Chronic vomiting

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A presentation of vomiting becomes ‘chronic’ after 3–4 weeks and should be considered worthy of investigation to rule out serious underlying disease and for welfare reasons. This chapter provides information on the differential diagnosis of chronic vomiting, and contains an algorithm and information on diagnostic tests to guide investigation and management.

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15.2 The ‘coffee grounds’ appearance of digested blood in vomitus.
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15.3 The pattern of change in severity and frequency of clinical signs can aid differential diagnosis of chronic vomiting in dogs and cats.
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15.4 Algorithm to guide the investigation and management of chronic vomiting in dogs and cats. GI = gastrointestinal.
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15.5 Icterus in chronically vomiting patients may direct investigations to the liver or causes of extra-hepatic biliary obstruction.
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