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Feline Infectious Peritonitis (FIP)
Disease guide Cat

Feline Infectious Peritonitis (FIP)

Feline infectious peritonitis (FIP) is a serious disease that can develop when the common feline coronavirus changes inside a cat's body. No single test confirms every case; fluid tests, PCR and blood tests together help your vet.

Signs owners may notice

  • Fever that keeps coming back
  • Poor appetite, weight loss and low energy
  • A swollen, round belly from fluid build-up
  • Fast or hard breathing if fluid builds up in the chest
  • Yellow gums, skin or eyes (jaundice)
  • Cloudy eyes or a change in eye colour
  • Wobbly walking, fits (seizures) or changes in behaviour
  • Poor growth in kittens

Signs alone cannot name a disease. If your animal looks unwell, see a veterinarian promptly.

How lab tests help

When there is fluid in the belly or chest, a Rivalta test, fluid examination and FCoV RT-PCR on the fluid give the most useful clues. Blood tests such as protein, albumin and globulin, CBC and SAA add more evidence. No single result confirms FIP, so a registered veterinarian puts all results together with the cat's signs and history.

What is FIP?

Feline infectious peritonitis (FIP) is a serious disease of cats. It starts with feline coronavirus (FCoV), a very common virus that lives in the gut and usually causes no illness or only mild diarrhoea. In a small number of cats, the virus changes inside the body and spreads with white blood cells, causing inflammation in many organs.

FIP is most common in young cats and in homes, shelters or catteries with many cats. There are two main forms. In wet FIP, fluid builds up in the belly or chest. In dry FIP, there is little fluid, and signs depend on which organs are affected, such as the eyes, liver, kidneys or brain. Some cats show features of both.

Signs to watch for

Common signs include:

  • Fever that keeps coming back
  • Poor appetite, weight loss and low energy
  • A swollen belly
  • Fast or hard breathing
  • Yellow gums or eyes (jaundice)
  • Eye changes, wobbly walking or fits

Which lab tests help

No single simple test confirms FIP in every cat, so your vet puts several results together.

If there is fluid, your vet collects a small amount with a needle. The Rivalta Test is a quick test on this fluid. A negative result makes FIP less likely, while a positive result fits FIP but can also happen with bacterial infection or some cancers. A Fluid Examination Routine checks the colour, protein and cells; FIP fluid is often yellow, sticky and rich in protein. The FCoV / FIP RT-PCR looks for coronavirus genetic material, and testing the fluid gives the most useful result.

Blood tests add more clues. The Protein Total, Albumin, Globulin test measures two kinds of blood protein, albumin and globulin, and gives the ratio between them. A low ratio, meaning a lot of globulin compared with albumin, fits FIP but does not confirm it, while a high ratio makes FIP less likely. A Complete Blood Count (CBC) may show low lymphocytes (a type of white cell) or mild anaemia, and Feline SAA (Serum Amyloid A) can show inflammation.

Many healthy cats carry feline coronavirus, so a positive coronavirus result on its own is not enough to confirm FIP. A Feline Coronavirus Antibody (ELISA) only shows that a cat has met the virus.

A registered veterinarian interprets every result together with your cat's signs and history.

When to see your vet

See your vet promptly if your cat has a fever that keeps coming back, a swollen belly, yellow gums or wobbly walking. Breathing trouble needs a vet the same day.

Testing in Bhopal

Pashupatinath Vet Lab in Shahpura, Bhopal provides free sample collection anywhere in Bhopal. Fluid samples are collected by your vet. From other districts, samples can be sent through your local vet, by courier or by bus parcel; the lab coordinates by phone or WhatsApp on +91 88175 01118. The lab confirms the method, sample needs and reporting time when you book. Reports come on WhatsApp, by email and in My Reports.

Lab tests that may help

Common questions

Is there a test for FIP in cats?
There is no single test that confirms FIP in every cat. Your vet combines tests such as the Rivalta test, fluid examination, FCoV RT-PCR on fluid, the albumin to globulin ratio, CBC and SAA with the cat's signs. When fluid is present, tests on the fluid usually give the most useful information.
My cat tested positive for coronavirus. Does it have FIP?
Not necessarily. Feline coronavirus is very common, and most cats that carry it never develop FIP. A positive antibody or stool coronavirus test only shows contact with the virus. FIP is judged from signs, fluid tests and other blood tests together, read by a registered veterinarian.
Is FIP contagious to other cats?
FIP itself is not thought to spread easily from cat to cat, but feline coronavirus does, mainly through faeces in shared litter trays. This is why FIP is seen more where many cats live together. Feline coronavirus is not known to infect people.
What does a positive Rivalta test mean?
A positive Rivalta test means the fluid has features that fit FIP, but it can also be positive with bacterial infection or some cancers. A negative result makes wet FIP less likely. Your vet reads it together with the fluid examination, PCR and blood tests.

This guide is general information for animal owners. It does not diagnose or treat any animal. A registered veterinarian should examine the animal and read all test results together with its signs and history.

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