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My cat has breathing issues & fluid. Could it be a heart problem?

Updated On September 23rd, 2025

Pet's info: Cat | Domestic Mediumhair | Male | unneutered | 2 years and 6 months old | 7 lbs

My cat has an autoimmune disease, SLE. He had a really bad month. He had fluid on one side of his body and a hard time breathing. We've spent over $6000 on him. Now his vet wants a cardiologist to look at him. He's perfectly fine now. Should we take him to a cardiologist??? Could all his symptoms cause a heart problem??

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1 Answer

Most Helpful Answer

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Answered By John C. Gicking, DVM, DACVECC

Veterinarian, Board-Certified Emergency/Critical Care Specialist

Published on February 15th, 2018

Systemic Lupus Erythematosus (SLE) is a disease that manifests primarily the skin, nose, mouth, tissues around the eyes, and there are bloodwork changes (anemia, low platelet count) that can occur. Fluid build-up in the body (I presume it was in his chest as you mentioned breathing problems) does not occur with Lupus. Your veterinarian is making a good suggestion for wanting you to see a cardiologist. One of the causes of fluid build-up in the chest could be congestive heart failure. There are many things that can cause fluid to build up, congestive heart failure is only one of them While any veterinarian can diagnose and treat heart failure, in complicated cases (as it sounds like Max's case is) getting the assistance from a cardiologist would probably be very helpful. The cardiologist may recommend additional testing such as a cardiac ultrasound (echocardiogram) and possibly other tests as well. It is good that Max is feeling well now but the time to address health problems is when they are recognized, ideally before patients are debilitated from them.

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