How to Identify and Treat Warbles in Cats

A “warble” is a nontechnical term of identification for a botfly (Cuterebra) larva. These small, worm-like larvae live in burrows on the ground and can enter a cat’s body through nose, mouth, or anus. Then, the warble crawls through the cat’s body until it nears the skin, where it creates a small hole to breathe through while it grows and matures within the cat. This process can be itchy and uncomfortable for cats.^{[1]XResearch source} Warbles should be removed by a veterinarian, so if you suspect that your cat has a warble, schedule an appointment as soon as possible.

Part 1

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Identifying Warbles in Cats

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1
Look and feel for swellings beneath the skin. Although warbles are not evident immediately after they enter a cat’s body, they can be seen and felt once they’ve formed a shallow burrow under your cat’s skin. These will look like small lumps to the naked eye. They’re also palpable: if you’re petting a cat and feel a small lump beneath its skin, you may have found a warble.^{[2]XResearch source}
- Many species of Cuterebra live throughout North America. They reside primarily in southern Canada and throughout the United States, but botflies can also be found in Mexico and tropical regions of Central America.
- If you live outside of these regions, it’s unlike that your cat has contracted a warble.
2
Inspect the swelling for a breathing hole. Once the warble makes a small burrow under your cat’s skin, it will puncture a tiny breathing hole. These are visible if you look closely. You’ll be able to see a very small hole in the middle of the raised bump. And, if the warble has grown inside of your cat and is almost ready to emerge, the breathing hole will also enlarge.^{[3]XResearch source}
- Look for warbles around the head and neck of your cat. Although the warbles can burrow to other regions of a cat’s body and create their breathing holes there, they most often live in cats’ head and neck.
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3
Notice any empty cysts in your cat’s skin. If you didn’t notice the warble while it was living in your cat’s skin, you may find the empty cyst once the larva has pushed itself out. Cysts can easily become infected—especially if the cat has been scratching, licking, or gnawing at the warble—and can also turn into open abscesses in the cat’s flesh.^{[4]XResearch source}
- The cyst is essentially a small open wound. Don’t fall under the misconception that the problem is “solved” if the warble has dropped out of your cat. You still need to take the animal to a veterinarian, who will clean the cyst and prescribe an antibiotic.

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Treating a Cat’s Warbles

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Take your cat to a veterinarian. Rather than attempting to remove the warble yourself, schedule a prompt appointment with your vet. A veterinary doctor will be able to confirm the diagnosis, and take the proper steps to both remove the warble from your cat’s flesh and cleanse the wound so that the cat does not risk infection.^{[5]XResearch source}
- While warbles can have serious health consequences for your cat (including death, in the case of severe infection), they’re not considered a medical emergency.
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Anesthetize the cat. Depending on the depth of the warble, the veterinarian may need to fully anesthetize or sedate your cat. The vet will then surgically widen the warble’s breathing hole, in order to have better access to the larva inside.^{[6]XResearch source} This process will need to be done in a sterile environment, without you in the room.
- Alternately, if the cat is docile and the warble is near the surface of the skin, the cat may not need to be fully sedated or anesthetized. The vet may be able to use a local anesthetic only on the portion of the cat that contains the warble.
3
Draw the warble out using tweezers. Once the warble’s breathing hole in the cat’s skin is large enough for the vet to access, they’ll use a pair of sterile tweezers to reach inside and extract the full warble.^{[7]XResearch source} The cat will not feel any pain during this process, since it will be sedated or locally anesthetized.
- It’s important that the veterinarian remove the entire warble from your cat’s flesh. If the warble rips in half and part stays in the cat’s skin, this can lead to serious infection or allergic reaction.
- Vets will likely give your cat Capstar to kill the parasite prior to removing the cuterebra.
4
Clean or flush the cyst. Once the veterinarian has removed the warble, the cat will be left with an open cyst in its skin. The vet will either flush or wash this cyst out with saline or an antiseptic, such as diluted chlorohexidine.^{[8]XResearch source} This will help prevent infection and remove any dirt or bacteria from the cat’s flesh.
- The vet will most likely leave the wound open to heal after they flush it so an abscess doesn't form.
- If the cyst is particularly large or deep, the vet may decide to bandage the wound, or even to sew it closed using a couple of stitches.
5
Ask your vet about antibiotics. Even once the warble has been removed and the cat’s cyst has been cleaned, there can still be a lingering risk of infection. Mention this to the veterinarian, and see if they recommend an antibiotic prescription for your cat. They’ll likely prescribe pills to combat the risk of infection.^{[9]XResearch source}
- Also ask the vet if you need to wash or rinse the cat’s cyst yourself in the upcoming days.

