Cats are known for their independence, curiosity, and resilience, but they’re also experts at concealing pain or discomfort. In the wild, hiding illness is a survival tactic; at home, it can make it tricky for cat owners to recognize when something’s wrong. If your usually energetic and feisty feline seems off, it might not just be a weird mood—there could be an underlying cat health issue that needs your attention, and possibly even a veterinarian.
This comprehensive sick cat guide will help you decode the subtle signs of illness in your cat, understand potential causes, and learn how to respond effectively. From behavioural changes, facial expressions to watch out for, and emergency red flags, we’ll cover everything you need to know to keep your furry companion happy and healthy.It can sometimes be tough to tell if your cat is actually sick, especially enough for a vet visit. Cats will naturally try to hide their sickness, and it’s for a good evolutionary reason. A sick cat is a liability for the rest of the group in the wild, as they are an easier target for predators looking for a quick snack. A predator will watch for any sign of illness in a potential prey animal because it means that they’ll get an easier meal. Because of this, the rest of the group will often shun or abandon the sick cat, leaving them to fend for themselves. To avoid getting left behind and to protect themselves, cats have evolved to hide their sick cat body language, including signs of pain and illness from their pack and from their owners.
This isn’t great news for cat owners, however. But thankfully, there are some tells that you can observe to make it easier for you to tell if your cat is sick:
By observing sick cat body language, including the facial expressions of our feline friends, we can get a lot of information about how they are feeling. The feline grimace scale is a great resource to follow to help you tell if your cat isn’t feeling their best.
From the image above, the leftmost image represents a cat that’s feeling good, while the rightmost image represents a sick cat. As you can see, the biggest tells are your kitty’s ears and eyes—the further apart their ears are from each other, the sicker they are. Their eyes will also squint more, and their whiskers will be straight.
Indicator |
Healthy Cat (No Pain) |
Mild Pain |
Severe Pain |
Ears |
Pointed, upright, and forward-facing |
Slightly droopy, angled outward |
Very droopy, flattened to the sides |
Eyes |
Open and alert |
Slightly squinted or partially closed |
Fully squinted or tightly shut |
Whiskers |
Relaxed and naturally curved |
Slightly tense, less curvature |
Straight and stiff, pulled forward |
Muzzle Appearance |
Relaxed and smooth |
Slightly tense or tightened |
Noticeably strained, furrowed |
General Expression |
Calm and content |
Slightly withdrawn or concerned-looking |
Distressed, tense, or pained |
How to Use This Table
Cats are creatures of habit, so sudden changes in behaviour can be a red flag. If your usually playful kitty becomes lethargic, starts hiding in unusual places, or becomes unexpectedly aggressive, it’s worth paying attention. These behaviors might indicate discomfort, pain, or stress.
For example, a cat that usually greets you at the door but suddenly stays hidden under the bed could be feeling unwell. Similarly, increased vocalization—such as loud meowing or yowling—can also be a sign of distress.
A cat’s appetite is a strong indicator of their health. If your cat suddenly starts eating less or stops eating altogether, it’s a warning sign. On the flip side, unexplained weight gain or overeating could also point to health issues, like thyroid problems or diabetes.
Take note of how much food is left in their bowl, and consider keeping track of their weight at home. Even small fluctuations in weight can signal an underlying problem.
While occasional vomiting might not be alarming (cats do get hairballs), frequent or severe vomiting can be a symptom of a bigger issue, like gastrointestinal problems, infections, or poisoning. The same goes for diarrhea, especially if it’s persistent or accompanied by blood.
Monitor your cat’s litter box habits closely. If vomiting or diarrhea lasts more than a day, it’s time to call the vet.
Cats are usually meticulous about their bathroom routines, so any deviations could indicate trouble. Straining to urinate, going outside the litter box, or unusually frequent or infrequent trips could all signal issues such as urinary tract infections, kidney problems, or digestive issues.
This is assuming you haven’t changed anything else about their litter box, like the litter you use, the style of litter box you’re providing to them, or moved the box to a different location, as any of these things can also be a reason why your kitty’s litter box habits have changed.
It’s also always a good idea to pay attention to the consistency of their stools and urine output and consult your vet if anything seems off.
Physical symptoms are often the most obvious signs of illness. Keep an eye out for coughing, sneezing, or nasal discharge, which could indicate respiratory infections. Visible injuries, such as cuts or swelling, may also cause discomfort.
Additionally, check your cat’s coat and skin. A dull, patchy coat or excessive scratching can be signs of skin infections, parasites, or allergies.
Cats sleep a lot, but how and where they sleep can give clues about their health. A sick cat might sleep in unusual positions, like curling into a tight ball or stretching out flat, both of which could indicate discomfort. Cats that are unwell may also seek out hidden or unusual sleeping spots, like closets or under furniture, to avoid being disturbed.
