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Symptoms: what to do
Client guide · Symptoms and triage

My cat is sneezing and has a runny nose: often a cold, sometimes something else

Go now

In cats, sneezing with a runny nose is often a cold, usually caused by two cat viruses, and most cats get over it with comfort and time. This page tells you plainly what means leaving now, what means calling, what genuinely helps at home, and what you must never give him.

This guide helps you triage; it does not replace your veterinarian's exam. When in doubt, call us at 514 223-1197.

Emergency

Go now: the signs that cannot wait

Any single one of these is enough: you do not have to tick several, and you do not have to decide which is worst. Settle your cat into his carrier, leave, and call on the way.

  1. He is breathing open-mouthed, or fast while lying quietly, or with his belly heaving on every breath, or with his neck stretched forward. Cats do not pant like dogs. Handle him as little as possible and leave him in the position he chose. Even if you think it is only his blocked nose: a cat breathes through his nose, and if he opens his mouth at rest, not enough air is getting through. Pale, grey or bluish gums confirm the emergency, but they are a late sign: do not wait to see them before you leave.
  2. His nose is bleeding heavily, or the bleeding will not stop. Or his nose is bleeding and, on top of that, he is weak, his gums are pale, or you can see bruises, tiny red dots or blood anywhere else. Or it started after a fall or a knock. Or he may have got into rat poison, or eaten a mouse, in the last few days: that poison causes bleeding several days later. Bring the packaging if you have it.
  3. His face has swollen, and his eye looks pushed forward, or the swelling is growing by the hour, or he has a fever, or he is flat, or he can no longer open his mouth.
  4. He is cold to the touch, ears and paws, in a warm house. His gums are pale. He is unsteady, collapsing, having a seizure, or cannot get up. These signs come late: do not wait to see them before calling.
  5. His eye is involved too, and at the same time he is flat, off his food, vomiting or breathing badly. The eye is then the visible part of something more general.
  6. He has stopped eating, and he is drooling, pawing at his mouth, dropping his food. Do not try to open the mouth of a cat in pain: you risk a bite, and seeing nothing would prove nothing.
  7. He is a kitten. A kitten is not a small adult cat: even if he is playing, call us now, or a 24/7 emergency centre if we are closed. Go if he has stopped nursing or eating, feels cold or limp, is breathing with his mouth open, fast or with effort, or has milk or food coming out of his nose and is coughing or flat. A nursing mother who is sneezing, or a whole litter sneezing: call us now too, and bring the mother and every kitten, without separating them. A pregnant or nursing queen who stops eating: go, she is feeding for two and has no margin.
  8. He goes outdoors, hunts, or eats raw meat or drinks raw milk, and he suddenly becomes very ill: breathing badly, staggering or trembling. Bird flu does reach cats, rarely. Go, and say so when you call on the way.
  9. He swallowed or licked a cold or flu medicine, a pain pill, a spray or drops to unblock the nose, a chest rub or an essential oil. Do not make him vomit, and bring the packaging.
  10. He is diabetic, on insulin, and eating less. Call us before the next injection, or a 24/7 emergency centre if we are closed: do not decide on your own to give the dose or to skip it. If he is also weak, disoriented, vomiting, or his breath smells oddly sweet: leave right now.

The sound of a stuffy nose.

A nose with a cold makes noise: your cat sniffles, you hear small wet sounds in his nose, he snores in his sleep. If that is the only noise, and he is not a kitten, it is not a reason to leave as long as, at the same time:

  • he breathes with his mouth closed;
  • his belly does not push on every breath;
  • he lies down and sleeps as usual;
  • at rest, he takes fewer than 30 breaths a minute (Counting breaths).

The rest of this page then tells you what to do. Go if the noise turns into a whistle or a high-pitched sound on every breath in, if his voice changes within hours or he struggles to swallow, or if any one of the signs above joins it.

One is enough. You do not have to work out which of these matters most. If one of them speaks to you, go. If you are unsure, call anyway: triage is our job, not yours. Outside our hours a 24/7 emergency centre answers, and describing the situation on the phone commits you to nothing.

Where to go. During our opening hours, call us on the way: we will tell you whether to come here or whether a 24/7 centre is safer for your pet. Outside our hours, evenings, nights, weekends and holidays, we have no emergency service: go straight to the nearest 24/7 emergency centre. At the wheel, no phone in your hand: have a passenger call, use hands-free, or call before you pull out.

For poisons, first steps by product: Toxic foods and plants and the emergency page.

Triage

Call us: today, or for an appointment

If none of the Go now signs fits your cat, there are two options left: call us today, or call us for an appointment. Neither one is called "wait and see".

