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Most texts and references instruct clinicians to distinguish between vomiting and regurgitation, with the latter noted as being quite passive.3, 11, 12 In practice, it can be hard to make this distinction, because it is the author's experience that cats with esophageal disease can have quite forceful, spasmodic movements when ejecting ingesta by regurgitationalthough it is also possible for regurgitation to be a passive process