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Ask a vet online – ‘ have taken our cat to the vet at least 4 times regarding the fact that she has lost the hair on inside of back legs’

Question from Margaret Duke: Have taken our cat to the vet at least 4 times regarding the fact that she has lost the hair on inside of back legs. Vet thought it maybe an allergy and we stopped allowing her milk. Vet gave her tablets which made her eat [she is a very fuzzy eater] This has gone on for months and she is just the same. Answer from Shanika Winters: Hi Margaret, sorry to hear that your cat has been suffering with ongoing hair loss on the inside of her back legs.  I will discuss possible causes for the hair loss and some treatment options. Why has my cat lost hair on the inside of her back legs? It is really important to have a full clinical examination of any pet suffering from hair loss by your vet to make sure that your pet is in good health, hair loss can be associated with conditions such as hormone imbalances, parasites and allergies .  It is also worth being aware that hair loss can be self- inflicted as a result of stress this is often referred to as ‘over grooming’. Could my cat have an allergy? Yes it is possible that the hair loss could be due to an allergy causing your cat’s skin to feel uncomfortable and then it licking and chewing away the hair on the inside of its legs.  Allergies can be to substances that your cat eats/drinks, breathes in or is in contact with.  Most cats are fed a commercially prepared diet with few treats, but if trying to rule out a food allergy a low allergy or specific protein diet (a protein your cat has not eaten before) can be tried. Diet trials need to be carried out for 8 weeks or longer to give meaningful results.  If the allergy is a contact allergy then you need to avoid your cat coming into contact with the suspected substance. Inhaled allergy or ‘Atopy’ is sometimes more challenging to avoid as it may be to for example house dust mite which would be difficult to avoid other than keeping your cat 100% outdoors. What tablets did the vet give my cat? From the side effect of the tablets your cat was put on it sounds likely that your cat was given a steroid treatment to try and treat the suspected allergy.  Steroids come in tablet and injectable forms and treat allergies by suppressing your cat’s immune system so as to stop it feeling uncomfortable in the first place.  Steroids also can stimulate the appetite which would explain why your cat was eating more when previously its appetite had not been so great.  Cats on the whole tend to tolerate steroid treatment well and your vet will try and reduce the dose to the smallest amount that works. Why did the tablets not work? There are a few possible reasons as to why the tablets did not work, the condition causing your cat to lose hair might not be allergic, and your cat might have needed a different dose of tablets or even treatment for a longer period of time. The next step would be to return to your vet and discuss how your cat’s condition has not improved and take further steps to find out the cause and then the correct treatments plan. How can a diagnosis be made for the hair loss? As much as examining the cat, the details you give to your vet about your cat’s behaviour, home environment and general activities will help to make a diagnosis.  Physical examination plus or minus skin/blood tests may be performed to look for hormone imbalances, parasites and signs of allergy.  Which tests are carried out on your cat should be a joint decision between you and your vet. Could the hair loss be due to stress? I always keep in mind with hair loss and cats the possibility of stress being the cause. Stress can cause some cats to lick and chew at their fur most commonly on the inside of their hind legs, on their tummy and on their front legs.  Some cats may lick excessively in between their feet pads making them, wet, red and sticky/infected. It is not often easy to tell if a cat is stressed as they tend to become quieter, hide away or simply over groom.  The smallest change to your household from new work hours through to a big change like a new pet or baby arriving can impact on your cat’s well-being. Hopefully a chat with your vet will help to work out if your cat could be suffering from stress leading to over grooming. Treatments for hair loss If an allergy is suspected the avoidance, medications to supress reactions to allergy or specific vaccines may be an option. Antiparasite treatment for your pet, the home and any other pets you have may be needed if parasites are detected. If a hormone imbalance is detected on a blood test then correcting this may then allow the hair to regrow. If there is infection present then your cat may need a course of antibiotics to help clear this. If stress is suspected then treatment may involve medications to help your cat feel more at ease such as antidepressants or hormones.  There are also pheromone products in plug in or spray form which can help to reduce stress levels in cats.  The obvious thing not to forget is to make changes at home to minimise stress to your cat such as giving it a space of its own to retreat to where no one else can bother it. I hope that my answer has helped you to understand some possible causes and treatment option for your cat’s hair loss and that she is soon feeling a lot more comfortable and that her hair regrows. Shanika Winters MRCVS (online vet) If you have any worries about your pet, please make an appointment to see your vet - or try our online Symptom Guide.
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How Do You Know If A Cat Is In Pain?