Call us today

  • He is eating less, he has turned down a real meal, or he has stopped drinking. A blocked nose does not add time to the clock: at the first real meal refused, call. In an adult cat, never let more than 24 to 48 hours pass without eating, and older cats, overweight cats and cats being treated for an illness, like pregnant or nursing queens, do not even have that margin (the clock explained).
  • He is flat: hiding, not playing, sleeping far more than usual.
  • He carries feline leukemia or FIV, he is on cortisone or another treatment that lowers his defences, or she is a pregnant queen. In these cats a cold can turn serious: it is not one to nurse alone at home.
  • He is drooling or has a sore mouth, but he is still eating a little. One of the cold viruses causes ulcers on the tongue and gums that hurt badly (a cat cold's sore mouth).
  • He keeps one eye shut or half shut, or squints. One of the cold viruses can damage the eye itself, and nothing goes in before the exam (the eye held shut).
  • His discharge has turned thick, yellow or green, and he is less lively or eating less. Colour alone does not tell you whether he needs an antibiotic: the exam does. If he is eating and himself, it is an appointment.
  • He is coughing as well as sneezing, and he is flat, eating less, or breathing faster than his usual at rest (the question on coughing).
  • A little blood: discharge tinged pink, or a small nosebleed that stopped on its own, in an adult cat who is otherwise himself. But if he may have got into rat poison or eaten a mouse in the last few days, has bruises or has fallen: go now.
  • All of a sudden, a fit of violent sneezing, a paw at the face, one nostril running, often after chewing grass or a plant: a blade of grass may have lodged in his nose. We look, we do not dig: do not pull on anything that sticks out.
  • A lump or swelling on the nose, under an eye or on the cheek, in a cat who is otherwise entirely himself.
  • He is a Persian or another flat-faced cat, and his cold makes him clearly noisier than usual, or gets in the way of eating.

If we are closed, call a 24/7 emergency centre: someone will tell you whether it is now, today, or an appointment. You do not have to make that call alone.

Call us for an appointment

These signs do not mean rushing out, but they need an exam. What changes from case to case is the speed, never whether you call, and the date gets set during the call.

  • One nostril has been running for several days, or the discharge has gone from one side to both. One side points rather to something in that side of the nose: a tooth, a blade of grass, a polyp, a mass. It is not an absolute rule, and it does not change when to call. It changes what we look for first.
  • He is an older cat, and he has been sneezing or his nose has been running for a few days. At his age, we do not put it down to a simple cold without an exam.
  • It drags on: he is not getting better day by day, or he is getting worse, or he improved on treatment and it came back.
  • It keeps coming back: he sneezes or his nose runs in bouts, for weeks or months.
  • He has been snoring or snuffling for weeks with little sneezing or discharge, or his voice has changed, or he gags while eating, but he breathes with his mouth closed and without effort. That noise often comes from the back of the nose, behind the palate.
  • He has bad breath, he chews on one side, and his nose is running: a diseased tooth can make the nose run too.

And if he is sneezing, but eating, playing and breathing calmly?

An adult cat, neither old nor being treated for an illness, who is sneezing, with a clear runny nose on both sides or none at all, and who eats, plays and breathes calmly with his mouth closed, very probably has a cold. Ease his symptoms (at home) and give him nothing from your medicine cabinet (why): a simple cold gets better day by day. A sign from Go now: go. Any other sign on this page, or if he is not improving: call us, or a 24/7 emergency centre if we are closed. A few sneezes right after cleaning, a candle, a perfume or a diffuser can come from the irritant itself: remove it, air the room, and call if it keeps going.

The signature card

Give no home medications

Faced with a sneezing, snuffling cat, the temptation is to give him what helps us when we have a cold. Cats are a species apart: their liver does not detoxify like ours, or like a dog's, and several utterly ordinary products kill them.

Acetaminophen (Tylenol): Fatal to cats, even a single tablet. There is no safe dose. If your cat swallowed any, it is an immediate emergency.

Ibuprofen (Advil), naproxen (Aleve), aspirin: Toxic: digestive ulcers, kidney damage. Never a human anti-inflammatory, for any reason, and least of all to ease a cat's cold.

Cold and flu tablets, syrups and powders (Neocitran, Tylenol Cold and the like): Never. Most contain acetaminophen, which is fatal to cats, and many add a decongestant that can race his heart and set him trembling, sometimes all the way to seizures. The children's versions contain them too.

Sprays and drops to unblock the nose (Otrivin, Dristan and the like): Toxic to pets. A cat licks whatever you put on his nose, and once swallowed, the drug reaches the bloodstream very fast and can throw off his heart rate and blood pressure.

