Cat Vomiting and Shaking: Possible Causes & When to Act
Cat vomiting has many possible causes from hairballs to serious illness, and the pattern, frequency, and accompanying signs help determine urgency.
Quick Answer
When a cat has vomiting along with shaking or tremors, the combination may indicate a more significant underlying condition. Shaking or tremors alongside another symptom may indicate pain, fever, toxin exposure, neurological involvement, or significant distress. This combination warrants prompt veterinary attention, as some causes can be serious. A veterinarian can assess the cat and determine the appropriate course of action. Cat vomiting may result from hairballs, dietary indiscretion, eating too fast, infections, toxins, foreign body obstruction, or systemic diseases. Occasional vomiting of a hairball may be normal, but repeated vomiting, blood in vomit, lethargy, or a cat that cannot keep water down requires prompt veterinary evaluation. Cats can dehydrate quickly. Contact a veterinarian if both signs are present, especially if either is severe or worsening.
SYMPTOM TRIAGE
Answer a few questions about your cat's signs and receive general guidance on how urgently to seek veterinary care.
This tool does not diagnose conditions or replace a veterinarian.
What Vomiting Can Look Like
Vomiting in cats involves forceful abdominal contractions that expel stomach contents. The vomit may contain food, bile, clear liquid, hairballs, or blood. A cat about to vomit may drool, lick its lips, retch, and crouch low. Occasional vomiting, such as bringing up a hairball, can be normal, but frequent or repeated vomiting warrants attention. When vomiting occurs alongside shaking or tremors, the combination provides important information about what may be happening. Shaking or tremors alongside another symptom may indicate pain, fever, toxin exposure, neurological involvement, or significant distress. This combination warrants prompt veterinary attention, as some causes can be serious. A veterinarian can assess the cat and determine the appropriate course of action.
What May Be Associated with Vomiting
Similar signs can have different causes, and the following are possible explanations a veterinarian may consider.
Hairballs
Cats groom regularly and can accumulate hair in the stomach. Vomiting a hairball is common and often not a concern if it happens occasionally.
Dietary Issues
Eating too fast, sudden diet changes, food intolerance, or spoiled food can cause vomiting.
Ingestion of Foreign Objects
Cats may swallow string, yarn, rubber bands, or toys. Foreign body obstruction can cause repeated vomiting and is a medical emergency.
Toxins and Poisoning
Many substances are toxic to cats, including lilies, certain human foods, human medications, and household chemicals. The ASPCA Animal Poison Control Center can be reached at 888-426-4435.
Infections and Inflammatory Disease
Viral infections, bacterial infections, and inflammatory bowel disease can cause vomiting, diarrhea, and weight loss.
The Combination of Vomiting and Shaking
Shaking or tremors alongside another symptom may indicate pain, fever, toxin exposure, neurological involvement, or significant distress. This combination warrants prompt veterinary attention, as some causes can be serious. A veterinarian can assess the cat and determine the appropriate course of action. The presence of both signs together may narrow the list of possible causes and help a veterinarian prioritize diagnostic steps.
What to Monitor
Tracking details helps a veterinarian assess the situation.
- Frequency: How many times the cat has vomited and over what period
- Appearance of vomit: Food, bile, clear liquid, hairball, blood, or foreign material
- Whether the cat can keep water down
- Appetite: Whether the cat is interested in food
- Energy level: Alertness, lethargy, or hiding
- Other signs: Diarrhea, drooling, abdominal pain, or a swollen belly
- When each sign started and whether they began at the same time
What You Can Safely Do Next
If your cat experienced one or two vomiting episodes but is otherwise alert, observe at home. Remove food for a few hours, then offer small amounts of water. If water is kept down, offer a small amount of bland food. Do not give human medications. Cats that vomit repeatedly, cannot keep water down, show lethargy, or have blood in vomit need veterinary attention. When vomiting and shaking or tremors occur together, do not delay in seeking veterinary guidance, as the combination may indicate a more significant issue.
When to Contact a Veterinarian
Some situations require immediate veterinary attention, while others may allow for monitoring. When in doubt, contacting a veterinarian is the safest approach.
Emergency Signs
Contact a veterinarian or emergency clinic immediately if you observe any of the following:
- Repeated vomiting that does not stop
- Blood in the vomit (red or coffee-ground appearance)
- Vomiting with a swollen or painful abdomen
- Known or suspected ingestion of a toxin or foreign object
- Lethargy, collapse, or weakness
- Vomiting with difficulty breathing
These signs may indicate a serious condition that requires prompt evaluation. In the US, the ASPCA Animal Poison Control Center can be reached at 888-426-4435 if toxin exposure is suspected. In the UK, contact your veterinarian or the Veterinary Poisons Information Service for guidance.
Non-Urgent Signs
The following may warrant a routine veterinary call rather than emergency care:
- A single vomiting episode in an otherwise alert cat
- Occasional hairball vomiting with normal appetite and energy
- Vomiting after eating too fast without other signs
When vomiting occurs alongside another sign, veterinary evaluation is recommended sooner rather than later, as the combination may indicate a more significant condition.
Frequently Asked Questions
When is cat vomiting an emergency?
Vomiting is an emergency when it is repeated, contains blood, is accompanied by a swollen or painful abdomen, or occurs with known toxin ingestion or foreign body swallowing. Cats that are lethargic, cannot keep water down, or show collapse need immediate veterinary care.
Is it normal for cats to vomit hairballs?
Occasional hairball vomiting is common in cats, especially long-haired breeds. However, frequent hairball vomiting, more than once or twice a month, may indicate an underlying issue and should be discussed with a veterinarian.
What does it mean when my cat has vomiting and shaking or tremors?
The combination of vomiting and shaking or tremors may indicate a more significant issue than either sign alone. Shaking or tremors alongside another symptom may indicate pain, fever, toxin exposure, neurological involvement, or significant distress. This combination warrants prompt veterinary attention, as some causes can be serious. A veterinarian can assess the cat and determine the appropriate course of action. A veterinarian can assess both signs together and recommend appropriate diagnostics and care.
SYMPTOM TRIAGE
If you are concerned about your cat's vomiting and shaking or tremors, use the symptom triage tool to get general guidance on how urgently you should seek veterinary care based on the signs you are observing.
This tool provides general information and does not replace a veterinarian's diagnosis.
Sources
- Cornell Feline Health Center. "Gastrointestinal Disorders in Cats." Retrieved July 2026.
- Merck Veterinary Manual. "Disorders of the Stomach and Intestines in Cats." Retrieved July 2026.
- VCA Hospitals. "Vomiting in Cats." Retrieved July 2026.
- ASPCA Animal Poison Control. "Poisonous Substances and Pet Safety." Retrieved July 2026. Phone: 888-426-4435.
Disclaimer
This article and the PawAI Symptom Triage tool provide general information and do not replace examination, diagnosis, or treatment by a licensed veterinarian. If your cat shows emergency signs, contact a veterinarian or emergency clinic immediately.