Your cat is special! She senses your moods, is curious about your day, and has purred her way into your heart. Chances are that you chose her because you like Himalayans (sometimes called “Himmys”) and you expected her to have certain traits that would fit your lifestyle, like:

Lively, with a friendly personality
Good with children and other pets
Lovable, playful companion
However, no cat is perfect! You may have also noticed these characteristics:

Long coat needs to be brushed regularly
An indoor cat that doesn’t do well in the heat
Is it all worth it? Of course! She’s full of personality, and you love her for it! She is calm and sweet-natured, enjoying your attention and devotion.

The blue-eyed, long-haired Himalayan was the creation of a scientist and a cat breeder in the 1930’s. A blend of Persian and Siamese, this sweet tempered breed was given its name because it resembles the rabbits and goats living in the Himalayan Mountains. Featured in film, TV, and magazines, Himalayans have a playful nature and prefer to spend more time with their owner than on their own.

Your Himalayan’s Health

We know that because you care so much about your cat, you want to take great care of her. That is why we have summarized the health concerns we will be discussing with you over the life of your Himalayan. By knowing about the health concerns common among Himalayans, we can help you tailor an individual preventive health plan and hopefully prevent some predictable risks in your pet.

Many diseases and health conditions are genetic, meaning they are related to your pet’s breed. The conditions we will describe here have a significant rate of incidence or a strong impact upon this breed particularly, according to a general consensus among feline genetic researchers and veterinary practitioners. This does not mean your cat will have these problems, only that she may be more at risk than other cats. We will describe the most common issues seen in Himalayans to give you an idea of what may come up in her future. Of course, we can’t cover every possibility here, so always check with us if you notice any unusual signs or symptoms.

This guide contains general health information important to all felines as well as information on genetic predispositions for Himalayans. The information here can help you and your pet’s healthcare team plan for your pet’s unique medical needs together. At the end of the booklet, we have also included a description of what you can do at home to keep your Himmy looking and feeling her best. We hope this information will help you know what to watch for, and we will all feel better knowing that we’re taking the best possible care of your friend.

General Health Information for your Himalayan

Weight Management

Obesity is a major disease that contributes to a surprisingly large number of illnesses and deaths in cats.

This revelation is more well-known and well-understood today than in the last few decades, but too many owners are still ignoring the dangers of extra weight on their pets. Excess weight is one of the most influential factors in the development of arthritis, diabetes, and other life-threatening diseases. Everyone knows—many firsthand from personal experience—how even shedding just a few pounds can result in improved mobility and increased overall motivation to be active. And the same is true for your pet.

Research suggests that carrying excess weight may shorten a pet’s life by as much as two years, and can cause the onset of arthritis two years sooner. Diabetes, an inherited disease, has a much higher chance of developing in overweight pets, and may never become a problem for a healthy-weight cat. The more obese a cat becomes, the more likely it will become diabetic. Hepatic lipidosis, or fatty liver, is another potentially fatal disease in overweight pets; hepatic lipidosis can develop in as few as 48 hours when an overweight cat stops eating for any reason.

So how can we help our pets stay trim? Understanding your cat’s dietary habits is key. The average cat prefers to eat about 10-15 times a day, just a few nibbles at a time. This method, free-feeding, works well for most cats, but boredom may increase the number of trips your cat makes to the food bowl. By keeping your cat playfully active and engaged, you’ll help your pet stay healthy and have some fun at the same time! A string tied to a stick with something crinkly or fuzzy on the other end of the string, and a little imagination—you and your cat will both be entertained. Food puzzles, like kibbles put in a paper bag or under an overturned basket or box, may help to motivate cats with more food-based interests to romp and tumble.

