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How to Manage Acid & Bile Vomiting


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When a cat has a frothy vomit or throws up bile, it is almost always  because there was acid or bile build-up in an empty stomach. And if kitty has stomach acid and/or bile sitting in the stomach in anticipation of a meal, that meal will most likely be regurgitated. This usually happens with breakfast, being the longest period between meals, but it can happen at any meal. When feeding homemade food, this is rarely the result of eating too quickly, which is often suggested as the cause.  What you're witnessing is a kitty transitioning to a protein-based, species appropriate diet, and their bodies are returning to their more natural, more acidic state. It is not cause for alarm, and it is easily managed.

A whitish foam is stomach acid. Yellow liquid is bile.

 Of course, if your cat is vomiting repeatedly, projectile vomiting, not keeping anything down (not even water), or you suspect the cat ate or drank a poisonous substance or swallowed something inedible, please take kitty to the vet. And if throwing up acid frequently continues despite these recommended steps, if your cat has not had blood work done recently, please get this done. This can be a symptom of chronic kidney disease or hyperthyroidism.
 
But a cat vomiting stomach acid, bile, or breakfast is not unusual in cats new to set meal times or raw/homemade food. As explained by Lyn Thomson, BVSc DipHom writing for the Feline Nutrition Foundation in Gastric Acidity - What, How and Why
 
"Cats need a highly acidic stomach in order to properly digest their food. But, the carbohydrates in many processed foods make the stomach less acidic. Meat protein stimulates stomach acidity by triggering the production of hydrochloric acid in acid-secreting cells within the stomach. A complex cascade takes place when a cat or dog ingests food. Put simply, 80% of the gastric juices secreted are a direct result of chemoreceptors in the stomach detecting the presence of meat-based proteins. This keeps the stomach at a very low pH of around 1-2. A low pH means high acidity. This low stomach pH is important because digestive enzymes work best in an acidic environment and the acidity in the stomach will sterilize ingested pathogens, bacterial or fungal.
 
When a cat or dog swallows a commercial pet food that is high in carbohydrate and plant protein and low in meat protein, acid-secreting cells in the stomach are not stimulated to produce much hydrochloric acid. The pH within the stomach rises to around 4-5 and a high pH means low acidity. The acidic chyme leaving the stomach is the trigger for the next stage of digestion in the small intestine. The acidity encourages the flow of bile and the flow of pancreatic enzymes necessary to continue the digestive process. If the stomach contents are not sitting at a pH of around 1-2, then digestion is impaired throughout the rest of the digestive tract as well."

Cats normally, naturally, have very acidic systems. Their stomachs secrete powerful digestive enzymes with about 10 times the amount of hydrochloric acid than that of a human. As Dr. Thomson pointed out, the pH of a carnivore’s stomach is around 1-2 (highly acidic) - but they are able to maintain that highly acidic environment even with (high protein) food in the stomach. For humans, the pH ranges from 4 – 5 with food in the stomach.  Thus it is that when we start feeding our cats a diet that is similar to what they naturally eat, their bodies can take some time to adjust. And we can help them.
 

How Do I Fix Stomach Acid/Bile Pukes?

  1. Increase the number of meals you feed your cat. Cats, as we know, are obligate carnivores that primarily hunt small animals. According to the Nutrient Requirements of Dogs and Cats, (p 22) feral cats need to hunt and eat about eight to 12 prey per day to meet their energy requirements. Obviously our indoor cats don’t need the same number of calories to maintain their weight, but the bottom line is that cats aren’t designed to eat just one or two meals a day. Unless you work from home, it can be difficult to accommodate many small meals, but this isn’t necessary. Most cats do just fine with a minimum of three meals a day, fed before work, after work, and before bed. The meals do not need to be spaced evenly. There’s no need to adjust the quantity of each meal just because they aren’t fed at even intervals: take the daily amount of food your cat should eat and divide it evenly into the three meals.
  2. Shorten the amount of time between the last meal of the day and the first meal of the morning. No matter how many meals you feed a day, it helps to feed the last meal of the day as late as possible before bed. And while we don’t want to feed breakfast to kitty the moment we get up (or they associate us waking up with being fed, so they’re motivated to wake us up!), some people’s schedules accommodate feeding the first meal earlier.
  3. Put the stomach acid to work. If the last meal you feed isn’t just before bed, give kitty a few small bites of freeze dried meat treat before you get into bed. When you get up in the morning, give your kitty a few bites of freeze dried meat treat 15 to 20 minutes before breakfast. If there’s too much acid in the stomach, he may throw up those treats – but breakfast will stay down. If kitty does throw up, wait a few minutes, give another couple small bites of freeze dried meat treat to settle his stomach, and then feed breakfast after 10 minutes or so.
  4. Feed a few freeze dried meat treats if you get up during the night.
  5. Hide a few freeze dried meat treats for your kitty to find overnight.


