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How do you treat gastritis in cats?

Treatment for gastritis in cats depends on cause and severity but often includes fasting, bland diets, anti-nausea medication, fluid therapy, and addressing underlying conditions.

How to Effectively Treat Gastritis in Cats

Gastritis in cats refers to the inflammation of the stomach lining and can present as either acute (sudden and short-term) or chronic (long-lasting or recurring). Understanding how to recognize, diagnose, and treat gastritis in feline companions is crucial for every pet owner.

Understanding Gastritis in Cats

Symptoms may range from a mild upset stomach to severe illness. Common signs include:

  • Vomiting (possibly with bile, food, or blood)
  • Lack of appetite (anorexia)
  • Abdominal pain
  • Lethargy
  • Dehydration
  • Weight loss
  • Melena (black, tarry stool)
  • Diarrhea
  • Increased thirst
  • Excessive drooling or lip licking
  • Behavioral changes (hiding, withdrawal)
  • Fever

Younger cats are often prone to acute gastritis due to dietary indiscretions. Chronic gastritis tends to be associated with intermittent vomiting, long-term weight loss, and chronic discomfort.

Common Causes of Gastritis

  • Dietary indiscretion (spoiled food, foreign objects)
  • Drug or toxin ingestion
  • Parasites, bacterial, or viral infections
  • Food allergies or sensitivities
  • Hairballs or swallowed objects
  • Underlying diseases (kidney/liver disease, pancreatitis, IBD, cancer)
  • Stress and anxiety
  • Medication side effects
  • Idiopathic causes (unknown origin)

Diagnosis

Veterinarians diagnose gastritis through a range of exams and tests. These include:

  • Physical examination and detailed history-taking
  • Blood tests (CBC, serum chemistry)
  • Urinalysis
  • Fecal test for parasites or infectious agents
  • Abdominal X-rays or ultrasound
  • Endoscopy (especially for chronic cases)
  • Allergy testing if food intolerances are suspected

Treatment of Gastritis

Treatment protocols depend on the underlying cause and the severity of the symptoms.

For Mild or Acute Cases

  • Withhold food for 8–24 hours after vomiting ceases
  • Offer small amounts of water to avoid dehydration
  • Bland diet (e.g., boiled chicken and rice or vet-prescribed food)
  • Gradual reintroduction of the regular diet
  • Probiotic supplements to restore gut flora
  • Anti-nausea medications
  • Acid reducers or stomach protectants (e.g., famotidine, sucralfate)
  • Pain relief if discomfort is significant

For Severe or Chronic Cases

  • IV or subcutaneous fluids for dehydration
  • Advanced diagnostics to identify underlying causes
  • Surgery or endoscopic removal for foreign objects
  • Immunosuppressants or anti-inflammatories for IBD
  • Antibiotics for bacterial infections
  • Hydrolyzed or novel protein diets for food allergies

When to See a Vet Immediately

Urgent veterinary attention is required if the cat:

  • Has repeated vomiting over 24 hours
  • Vomits blood
  • Is lethargic or refuses food/water
  • Is very young, very old, or has underlying health issues
  • Shows signs of extreme abdominal pain

Prevention Tips

  • Maintain a consistent, high-quality diet
  • Avoid sudden dietary changes
  • Secure toxic substances and foreign objects
  • Regular parasite control and grooming (especially for long-haired cats)
  • Minimize household stress
  • Feed small, frequent meals
  • Use slow-feed bowls for fast eaters
  • Regular vet check-ups and wellness exams

Prognosis and Long-Term Management

Most cases of acute gastritis resolve within 1–3 days with proper care. Chronic gastritis may require ongoing management, including:

  • Consistent dietary practices
  • Long-term medications or special diets
  • Periodic veterinary monitoring

Ultimately, prognosis depends on the cause, treatment response, and owner compliance with medical and nutritional recommendations.

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