Get

In Your Inbox

Catster is reader-supported. When you buy via links on our site, we may earn an affiliate commission at no cost to you. Learn more.

Brachycephalic Airway Syndrome in Cats: Signs, Causes, & Care (Vet Answer)

cream point himalayan persian cat

You may not know what a brachycephalic cat is, but chances are you have seen one. Brachycephalic refers to the “squished face” breeds, or the cats that have shortened skulls. Even though the shortened skulls and squished face may look cute, they are often accompanied by a number of health problems. These problems are often unique to the brachycephalic breeds and can be life threatening. Therefore, educating yourself on these health concerns should be a priority before adopting a brachycephalic cat.

divider 3 paws

What Is Brachycephalic Airway Syndrome?

Brachycephalic cats
You are free to use this image but we do require you to link back to Catster.com for credit

A brachycephalic breed of a cat (or dog) is one that has a squished face. Technically speaking, brachycephalic refers to the shortened skull of the animal. However, there are other abnormalities that occur in brachycephalic airway syndrome (abbreviated BAS). Brachycephalic airway syndrome refers to the shortened skull, narrowed nostrils, an elongated soft palate, hypoplastic trachea and everted laryngeal saccules that occur with these cats. Essentially, all of the normal facial and upper airway structures that are present in a normal shaped skull, are smashed into a skull with less space. Your cat may have all of these things, or just a few. But they are always accompanied by a shortened skull and squished face.

Stenotic nares is another term for narrowed or small nostrils. Some cats will appear to not have any nostril openings at all, while others have only a little room for air to flow in and out.

The hard palate is what people think of when they hear “roof of the mouth”. The soft palate is the soft tissue at the very back of the hard palate (i.e., the back part of the roof of the mouth). An elongated soft palate refers to this extra tissue having nowhere to go, so it will dangle, or block off the entrance to the airway or trachea at the back of the throat.

The trachea is the windpipe. It connects air breathed in from the mouth to the lungs. It runs the length of the throat, all the way through the neck into the chest and lungs. A hypoplastic trachea means that the cat was born with a trachea that is much smaller and narrower than normal. When this occurs, it can be difficult for your cat to breathe air in and out of their lungs.

Everted saccules are also found in the back of the throat. These small saccules, or pouches of air, will be everted or swollen into the airway. These saccules can cause additional obstruction of the airway, impeding airflow into the trachea and lungs.

divider 3 paws

What Are the Signs of Brachycephalic Airway Syndrome?

The most noticeable sign of BAS is difficulty breathing. Your cat’s entire upper airway is jammed into a much smaller space than normal. The excessive tissue of the elongated soft palate and stenotic nares will cause decreased oxygen going into the lungs. In addition, any and/or all of the abnormalities of BAS will make it difficult for your cat to even move air into their airway. They will often be seen with an increase in their respiratory effort, especially their inspiratory effort. In other words, the affected cats will be breathing harder as they try and take a breath in, to try and get more air past the obstruction(s).

Cats are not natural mouth breathers. This means that it’s never normal to see a cat panting and/or breathing with their mouth open. With brachycephalic airway syndrome, your cat may need to breathe with their mouth open just to get appropriate oxygen into their lungs and body. Your squish faced cat “panting” is not cute and should be taken very seriously.

vet checking bengal cat
Image Credit: Pressmaster, Shutterstock

If severe enough, your cat may turn cyanotic and/or collapse with very little exertion. Cyanosis is a gray or bluish color to the gums and tongue and can occur when the body is not getting enough oxygen. Collapse can occur from the exertion of trying to breathe oxygen in, and/or a lack of oxygen to the tissues including the heart and lungs. The harder your cat tries to breathe, the more swollen the tissues can become, causing a severe snowball effect of breathing difficulties.

What Are the Causes of Brachycephalic Airway Syndrome?

Breeding for the “cute” appearance of a brachycephalic cat has caused all of these problems. While these abnormalities may have occurred on occasion in nature, we as humans have created the problem these cats now have through selective breeding. Over time, these cats have been bred to have flatter noses, shorter muzzles, and shorter skulls, in essence forming all of the anomalies we see with BAS. These cats would never be able to survive in the wild and are a result of human selection rather than natural selection.

