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My name is***** and I have over 20 years of experience as a veterinarian. I understand that you are concerned about Romeo gagging/trying to vomit but not brining anything up.
I'm not sure you are still online, so I'll respond as best as I can. I am most concerned that he may have a urinary tract blockage. A male cat's urethra is quite small in diameter. If inflammation is present or crystals form it can easily become blocked. When that happens urine builds up in the bladder, places back pressure on the kidneys which affects their ability to function, waste products build up in the blood, and electrolyte levels become unbalanced causing the cat to vomit and become quite lethargic. As you can imagine this is very painful, so some cats will vocalize and often do not want their abdomen touched. If he is blocked this is a true medical emergency, he can die from the toxins and changes in electrolytes in his blood which can lead to fatal heart arrhythmias. He needs immediate veterinary care, this is something that cannot wait to be addressed. Typing more..
Nausea can be due to a change in diet, a viral or bacterial infection, eating something he should not (garden plant?), inflammatory bowel disease or even a food allergy. But it can also be related to metabolic organ disease (such kidney or liver disease) due to organ wastes irritating the gut or an obstruction in the gastrointestinal tract. If you are sure he can urinate fine then there are some things we can do to try and settle his stomach. To try and settle his stomach you can give an over the counter acid reducer that people take for acid reflux, either: 1) Pepcid-ac (famotidine) at a dose of one half of a 10mg tablet per 5 to 20 pounds of body weight every 12 hours. OR 2) Prilosec (omeprazole) at a dose of one quarter of a 20mg tablet per 5 to 20 pounds of body weight every 12-24 hours. OR 3)Ranitidine at a dose of 1/4 of a 75mg tablet per 9-20 pounds of body weight every 12 hours. These will reduce stomach acid and could help if this is related to simple nausea and gastrointestinal irritation. Typing more...
I would wait to feed him any food for a good 6-12 hours after the acid reducers are started. This should help stop gut spasms and restore normal gut motility. Small amounts of water or clear broth like low salt chicken broth offered frequently are fine as he needs fluids. You can give him Pedialyte to replace electrolytes too, although most cats don't like the taste. After his food fast offer him a bland diet mix of 2/3 parts boiled, white skinless chicken, all fats drained off the meat, mixed with 1/3 boiled, plain white rice. Feed several small meals a day. Once he feels better (no retching/gagging for 48 hours) start mixing in his regular cat food very slowly, less bland more regular with each day. It should take a week or so to convert him back. If Romeo is continuing to gag, runs a fever or has a tense painful abdomen and is feeling poorly though it would be best that he see a veterinarian now as anything you give him orally will just come back up worsening his dehydration. Does this help? Any questions?
I am glad to hear that he is urinating normally! Please let me know how things go for him!
In long haired cats feeding a canned food with fiber is often the best thing to help hair pass through the gi tract. Over the counter pure lubricant options (Laxatone, Cat Lax) are fine too. Because they are pure lubricants and not absorbed (so no systemic effects) you can give them as often as daily to every other day as needed, but they might cause loose stools if given that often. You'll need to experiment a bit and see what works for him.
My pleasure!