Chest rubs and ointments (Vicks VapoRub and the like, children's version included): Not on him, not on your skin where he rubs against you, not in hot water for steam. The camphor in them gets in through the skin and the fumes and can cause seizures; the menthol and eucalyptus are toxic to him too.

Essential oils and diffusers: None, not on his coat, not in the steam, not in a diffuser running in the room he is in: tea tree, eucalyptus, peppermint, cinnamon and wintergreen included. Cats clear them poorly, they swallow them while grooming, and breathing them in can by itself make the nose and eyes run.

Gravol, Benadryl, antacids, leftover prescriptions: Never without direction. A cat "settled" blindly is a cause still advancing while everyone relaxes. The "sinus" or "complete" versions of allergy tablets add a decongestant, sometimes acetaminophen.

Another animal's prescription: Same apparent problem, same weight, same household: none of that is ever enough. What relieves a dog can kill a cat, and a dose calculated for another patient is not a dose.

Dog flea products: Several contain permethrin, a violent poison for cats (tremors, seizures). Never a "for dogs" product on a cat, even a small amount, and watch the cat who rubs against a freshly treated dog.

Lysine, garlic and "natural" remedies: Lysine has been recommended for years in cats carrying herpesvirus, and you have probably heard of it. The serious work does not show a benefit, and a systematic review concludes it is effective neither for prevention nor for treatment. So we will not tell you to go buy it. Honey, vitamin C, homeopathy: nothing shows they treat a cat cold. Garlic and onion, for their part, are toxic to him.

He swallowed or licked some?

Go now: during our hours, call us on the way; outside them, go straight to the nearest 24/7 emergency centre. Do not wait for signs: with acetaminophen, a cat's gums can turn brown within hours. Do not make him vomit: in cats, there is no safe way to do it at home, and hydrogen peroxide can be fatal to them. Bring the packaging or a photo of the label: a cold remedy can hold several drugs at once. Oil or ointment on his coat: stop him licking. The animal poison lines and the first steps by product are in our Toxic foods and plants guide.

At home

At home: easing him while he recovers

A cat cold mostly heals with time and simple care. If a sign from Go now shows up along the way, go. If it is a sign from the Call us section, call us, or a 24/7 emergency centre if we are closed.

What helps

  • Clear his nose, from the outside. Gently wipe his nose with a clean facecloth dampened with lukewarm water, as often as it builds up, never forcing or pulling at a crust; for the eyes, one cloth per eye, from the inner corner outward. Clean around, put nothing inside, and stop if it upsets him.
  • Wake his appetite through his nose. Warm his wet food to barely lukewarm, around body temperature: that releases the smell. Always test it on your wrist first, since microwaves create hot spots. Stick with his usual food: a cat who feels unwell quickly links a new food to that feeling. No broth or baby food (several contain onion or garlic), and never force-feeding or syringe-feeding.
  • A little steam, with you. If his nose is very blocked but he is breathing with his mouth closed, run a hot shower with the door closed. Sit in the bathroom with your cat, in your arms or in his open carrier. Once the mirror fogs up, the air is humid enough: stay a while, and take him out as soon as he gets agitated. He is never alone, never wet, and nothing goes in the water. If he starts breathing with his mouth open, steam is no longer the answer: go.
  • A humidifier, if you have one: clean, out of his reach, nothing in the water and no scent.
  • Fresh water available, never forced, and a warm, quiet corner to rest in: stress keeps this kind of cold going.
  • If there are other cats: separate them if you can, each with their own bowls and litter box, wash your hands in between, and see to the sick one last. Above all, keep a kitten away from a sick adult. If he goes outdoors, keep him in until he has recovered: he can pass it to the neighbourhood cats. For cleaning, ask us which product to use: some household cleaners, including those with essential oils, are toxic to cats.
  • No salt water drops in his nose unless your veterinarian has suggested them and shown you how: done wrong, they stress him without helping.

Write down three things, morning and evening

The time of his last real meal, whether he is drinking, and what the discharge looks like: clear or thick and coloured, one side or both. That is what we will ask you on the phone. If he coughs or snuffles while breathing calmly, film him, with the sound on.

Understanding

A cat cold, in plain words

What most people call a cat cold, veterinarians call an upper respiratory infection, or URI. Two cat viruses usually cause it, and they are not the ones behind your cold.

