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Hyperthyroidism in Cats
Disease guide Cat

Hyperthyroidism in Cats

Hyperthyroidism is a common hormone disease of older cats in which the thyroid gland makes too much thyroid hormone. A total T4 blood test, sometimes with free T4, helps confirm it, and kidney and liver tests show its wider effects.

Signs owners may notice

  • Weight loss even though the cat eats well or more than usual
  • Drinking more water and passing more urine
  • Restlessness, extra activity or loud crying, often at night
  • Vomiting or diarrhoea
  • An untidy, greasy or matted coat
  • Fast breathing or a fast heartbeat
  • A lump in the neck that your vet may feel

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

How lab tests help

A total T4 test measures thyroid hormone in the blood and is the usual first test. Free T4 can help when total T4 is borderline, but it is read with total T4. Kidney tests, SDMA, urine routine and liver tests show how the body is coping, and whether kidney disease may be hidden. A registered veterinarian reads the results with the cat's signs and history.

What is hyperthyroidism?

Hyperthyroidism is a hormone disease in which the thyroid gland, found in the neck, makes too much thyroid hormone (T4). It is common in middle-aged and older cats. It is usually caused by a non-cancerous growth of the thyroid gland.

Thyroid hormone controls how fast the body works. Too much of it speeds everything up, so the cat burns energy quickly and loses weight. Over time it can strain the heart and raise blood pressure. It can also hide kidney disease, because it increases blood flow through the kidneys.

Signs to watch for

Common signs include:

  • Weight loss with a good or bigger appetite
  • Drinking more and passing more urine
  • Restlessness or loud crying, often at night
  • Vomiting or diarrhoea
  • An untidy or matted coat
  • A fast heartbeat

The signs come on slowly, so they are easy to mistake for normal ageing.

Which lab tests help

The usual first test is T4, Total, which measures the main thyroid hormone in the blood. A raised result in a cat with typical signs supports the diagnosis. In early or mild cases, or when the cat has another illness, total T4 can sit within the reference range shown on the lab report. Your vet may then repeat it or add T4 Free (FT4). Free T4 is more sensitive, but it can also be raised in some sick cats without thyroid disease, so it is read together with total T4. Feline T4 (fT4) is a cat-specific T4 test; the lab confirms the method when you book.

Kidney checks are important. A Kidney Function Test (KFT), SDMA (Symmetric Dimethylarginine) and Urine Routine show how well the kidneys are working. Because an overactive thyroid can hide kidney disease, vets usually check kidney values at the start and again later.

A Liver Function Test (LFT) is also useful, because liver enzymes are often raised in cats with hyperthyroidism. For a wider check of an older cat, the Pro Panel includes free T4 with blood count, liver, kidney and sugar tests. Your vet may also measure blood pressure and check the heart.

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 older cat is losing weight while eating well, drinking more, or becoming restless or noisy. Go the same day if your cat has breathing trouble or collapses.

Testing in Bhopal

Pashupatinath Vet Lab in Shahpura, Bhopal provides free sample collection anywhere in Bhopal, so an older cat does not need to travel for a blood sample. 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 sample needs and reporting time when you book. Reports come on WhatsApp, by email and in My Reports.

Lab tests that may help

Packages

Annual checkup

Pro Panel

Annual-checkup panel with cholesterol, cardiac enzyme and thyroid.

  • CBC
  • BP (Blood Parasite Smear)
  • + 6 more tests

₹2,500

Save ₹1,080 ₹3,580

Common questions

What blood test shows hyperthyroidism in cats?
The main blood test is total T4, which measures thyroid hormone. A raised total T4 in a cat with typical signs supports the diagnosis. If the result is borderline, your vet may repeat it or add free T4. A registered veterinarian reads the result with the cat's signs and other tests.
Can a hyperthyroid cat have a normal T4 result?
Yes. In early or mild cases, or when another illness is present, total T4 can sit within the reference range on the report. If the signs fit, your vet may repeat the test after some time or add free T4.
Why does my vet want kidney tests for a thyroid problem?
An overactive thyroid increases blood flow to the kidneys, which can make kidney tests look better than they really are. Checking creatinine, urea, SDMA and urine helps your vet see the true kidney picture, now and later.
Which cats get hyperthyroidism?
Hyperthyroidism mostly affects middle-aged and older cats, and it is one of the most common hormone problems in older cats. It is rare in young cats. Regular blood tests in older cats can help your vet find it early.

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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