My 9-year-old cat is lethargic and throwing up water, hair, and grass.

Hi, and thanks for your question. These signs could be compatible with an inflammation infection of the gastrointestinal system and surrounding organs (like pancreas and liver). A clinical examination at your local veterinarian is immediately essential to confirm these clinical suspicions and treat appropriately. Antibiotics and possibly further investigations (like abdominal imaging as ultrasound or radiographs) may be needed. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further.

Hi, and thanks for your question. These signs could be compatible with an inflammation infection of the gastrointestinal system and surrounding organs (like pancreas and liver). A clinical examination at your local veterinarian is immediately essential to confirm these clinical suspicions and treat appropriately. Antibiotics and possibly further investigations (like abdominal imaging as ultrasound or radiographs) may be needed. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!

Hi, and thanks for your question. These signs could be compatible with an inflammation infection of the gastrointestinal system and surrounding organs (like pancreas and liver). The combination of the signs you described is difficult to treat effectively back home and a clinical examination at your local veterinarian is immediately essential to confirm these clinical suspicions and treat appropriately. Antibiotics and possibly further investigations (like abdominal imaging as ultrasound or radiographs) may be needed. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!

Hi, and thanks for your question. These signs could be compatible with an inflammation infection of the gastrointestinal system and surrounding organs (like pancreas and liver). A clinical examination at your local veterinarian is immediately essential to confirm these clinical suspicions and treat appropriately. Antibiotics and possibly further investigations (like abdominal imaging as ultrasound or radiographs) may be needed. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!

Hi, and thanks for your question. These signs could be compatible with an inflammation infection of the gastrointestinal system and surrounding organs (like pancreas and liver). A clinical examination at your local veterinarian is immediately essential to confirm these clinical suspicions and treat appropriately. Antibiotics and possibly further investigations (like abdominal imaging as ultrasound or radiographs) may be needed. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!

I wold be concerned about the lethargy and the vomiting, although vomiting may be related to the change in diet it may also be related to kidney disease. More lab tests would be required in order to investigate the elevated urea and elevated red blood count which may be related to a degree of dehydration at the time of sampling also. A urine (especially specific gravity) and repeat blood panel (fasting at least 12hours) with a view to repeat assessment of urea, creatinine and electrolytes would be important to assess kidney function

Considering his age and the signs you described, I would be concerned and recommend an immediate check up. Differentials are many, from gastrointestinal diseases (infection/inflammations often dietary related) to any disease that can spread systemically (causing lethargy for example) like infection, and anything that can cause pain/discomfort. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!