Pet Emergencies: When to Wait and When You Shouldn’tDecember 3, 2021
Cats and dogs can have a variety of symptoms that may or may not need immediate evaluation and treatment by a veterinarian. It is helpful to know which cases need to be seen right away vs. which ones can wait until the next day or until an appointment can be made at a veterinary urgent care clinic.
- This list is not exhaustive, nor can any one pet be definitively diagnosed based on one-line descriptions as provided below.
- If you aren’t sure of what to do, consider calling your family veterinarian. He or she knows you and your pet, and can provide advice for next steps.
- If that your pet’s regular veterinarian is not available to you, please call a 24-hour emergency hospital for advice (or Poison Control when appropriate).
Go to the ER
The following symptoms are possible signs of a serious emergency and should be evaluated by a veterinarian at a 24-hour emergency hospital ASAP:
1. Trouble Breathing
- Defined as a respiratory rate of 50 breaths per minute or greater that is NOT panting.
- Choking, difficulty breathing, extreme and non-stop coughing or gagging.
- Open-mouth breathing in a cat is always considered an emergency.
- Exaggerated, loud, or noisy breathing in brachycephalic cats or dogs that is new (smushy-faced breeds).
- Abdominal heaving noted with every breath.
- Neck extended to breathe.
2. Weakness, Staggering, Shaking, & Mobility Issues
- Sudden and profound weakness or collapse.
- Inability to walk or suddenly staggering as if drunk or unsteady on their feet, sudden trouble going up or down the stairs.
- Acting disoriented and/or mentally “off” or inappropriate.
- Shaking abnormally, restless, pacing, inability to get comfortable or rest.
- Seizures or tremors, especially clusters of seizures within a 24-hour period or a seizure that does not stop after several minutes.
- Sudden limping or loss of motor function in one or more limbs – ESPECIALLY in a cat.
- Unconsciousness or collapse.
3. Inappropriate Urinating, Defecating, Diarrhea, and Vomiting
- Straining to defecate or urinate- ESPECIALLY in male cats.
- No urinations noted in more than 24 hours.
- Diarrhea that has progressed to pure liquid, blood, or black and has happened 2 or more times in 24 hours with loss of appetite and/or decreased energy and/or vomiting.
- Bloating, Retching or Unproductive Vomiting, especially if the stomach or abdomen looks bloated, noticeably larger and more firm and/or tense than usual.
- Inability to urinate or pass feces (stool), or obvious pain associated with urinating or passing stool, especially in male cats.
- Vomiting 3 or more times in a 24 hour period with loss of appetite and/or decreased energy and/or concurrent diarrhea.
4. Bleeding, Wounds, & Trauma
- Ongoing bleeding- ESPECIALLY bleeding that occurs with every heartbeat (i.e. spurting).
- Bleeding that doesn’t stop within five minutes, profuse bleeding from nose, mouth, rectum, coughing up blood, or blood in urine.
- Bite or puncture wounds along the neck, chest, or abdomen.
- Severe trauma such as being hit by a car, falling from a high surface, being stepped on, fractured bones, or inability to move leg(s), Paralysis.
5. Abnormal Appearances or Behavior (Skin, Gums, Eyes, and Noises)
- White or blue gums in presence of acting lethargic or weak.
- Sudden appearance of bruises along the body without any history of trauma.
- Excruciating pain or vocalizing.
- Facial swelling or hives.
- Bulging eyes, protruding eyeball, or sudden blindness.
- Squinting eyes suddenly.
- Pupils that appear larger or smaller than usual.
- Fever at home (temperature > 102.8) in presence of other symptoms (ie lethargy, anorexia for > 24 hours, etc.)
6. Suspected Exposure to any Toxin or Medication
Always call Poison Control first!
- Xylitol – dogs
- Lilies – cats
- Grapes/raisins – dogs
- Chocolate (dose dependent) – cats and dogs
- Antifreeze – cats and dogs
- Insulin overdose
- Over the counter OR prescribed medication that has not been specifically prescribed for your pet – call Poison Control for advice on whether pet needs to be seen
- human medications such as Tylenol (acetaminophen) can be safe for humans but deadly for cats
- Rodenticide/rat poison
- You suspect or know your pet has encountered a poisonous creature: snake bites, scorpion bites, toad poisoning, spider bite.
7. Other Serious symptoms
- Heat/Cold Exposure, frostbite or exposure to cold, Heat exhaustion or heatstroke.
- Prolonged labor or difficulty giving birth.
- Electric shock.
- Refusal to drink for 24 hours or more.
May Be Safe to Wait for Appointment
The following are symptoms that MAY be safe to make an appointment with a veterinary urgent care center or your family veterinarian if the symptoms have not improved by the next day.
CAUTION: no single symptom can be universally be defined as a true emergency or non-emergency without a veterinarian to evaluate the patient directly. If you are at all concerned or unsure of how serious your pet’s symptoms may be, seek veterinary care for your dog or cat sooner rather than later.
- Coughing without signs of labored breathing and able to rest (i.e. cough is not affecting quality of life at home)
- Sneezing, runny nose
- Not eating anything for less than 24 hours
- Vomiting once or twice within 24 hours but acting normal
- One or two episodes of diarrhea within 24 hours but acting normal
- Limping (NOTE- some forms of lameness are more serious than others, especially in adult cats, so please call a veterinarian depending on more specific details pertaining to your pet at the time)
- Itchy skin or ears, or thickness/fluid pocket within an ear
Can Be Safely Monitored at Home
Some symptoms can be safely monitored at home, treated at home, or can wait a few days to be seen at an urgent care clinic. Again, this list is not exhaustive, and sometimes seemingly minor symptoms can be a sign of a more serious problem. Please always ask the advice of a veterinarian prior to making decisions about waiting to have your pet seen. Below is a list of symptoms that have more specific recommendations based on condition:
- Torn toenail with minor to no bleeding.
- Small wound or abrasion.
- New lumps or bumps identified on your pet (that do not resemble hives which is an emergency).
- Ticks found on your pet – this does NOT need to be seen by a veterinarian and can be gently removed via tweezers.
- Worms seen in stool in absence of other clinical signs (especially in puppies, kittens, and outdoor cats).