For really tough cases of overeating, you will have to take a firm stance, and regulate your cat’s food intake. Instead of filling your cat’s bowl to the top, follow the feeding guide on the food package and be sure to feed a high-quality adult cat diet as recommended by your vet. Replace your cat’s habits of eating when bored with extra playtime and affection. Cats typically adjust their desires for personal interaction by the amount of affection offered to them, so in other words, ignoring your cat means your cat will ignore you. By the same token, loving on and playing with your cat a lot will cause your cat to desire that time with you. A more active cat means a healthier, happier pet—and owner!
Dental Disease

Dental disease is one of the most common chronic problems in pets who don’t have their teeth brushed regularly. Unfortunately, most cats don’t take very good care of their own teeth, and this probably includes your Himalayan. Without extra help and care from you, your cat is likely to develop potentially serious dental problems. Dental disease starts with food residue, which hardens into tartar that builds up on the visible parts of the teeth, and eventually leads to infection of the gums and tooth roots. Protecting your cat against dental disease from the start by removing food residue regularly may help prevent or delay the need for advanced treatment of dental disease. This treatment can be stressful for your cat and expensive for you, so preventive care is beneficial all around. In severe cases of chronic dental infection, your pet may even lose teeth or sustain damage to internal organs. And, if nothing else, your cat will be a more pleasant companion not knocking everyone over with stinky cat breath! We’ll show you how to keep your cat’s pearly whites clean at home, and help you schedule regular routine dental exams.

Vaccine-Preventable Infections

Like all cats, Himalayans are susceptible to bacterial and viral infections such as panleukopenia, calicivirus, rhinotracheitis, and rabies, which are preventable through vaccination. The risk of your cat contracting these diseases is high, so the corresponding vaccines are called “core” vaccines, which are highly recommended for all cats. In addition, vaccines are available to offer protection from other dangerous diseases like feline leukemia virus (FeLV). In making vaccination recommendations for your cat, we will consider the prevalence of these diseases in our area, your cat’s age, and any other risk factors specific to her lifestyle.
Parasites

All kinds of worms and bugs can invade your Himmy’s body, inside and out. Everything from fleas and ticks to ear mites can infest her skin and ears. Hookworms, roundworms, heartworms, and whipworms can get into her system in a number of ways: drinking unclean water, walking on contaminated soil, or being bitten by an infected mosquito. Some of these parasites can be transmitted to you or a family member and are a serious concern for everyone. For your feline friend, these parasites can cause pain, discomfort, and even death, so it’s important that we test for them on a regular basis. Many types of parasites can be detected with a fecal exam, so it’s a good idea to bring a fresh stool sample (in a stink-proof container, please) with your pet for her twice-a-year wellness exams. We’ll also recommend preventive medication as necessary to keep her healthy.

Spay or Neuter

One of the best things you can do for your Himalayan is to have her spayed (neutered for males). In females, this procedure includes surgically removing the ovaries and usually the uterus; in males, the testicles are surgically removed. Spaying or neutering your pet decreases the likelihood of certain types of cancers and eliminates the possibility of your pet becoming pregnant or fathering unwanted litters. Both sexes usually become less territorial and less likely to roam, and neutering particularly decreases the occurrence of urine spraying and marking behaviors in males. Performing this surgery also gives us a chance, while your pet is under anesthesia, to identify and address some of the diseases your cat is likely to develop. For example, if your pet needs hip X-rays to check for dysplasia or a thorough dental exam to look for stomatitis, these procedures can be conveniently performed at the same time as the spay or neuter to minimize the stress on your cat. Routine blood testing prior to surgery also helps us to identify and take precautions against common problems that increase anesthetic or surgical risk. It sounds like a lot to keep in mind, but don’t worry – we’ll discuss all the specific problems we will look for with you when the time arrives.