DenbyIt sounds like such a simple question, but the answer is actually far more complicated than we think. And it’s not just cat owners who struggle with this question, those of us who have studied these creatures for years still frequently miss signs of feline pain. Because when it comes to showing signs of pain (or any illness for that matter), cats are masters of disguise. In the feline world, complaining gets you nowhere, and showing signs of weakness can get you killed. Sure, some cats in pain will cry out, but if you see a cat crying out in pain, the problem is likely very severe indeed. Besides, cats cry out for many reasons, so even if you do see this, how can you tell if it is due to pain or some other form of stress? Next time you think your cat may be in pain, try to remember some of the following signs of feline discomfort: • Lameness: Ok, we’ll start with an easy one. But you’d be surprised how many people come to me with a limping cat who insist that they are not in pain. If your cat is limping, he’s doing it for a reason. And that reason is usually pain. Even if your cat doesn’t have a limp, check for other signs like difficulty jumping up or down from the bed or finding that it’s not worth their effort to climb the stairs anymore. Arthritis is hugely underdiagnosed in cats because many owners either don’t observe or don’t think to mention these changes. If you do notice something unusual with your cat’s behaviour, please speak up as sometimes vets don’t think to ask these kinds of questions. • Vocalisation Yes, as previously mentioned, some cats in pain (particularly severe, sudden pain) will cry out or howl. If you see this, take them to the vet immediately to have them checked out, even if you can’t see anything else wrong with them. But it’s not always a howl that they make; sometimes it’s just a more insistent meow, or even a lack of sounds such as normal greetings or cries for food. • Decreased appetite Speaking of food, it’s true that some cats in pain will either stop eating, or not eat as much as normal. But not every cat will respond this way because in the wild, a cat that doesn’t eat will die so if they are able to eat despite even very significant pain, they often will. • Hiding A cat in pain will often hide from you. You may notice them spending more and more time under the bed or in the back of the cupboard. Or, you may notice that they are quite restless and have a hard time settling in any one place. To you, it may just seem like odd behaviour but to them, it can be a cry for help. Hiding isn’t the only behaviour that can indicate pain, any change in their normal routine may be a clue no matter how subtle, so try to take notice and figure out why the change occurred. • Eye position and expression This one is much more subtle, and unless you are very observant you may not pick up on it at all. A painful cat may sometimes have slanted eyes that are squinting or partially closed. They may also have dilated pupils (the blacks of their eyes look very large or ‘wide eyed’), and a generally strange expression on their face. Or they may seem to ‘zone out’ and just stare blankly ahead. Now there are lots of reasons why a cat will show one or more of these things, so don’t be too quick to diagnose your cat as painful if you don’t notice any other signs. But if you do notice a strange look in their eyes, it’s probably best to have them checked out by a vet. Amber-on-grass• Posture If you picture a happy cat in your mind, you may think of one who is relaxed and playfully rolling around in response to a good petting session. Now consider the opposite - a painful cat will often sit in a hunched, guarded position. Their muscles may be quite tense, and they will flinch or pull away when touched. Some cats just don’t like being touched, but if yours normally does and then suddenly doesn’t, consider pain as a possible cause. • Aggression As previously mentioned, a painful cat won’t want to be touched and this often leads to aggression. If you stroke your cat and he turns around to bite or scratch you, or if he hisses at you when touched, or even if he just starts to twitch his tail in an agitated manner when there doesn’t seem to be any reason for it, get him checked out by the vet. • Licking, chewing, or fur loss Cats will sometimes make a fuss over the particular part of their body that is in pain, but this is not always the case. Some cats with cystitis (bladder disease) will lick their tummies and cause fur loss in that area. Likewise, some cats with arthritis in a particular joint may lick or chew at that area more frequently than normal. Rarely, this licking is enough to cause damage to the overlying skin. • Other medical changes There are some signs of pain that only your vet is likely to pick up on (although you may notice that something just doesn’t seem right), including increased heart rate, breathing rate, temperature or blood pressure. Because these things require the help of a professional to properly measure, it is very important that you take your cat in to the vet whenever you suspect something out of the ordinary. As you can see, pain in cats is no simple subject. There are some obvious signs of course, but many more that may go unnoticed for some time. Therefore, if you do happen to notice any of the above signs, it’s always best to take your cat to the vet to have them checked out as soon as possible. Even then, it can be very difficult to tell if they are in pain, so sometimes the best test is to treat for any possible pain and then re-evaluate to see if it made any difference. Whatever you do, try not to ignore it because unlike humans, who are very good at expressing discomfort, cats will most often suffer in silence and it’s our job to make sure they don’t have to. If you are worried that your cat may be showing signs of pain described above, talk to your vet or try our Interactive Cat Symptom Guide to check any other symptoms you notice.