My kitty's sick and we don't know what's wrong with him

A week or so ago, my 7-year-old tabby boy Nabby developed a case of chin acne. I kept an eye on it and made sure to keep his dishes extra clean, but it got worse, so I took him to the vet to get it checked out. They gave him a shot of antibiotics and told us to clean his chin off gently with warm water and keep an eye on it, which we did.

Couple of days later, he started vomiting frothy yellow stuff (not the usual undigested cat food that all of them do periodically) and seemed to lose his appetite. Note that during none of this time does he act sick–he’s got the same bright eyes, shiny coat, energy level, and friendliness as usual. I pack him back off to the vet first thing the next morning.

This time, she checks him out more thoroughly–X-ray to look for foreign bodies, full-spectrum blood test, rectal temperature, fecal exam, and general feeling-around. Nothing looks odd–nothing on the X-ray, lymph nodes in his neck are a little swollen but she says that could just be the infection in his chin. The other thing she’s worried about is that he’s lost a lot of weight - almost 3 pounds since December. (He’s been to the vet twice since then for other things, and the weight loss was noted but not really worried about before, but now, it might be an issue). She gave him some sub-Q fluids, an anti-nausea drug, and sent us home with some appetite stimulant pills.

We get the blood test results back and they’re all fine except she’s concerned about an elevated protein level. He still isn’t eating much, but no more frothy yellow vomiting. She wants him back next week to do an ultrasound, and she’s instructing the lab to do another test on the blood sample, looking for whether all his proteins are elevated or just a particular one. She doesn’t know what the problem is yet–she says it could be something fairly easy to deal with, or it could be something scarier. The two scary things she mentioned were multiple myeloma (which is the reason for the other blood test) or gastric lymphoma (which should show up on the ultrasound).

This morning I got him to eat a little soft cat food and some meat baby food, but later this morning I found vomit that looked like slimy spit. I can’t be certain it was him because the other cats ate the leftovers of the soft food (a few pieces were in the vomit) but I suspect it was. Very little food in it, though, so I’m hoping if it was him, at least he got some nourishment into him.

He’s still acting like his normal self–active, loving (even clingier than usual), purring, etc. He’s the healthiest-looking sick cat I’ve ever seen.

Anybody ever seen anything like this with their cats or in their experience with other cats? I know you’re not supposed to have favorites among your pets, but Nabby has been my boy since the day I got him, and I love him dearly. I’m really, really hoping this is something treatable.

I’m sorry I can’t help you much as I’ve only had one kitty with cancer and it was awhile ago so I don’t remember anything, anyway. But I do want to say that it sounds like your vet is very thorough. I’m sure you’ll figure out what’s going. Do try to keep him eating and hopefully some food will stay down. If there’s excessive vomiting call the vet because you don’t want him getting dehydrated.

I hope it’s something minor, but if it is cancer, some are very treatable. Animals tolerate chemo much better than humans so don’t panic if your vet suggests it. If he has cancer it’s not necessarily a death sentence.

Please do keep us updated! Crossing paws that all turns out well.

I had a cat that developed chin acne. The vet diagnosed it as an allergy to a plastic food dish she’d been eating from. I changed out her dish to a stainless steel bowl and problem was solved for her. Perhaps your cat’s vomiting was due to a reaction to the meds that were given? Just a wild guess. What type of dish does your cat eat from? Had you switched the cat’s diet to a new food just prior to the acne? Did your cat’s vet discuss allergies?

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The cats have been eating from stainless steel bowls for a long time, though I’ll admit we probably didn’t wash them as often as we should (they eat dry food). Their water dishes were plastic, though. We’ve since replaced all of those with stainless steel as well, and we’re switching out their food dishes once a day (we bought extras).

Now I’m wondering if Nabby wasn’t the vomiting culprit after all. I gave the cats some more soft food and one of the other cats vomited foamy spit stuff after (I watched her do it). She’s otherwise fine. I wonder if they don’t have an issue with the food. I’ll try something else and see if that helps.

Nabby ate a little of the food tonight (about as much as this morning) and no sign of barfing from him.

Back in 2005 we had a 5-year-old Russian Blue with lymphoma, and we went through the whole chemo thing with her. She tolerated it very well right up until the end, and we got eight more months with her before she finally let us know she didn’t want to fight anymore. I really don’t want to go through that again, but if he does have something chemo is effective against, we’ll do what we need to do for the boy.

I just hope it doesn’t come to that.

Update on my kitty: The second blood test came back showing the protein elevation is over a wide area, which the vet says is good (a single protein would have been bad). The ultrasound shows nothing out of the ordinary.

So basically we still don’t know why he’s losing weight, but by every test they can do, there’s nothing wrong with him other than the chin issue. She gave him another antibiotic shot for that. He’s still on appetite stimulants, and he is eating now though not as much as he should. He’s acting completely like himself.

So the plan now is to do our best to feed him up. We got him some special food they recommended with extra calories, and he likes that. If he hasn’t gained some weight (or if he loses more) in two or three weeks, we’re going to take him to another specialist the vet recommended.

But at least as far as the vet can see, he doesn’t have anything serious like cancer or FIP. That’s a relief.