Genetic Predispositions for Himalayans

FLUTD

When your cat urinates outside the litter box, you may be annoyed or furious, especially if your best pair of shoes was the location chosen for the act. But don’t get mad too quickly—in the majority of cases, cats who urinate around the house are sending signals for help. Although true urinary incontinence, the inability to control the bladder muscles, is rare in cats and is usually due to improper nerve function from a spinal defect, most of the time, a cat that is urinating in “naughty” locations is having a problem and is trying to get you to notice. What was once considered to be one urinary syndrome has turned out to be several over years of research, but current terminology gathers these different diseases together under the label of Feline Lower Urinary Tract Diseases, or FLUTD. Many of these diseases cause similar symptoms, for example, a cat with urolithiasis, or bladder stones, shows many of the same symptoms as a cat with a urinary tract infection, which may also present like the symptoms of a blocked tomcat. Watching for any signs of abnormal urination, like urinating on cool surfaces (a tile floor or bathtub, for example), blood in the urine, straining to urinate with little or no urine production, or crying in the litterbox can help you identify the first signs of a FLUTD. If your cat demonstrates any of these symptoms, call us right away for an urgent appointment. Particularly for male cats, if the urethra is blocked with stones or crystals, the cat is not able to expel any urine, which can become an emergency within only a few hours. The inability to urinate is painful and quickly fatal, so if your cat may be blocked, seek emergency care immediately.

Cats are very good at hiding how sick they are, so the early signs of FLUTD are easy to miss. Bringing your cat in for regular urinalysis testing allows us to check for signs of infection, kidney disease, crystals in the urine, and even diabetes. X-rays and ultrasounds can also help detect the presence of stones in the bladder or kidneys. Lower urinary tract disease can be controlled with medications and special diets, though severe cases of FLUTD may also require surgery.

Blood Type

Although we hate to think of the worst happening to our pets, when disaster strikes, it’s best to be prepared. One of the most effective life-saving treatments available in emergency medicine today is the use of blood transfusions. If your cat is ever critically ill or injured and in need of a blood transfusion, the quicker the procedure is started, the better the pet’s chance of survival.

Just like people, individual cats have different blood types. Most domestic cats have type A blood, but purebred cats, like your Himalayan often have a different blood type, usually type B or very rarely, type AB. Determining your cat’s blood type is essential before starting a transfusion, so knowing your cat’s type ahead of time can save crucial minutes. Blood typing is recommended for all cats, but is especially important for purebreds. This test can be done as part of a routine wellness blood testing, and the results can be added to your pet’s microchip record as well for fast action even if you aren’t there.

Neonatal Isoerythrolysis (NI)/Hemolytic Icterus

Neonatal isoerythrolysis, or NI, is a rare immune-mediated disease that is caused when a newborn kitten with type A blood suckles colostrum (first milk) from a mother with type B blood or vice-versa. The mother’s immunity against type A blood is contained in her colostrum, so when the kitten nurses, the antigen is absorbed into the kitten’s bloodstream through ingestion. The resulting immune reaction develops antibodies that attack and destroy the kitten’s own red blood cells. Consequently, affected kittens usually die within a few days of birth. NI can occur in many cat breeds, but is more often seen in breeds with a higher likelihood of having type B blood like your Himalayan. If you plan to breed your cat, you will need to learn more about this problem beforehand from your veterinarian.

Portosystemic Shunt

Portosystemic shunt is a disorder seen occasionally in cats, in which some of the blood supply to the liver is shunted around it instead. This condition deprives the liver of the full blood flow it needs to grow and function properly, leading to an undersized, poorly nourished liver that cannot fully remove toxins from the bloodstream. These unfiltered waste materials, such as ammonia and bile acids, eventually build up in the bloodstream and act as poisons to the body’s systems. For example, in severe cases, high blood-ammonia levels can cause neurological issues. Cats affected by a portosystemic shunt are also extremely sensitive to drugs and anesthetics, as the liver cannot efficiently cleanse the bloodstream of the added chemicals. If your cat shows symptoms of a portosystemic shunt, we will perform blood testing or a liver ultrasound scan can to check for the disorder. In some cases, surgery can restore proper blood flow to the liver.

Cutaneous Asthenia (Ehlers-Danlos)

Ehlers-Danlos syndrome is a rare genetic problem that that causes abnormal collagen and connective tissue development. It occurs in many types of mammals, including cats, dogs, and even humans. Connective tissue holds all the parts of the body together—if the connective tissue is faulty, then parts that should be joined together tightly in the normal body will have weak and very elastic connections. This condition leads to unstable joints and legs as well as very stretchy skin. The skin will tear very easily and wounds heal with difficulty. Problems with the eyes, veins, arteries, and heart valves are common with this syndrome as well. The severity of the condition can vary; severely affected kittens usually will not survive past adolescence, but kittens with a mild form can generally live into adulthood. Cats affected with cutaneous asthenia should never be used for breeding.

