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The Daily Vet is a blog featuring veterinarians from all walks of life. Every week they will tackle entertaining, interesting, and sometimes difficult topics in the world of animal medicine – all in the hopes that their unique insights and personal experiences will help you to understand your pets.

When Do I Need to Take My Cat to the ER Vet?

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February 29, 2012 / (6) comments

Last week, we talked about canine signs that require a mandatory emergency veterinary visit. This week, we’re going to discuss feline signs that require one.

 

As a veterinarian, I don’t like to see animals in pain. Hence, I’ll be blunt in telling you that it’s not peaceful to die at home or to have a medical problem remain untreated. It's often painful to die of severe kidney failure, metabolic problems, or even anemia. More on the double "S" next week: Slowly Suffering.

As a pet owner, maybe you’re not sure if you should take your dog or cat to the vet. Well, educate yourself and be the best advocate for your pet. Know that resources abound out there; a phone call to your local emergency veterinarian, a last-minute visit to your veterinarian, or even the Internet (albeit not always the most reliable source). When in doubt, call your veterinarian or an emergency clinic for counsel on whether to take your cat in for an emergency visit. Often times, the receptionist or veterinary technician may be able to help triage your cat’s problem over the phone and help you decide if it warrants an emergency veterinary visit.

When in doubt, take your cat to the veterinarian or emergency veterinarian. Even though it may be expensive, the $135 for the emergency fee may give you the peace of mind that all is okay. After all, no animal should have to die at home, as the signs are typically pretty severe for this to happen. Even if it’s at 2 a.m. and inconvenient, please don’t let your cat suffer at home. Keep in mind that it’s really painful and miserable to die at home, when it could have been medically treated to begin with.

Even if you have financial limitations and know you can’t spend thousands of dollars in a veterinary ER, at least you can (1) find out what’s wrong with your cat, and (2) humanely euthanize so your cat doesn’t suffer at home to the point of death.

Some sure signs to take your cat to the ER include:

 

  • Difficulty breathing
  • Open-mouth breathing (cats always prefer to breath via their nose — if they show signs of open-mouth breathing, they are having severe difficulty or are extremely stressed!)
  • Panting
  • A respiratory rate over fifty breaths per minute (hint: count the number of breaths in fifteen seconds and multiple by four to get the total breaths per minute)
  • Excessive drooling
  • Hiding (under the bed, in the closet)
  • Not moving
  • Straining or making multiple trips to the litter box
  • Profuse vomiting
  • Sitting over the water bowl and not moving (cats are desert creatures and you should rarely see them hanging at the water bowl – if you do, something is wrong!)
  • Seizuring or twitching
  • Any kind of trauma
  • Any kind of toxicity
  • Any string hanging out of any orifice (don’t pull, please!).

 

While this list isn’t complete, it’s a good initial guideline. When in doubt, please seek veterinary advice immediately. You won’t regret playing it too safe with your fuzzy feline.

 

 

Dr. Justine Lee

 

 

Image: Anna Dickie / via Shutterstock 

 

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COMMENTS (6)
1
Suspicious Ingestion
by TheOldBroad on 02/29/2012 06:59am

If you suspect your critter has ingested something that might not pass on its own, time is not your friend. A critter can get blocked or have internal damage from foreign objects.

An emergency clinic can take x-rays and/or scope your critter to hopefully remove the object before there's a more serious problem.

2
Other Clues
by MiamiAngel on 02/29/2012 04:38pm

I would add a couple of things to that list:
1. Not eating
2. Not acting normal

Routines, I believe keep us healthy and allow us to easily identify problems, especially health problems. My two cats and dog would always greet me. So one day when Francois did not greet me, did not eat dinner, and slept under the bed, I rushed him to vet next morning. Within 12 hours he was dead. We never knew the cause but one medical doctor (not a vet) was confident it was a heart attack. My poor Francois was scared to death of strangers and I'm sure being around strange people in emergency room without his mommy (they don't let pet owners in ER room which I think is wrong and I hate that BS excuse of liability. I can be calm and wear medical blues ) stressed him even more. His heart gave out and they called me if I wanted to them to do CPR? OF COURSE YOU SHOULD! Save my little boy! He revived, but no doubt upon seeing strangers again and no mommy, he didn't last more than 15 minutes. It's been several years. And I still cry to think I was not with him in final hours. http://pepefrancois.blogspot.com/

by Dr Justine Lee on 02/29/2012 06:11pm

Agh! Thanks for mentioning the very obvious signs that I forgot!

So sorry to hear about the loss of Francois. Please don't blame yourself - cats are so frustrating b/c they don't show their signs until they are so severe... :(

My heart goes out to you...

3
by Wendy Gill on 02/29/2012 11:22pm

One Saturday night my roommate's cat appeared to be doing his normal relaxing in his favorite spot. He's a fairly quiiet cat but when I picked him up he let out a very loud distressed cry. He was in obvious pain. My roommate was not home and I called her immediately to take him to the emergency vet. We found out that he had a severe urinary tract infection and the vet estimated he had not been able to go at all in at least 1-2 days. We did not notice the litter box difference because there was another cat in the house. He had to get a catheter to empty his bladder and IV antibiotics. Had we not taken him to the vet immediately, it could have ruptured his bladder, backed up into his kidneys and made him much sicker or worse. Luckily he made a full recovery. So just a lesson to everyone, if your gut feeling says something is very wrong, don't wait until normal office hours.

4
Another Sign
by SuzanTX on 03/01/2012 12:12am

Another sign to watch out for, even though it seems strange, is deep purring. We normally associate a cat's purring with pleasure but it is also used when they are in terrible pain. I think as a comforting mechanism. I found this out the hard way when my cat had ingested antifreeze.

by vheuer on 03/01/2012 10:53am

That's a great observation, Susan. We have actually talked about the hypotheses that have been put forth for why cats purr and the different forms of purrs cats use for different purposes. One of my favorite findings in the research was the old saw, "If you put a cat and a bunch of broken bones in the same room, the bones will heal."

Veterinarians know that cats are better healers, and now there is some evidence that purring has something to do with that. I think it explains the persistence of the "nine lives" idiom.

The Evolution of Purring

And Dr. Coates wrote a column last year in which she used a clever comparison of the different ways that cats purr with the different ways humans smile.

What's in a Purr?

Thanks for pointing this out. I will definitely be more mindful of my cat's different purring "voices."

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