Persian kittens in gray background
Image Credit: B.Stefanov, Shutterstock

divider 3 paws

How Do I Care for a Cat With Brachycephalic Airway Syndrome?

The first step is not to support the breeders that are creating this issue. By purchasing one of these cats through a breeder, you are essentially giving money to continue creating a problem. If you are interested in owning a brachycephalic cat, adoption through a rescue and/or shelter is recommended. This way money is not going directly to a breeding program that will only perpetuate this problem.

Once adopted, you should speak with your veterinarian about surgical options for your cat. Your veterinarian may recommend and be able to perform surgery to enlarge the nostril openings on your cat, and/or to remove the excessive tissue in an elongated soft palate. Everted saccules may also be treated surgically but is a much more delicate procedure. Unfortunately, there is no surgery for a hypoplastic, or congenitally narrowed, trachea.

cat and owner and vet
Image Credit: Stock-Asso, Shutterstock

If you own a brachycephalic cat, they should not be allowed outside. Heat and/or humidity may be deadly for your cat as they will not be able to breathe and cool themselves down appropriately. In addition, if they are outside and get chased by another animal, they may not have the endurance to get away. Even when inside, you should make sure that the house temperature is mild and never excessively hot and humid.

Obesity can put unnecessary additional pressure around your cat’s neck. Always keep your brachycephalic cat lean. Work with your veterinarian to determine an ideal body weight for your cat, measure their food as directed, and never allow free feeding. Again, obesity may look cute, but can be a deadly combination with BAS.

If you need to speak with a vet but can't get to one, head over to PangoVet. It's an online service where you can talk to a vet online and get the advice you need for your pet — all at an affordable price!

PangoVet_Mention-in-Content for PangoVet2 save money

divider 3 paws

Frequently Asked Questions (FAQs)

How Do I Know If My Cat Has All of the Abnormalities of BAS or Only a Few?

Your veterinarian should be able to perform a physical exam to look at your cats’ nostrils and soft palate. Depending on your cats’ temperament, sedation may be needed to look in the back of the throat to diagnose an elongated soft palate and/or everted saccules. Radiographs are needed to diagnose a hypoplastic trachea.

The severity of those things will help your veterinarian discuss the complexity of your cat’s BAS.

Will My Cat Die from Brachycephalic Airway Syndrome?

Unfortunately, this is possible. While we see death more commonly in dogs with BAS (because they go outside more frequently and are more at risk for overheating), we can absolutely see it in cats. If your cat has difficulty breathing every single day, it is only a matter of time before they progress to a distressed situation.

divider 3 paws

Conclusion

Brachycephalic airway syndrome (BAS) is a group of abnormalities seen with squished faced cats. Brachycephalic refers to the shortened skull in these cats, with the upper airway structures all being forced into a smaller than usual space. Small nostrils (stenotic nares), an elongated soft palate, hypoplastic trachea, and everted saccules can all contribute to BAS. Your cat may have one or all of these criteria. Unfortunately, we as humans have created these problems, selectively breeding for the appearance of these cats over the functionality of these features. Not purchasing these cats from a breeder and working with your veterinarian to keep your cat as comfortable as possible is recommended.


Featured Image Credit: Dorottya Mathe, Shutterstock

How useful was this post?

Click on a star to rate (you can leave written feedback after clicking submit)

Help us improve Catster for pet parents!

Your feedback really matters.

What did you like about this post? Also how can we improve it?

Join the conversation

Leave a Reply

You’re very welcome to leave a comment or question. Please know that all comments must meet our community guidelines, and your email address will NOT be published. Let’s have a positive and constructive conversation.

