r/AskAVeterinarian • u/notbuildingships • 2m ago
My cat started frequently throwing up hairballs and has since escalated to frequent vomiting, need advice!
I want to start by saying: our vet is aware, our cat went for a checkup a few weeks ago and we have a follow-up appointment in 2 weeks for bloodwork and to start whatever treatment is necessary (originally allergies were suspected). Iām here hoping to get some peace of mind I guess, or some clarity maybe.
Weāve always had 2 cats, and our orange cat has always coughed up hairballs more frequently than the other. Weāve always assumed she had mild seasonal allergies. She seems to over-groom ~ twice a year (her tummy is always short-haired but never to the point of having sores), sheāll sometimes sound congested during this time, sneezes very occasionally, fuss with her face, etc and itās during this time when weāll see more frequent hairballs. So we started tracking in mid-July when she was coughing up hairballs roughly once every 3-5 days or so. Usually just hairballs, but sometimes bile or food.
But itās been escalating to vomiting since around Aug 18-20. Probably worth noting and I feel very stupid about this now but I bought my wife a bouquet of chrysanthemums on the 18th. They sit on our island and weāve never seen her jump up there or seen her biting at our plants in 8 years so we thought this would be fineā¦
On the 20th, she threw up 3 times at different times of the day, a hairball, a bunch of food and then bile as well. 24-25th, hairball and then some bile, 27th bile, 28th bile/small hairball, food + bile and then again more food and bile, 29th food and bile, 30th hairball, then bile twice, 31st bile at three separate times, this morning bile twice, some digested food, and then once this afternoon same thing. We threw out the flowers yesterday and weāve wiped down any surfaces she touches etc etc
Context that might be important: other than this she seems perfectly fine! At her last vet appointment (Aug 10) she had lost weight since her last appointment (previous March 2025) around 1.5kg (she was overweight and still is slightly), her lungs sound clear and normal, the vet checked her abdomen and she was fine, no pain or struggling, no bumps, no reactions, she has two tiny bad teeth on both sides of her mouth that we discussed extracting because they were apparently being absorbed by her gums, which was described to us as a constant tooth ache but will eventually go away on their own - but how long is the question⦠other than that, behaviourally she is totally normal. Sheās playful, she enthusiastically eats wet food, very enthusiastically eats Churus, less enthusiastically eats her dry dental kibbles (maybe a 5/10, she still eats em), sheās drinking lots, her poops are normal, she still plays with the wand toy lots and play fights with our other cat, doesnāt hide from us⦠nothing out of the ordinary.
How urgently should I be treating this? Could the escalation be related to the chrysanthemums? Could her allergies be exacerbated by the chrysanthemums even without ingesting them? Does it seem likely that without ingesting the flowers daily that she might be throwing up this often? Ie: could just having them in the house be enough to cause the vomiting to this degree?
My last email with our clinic was today and they offered prednisolone for a week as an option but advised that without blood work there are risks, so weāre inclined to wait until we know more before hastily trying to fix a problem⦠so we donāt make it worse.
Is it reasonable to hold out until our next appointment and keep her as comfortable as possible? If the chrysanthemums were the cause of the escalation, could we expect the vomiting to stop within a few days?
Thanks so much for your time!