Come in immediately if

Any of these: call 2126 7440 now.
  • Floppy, hard to wake, unable to suckle
  • Cold to the touch (ears, paws, mouth)
  • Trembling or seizures
  • Repeated vomiting, watery or bloody diarrhoea
  • Fast or open-mouth breathing
  • No food for a day (under 4 weeks old, even a few hours is dangerous)
  • Weight not rising for two days, or falling

First aid

  1. Warm first: wrap in a dry towel with a towel-covered hot-water bottle beside it, warming slowly over 1 to 2 hours; no hairdryers or hot baths.
  2. Low blood sugar: if conscious, rub a little sugar water or honey on the gums. If unconscious, gums only; never pour liquid into the mouth.
  3. Do not feed a cold kitten: a cold gut stops moving, so milk is vomited or inhaled.
  4. Sugar only buys time. Come in straight after.

Common causes

CauseFeatures
Panleukopenia (feline parvovirus)Highly contagious; vomiting, severe or bloody diarrhoea, collapse; unvaccinated kittens most at risk
Intestinal parasitesRoundworm, hookworm, coccidia, Giardia; diarrhoea, pot belly, weight loss, anaemia
Cat fluA blocked nose stops eating, leading to low sugar and dehydration
Feeding problemsCow's milk diarrhoea, wrong formula strength, feeding on the back causing inhalation
Flea anaemiaPale gums, weakness; adult cat or dog parasite products can poison kittens

At the hospital

  • Controlled warming in an incubator with temperature monitoring
  • Blood sugar check and glucose by vein or bone-marrow line
  • Fluids for dehydration and electrolytes
  • Panleukopenia rapid test and stool tests
  • Panleukopenia treated in our isolation ward with fluids, anti-nausea drugs and antibiotics
  • Kitten-safe dewormers for parasites

Prevention

  • Kitten milk replacer, never cow's milk; feed lying on the tummy
  • Weigh daily at the same time; healthy kittens gain about 10 to 15 g a day
  • Keep rescued kittens apart from resident cats for at least 2 weeks
  • Vaccines usually start at 6 to 8 weeks, every 3 to 4 weeks until 16 weeks or older