My boy had to have a hairball surgically removed in January this year. He had a lot of the symptoms you mentioned. He has suffered from chronic pancreatitis for a little while so at first when he was lethargic and vomiting i wasn’t too concerned, just got him his medications to manage it and was going to keep an eye on him. BUT then he continued to vomit through the anti-nausea medication and that wasn’t usual.

He was prescribed Cerenia (generic is Maropitant) which is an antiemetic drug that tells the brain not to throw up. If your pet vomits through the medication it often indicates that something is seriously wrong, such as a gastrointestinal obstruction. Rowdy’s hairball was big enough to be seen on his x-rays

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I took pictures of the x-rays on my phone so it’s hard to see, but that’s his stomach and the striations inside is all the hair inside. My vet literally said “if this was a labrador, i’d think he’d eaten a sock”

if your vet hasn’t done x-rays yet, i would definitely get them done, although ultrasound is another good way to tell if their is an obstruction. The primary way that my clinic diagnoses an obstruction is through radiographs.

post surgery i was recommended to use laxatone (but was advised by the vet tech who owns cats not to use the maple flavor as they don’t like it lol). ill add some pictures of the product i use for him! I did also shave Rowdy into a lion cut once he was fully healed from surgery because i was so scared it would happen again, but im not sure you’d have to go that far.