Esophagitis in Cats: Vet Guide 🐱🔥 2025

By Dr Duncan Houston BVSc, veterinarian & founder of Ask A Vet.

🔍 What Is Esophagitis?

Esophagitis is inflammation or ulceration of the esophagus—the muscular tube that carries food from mouth to stomach—often caused by acid, foreign objects, certain medications, or reflux :contentReference[oaicite:2]{index=2}.

🧪 Common Causes

• Gastroesophageal reflux (GERD): stomach acids and bile irritate the esophagus—common in kittens and cats post‑anesthesia :contentReference[oaicite:3]{index=3}.
• Medications: pills like doxycycline or minocycline can stick and damage lining :contentReference[oaicite:4]{index=4}.
• Foreign bodies: bone fragments, needles, threads get lodged :contentReference[oaicite:5]{index=5}.
• Caustic ingestion: chemicals or toxins that burn the lining :contentReference[oaicite:6]{index=6}.
• Hiatal hernia or congenital anomalies: allow reflux to occur :contentReference[oaicite:7]{index=7}.
• Infectious agents or tumor: rare causes like calicivirus or neoplasia :contentReference[oaicite:8]{index=8}.

🚨 Signs & Symptoms

Look out for:

• Regurgitation or food coming back up—distinct from vomiting :contentReference[oaicite:9]{index=9}.
• Drooling, gagging, repeated swallowing
• Pain when eating—crying out, extending neck :contentReference[oaicite:10]{index=10}.
• Decreased appetite, weight loss, fatigue
• Coughing, possible aspiration pneumonia :contentReference[oaicite:11]{index=11}.
• Occasional burping after meds or reflux episodes :contentReference[oaicite:12]{index=12}.

🔍 Diagnostic Approach

• Brief history: meds, anesthesia, appetite loss
• Physical exam: pain, throat palpation
• Bloodwork / urinalysis to evaluate hydration and rule out infections :contentReference[oaicite:13]{index=13}.
• Imaging: X-ray or contrast swallow to pinpoint lesions or foreign bodies :contentReference[oaicite:14]{index=14}.
• Endoscopy: visualizes lining, identifies ulcers, strictures, biopsies :contentReference[oaicite:15]{index=15}.

🛠️ Treatment Strategies

1. Address Underlying Cause

• Withdrawal or change of culprit medications :contentReference[oaicite:16]{index=16}.
• Endoscopic removal of foreign objects :contentReference[oaicite:17]{index=17}.
• Surgical correction of hernias or strictures :contentReference[oaicite:18]{index=18}.

2. Medications & Supportive Care

• Acid-suppressants: PPIs (omeprazole) or H2-blockers reduce reflux :contentReference[oaicite:19]{index=19}.
• Prokinetics: cisapride/metoclopramide improve motility :contentReference[oaicite:20]{index=20}.
• Mucosal protectants: sucralfate forms a soothing barrier :contentReference[oaicite:21]{index=21}.
• Pain relief: NSAIDs or analgesics as needed, avoiding those irritating stomach :contentReference[oaicite:22]{index=22}.
• Antibiotics: if risk of secondary infection or ulcer contamination :contentReference[oaicite:23]{index=23}.

3. Nutrition & Feeding Support

• Frequent small, soft meals—warm, easy to swallow :contentReference[oaicite:24]{index=24}.
• Elevated bowls to reduce reflux
• Temporary feeding tube in severe cases to allow healing :contentReference[oaicite:25]{index=25}.

4. Managing Strictures

Balloon dilation or bougienage to widen narrowing caused by scarring—may need repeats every 1–2 weeks :contentReference[oaicite:26]{index=26}.

📆 Follow-Up & Prognosis

• Mild esophagitis often heals in days; ulcers or strictures require weeks to months :contentReference[oaicite:27]{index=27}.
• Monitor weight, appetite, regurgitation frequency.
• Repeat imaging or endoscopy after 4–6 weeks to confirm healing.
• Aspiration pneumonia must be addressed with antibiotics & oxygen if needed.

🏡 Home Care Tips

• Keep feeding routine smooth and calm
• Avoid dry hard pills—use liquid/gel or pill pockets
• Watch for burping, drooling, gagging
• Use elevated bowls and soft bedding
• Keep follow-up via Ask A Vet telehealth if signs return

🤝 Role of Ask A Vet, Woopf & Purrz

Ask A Vet offers:

• 📱 Immediate telehealth advice when esophagitis is suspected
• 💬 Help choosing gentle medications, probiotics, and feeding plans
• 🔄 Support for follow-up check-ins and symptom monitoring

Woopf & Purrz provide easy-to-swallow, highly digestible formulas and mucosal-support nutritional blends to support healing and comfort. 💖

✅ Key Takeaways

• Esophagitis = inflammation of the esophagus, often due to reflux, meds, or foreign bodies
• Symptoms include regurgitation, drooling, gagging, pain
• Diagnosis via imaging and endoscopy; treatment focuses on cause, acid control, pain relief
• Nutrition support and proper feeding elevate healing
• Telehealth follow-up ensures recovery stays on track

📞 Final Thoughts

Feline esophagitis can cause real discomfort—but most cats recover fully with early diagnosis, gentle care, medication, and nutritional support. With Ask A Vet’s expert guidance, and soothing formulas from Woopf & Purrz, your cat’s esophagus can heal and thrive. 😊

Need dosage advice, follow-up support, or feeding strategies? Visit AskAVet.com and download the Ask A Vet app now!