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When to Seek Vet Care When Your Cat is Vomiting
 
Please note, cats with chronic kidney disease (CKD) or cats with hyperthyroidism (Hyper-T) can experience acid/bile vomiting as a side-effect of the disease. When was the last time your cat had blood work? How old is your cat? Is your cat drinking more water than normal? Acid / bile vomiting, especially in combination with increased water drinking, can be a symptom of chronic kidney disease or of a hyperthyroid. These conditions require a different form of management. Altering meal times and putting the stomach acid / bile to work can certainly help manage the symptoms. But these alone may not resolve the problem when there is CKD or Hyper-T.

Please also seek vet care for your cat that is throwing up along with other symptoms, such as

  • Lethargy
  • Excessive water drinking
  • Repeat vomiting / can’t keep anything down / projective vomiting
  • Bloated stomach
  • Breathing problems
  • Fever
  • Kitty has been losing weight
 
Summary
 
Adjusting meal times in combination with putting the stomach acid/bile to work is usually all it takes to resolve the overnight vomiting or breakfast/meal regurgitation. Add a third (or fourth) meal, make the last meal later, and if possible, the first meal earlier. Give your kitty a few freeze dried meat treats overnight if you can, and certainly 15 - 20 minutes before the morning meal. These simple steps are usually all it takes to resolve the problem!




Disclaimer
The information provided through our www.foodfurlife.com website is informational and educational. We are here to help make feeding a properly balanced homemade diet to your pet simple and to provide guidance for some of the problems that can crop up when transitioning your pets to a new food. But please be advised, we are not veterinarians. Food Fur Life LLC will not be held responsible for any adverse reactions your pet might experience based on the information on our website, nor can Food Fur Life LLC be held responsible for any problems due to using our product in any manner other than as directed. The health of your pet is 100% in your hands. We expect you to use your knowledge of your pet and your circumstances to determine, with the knowledge and input of your trusted veterinarian, whether any advice provided on this site is appropriate for your pet.


Food Fur Life, LLC
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Phone: (866)-54-FURLIFE (866-543-8754) 
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  • Home
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  • DOGS
    • EZComplete fur Dogs Premix Information >
      • Nutritional Analysis - EZcomplete fur Dogs - Chicken Liver Formula
    • How To ... fur Dogs >
      • How to Prepare EZComplete fur Dogs
      • How to Transition Your Dog to EZComplete
    • Feeding Guidelines fur Dogs
    • Raw or Cooked? Which Should I Feed and Why?
    • Why Probiotics Are So Important For Our Pets >
      • Kefir for Pets
    • How to Shop for Meat >
      • Online Meat Suppliers - Resource Links
    • Can Our Pets Eat Raw Pork?
  • Cats
    • EZComplete fur Cats Premix Information >
      • Nutritional Analysis - EZcomplete fur Cats - Chicken Liver Formula
    • How To ... fur Cats >
      • How to Prepare and Feed EZComplete fur Cats
      • How to Slowly and Properly Introduce EZComplete fur Cats
      • How to Transition to EZComplete fur Cats
      • How to Transition Your Cat to Timed Meals
      • How to Best Manage Hairballs >
        • Make Homemade Dried Egg Yolk Powder
      • How to Shop for Meat >
        • Can Our Pets Eat Raw Pork?
        • Online Meat Suppliers - Resource Links
    • Raw or Cooked? Which Should I Feed and Why?
    • Feline Nutrition Articles >
      • The Natural Diet of the Cat
      • Why Feed Your Cat A Raw Diet
      • Cat Food vs Cat Health
      • What is Digestibility and Why Does it Matter?
      • Raw Feeding and IBD in Cats
      • Turmeric & The Golden Paste - Unsafe for Cats?
      • Water - The Essential Nutrient
      • Water - 15 Tips to Increase Your Cat's Water Intake
    • Feline Health Articles >
      • Hairballs Are Not Normal
      • Why Probiotics Are So Important for Our Pets >
        • Kefir for Pets
      • My Cat Has Diarrhea - What Do I Do?
      • My Cat is Vomiting - What Do I Do?
      • My Cat Stopped Eating Raw - What Do I Do?
      • What is IBD
      • Manage Nausea - the role of food
      • Manage Nausea - healthy supplements & meds
      • Medicating & Assist Feeding Your Cat
      • Feline Health Resource Links
    • What does it mean the cat is an obligate carnivore?
    • Why You SHOULD Feed Your Immune Compromised Cat Raw Food
    • My Cat Stopped Eating Raw - What Do I Do?
  • FAQ / Contact
    • Where to Buy
    • Shipping Rates & Policies
    • Contact
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