Every cat owner knows their furry friend can be a little sensitive to their food choices, and sometimes that sensitivity manifests in a change in their bathroom habits. But what happens when you notice blood in your cat’s stool? It’s a situation that can be alarming, and it’s important to understand what might be causing it.
Blood in Cat Stool: A Cause for Concern
Blood in a cat stool, also known as hematochezia, is a serious sign that requires prompt veterinary attention. It can be a sign of a variety of conditions, ranging from mild irritation to severe medical problems.
Why is Blood in Cat Stool a Concern?
Blood in a cat’s stool can indicate a variety of issues, including:
- Gastrointestinal Bleeding: Blood in the stool is a sign of bleeding somewhere in the gastrointestinal tract (the digestive system), which includes the stomach, small intestines, and large intestines.
- Underlying Medical Conditions: The presence of blood in a cat’s stool can be a sign of a serious underlying medical condition that requires prompt treatment.
Understanding the Appearance of Blood in Stool
The appearance of blood in a cat’s stool can provide clues about the location and severity of the bleeding.
- Bright Red Blood: Bright red blood, often described as fresh blood, in the stool usually indicates a bleed that’s closer to the rectum or anus. This is often a sign of irritation or inflammation in the lower intestinal tract.
- Dark Red Blood: Dark red blood, often described as digested blood, in the stool usually indicates a bleed that’s further up in the digestive system, such as the stomach or small intestines. This type of blood can have a coffee-ground appearance.
- Blood in the Mucus: Blood mixed with mucus in the stool can be a sign of inflammation or irritation in the intestines.
- Small Amount of Blood: A small amount of blood in the stool might not always be a cause for concern. It could be caused by a minor irritation, such as a small tear in the rectum.
A Case Study: Whiskers’ Bloody Stool
Whiskers, a 5-year-old Maine Coon, started having diarrhea with streaks of bright red blood. His owner, David, noticed the blood in Whiskers’ stool and took him to the vet immediately.
“It was scary,” David says. “I’d never seen Whiskers vomit blood before. I thought maybe he’d eaten something he shouldn’t have, but I wasn’t sure.”
The veterinarian performed a physical exam and ran blood tests. The blood tests were normal, which ruled out a number of medical conditions. The veterinarian suspected that Whiskers had swallowed a foreign object, such as a piece of string or a toy, that had punctured his esophagus or stomach.
The veterinarian recommended an X-ray to look for a foreign object. The X-ray revealed that Whiskers had swallowed a small piece of string. The veterinarian recommended surgery to remove the string.
“It was a relief to know what was wrong with Whiskers,” David says. “The surgery was successful, and he recovered quickly.”

Common Causes of Blood in Cat Stool
Here are some common reasons why a cat might have blood in their stool:
- Dietary Indiscretion: Eating something they shouldn’t, such as scraps of food, plants, or even non-food items, can cause irritation in the digestive system, leading to bleeding.
- Food Allergies: Food allergies can cause inflammation and irritation in the intestines, leading to bleeding.
- Infections: Infections, such as:
- Parasites: Intestinal worms or parasites can cause inflammation and bleeding.
- Bacteria: Bacterial infections can cause inflammation and bleeding.
- Viruses: Viral infections can also cause inflammation and bleeding.
- Feline Inflammatory Bowel Disease (IBD): IBD is a chronic inflammatory condition of the intestines, often caused by an abnormal immune response. It can cause severe diarrhea, vomiting, and weight loss, and it can sometimes lead to bleeding.
- Intestinal Polyps: Intestinal polyps are growths in the intestines that can cause bleeding. They can be benign or cancerous.
- Cancer: Cancer of the digestive system can cause bleeding and other digestive problems.
- Trauma: Trauma, such as a bite or a scratch, can cause bleeding in the rectum.
- Anal Gland Problems: Inflamed or impacted anal glands can cause irritation and bleeding in the rectum.
- Colitis: Colitis is inflammation of the large intestine. It can be caused by a variety of factors, including:
- Stress: Stress can cause inflammation in the intestines.
- Dietary changes: Sudden changes to their diet can trigger colitis.
- Dietary indiscretion: Eating something irritating, like a piece of string or a rubber band, can trigger inflammation.
- Infections: Bacteria, viruses, or parasites can cause colitis.
Diagnosing Blood in Cat Stool
Diagnosing the cause of blood in a cat’s stool requires a thorough examination by a veterinarian. They will perform a physical exam, ask about your cat’s history, and often recommend some additional testing.
- Physical Examination: The veterinarian will assess your cat’s overall health, including their weight, body condition, and any signs of illness. They will check your cat’s temperature, pulse, and respiration, and they will examine their eyes, ears, nose, teeth, and gums. They will also feel your cat’s abdomen and lymph nodes for any abnormalities.
