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New York, NY, USA
One of the first signs that a cat is suffering from hair balls is that it will go off of its food. Normally before the hairball becomes a serious problem the cat will regurgitate the hairball and cough it up. When it is doing this is can make a very harsh rasping, almost choking noise which can be quite alarming the first time your hear it but once the cat has spat the hairball out it will be fine.