How to Get Rid of Bladder Worms in Cats
Bladder worms, primarily caused by the parasite Capillaria (also known as Pearsonema), are rare but potentially problematic parasitic infections affecting cats. These worms typically inhabit the bladder wall or other parts of the urinary tract and can lead to uncomfortable symptoms when present in high numbers.
Understanding Bladder Worms in Cats
The two species most often seen in feline infections are Capillaria plica (Pearsonema plica) and Capillaria feliscati (Pearsonema feliscati). Though most cats do not exhibit symptoms, in some cases, these worms can cause significant inflammation and distress.
Transmission and Life Cycle
Capillaria has a unique and indirect life cycle that involves earthworms as intermediate hosts. Here's how the transmission cycle works:
- Adult worms release eggs in a cat’s urine.
- These eggs get deposited in the environment where they must be ingested by an earthworm.
- Inside the earthworm, the larvae develop into an infectious stage.
- Cats then become infected by eating earthworms directly, ingesting material contaminated by them, or consuming animals that have eaten earthworms.
Clinical Signs
Most cats remain asymptomatic. However, when symptoms occur, they tend to be related to the urinary tract. These include:
- Frequent urination or straining to urinate
- Blood in the urine (hematuria)
- Abdominal discomfort
- Urinary accidents or incontinence
- Fever and, in rare cases, urinary blockage
It's important to note that other conditions like urinary tract infections or bladder stones can present similar symptoms.
Diagnosis of Capillaria Infection
A definitive diagnosis relies on examining urine sediment under a microscope to identify the characteristic eggs: oval, thick-capsuled, colorless, with bipolar plugs. Diagnosis may require multiple samples due to intermittent egg shedding. In respiratory cases (caused by related Capillaria species), additional tests like fecal exams, chest X-rays, or bronchoscopies may be necessary.
Treatment Options
Mild cases often do not require treatment. When symptoms or significant infestations are present, the following medications are commonly used:
- Fenbendazole: Typically 50 mg/kg orally for 4–10 days
- Ivermectin: 0.2 mg/kg via injection
Sometimes, multiple treatments are needed for full eradication. Supportive care, such as anti-inflammatory drugs, may be prescribed to relieve discomfort associated with bladder irritation.
Recovery and Prognosis
With prompt and appropriate treatment, the prognosis is excellent. Most cats recover fully with no lasting complications. However, follow-up tests like urinalysis are recommended to confirm that the infection is completely cleared.
Prevention Strategies
Preventing Capillaria infections involves reducing or eliminating your cat’s exposure to the parasite’s intermediate host. Consider the following approaches:
- Keep cats indoors to prevent consumption of earthworms or infected prey.
- Provide clean water and maintain hygiene to reduce environmental contamination.
- Routine deworming for outdoor or hunting cats may be advised by your veterinarian.
Public Health and Environmental Concerns
Capillaria infections in cats pose minimal to no risk to humans. Other Capillaria species can affect people, but they transmit through different mechanisms, such as consuming undercooked fish—not from cats. However, always practice good hygiene when handling pet waste.
Key Takeaways
- Capillaria bladder worms are rare in cats but can cause significant urinary issues.
- Diagnosis is through urine examination; treatment involves fenbendazole or ivermectin.
- Keeping your cat indoors and maintaining a clean environment are important preventive measures.
If your cat shows signs of urinary distress, consult a veterinarian. Prompt diagnosis and appropriate treatment ensure a smooth recovery and prevent unnecessary discomfort.