Two viruses, two patterns

  • Herpesvirus. This is the rhinotracheitis you have seen on the vaccination record, in the FVRCP vaccine. It mostly brings sneezing and a runny nose and eyes. Once caught, it stays for life, dormant in the nerves, and it wakes up when the cat is stressed: a move, a new cat, a boarding stay, surgery, nursing kittens, certain medications that lower his defences. The nose may start running again, with no new infection.
  • Calicivirus. The other virus in the FVRCP vaccine. It leans towards ulcers in the mouth, a drooling cat that no longer dares to eat. A recovered cat can stay contagious to other cats for weeks, sometimes months.
  • Sometimes bacteria join in. One mostly affects the eye; another, the kennel cough bacterium, can pass from a dog to a cat. The eye has its own page: My pet has a red or watery eye.

How it spreads, how long it lasts

Through contact between cats, sneezes at close range, and whatever passes from one to the other: hands, bowls, litter boxes. A kitten or cat who starts sneezing soon after arriving often caught it before coming to you, or the stress of the move woke it up. A simple cold gets better day by day; a bad one, which needs an exam, can take a few weeks. What matters is the direction: if it stalls, gets worse or comes back, call us, or a 24/7 emergency centre if we are closed.

The vaccine softens, it does not prevent

The FVRCP vaccine covers these two viruses. It generally protects against the severe form, without always preventing infection: a vaccinated cat can still catch a cold, usually a milder one, and carry herpesvirus without showing it. A bad cold in a properly vaccinated adult cat is unusual: it deserves an exam. Sneezing right after a vaccine? A vaccine can occasionally cause a little sneezing, but most often the virus was already there, and nothing at home can tell the two apart: follow the guidance on this page.

What about antibiotics?

An antibiotic does nothing against a virus. We do sometimes prescribe one anyway, but against bacteria, never against the virus itself. With a clear discharge, in a cat who is eating and himself, your veterinarian may well not give one at all.

At the clinic

What we do at the clinic

We start from your cat, not from the word "cold": the exam decides what comes next. When you call, tell us he is sneezing: we take it into account for your arrival.

The exam, and when it is a cold

We look at his breathing and temperature, his weight and hydration, his eyes, his ears, and the inside of his mouth, teeth and gums included. If it is a cold, treatment aims at comfort and complications: something for his pain, fluids if he is getting dehydrated, an antibiotic only if bacteria are involved, eye care if the eye is involved. Your veterinarian chooses the products and the doses, and our pharmacy explains how to give them. If he still turns down warmed wet food, there are other ways to feed him: your veterinarian will tell you which. In a cat who catches one cold after another, your veterinarian may also suggest screening for FIV and feline leukemia: the rapid test is run here, in our own laboratory (feline virus screening).

When it looks like something else

When the discharge comes from one side only, bleeds or drags on, we look further: radiographs of the head and teeth, then, if needed, a small camera in the nose, with a sample. These exams are done here, under general anesthesia, by appointment and during our opening hours; the images may go out to a radiologist for reading, and the tissue sample goes to an outside laboratory. CT scans are not something we do here: when one becomes useful, your veterinarian points you to a centre that has one. We may find a diseased tooth, a polyp at the back of the throat (mostly in young cats), a blade of grass, a mass in the nose (mostly in older cats: nasal tumors in cats) or, less often, a fungus. Extracting a tooth and removing a polyp are done here. When the nose bleeds, we also look for a clotting or blood pressure problem; clotting tests go to an outside laboratory.

When he is unwell

During our opening hours, a cat who is short of air gets oxygen here, with as little handling as possible, and a cat who has stopped drinking or eating enough can get fluids. Hospitalization here is day hospitalization, and a contagious cat is kept apart from the other patients. We do not provide continuous medical monitoring overnight: when an animal needs to be watched without a break, we stabilize first, then we arrange the transfer to a 24/7 centre, with the full record.

Honest triage, in brief

Open mouth, a nose that bleeds heavily or with bruises, a swelling face, a cat who is cold or collapsing, an eye involved in a flat cat, a human product swallowed: go now. A kitten: call us now. A refused meal, a flat cat, a little blood: call us today. If we are closed, call a 24/7 emergency centre. What does not improve, runs from one side only or affects an older cat: an appointment. A simple cold gets better day by day. And from your medicine cabinet, nothing.

