Respiratory problems in cats range from minor sneezing fits to life-threatening breathing emergencies. Understanding the difference between a viral sniffle and a serious respiratory condition helps you respond appropriately -- and potentially save your cat's life.
Upper Respiratory Infection (URI)
- The "common cold" of cats -- extremely common, especially in shelters and kittens
- Causes: Feline herpesvirus (FHV-1) ~80%, calicivirus ~10%, bacteria ~10%
- Symptoms: Sneezing, nasal discharge, eye discharge, congestion, mild fever, decreased appetite
- Duration: 7-14 days for most cases
- Treatment: Supportive care (steam, fluids, appetite support). Antibiotics if secondary bacterial infection.
- Carrier state: Most cats become lifelong carriers of herpesvirus -- can shed during stress
Feline Asthma
- Prevalence: 1-5% of cats
- Cause: Allergic airway inflammation -- triggered by dust, pollen, smoke, litter dust
- Symptoms: Coughing (often mistaken for hairball retching), wheezing, labored breathing
- Diagnosis: X-rays show characteristic bronchial pattern, response to treatment
- Treatment: Inhaled steroids (Fluticasone via AeroKat spacer), oral steroids for acute attacks, bronchodilators
- AeroKat: Spacer device for delivering inhaled medication to cats -- looks unusual but cats tolerate it well
Emergency Breathing Problems
ANY difficulty breathing is an EMERGENCY in cats. Do not wait.
- Open-mouth breathing: Cats almost NEVER breathe through their mouths unless in severe respiratory distress
- Rapid breathing at rest: Normal resting respiratory rate is 15-30 breaths/minute. Above 40 = concern.
- Blue/purple gums: Cyanosis -- oxygen deprivation. IMMEDIATE emergency.
- Extended neck, elbows out: Cat positioning to maximize airflow -- severe distress
Causes of Acute Breathing Difficulty
| Cause | Description | Treatment |
|---|---|---|
| Pleural effusion | Fluid around lungs (from heart disease, cancer, infection) | Emergency thoracocentesis (chest tap) |
| Asthma attack | Severe airway constriction | Emergency bronchodilators, oxygen, steroids |
| Pneumonia | Lung infection (bacterial, viral, aspiration) | Antibiotics, oxygen support, hospitalization |
| Heart failure | Fluid in/around lungs from cardiac disease | Diuretics, oxygen, cardiac medication |
| Trauma | Chest injury, pneumothorax | Emergency stabilization, possible surgery |
Home Care for URI
- Steam therapy: Run hot shower with cat in bathroom (not in shower) for 10-15 minutes -- loosens congestion
- Warm food: Warm wet food releases aroma -- congested cats eat by smell
- Gentle eye/nose cleaning: Warm damp cloth to remove discharge
- Humidifier: In the room where cat sleeps
- Appetite support: Strong-smelling foods (fish), Churu treats, baby food (meat only)
Frequently Asked Questions
My cat is sneezing but otherwise fine -- should I worry?
Occasional sneezing (a few times a day) with no other symptoms is usually not concerning -- dust, irritants, or mild herpes flare-up. Monitor for: increasing frequency, nasal discharge (especially colored), eye involvement, decreased appetite, or lethargy. If sneezing persists beyond a week or any other symptoms develop, vet visit is warranted. Chronic sneezing can indicate chronic rhinitis, dental disease, nasal polyps, or rarely nasal tumors.