Cat Diarrhoea: Common Causes and When to Visit a Vet

One soft stool after a food change is different from diarrhoea with vomiting in a kitten. The common causes in Indian homes (milk, diet switches, worms, panleukopenia), what to try at home, and when it can't wait.

Dr. Pritesh and Dr. Shivaji Vidhate treating a cat together
Dr. Pritesh and Dr. Shivaji Vidhate treating a cat together. Photographed at Shivraj Pet Clinic & Lab.

Diarrhoea is one of the most common reasons cats visit us. Many cases are short-lived and caused by a diet slip, but diarrhoea in kittens and in cats who are also vomiting or not eating can become serious quickly, because small bodies dehydrate fast.

Come in the same day if

There is vomiting as well as diarrhoea; the cat is a kitten or not fully vaccinated; there is blood or black stool; your cat is not eating, lethargic or hiding; the diarrhoea is very watery and frequent; or it has lasted more than 48 hours. In unvaccinated kittens, vomiting and diarrhoea are classic signs of feline panleukopenia, which needs urgent treatment.

Common causes

Food-related (most common)

  • Milk and dairy: many adult cats are lactose intolerant, so a saucer of milk often leads to diarrhoea.
  • Sudden diet change: switching food brands overnight. Change over 7–10 days instead.
  • Table scraps: gravy, fried fish, festival sweets, chicken skin.
  • Spoiled food left out in Pune's warm months.

Parasites: roundworms, hookworms, coccidia and Giardia, especially in rescued kittens and cats from multi-cat homes. Routine dewormers don't treat coccidia or Giardia.

Infections: feline panleukopenia (parvovirus), and bacterial infections from contaminated food.

Stress: moving house, a new pet, boarding, or Diwali fireworks can trigger short-lived "stress colitis" with mucus and a little fresh blood.

Chronic problems in adult and older cats: inflammatory bowel disease, food allergy, hyperthyroidism (with weight loss and a big appetite), pancreatitis, and intestinal lymphoma in older cats.

What you can do at home for a mild case

For an adult cat that is bright, eating and not vomiting:

  • Make sure fresh water is always available. Add water to wet food.
  • Stop milk, treats and table food.
  • Offer small, frequent meals of its normal food, or a bland option we recommend (for example, plain boiled chicken) for a day or two.
  • Don't give human anti-diarrhoea medicines, antibiotics from home, or ORS made for people without asking us first.

If there's no improvement in 24–48 hours, or things get worse, bring your cat in.

What we check

  • Faecal examination under the microscope in our in-house lab: worms, coccidia, Giardia.
  • Panleukopenia rapid test for kittens and unvaccinated cats.
  • CBC and biochemistry (about 15–20 minutes) for dehydration, infection and organ function.
  • Thyroid test (sent to an external lab) for cats over 8 with weight loss.
  • X-ray if we suspect a foreign body or an abdominal problem.

Bring a fresh stool sample (less than a few hours old) in a clean, sealed container. It saves time.

Frequently Asked Questions

Should I stop food completely for a day?
Not for cats. Unlike dogs, cats should not be starved. A cat that goes without food for a long time, especially an overweight one, risks fatty liver disease. Offer small, bland meals.

Can probiotics help?
Some pet-specific probiotics can help. Human probiotic products may not contain the right strains or doses. Ask us which one to use.

My kitten keeps getting diarrhoea after deworming. What's wrong?
Coccidia and Giardia often need specific medicine. A stool test will tell us.

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