A couple of months ago, I opened a discussion about our cat licking his lips. It's been two months and his Mom wanted me to post this detailed history & update. She wrote this via Talk-to-Text, so bear with me if I didn't get everything edited. We have had an alarming Health crisis with our cat. He's 10 years old and is often vomited, and had hair balls. He would seem to react especially to fish. He could vomit a few times a week. But it wouldn't be anything more than what a cat does when he's hacking up a hairball. He went through a health crisis where he stopped eating as much, and got very constipated. He's been on lactulose and cisapride for years because of extreme constipation. The doctor had assumed it was because he's a snub tail. He thought maybe the nerves might be messed up. He did wonderfully on these drugs until this recent event (in October). He got so extremely constipated that he stopped eating. Then he began puking up enormous hairballs. One was literally the size of a baby rat. We overreacted and gave him tubes of hairball remedy. We greatly increased his meds. we doubled the cisapride and gave him two to three times the lactulose. Instead of this helping him, and made him very very sick. He began vomiting in a new way. And then extremely violent, convulsive, howling, liquid pouring out of him repeatedly. Not just a gentle puke of the food he had just eaten. He would vomit like this several times throughout the day. We were getting up at all hours of the night to hold him while he was howling and puking. We took him to a vet and she believes that he has IBD. His systems are entirely consistent with it. He has always been a puker. Especially with fish foods. He's always struggled with constipation. And it would alternate with diarrhea too, making it very difficult to keep him stable on his drugs. We were always having to adjust the dose. He's always had struggles with hairballs too. He's voraciously hungry. But after a month of almost constant violent puking we also started to notice that he would lick his lips quite frequently. If you're an obsessive cat owner like I am you can clearly tell the difference between a cat that is licking his lips to indicate that he's hungry, or cleaning his face, to this type of licking, which suggests something's wrong with his stomach. The doctor put him on prednisolone. This helps a fantastic amount. The vomiting has stopped for the most part. And the only time he pukes is if we give him his meds on an empty stomach, or if we have fish in his food. But that puking isn't violence, it isn't convulsive, and it isn't howling and clearly painful for him. It's a quick and easy up and out. So we believe that the prednisone did indeed stop the issue that he was having. We feel that everything has substantiated the diagnosis of IBD. But we are wanting some feedback on people who have cats with IBD. Because he still doing two things that are very concerning. One is the licking of the lips, which can become even more frequent at times. Especially after he eats. More concerning is that he will lick his lips after vocalizing. If he meows in a normally loud voice he will instantly lick his lips. This is very unusual. He used to be a very talkative cat and now really seems to talk. When we get him to talk he licks his lips as though there's a physical problem. My belief is that, with extreme irritation and aggravation of his gastrointestinal lining, due to all the extreme laxative and the acid involved in the endless vomiting, perhaps it has eroded the gastrointestinal lining. But another concerning thing is that there are times when we pick him up and hold him like a baby, and he'll make a noise as though he's being squeezed. Sometimes in this position will get him to talk and his voice comes out as though it's being squeezed. This is most noticeable after he's eaten and has a full tummy. We would think that there's something wrong in there but the doctor felt nothing abnormal and even when we strongly push and poke his belly he shows no discomfort or pain of any kind. The vet wanted us to pay $1,000 to have him put under and have x-rays and ultrasounds and scoping. Not only is that not feasible, the trauma to him alone isn't worth having. He almost died the last time he went to a vet, because she did not know how to handle him correctly. He does not do well with people handling him. We would definitely be willing to consider these expensive procedures if it wasn't for the fact that he has an excellent appetite, is pooping and peeing well, is humping and playing and being a normal happy cat. He stretches when he's comfortable. He seems perfectly fine, except for these two concerning signs. We would like to know what you think about them and if you've experienced this with IBD or anything else. Thanks a lot for reading through this and for any suggestions.