Peritoneopericardial Diaphragmatic Hernia (PPDH)

PPDH is an uncommon, inherited defect that occurs when the diaphragm doesn’t form properly. The diaphragm normally creates a barrier between the chest cavity and the abdomen, so a malformation can result in the tissue sac that surrounds the heart being connected to the tissues of the abdomen. Because of this defect, organs that should be enclosed inside the abdomen may be squeezed through the opening in the diaphragm into the chest cavity. If the hernia in the diaphragm is small, organs may not be able to pass into the chest, but if they do, the cat will show sudden vomiting or respiratory distress, which can come on rapidly and at any age. If PPDH is confirmed, surgery is needed to replace the abdominal organs and to close the defect. Affected cats and their relations should not be used for breeding as PPDH is genetic.
Hyperthyroidism

The thyroid gland is located at the front of the throat, and has a very important function. It produces a hormone called thyroxine, or T4. Thyroxine regulates the overall speed of metabolic processes throughout the body. Cells in every part of the body start to work faster when T4 levels in the blood rise; when T4 levels fall, the thyroid gland produces more T4, thereby continuously and closely regulating T4 levels in the body. Many middle-aged cats, however, develop a benign (non-cancerous) tumor in the thyroid gland. The cells that make up this tumor still produce T4, but their control mechanism is faulty. The normal feedback system that maintains a balanced T4 level in the body has no effect on these tumor cells, so that they continue to pump out T4 despite signals to stop. Cats with these tumors have their “go” switch permanently stuck in the “faster” position. This illness is termed hyperthyroidism. Typically, hyperthyroidism affects cats about ten to twelve years of age—the cat will become more active, but with a nervous energy that masks the true illness they are feeling. Vomiting, weight loss, and increased thirst are common symptoms of this disease, but they often come on so gradually that the problem is not easily noticed. In advanced cases, hyperthyroidism can lead to heart failure, kidney failure, and fatal blood clots. Hyperthyroidism can be readily detected with a standard blood test performed as part of your cat’s routine wellness plan. Today’s effective treatment options can actually cure the disease by killing off the abnormal tumor cells while leaving the normal thyroid cells undamaged, resulting in a normal life span for many affected cats.
Polycystic Kidney Disease

Polycystic kidney disease (PKD) is caused by a defective gene. The disease was first recognized in Persians, and is seen occasionally in other breeds, including Himalayans. Affected kittens are born with miniscule cysts inside the kidneys and sometimes the liver that slowly enlarge over time, eventually destroying the affected organ. Symptoms usually become apparent around seven years of age on average. These symptoms include weight loss, vomiting, excessive thirst, and poor overall health. There is no cure for PKD, although special diets and medication can slow the progress of the resulting organ failure; diagnosing PKD as early as possible may allow effective support of kidney and liver function for years. Routine annual urine or blood testing is therefore recommended to monitor for early organ dysfunction in all adult cats. If PKD is indicated, an ultrasound exam of the abdomen may be performed to visualize the cysts and assess the current damage. A genetic test for PKD is also available, and responsible breeders recommend that cats who carry the PKD gene should not be used for breeding.
Feline Asthma

Asthma, which causes inflammation and narrowing of the small airways of the lungs, is fairly common in cats. Certain cat breeds, including your Himalayan, are especially at risk. Asthma is a life-threatening condition that can require emergency treatment. Cats with asthma often have a wheezing cough; some owners may describe it as a “hairball cough,” but really when cats have a hairball, they typically don’t cough, they vomit. Coughing is much more likely to be a serious problem in a cat than in a human or a dog, for example, and any cough that lasts longer than a day or recurs over time should be checked out. Cats with asthma can be treated with inhalers as well as oral medications that help open the airways and reduce inflammation. Prompt treatment is needed for wheezing, gasping, coughing or any sign of respiratory distress in your cat.
Taking Care of Your Himalayan at Home

Much of what you can do at home to keep your cat happy and healthy is common sense, just like it is for people. Watch her diet, make sure she gets plenty of exercise, regularly brush her teeth and coat, and call us or a pet emergency hospital when something seems unusual (see “What to Watch For” below). Be sure to adhere to the schedule of examinations and vaccinations that we recommend for your pet. During your cat’s exams, we’ll perform her necessary “check-ups” and test for diseases and conditions that are common in Himalayans. Another very important step in caring for your pet is signing her up for pet health insurance. There will certainly be medical tests and procedures she will need throughout her life and pet health insurance will help you cover those costs.

