljkk · 24/04/2022 21:35

Is he underweight now?
One of mine is a recurring vomitter -- I suspect he's got something stuck in his stomach interfering with digestion, but mostly this cat is pretty healthy, so can't justify investigations / surgery.

Few months ago, he puked up an exceptional amount, including 2 giant hairballs each the size of small rodents. sorry, tmi. I wonder what else is still lurking in his tum.

longtompot · 24/04/2022 22:29

Has the vet checked his teeth? He might not be chewing food as it's hurting.
Our old boy had hyperthyroidism for over 6 years which we treated with Vidalta. Occasionally he would be sick and it would be because his meds weren't keeping it under control. He also had a blood pressure issue which meds really helped with.
He was older than your cat, and we sadly had him put to sleep at the beginning of this year at the grand old age of 19 and almost a half. Not bad for the runt of the litter who outlived them all.

Defiantlynot41 · 24/04/2022 23:08

Has your vet run a full blood screen?

My cat has just had pancreatitis with possible gut issues (hyperthyroid)

We've had some success with pate type food slightly watered down to a thick gravy consistency , and with thoroughly mashing normal chunks in gravy type food

Lick e lix was our saviour when I was panicking as she had lost 15% of her body weight and couldn't keep anything down

SunshineIndoors123 · 25/04/2022 07:41

I'm not sure about him being under weight. At the vet's a few weeks ago he was the most he's ever weighed, but he looks to have lost a bit since. I'll try and weigh him myself. He doesn't really bring up any hairballs. He's very well in himself and always happy/purring so I don't think he feels unwell, whatever the problem is.

The vet checked his teeth a few visits ago and they were fine.

Wow - 19, I really hope I still have this little guy at 19.

He had his liver and kidney function checked last September, all OK then. Obviously things could have changed since then. I'll ask the vet if it is worth checking his bloods again.

He seemed to do well with the paste/ pate food yesterday, he ate/kept down more than he has in a while. But I gave him some this morning and he vomited soon after :(

I've portioned small amounts out in his rotator bowl for today though as I'm at work, so I'll see what he has managed to eat/keep down later

Thanks for the replies

OP posts:
Lottie4 · 25/04/2022 15:18

Is the vet aware he vomits? If not, might be worth getting him checked.

SunshineIndoors123 · 25/04/2022 16:34

Yes, the vet is aware of the vomiting. She won't investigate it as a separate issue until his thyroid is within range.

OP posts:
longtompot · 25/04/2022 22:21

SunshineIndoors123 · 25/04/2022 16:34

Yes, the vet is aware of the vomiting. She won't investigate it as a separate issue until his thyroid is within range.

Is his thyroid readings low again? I thought they'd been checked recently, but I reread your posts and see they were last checked in September. I would say the vomiting is because his meds need tweaking. Our old boy had two pills a day, one morning and one at night. We knew when he was struggling when he started being sick, acted starving (actually was stsrving) but was too hungry to eat. A vicious circle. I'd get his bloods done again and see where his levels are

SunshineIndoors123 · 26/04/2022 06:33

Hi, sorry if I wasn't clear, his Thyroid levels were checked recently, they were low so the vet lowered his meds. He had his bloods rechecked and they were still low, so 10 days ago she stopped his meds altogether. He'll have his thyroid level checked again in another few weeks

OP posts:
longtompot · 26/04/2022 10:17

Ah I see. So an under active thyroid as opposed to an overactive one which my cat had. I hope the vet gets to the bottom of it soon. They are such a worry 💐

longtompot · 26/04/2022 10:23

This reply has been withdrawn

Duplicate post

SunshineIndoors123 · 26/04/2022 12:33

Thanks. I'm worried sick about him. He seems better on the softer food the last few days though

OP posts:
Mia184 · 26/04/2022 14:25

Defiantlynot41 · 24/04/2022 23:08

Has your vet run a full blood screen?

My cat has just had pancreatitis with possible gut issues (hyperthyroid)

We've had some success with pate type food slightly watered down to a thick gravy consistency , and with thoroughly mashing normal chunks in gravy type food

Lick e lix was our saviour when I was panicking as she had lost 15% of her body weight and couldn't keep anything down

^^ This. Your vet should check for pancreatitis. If she won’t do it now, I’d go to a different vet asap.

Cheesechips · 27/04/2022 03:43

It could definitely be related. My cat is hyperthyroid and was being sick frequently at first. We think it was because she was unwell with the hyperthyroid, but even after it was treated she kept being sick as was stressed. It was a viscous circle. In the end she was given an anti sickness injection and this broke the cycle.

SunshineIndoors123 · 27/04/2022 21:05

He's booked in at the vets to have all his bloods done. He seems much better the last day or so, the pate food seems to be suiting him much better and he hasn't vomited once. Thank you everyone for all your replies and advice

OP posts:
Nidan2Sandan · 27/04/2022 21:14

My 16yo cat has thrown up pretty much daily since we got him, and he developed hyperthyroidism a couple of years ago.

Description the same as you, unchewed food.

We found the 11+ purina food seemed to be least likely to be thrown up. Ditto on their biscuit. No idea why but we do know he is an absolute pig and has always inhaled his food and is food obsessed.

When he was small the vet said he has a small osopegeus (not sure if that is spelt right) and being a greedy bastard he basically eats faster than he can swallow it.

The new food definitely helped, and smaller meals more frequently as well.

Pixiedust1234 · 27/04/2022 21:24

My cat was throwing up food and hairballs. I managed it by 8 small meals a day. Then she started refusing to eat despite running to the food. Many thousands of pounds, many medications 0and months later we are no nearer to finding out her problem, all we know is it is bile duct/liver. All her scans, biopsies and bloods are borderline.

Not sure why I am posting...either to get you to ask them to check liver and bile duct or whether to say I know what you are going through Flowers

SunshineIndoors123 · 28/04/2022 20:10

@Nidan2Sandan The purina seems to be working well for us too. He hasn't vomited since Monday morning which is something of a minor miracle. I'm really hoping this is the solution.

@Pixiedust1234 I'm sorry you're going through this, it's awful when there is something wrong and nothing can be found to help. I really hope they get to the bottom of it for you soon

Thanks to everyone who has offered advice, I just learned how to tag/reply to individuals, so sorry I didn't reply as specifically earlier in the thread 💐

OP posts:
SunshineIndoors123 · 16/05/2022 19:33

Just a little update for everyone following all your advice - he has his bloods done and his thyroid was really overactive. Everything else OK. So he was started back on his medication. He had lost a fair amount of weight, but in the last week since restarting his meds he has managed to maintain his weight and not lose any more, and he has only vomited twice. I'm trying my best to feed him up to gain some weight, but he has never been a big eater (despite eating what he does eat very quickly) so it'll be slow progress I imagine, but I'll take the maintenance and not losing any more for now. He is his usual happy self anyway :) I've tried to attach a picture of my gorgeous boy :)

Vomiting/hyperthyroidism
OP posts:
Neverreturntoathread · 16/05/2022 19:59

So sorry to hear this. As well as the thyroid investigations all I can suggest is:


  • you stroke him a lot every day to remove loose hair in case he’s getting massive hairballs, and

  • you check that he isn’t being exposed to anything that’s bad for cats, like essential oils in the air (or air freshener?) particularly lavender, or some toxic floor cleaners can linger on cat paws and get licked offf…

AwkwardPaws27 · 16/05/2022 20:32

He's very handsome

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