10 Signs Your Elderly Cat May be Struggling

Cats are masters of hiding pain, and because they often decline gradually, it can be hard to know when they’ve had enough—or when their suffering has quietly begun to outweigh their comfort.

This guide is here to help you recognise the signs that your cat may be nearing the end of their life, when to seek pain relief or to reassure you that choosing euthanasia can be the kindest, most loving decision you make.


1. Loss of Appetite

Cats may go off food occasionally, but if your cat consistently refuses meals, shows no interest in treats, has to be tempted to eat or is rapidly losing weight, it may be a sign that their body is beginning to shut down. A cat who no longer wants to eat is often one who is no longer enjoying life.


2. Chronic Vomiting or Diarrhoea

Frequent vomiting or diarrhoea that doesn’t respond to treatment can lead to dehydration, discomfort, and weakness. If your cat seems unable to digest food or is constantly unwell, this may be a sign of serious, progressive illness.


Video from my Instagram feed talking you through signs of ageing

3. Difficulty Breathing

Laboured, noisy, or shallow breathing is always a red flag. If your cat is struggling to breathe, panting at rest, or hiding to avoid exertion, this may indicate advanced disease or significant discomfort. This is a real red flag that your cat needs help and fast.

4. Withdrawing or Hiding More Than Usual

Cats often hide when they’re unwell, and a cat who spends most of the day in hiding, avoids affection, or no longer seeks out companionship may be in physical or emotional distress.

5. Mobility Problems

If your cat is struggling to stand, limping, falling over, or unable to get to the litter box, their mobility challenges may be causing distress or pain. Cats with arthritis, neurological issues, or muscle loss can suffer quietly for a long time.


6. No Longer Grooming

Cats are usually meticulous about grooming. If your cat is unkempt, matted, or smells unpleasant, it could be because they’re in too much discomfort to care for themselves. This loss of dignity is often a sign that their quality of life is deteriorating.

7. Incontinence or Trouble Using the Litter Tray

If your cat is having accidents, missing the tray, or appears distressed when trying to urinate or defecate, it may be a sign of pain, confusion, or mobility decline. Frequent accidents can also be stressful and confusing for your cat.

8. Changes in Personality or Behaviour

A cat in pain may become aggressive, irritable, withdrawn, or unusually clingy. Behaviour changes often indicate that something significant is happening physically or emotionally.

9. Chronic Pain That Can’t Be Managed

If your vet has tried multiple medications or therapies and your cat is still visibly uncomfortable, limping, restless, or vocalising, it may be time to consider whether ongoing treatment is truly helping—or simply prolonging suffering.

10. You’re Asking the Question

If you’ve begun wondering whether it’s time—or you’ve started quietly hoping for a natural passing—it’s often a sign that your instincts are recognising what your heart is struggling to accept. All of us wish that we would wake up one morning to find our elderly cat has slipped away quietly in their sleep. The reality is that this is a rarity. Cats are tough and their struggle to survive towards the end can become very distressing for you and for them.

You know your cat better than anyone. Trust your sense of their happiness, dignity, and peace.


You're Not Alone

If you're facing the prospect of saying goodbye, please know that this service is designed to support both your pet and you. My role is to guide you with empathy, experience, and time—so that when the moment comes, you feel confident that you did the right thing for your beloved companion.

📞 If you’d like to speak about whether this is the right time for your pet, you’re welcome to book a free phone consultation. Find out more here

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Spotting Illness in Rabbits: When to Call the Vet

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What to Expect During an In-Home Pet Euthanasia Appointment