Our feline friends are masters of mystery. Descended from solitary hunters who needed to hide weakness to survive, cats are experts at masking pain and illness. As a devoted cat owner, you are the first and most important line of defense in your cat’s health. Learning to decode their subtle signals can mean the difference between catching a minor issue early and facing a serious medical emergency.
This guide will equip you with the knowledge to become a savvy observer of your cat’s health, covering the key areas to monitor in your daily interactions.
The Golden Rule: Know What’s “Normal” for YOUR Cat
Before you can spot a problem, you must know the baseline. Every cat is an individual. What’s normal for a lazy, senior cat is different from a hyperactive kitten. Pay attention to your cat’s regular routines:
* Their typical energy level and sleeping patterns.
* Their usual appetite and water consumption.
* Their normal litter box habits (frequency, consistency).
* Their standard weight and body condition.
* Their regular grooming behavior.
Any significant deviation from their normal is your first and most critical clue.
The 8 Key Areas to Monitor for Signs of Sickness
1. Changes in Energy & Behavior (The “Vibe Check”)
This is often the first thing owners notice. A change in mood or activity level is a huge red flag.
- Lethargy/Hiding: If your usually social cat is suddenly hiding under the bed for hours or seems unusually tired and unresponsive, take note. Hiding is a primal instinct to protect themselves when they feel vulnerable.
- Increased Vocalization: Excessive, plaintive meowing, especially at night, can indicate pain, discomfort, disorientation (in older cats), or hyperthyroidism.
- Irritability or Aggression: A normally placid cat that starts hissing, swatting, or avoiding touch may be in pain. Pain can make even the sweetest cat lash out.
- Restlessness: On the flip side, a cat that can’t seem to get comfortable, is pacing, or is repeatedly getting up and down could be in distress.
2. Appetite & Thirst Changes
Keep a mental log of how much your cat eats and drinks.
- Decreased Appetite (Anorexia): A cat that skips more than one or two meals needs attention. Cats are obligate carnivores, and going without food for just 48 hours can lead to a serious liver condition called hepatic lipidosis.
- Increased Appetite: While it might seem like a good thing, a sudden surge in hunger, especially if paired with weight loss, can signal diseases like diabetes or hyperthyroidism.
- Changes in Thirst: A significant increase in water consumption is a classic sign of several issues, including kidney disease, diabetes, and thyroid problems. You might notice the water bowl emptying faster or your cat drinking from unusual places (taps, showers).
3. Litter Box Red Flags
The litter box is a treasure trove of health information.
- Changes in Frequency or Urgency: Straining to urinate, making frequent trips to the box, or urinating outside the box are MAJOR warning signs. In male cats, a blockage in the urinary tract is a life-threatening emergency.
- Changes in Stool: Diarrhea or constipation that lasts more than a day warrants a call to the vet. Also, look for the presence of mucus or blood.
- Changes in Urine: Blood in the urine is an obvious sign of trouble (though it’s not always visible to the naked eye).

e.g. The cat lay on the litter box
4. Grooming & Coat Condition
Cats are fastidious groomers. A change in this habit is very telling.
- Over-grooming: Excessive licking, chewing, or pulling at fur can indicate skin allergies, pain (like arthritis in a specific joint), parasites, or stress. You may see bald patches or skin irritation.
- Under-grooming: A cat that stops grooming will develop a matted, greasy, or unkempt coat. This often points to pain (it hurts to twist and bend), obesity, or general malaise.
5. Physical Appearance & Weight
- Weight Loss or Gain: Sudden or gradual weight change is a significant indicator of underlying disease. Feel your cat’s body regularly; you should be able to feel their ribs with a slight fat covering, not see them.
- Third Eyelid Visible: If you see a white or pink membrane protruding from the corner of your cat’s eye, it can be a sign of illness, pain, or dehydration.
- Bad Breath: While cat breath isn’t minty fresh, exceptionally foul breath can indicate dental disease, which can lead to systemic infections.

e.g. weigth record sheet, loss 0.4kg in a short time
6. Respiratory Signs
Listen to your cat’s breathing when they are at rest.
- Coughing, Sneezing, or Wheezing: Occasional sneezing is normal, but persistent issues, especially with discharge from the eyes or nose, can point to an upper respiratory infection or asthma.
- Labored Breathing: If your cat is breathing with an open mouth, panting like a dog (when not stressed or hot), or you can see their abdomen moving significantly with each breath, this is an emergency.
7. Vomiting & Regurgitation
It’s common for cats to vomit up the occasional hairball. However, be concerned if:
* Vomiting becomes frequent (more than once a week).
* You see blood or a substance that looks like coffee grounds in the vomit.
* Your cat is vomiting forcefully (projectile vomiting).
* They are trying to vomit but nothing comes up (a sign of a potential blockage).
8. Posture & Mobility
- Limping or Stiffness: This is a clear sign of pain, which could be from an injury, arthritis, or an infected paw.
- A Hunched Posture: A cat that sits or stands with a hunched back, often with its head down, is likely experiencing abdominal pain.
Your Action Plan: What to Do If You Suspect Illness
- Don’t Panic: Stay calm. Your cat can sense your anxiety.
- Gather Information: Before you call the vet, note the specific symptoms, when they started, and their frequency.
- Call Your Veterinarian Immediately: Describe the symptoms clearly. They will tell you if it’s something that can wait for an appointment or if it requires an emergency visit.
- Never Administer Human Medication: Medications like acetaminophen (Tylenol) and ibuprofen are highly toxic and can be fatal to cats.
Trust Your Instincts. You know your cat better than anyone. If something feels “off,” even if you can’t pinpoint it, it’s always better to err on the side of caution and consult your veterinarian. Your proactive observation is the greatest gift of health you can give your enigmatic and beloved companion.