Possibly Bloody Cat Vomit

by Zoe Brookes
(Boston, MA)

My male cat is a longhair indoor cat, approximately 4 years old, who has just vomited a pinkish, relatively clear, substance, which seems to have small red flecks. Those flecks look bloody to me, but were not many and he is acting completely normal and relaxed afterward.

He vomited food earlier in the evening (nothing surprising there, as my cat often eats way too fast), and it is not uncommon for him to vomit a second time within an hour or so afterward.

I'm definitely calling the vet in the morning, but I'm not sure if this can happen from time to time, or if anything even close to these lines warrants a midnight run to the pet ER. Can you please advise?

Dear Zoe,

It is impossible to know for sure whether everything is fine or not, regardless of whether your cat vomits with blood in it or not, without a physical exam. We are not available to answer questions 24 hours a day, so although you likely have already spoken to your veterinarian, I would like to provide some information for you and our other readers.

The very act of a cat vomiting can break tiny blood vessels and ultimately be of no real consequence. On the other hand, blood in cat vomit can indicate poisoning, foreign objects, tumors, parasites, or many other conditions. However, if your cat is eating and acting fine otherwise, and you have no evidence to suggest that he has ingested a foreign object or gotten into any poisonous or toxic substances, it is usually safe to wait and not an emergency.

If this were my own cat, as long as he was eating, drinking, and acting normally, I would probably wait until morning to bring him in to the veterinarian for a check-up, and not make a trip to the emergency vet. However, if you are ever in doubt, you can always make a trip to the pet emergency room, or at least call them for advice.

Best wishes,
Dr. Neely

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