Understanding what might be making your cat sick is essential for addressing their health needs quickly and effectively. Cats can suffer from a variety of illnesses, ranging from mild infections to chronic conditions. Here are some of the most common causes to watch out for:
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If your cat seems under the weather, taking the right steps can make a world of difference. Whether it’s something minor or an issue requiring veterinary care, knowing how to handle the situation will help ensure your feline friend gets the care they need.
When you first notice that your cat might be sick, the best thing you can do is create a safe and calm environment for them. Cats often hide or withdraw when they’re not feeling well, so isolating them in a quiet room can make observation easier while reducing their stress.
Isolation not only helps you monitor your cat but also prevents the spread of potential illness to other pets.
While some symptoms in cats may be mild and resolve with at-home care, there are situations where prompt veterinary attention is critical. Cats are experts at masking their discomfort, so recognizing the signs of serious illness is essential. Below are detailed red flags that indicate it’s time to contact a veterinarian or emergency animal clinic.
Red Flags for Emergency Care
These symptoms require immediate attention, as they could indicate life-threatening conditions:
Symptom |
What to Look For |
Possible Causes |
Difficulty Breathing or Panting |
Open-mouth breathing, wheezing, rapid or labored breathing, blue or pale gums |
Respiratory infection, asthma, heart disease, fluid in the lungs, or airway obstruction |
Persistent Vomiting or Diarrhea |
Vomiting more than three times in 24 hours, blood in stool, or watery diarrhea |
Gastrointestinal obstruction, poisoning, pancreatitis, or severe infection |
Blood in Vomit, Stool, or Urine |
Bright red or dark, tarry blood in vomit, feces, or unusual urine color |
Internal bleeding, urinary tract infection, kidney stones, or trauma |
Loss of Appetite for More Than a Day |
Refusal to eat food or drink water, weight loss, or visible dehydration |
Dental pain, kidney disease, liver problems, or systemic illness |
Sudden Lethargy or Collapse |
Extreme tiredness, unresponsiveness, difficulty standing, or falling over |
Severe dehydration, anemia, shock, heatstroke, or heart problems |
Signs of Severe Pain |
Yowling, hissing, growling, hiding excessively, or reluctance to move |
Injury, arthritis, abdominal pain, or advanced illness |
Seizures or Neurological Symptoms |
Tremors, uncontrolled shaking, confusion, or loss of coordination |
Toxins, epilepsy, head trauma, or neurological disorders |
Swollen Abdomen |
Hard or distended belly, vocalizing when touched, or difficulty lying down |
Bloating, organ swelling, or internal bleeding |
Unusual Gait or Paralysis |
Dragging limbs, limping, or inability to walk |
Spinal injury, stroke, or advanced arthritis |
Persistent Coughing or Sneezing |
Repeated episodes of coughing or sneezing, especially with discharge |
Respiratory infection, asthma, or heartworm disease |
What to Do in an Emergency
For non-urgent illnesses, there are several ways you can provide comfort and support for your cat at home:
Taking steps to prevent illness is always better than treating it after the fact. By incorporating regular care routines and maintaining your cat’s well-being, you can help them lead a long, healthy, and happy life. Here are some key preventive measures to prioritize:
Routine visits to the vet are crucial for catching potential health issues before they become serious. Cats are masters at hiding discomfort, so early detection through regular check-ups can make all the difference.
Annual wellness exams (or biannual for senior cats) should include blood work, dental checks, and discussions about their behavior and lifestyle.
Keeping your cat protected against infectious diseases and pests is a cornerstone of preventive care.
Maintaining a vaccination and parasite prevention routine is key to safeguarding your cat against avoidable health risks.
What your cat eats plays a major role in their overall health and well-being.
Regularly monitoring your cat’s weight and adjusting their diet as needed can prevent obesity, which is a leading contributor to chronic health conditions like diabetes and arthritis.
Caring for a sick cat requires observation, patience, and sometimes quick action. By understanding the signs of illness and injury, knowing when to seek veterinary help, and providing the right care at home, you can make a significant difference in your cat’s recovery from sickness and help maintain their overall well-being.
Taking preventive measures, such as regular vet visits, vaccinations, and proper nutrition, are your best defence against many health problems that your cat may experience. Cats may not always tell you when something’s wrong, but by staying attentive and proactive, you can ensure your feline friend enjoys a long, vibrant life by your side. Your cat depends on you, and with the right knowledge and care, you’ll be ready to support them through anything.
One of the easiest and most important preventative measures you can take for maintaining your cat’s health is giving them joint supplements. With powdered versions, it’s easy enough to sprinkle the supplement on your cat’s regular food. Flavourless options like TRI-ACTA ensure that the palatable nature of your cat’s food isn’t affected. Chances are they won’t even notice it!
Purchase TRI-ACTA online or learn where to buy at a store near you.
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