My cat won't eat, vomited clear liquid, X-ray normal. What's next?

He needs more testing. Just because the blood work is normal does not mean there is nothing underlying. Something is wrong. I suggest x-rays as the next step and maybe an ultrasound of the abdomen.

Persistent vomiting and refusal to eat is concerning, especially in an elderly pet where they may be weight loss or dehydration. Given the clear blood work i would be concerned about a possible obstruction, hairballs, tumours or a twisted bowel are all possible. Xrays may be recommended as well as tube feeding to maintain calorie intake until a diagnosis has been reached

Thank you for submitting your question regarding Poutcha. His blood work appears fairly unremarkable. His blood sugar is a bit high, but his fructosamine level is normal. Is he diabetic or was this just a screening test? Since he is not improving, I recommend a urine sample be tested and bloodwork for pancreatitis. X-rays of his chest to look for cancer are always a good idea as well. Based on these results, additional bloodwork or even an abdominal ultrasound by a radiologist might be warranted. I hope this information helps!

Eevee is quite the beauty. Your options at this point are the recommended testing (which mostly looks for IBD, lymphoma, or other issues) or to try different treatments to see if anything works (prescription diets that are high in fiber, low allergy, or highly digestible, steroids, or particular antibiotics that decrease inflammation). There's no one perfect answer, but if she's not eating much, I would move forward quickly with whatever you decide.

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. If blood work was not performed then I would definitely recommend this. If the blood test comes back normal or did come back normal and she is still having issues, I would recommend further diagnostics such as x-rays and / or an abdominal ultrasound. I hope Martha gets better soon! Please let me know if you have any other questions or concerns and I would be more than happy to help you further!

Poor Larry! It sounds like it’s time to move onto further diagnostics. Obviously something is wrong and it just hasn’t been discovered yet. I recommend to discuss an abdominal ultrasound with your veterinarian and possibly checking a fructosamine level to see if the blood sugars have been elevated over the past month. This will help to figure out if diabetes, pancreatitis, cancer or inflammatory bowel disease is present. I hope this gets figured out quickly. Best of luck and please feel free to post any additional questions.

If all his bloodwork was normal that rules out kidney disease, liver disease, diabetes, etc. If your vet did not test for hyperthyroidism than a test should be done. An x-ray and/or ultrasound is defintely needed and will, hopefully, provide more information. He could have an infection, cancer, or obstruction/foreign body to name a few other possibilities. If he is not able to keep food down, I am not sure waiting until Friday is a good idea. He may continue to weaken and may become dehydrated. If your vet can't take an x-ray then you could consider taking him to an emergency clinic or another vet that can. An anti-vomiting injection may be helpfull if your vet didn't give him one. I hope that his problem is diagnosed and treated soon!