FAQ

Frequently asked questions

My cat has a cold: what can I give him?
Nothing from your medicine cabinet: no acetaminophen, which is fatal to cats, no ibuprofen or aspirin, and no cold remedy, which often contains one of them or a decongestant that can race his heart. Sprays and drops to unblock the nose, chest rubs and essential oils are toxic to him too. What genuinely helps: a nose wiped with a lukewarm facecloth, his wet food warmed so it smells stronger, fresh water and quiet. If he needs a medication, antibiotics included, your veterinarian chooses it after examining him. And if he has already swallowed or licked something, go now: during our hours, call us on the way; outside them, go to the nearest 24/7 emergency centre.
My cat keeps sneezing but seems fine: should I be worried?
Probably not: an adult cat who sneezes, with or without a clear runny nose, and who eats, plays and breathes calmly with his mouth closed, very probably has a cold that gets better day by day. What changes everything: a kitten (call now); an open mouth, a heavy nosebleed, a swelling face (go now); a refused meal, a flat cat (call today); one side running for several days, an older cat, a cold that is not improving or keeps coming back (call for an appointment). A few sneezes right after cleaning, a candle, a perfume or a diffuser can come from the irritant: remove it, air the room, and call if it keeps going. During our hours, we triage with you on the phone; outside them, a 24/7 emergency centre.
My kitten is sneezing: what should I do?
Call us now, or a 24/7 emergency centre if we are closed. A young animal tires and dehydrates fast, and a cold can move down to the lungs. Go without waiting if he has stopped nursing or eating, feels cold or limp, or is breathing with his mouth open, fast or with effort. Milk or food coming out of his nose is checked by examining his mouth: do not feed him by syringe or dropper on your own. If he has just arrived, he often caught the cold before: keep him apart from your other cats until the exam, and tell us where he came from. If he has just been vaccinated, it changes nothing: the vaccine does not protect him right away.
Is it contagious to my other cats, my dog, or me?
To your other cats, yes, very probably: separate them if you can, each with their own bowls, and wash your hands in between; a recovered cat can stay contagious for weeks, sometimes months. To your dog, the two cat cold viruses do nothing; the kennel cough bacterium, however, can pass from a dog to a cat. To you, pregnant or not, these two viruses do not pass to people; the bacteria that sometimes come with a cat cold have, very rarely, infected a person: wash your hands after caring for him, and tell us if anyone at home has a weakened immune system. One exception worth knowing: bird flu, which is rare in cats. If your cat goes outdoors, hunts or eats raw food and suddenly becomes very ill, go, and say so when you call on the way: us during our hours, the 24/7 emergency centre outside them (see our guide to raw feeding). And flu or COVID-19 can pass from a person to their cat: if you have either, avoid close contact with him and wash your hands before caring for him.
My cat is sneezing blood: is it serious?
Either way, you call. Go now if his nose bleeds heavily or will not stop, if he is breathing badly, if he is weak or pale, if you see bruises or blood anywhere else, if he has fallen, or if he may have got into rat poison or eaten a mouse in the last few days: during our hours, call us on the way; outside them, go to the nearest 24/7 emergency centre. A little blood in the discharge, or a small nosebleed that stopped on its own, in an adult cat who is otherwise himself: call us today, or a 24/7 emergency centre if we are closed. In the meantime, keep him calm in his carrier, and put nothing in his nostrils.
My cat's nose is blocked and he is breathing through his mouth: is that an emergency?
Yes. A cat breathes through his nose; if he opens his mouth at rest, not enough air is getting through, even if the cause is a blocked nose. Go now, in his carrier, handling him as little as possible: during our hours, call us on the way; outside them, go to the nearest 24/7 emergency centre. Shower steam helps a blocked nose in a cat who is breathing calmly with his mouth closed; it never replaces leaving. A cat who sniffles softly, mouth closed, without effort, is a different story: see "The sound of a stuffy nose" at the top of this page.
My cat is sneezing and coughing: is it still just a cold?
Not necessarily. Coughing is not a usual sign of a cat cold: the infection may have moved down to the throat or the lungs, the kennel cough bacterium may be involved (tell us if a dog at home is coughing), or it is something else, such as asthma (see our page on asthma in cats). Go now if he coughs and works to breathe, breathes with his mouth open or with his belly, if his gums turn pale or bluish, or if he coughs after being given food or medicine by syringe. Call us today if he coughs and is flat, eats less or breathes faster than his usual at rest. A kitten who coughs: call us now. An adult who coughs now and then but is doing well: an appointment. Outside our hours, a 24/7 emergency centre. If he is comfortable between fits, film one if you can.
How long does a cat cold last, and why does it keep coming back?
In an adult cat, a simple cold gets better day by day (for a kitten, call now); a bad one, which needs an exam, can take a few weeks. Rather than counting days, watch the direction: if he is not improving, getting worse, or he was better and it came back, call us so we can examine him; outside our hours, a 24/7 emergency centre will tell you whether it can wait. When it comes back, it is often herpesvirus: it stays for life, dormant, and stress wakes it up. In some cats the nose stays fragile after a bad cold: it is managed more than cured, once other causes have been ruled out.