Routine Care, Diet, and Exercise

Build your pet’s routine care into your schedule to help your Himmy live longer, stay healthier, and be happier during her lifetime. We cannot overemphasize the importance of a proper diet and exercise routine for your pet.

Supervise your pet as you would a young child. Keep doors closed, pick up after yourself, and block off rooms as necessary. This will help keep her out of trouble, off of inappropriate surfaces for jumping, and away from objects she shouldn’t put in her mouth.
She has long hair that will need brushing daily.
Himalayans have generally good teeth, and you can keep them perfect by brushing them at least twice a week!
Check her ears weekly for wax, debris, or signs of infection and clean when necessary. Don’t worry—we’ll show you how!
She needs daily play sessions that stimulate her natural desire to hunt and explore. Keep her mind and body active or she may develop behavior issues.
Cats are meticulously clean and demand a clean litter box. Be sure to provide at least one box for each cat and scoop waste daily.
It is important that your cat drinks adequate amounts of water. If she won’t drink water from her bowl try adding ice cubes or a flowing fountain.
Feed a high-quality feline diet appropriate for her age.
Exercise your cat regularly by engaging her with high-activity toys.
What to Watch For

An abnormal symptom in your pet could be just a minor or temporary issue, but it could also be the sign of serious illness or disease. Knowing when to seek veterinary help, and how urgently, is essential to taking care of your cat. Many diseases can cause cats to have a characteristic combination of symptoms, which together can be a clear signal that your Himalayan needs help.

Office calls

Give us a call for an appointment if you notice any of these types of symptoms:

Change in appetite or water consumption
Tartar build-up, bad breath, red gums, or broken teeth
Itchy skin (scratching, chewing, or licking), hair loss, or areas of shortened fur
Lethargy, mental dullness, or excessive sleeping
Fearfulness, aggression, or other behavioral changes
Emergencies

Seek medical care immediately if you notice any of these signs:
Scratching or shaking the head, tender ears, or ear discharge
Cloudiness, redness, itching, or any other abnormality involving the eyes
Inability or straining to urinate; discolored urine
Abnormal behaviors, particularly worse a few hours after meals
Labored or open-mouth breathing, vomiting
Asthmatic wheezing
For great videos of coughing cats with asthma visit www.fritzthebrave.com
Partners in Health Care

DNA testing is a rapidly advancing field with new tests constantly emerging to help in the early diagnosis of inherited disease even before your cat shows symptoms. For the most up-to-date information on DNA and other screening tests available for your pal, visit www.Genesis4Pets.com.

Your Himalayan counts on you to take good care of her, and we look forward to working with you to ensure that she lives a long and healthy life. Our goal is to provide you both with the best health care possible: health care that’s based on your pet’s breed, lifestyle, and age. Please contact us when you have questions or concerns.

References:

Bell JS, Cavanagh KE, Tilley LP, Smith FW. Veterinary medical guide to dog and cat breeds. Jackson, Wyoming. Teton New Media; 2012.
Gough A, Thomas A. Breed Predispositions to Disease in Dogs and Cats. 2nd Edition. Wiley-Blackwell; 2010.
Feline Advisory Bureau. Inherited disorders in cats – confirmed and suspected [Internet]. [cited 2013 May 15]. Available from: http://www.fabcats.org/breeders/inherited_disorders/himalayan.php
Addie DD. Genetic and Hereditary Conditions of Pedigree (Purebred) and Domestic Cats [Internet]. [cited 2013 May 15]. Available from: http://www.dr-addie.com/breeds#h