For the past few weeks Cleo has been vomiting either with visible food chunks or as hairballs and pooping at the same time outside the litterbox. We thought it was maybe constipation so we got her a water fountain and she's been drinking lots of water and peeing well. Today however she vomited a lot after coming out of the litterbox and started peeing a little bit in multiple rooms. She has never peed outside of her litterbox and we are worried something is very wrong with her.
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Vomiting, especially with visible food chunks or hairballs, can be relatively common in cats due to their grooming habits. However, the fact that it's accompanied by inappropriate elimination (pooping outside the litter box) and now inappropriate urination is concerning.
When a senior cat begins to exhibit changes in litter box habits, it's important to consider medical causes first. The presence of bloody or black vomit is particularly alarming as it can indicate gastrointestinal bleeding, which requires immediate veterinary attention.
Inflammatory bowel disease, food allergies, or even gastrointestinal cancers can cause vomiting and changes in bowel habits. Increased thirst and urination can be signs of kidney disease, which is common in older cats.
Similar to kidney disease, diabetes can lead to increased drinking and urination, and sometimes vomiting. Infections, stones, or inflammation can lead to discomfort and inappropriate urination.
Give her plenty of water to prevent dehydration.
And offer small, frequent meals of a bland diet, such as boiled chicken or white fish, to see if this reduces vomiting episodes.
If possible, it's best to take her to the hospital to determine the exact cause. A thorough examination, possibly including blood tests, urinalysis, imaging, and other diagnostics, will be necessary to guide treatment decisions.
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