- Bloodwork: Blood tests can help rule out a variety of medical conditions, such as anemia, infections, kidney disease, liver disease, or diabetes.
- Urinalysis: A urinalysis can detect urinary tract infections, kidney problems, and other conditions.
- Fecal Examination: A fecal examination can detect intestinal parasites.
- Radiographs (X-rays): X-rays can be used to examine bones, organs, and other structures, helping to diagnose a variety of conditions.
- Ultrasound: Ultrasound uses sound waves to create images of internal organs, providing a detailed view of the organs and surrounding structures.
- Endoscopy: Endoscopy is a procedure where a thin, flexible tube with a camera is inserted into the esophagus, stomach, or intestines to examine the lining for signs of inflammation, ulcers, or tumors.
- Biopsy: If your veterinarian suspects IBD or other inflammatory conditions, they may recommend a biopsy to examine the tissue for signs of inflammation.
Treating Blood in Cat Stool
Treatment for blood in a cat’s stool depends on the underlying cause.
- Dietary Indiscretion: If blood in the stool is caused by dietary indiscretion, monitor your cat closely for any signs of improvement. If they are not getting better, contact your veterinarian.
- Food Allergies: If your cat has a food allergy, your veterinarian will recommend a hypoallergenic diet that eliminates the offending ingredient.
- Infections: If blood in the stool is caused by an infection, your veterinarian may prescribe antibiotics or antifungal medications to treat the infection.
- Parasites: If parasites are the cause, your veterinarian will prescribe medications to eliminate the parasites.
- Feline Inflammatory Bowel Disease (IBD): Treatment for IBD might involve:
- Medications: Medications can help to reduce inflammation and control symptoms.
- Dietary Changes: A special diet designed for cats with IBD can help to reduce inflammation and improve digestion.
- Intestinal Polyps: Treatment for intestinal polyps might involve:
- Surgery: Surgery may be required to remove the polyps.
- Cancer: Treatment for cancer might involve:
- Surgery: Surgery is often the first-line treatment for cancer. The veterinarian will surgically remove the tumor and a margin of surrounding tissue.
- Radiation Therapy: Radiation therapy uses high-energy rays to kill cancer cells. It can be used as an adjunct to surgery or as a standalone treatment.
- Chemotherapy: Chemotherapy uses drugs to kill cancer cells. It can be used as an adjunct to surgery or radiation therapy or as a standalone treatment.
- Trauma: Treatment for injuries to the rectum might involve:
- Medication: Medication to reduce swelling and pain.
- Antibiotics: Antibiotics to prevent infection.
- Surgery: Surgery to repair the damage.
- Anal Gland Problems: Treatment for anal gland problems might involve:
- Anal Gland Expression: The veterinarian will manually express the anal glands to remove any impacted material.
- Medications: Medications can help to reduce inflammation and infection.
- Colitis: Treatment for colitis might involve:
- Bland Diet: A bland diet can help to soothe the intestines.
- Anti-Inflammatory Medications: Medications can help to reduce inflammation and pain.
- Probiotics: Probiotics are live bacteria that can help to restore the balance of beneficial bacteria in the gut.
- Prebiotics: Prebiotics are a type of fiber that helps to feed the beneficial bacteria in the gut.
A Case Study: Whiskers’ Bloody Stool Recovery
Whiskers, the Maine Coon who swallowed a piece of string, responded well to treatment. The surgery was successful, and he recovered quickly. The veterinarian recommended that David continue to monitor Whiskers closely for any signs of illness.
“Whiskers is doing much better now,” David says. “He’s back to his normal self, happily playing and eating.”
Tips for Caring for a Cat with Blood in Stool
- Monitor Your Cat’s Behavior: Pay close attention to your cat’s behavior, especially if they’re having diarrhea or showing other signs of illness. Look for signs of discomfort or distress, such as:
- Restlessness: Pacing or hiding more than usual.
- Lethargy: Sleeping more than usual.
- Changes in Appetite: Refusing to eat or having difficulty eating.
- Dehydration: Dry gums, sunken eyes, or decreased skin elasticity.
- Provide Fresh Water: Make sure your cat has access to fresh water at all times.
- Consult a Veterinarian Immediately: If you notice any signs of blood in your cat’s stool, consult your veterinarian immediately. These could be signs of a serious medical condition that requires treatment.
Conclusion
Blood in a cat’s stool is a serious symptom that requires prompt veterinary attention. By understanding the causes and seeking professional help, you can help your cat receive prompt veterinary care and increase their chances of a good outcome.
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