Talk With A Vet Online

Peace of mind,
anywhere, anytime

Affordable vet advice

Flat-Face Cats: Our Vet Discusses Brachycephalic Breeds & Health Risks

Brachycephalic means “short head” or “flat face.” You may be familiar with brachycephalic cat breeds, such as the Persian and Burmese. These smooshed-faced...

red-persian-exotic-cat

Fluid in a Cat’s Lungs: Symptoms, Care, & Treatment (Vet Answer)

Fluid in the lungs, also known as pulmonary edema, is a serious condition that affects felines. If your cat receives this diagnosis from...

cat with inhaler

Is Cat Snoring Normal? Facts & When to Worry

Picture this—your cat is sprawled out beside you, snoozing away, when suddenly you hear the cutest sound from them. What is it? They’re...

White and orange kitten snoring while sleeping

Why Does My Cat Snore? Our Vet Explains Reasons & What to Do

Anyone with a feline friend knows that cats love to sleep! The proverb ‘cat nap’ says it all. As cute as it is...

white cat sleeping

More related

scottish fold cat checked by vet

Papillomas in Cats: Causes, Care & Treatment (Vet Answer)

Papillomas is a fancy term for warts. Warts can be singular, or there can be multiple—sometimes to the point that an entire region...

woman brought her maine coon cat to the vet

Ehlers-Danlos Syndrome in Cats: Causes, Signs, & Treatments

Ehlers-Danlos syndrome in cats is a specific group of disorders affecting the connective tissue. They are typically characterized by loose and stretchy skin...

skinny cat on the litter tray

Pandora’s Syndrome in Cats: Causes, Signs & Treatment (Vet Answer)

Have you ever been stressed for a long time, and as a result of this had a bad skin break out or picked...

The cat is eating grass in the garden

Grass Stuck in Your Cat’s Throat? Our Vet Explains What to Do

In school, we always laughed when we would go through what are called differential diagnosis, and “plant awn” would show up on the...

Keep reading

Can Cats Sweat? Vet-Reviewed Facts & FAQ

Every year as summer approaches, many pet owners wonder if their cats can sweat to stay cool and what they should be doing to prevent their pets from becoming overheated. The short answer is yes, cats do sweat, though not...

cat heat

Holiday Foods That Are Safe for Cats: Vet-Reviewed Safety & Nutrition Facts

Disclaimer: Check with a veterinarian before adding any new foods to your cat’s diet, particularly if your pet has any underlying health conditions or is on a special diet. While the advice in this article has been fact checked and...

tabby cat eating on metal bowl

How to Stop Your Cat from Over-Grooming: Vet Answer & Advice

Cats are fastidious self-groomers, which is their trademark trait that begins from an early age. Your cat will tend to clean their fur by licking themselves for a large part of their waking hours. This makes it challenging to observe...

Chinchilla Persian Cat licking its paw

Can Cats Eat Peppermint? Vet-Reviewed Facts & Precautions

Peppermint is a common ingredient in many things, from food to skincare. It’s not unlikely that your cat will come into contact with peppermint at some point in their life, and if the item seems tasty enough, they might give...

Can Cats Eat Peppermint

Is Dieffenbachia Toxic to Cats? Vet-Reviewed Houseplants Examined

Dieffenbachia is a common house plant favored by many because it is tolerant of shade, so it can grow well in a houseplant collection. Plus, it comes in a good variety of appearances. While it is a popular houseplant, it...

Catster_Is Dieffenbachia Toxic to Cats

10 Best Probiotics for Cats in 2025 – Reviews & Top Picks

There are few things more terrible than a cat suffering from an unchecked gut. If you don’t believe us, ask any cat owner with a kitty that has suffered from inflammatory bowel disease—they’ll clue you in. But there is a...

Are Hyacinths Poisonous to Cats? Vet-Approved Safety Guide

Hyacinths are beautiful, colorful plants that bloom once a year in mid-spring. They are known as “nature’s perfume” because of the intoxicating smell they emit, and they add plenty of color to any landscape. These plants bloom in an array...

Catster_Are Hyacinths Poisonous to Cats

Why Is My Kitten So Hyper? 8 Vet-Reviewed Reasons for This Behavior

Kittens are easily among the most lovable animals on the planet. They are full of life and hilarious antics, and watching them learn how to act like cats can be great fun. But have you ever wondered whether your kitten...

2 Grey Striped Kittens Playing on a Blanket with Toy