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Preventing Your Cat from Contracting Warbles

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Prevent your cat from going outside. This is the simplest solution: if your cat never goes outside, it will never be exposed to the warble in the first place. Keep doors and windows around your house or apartment shut, and use children’s gates or your legs and body to prevent your cat from sneaking outside when you open the front door.^{[10]XResearch source}
- There are plenty of other reasons to keep your cats indoors: they won’t run the risk of being attacked by carnivorous wildlife or an aggressive dog; they won’t be hit by a car; and they won’t be stolen or get lost.
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Treat your cat with a cat-safe parasiticide. A parasiticide is a specific type of insecticide, which specifically targets and kills parasites, such as botflies. These are commonly applied to your cat by dabbing onto the back of your cat’s neck. If you do choose to let your cat wander outside, speak with your veterinarian about finding an effective type of parasiticide for your cat.^{[11]XResearch source}
- Medications found in specific brands of parasiticide include: fipronil (found in Frontline), ivermectin (found in Heartgard), selamectin (found in Revolution), and imidacloprid (found in Advantage).
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Discourage rodents from living near your house. Cats technically contract warbles by “mistake”; botflies lay their larva near the openings of burrows where small rodents (mice, rats, voles, rabbits, etc.) live, to allow the warbles to crawl inside these rodents. If cats are poking around rodent holes, they can easily contract the warbles as well. So, if you decrease the rodent population around your house or apartment, your cat will have fewer opportunities to contract warbles.^{[12]XResearch source}
- You could place mousetraps or rat traps around the opening to rodent burrows near your house, or call a rodent exterminator.
- Although an exterminator may not be able to remove all rodents from with a ½-mile (0.8-kilometer) radius around your house, they could at least give you some tips about where rodents are most likely to build their burrows

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If the cat has 4 holes, does that mean there are 4 warbles in it?
Deanne Pawlisch, CVT, MA
Certified Veterinary Technician
Deanne Pawlisch is a Certified Veterinary Technician, who does corporate training for veterinary practices and has taught at the NAVTA-approved Veterinary Assistant Program at the Harper College in Illinois and in 2011 was elected to the board of the Veterinary Emergency and Critical Care Foundation. Deanne has been a Board Member of the Veterinary Emergency and Critical Care Foundation in San Antonio, Texas since 2011. She holds a BS in Anthropology from Loyola University and an MA in Anthropology from Northern Illinois University.
Deanne Pawlisch, CVT, MA
Certified Veterinary Technician
Expert Answer
Four holes may be indicative of your cat being bitten or of a warble. Either way, it is important to have your cat seen by a veterinarian to determine the cause of the holes and prescribe treatment so that your cat can heal.
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Tips

If you know that your cat has a warble, don’t let the cat scratch or gnaw at the agitated region. This could inflame or injure the region, and will only cause the cat more itching and discomfort. You’ll also risk the cat creating an infection in the small hole in its flesh that the warble lives in.^{[13]XResearch source}
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If you leave the warble inside of your cat, it will remain for about a month, before pushing itself out of the cat. The larva will then pupate on the ground.^{[14]XResearch source}
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