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General wellbeing

Cat with yellow gums or eyes

A yellow tint to the gums, the inside of the ears or the whites of the eyes means there is too much bile pigment in the blood. It is not a quirk of appearance but a sign that something is wrong with the liver, the bile ducts or the blood cells, so see a vet promptly.

Updated

When this needs emergency care

If you see any of these, contact a vet immediately, day or night.

  • Yellow gums or eyes together with vomiting or refusing food
  • A cat that is very dull, barely responds or cannot stand
  • Yellowing together with very pale gums and hard or fast breathing
  • Dark orange or brown urine together with weakness
  • Yellowing after your cat may have swallowed something toxic

What this means

Yellowing is easiest to see where there is no fur: the gums, the whites of the eyes, the inside of the ears and sometimes the skin. The gums may look pale lemon, mustard or orange. It shows better in daylight than under a lamp, and in a cat with pigmented gums the colour is worth judging from the whites of the eyes as well. If in doubt, compare with an older photo in which your cat's eyes or gums are visible.

Yellowing is a sign rather than a disease, and different causes can lie behind it. Sometimes the problem is in the liver itself, sometimes the bile ducts are blocked or inflamed, and sometimes red blood cells break down faster than the liver can handle them. In cats it matters in particular that liver trouble can also develop when a cat eats very little for a few days, so a cat that is yellow and not eating is more urgent. Telling the causes apart takes blood tests and an examination.

Your vet will find it useful to know when you first noticed the yellow colour, whether your cat is eating, whether it is vomiting, whether the colour of the urine and stools has changed and whether it could have swallowed something toxic. If you can, photograph the gums and eyes so the change over time can be seen. Do not wait and do not try to guess at home.

Possible causes

These are things that can cause this sign. It is not a diagnosis, and they are not equally likely for your cat.

  • Red blood cells breaking down

    When cells break down too fast the liver cannot process their pigment and it builds up in the blood. The cat is dull and the gums may be pale as well.

  • Liver disease

    When liver cells are damaged, bile pigment is cleared less well. The cat may eat less, vomit or be apathetic.

  • Problems with the gallbladder or bile ducts

    If bile cannot flow freely it backs up into the blood. Belly pain, vomiting and refusing food may go with it.

  • The immune system destroying blood cells

    When the body attacks its own red blood cells they break down too fast. The cat tires quickly and looks pale and yellow.

  • Poisons or other harmful substances

    Some toxic substances can damage the liver or the blood cells. It matters to say if your cat could have swallowed something toxic.

What else to watch for

These observations help your vet build the picture faster. Note down what you saw and when.

  • Where and when you first saw the yellow tint: gums, eyes or ears
  • Whether your cat is eating and drinking or has stopped eating
  • Whether it is vomiting
  • Whether the urine has changed colour, for example dark orange
  • Whether the stools have become very pale
  • Whether your cat is dull, pale or tires quickly

When to book a routine visit

Yellow gums or eyes are always a reason to see a vet promptly, as soon as possible, rather than wait to see whether it passes. Say when you noticed the yellow colour, whether your cat is eating and what else you have seen.

Related conditions

Conditions whose entries mention this sign. The list is somewhere to read on, not a way to reach a diagnosis.

Body systems: Infections Blood and immunity