Annual Maine Coon Vet Check-Up Guide: What Vets Often Miss (And How To Protect Your Cat!)

A Maine Coon’s annual vet check-up should include a full physical exam, dental inspection, weight tracking, heart and lung evaluation, blood and urine tests, parasite screening, mobility checks, dietary review, and breed-specific screenings such as HCM risk. Structured yearly assessments can identify problems early in this long-lived, slow-maturing breed.

Annual vet visits are non-negotiable when you own a Maine Coon. These gentle giants are incredibly resilient, but their thick coats, calm demeanour, and genetic predispositions can cause symptoms to remain hidden far longer than with other cat breeds. Because of this, a “normal” quick check-up simply isn’t enough.

This article reflects the exact system I personally use when taking Bali and Mika to the vet. Our veterinary practice has multiple vets, and their confidence levels around my cats differ enormously. Some are clearly uncomfortable handling such large cats; others move too quickly, especially with Mika, who is vocal, sensitive, and unafraid to defend his boundaries with a thumping paw!

Only one vet has shown zero fear of him, and unsurprisingly, that same vet gives the most consistent and thorough health assessments.

To prevent anything being overlooked, I now follow this structured checklist every year – and it has dramatically improved the quality of care my cats receive.

1. Full Physical Examination (10 Minutes Minimum)

A proper annual exam should be systematic, not rushed. Maine Coons hide problems under their long coats and stoic temperaments, so insist your vet checks:

What Should Be Examined:

• Eyes: redness, discharge, cataracts, iris changes
• Ears: mites, yeast infections, inflammation, debris
• Nose & sinuses: congestion, nasal discharge
• Mouth & throat: gum colour, ulcers, foreign objects
• Lymph nodes: swelling in the neck, armpits, and groin
• Skin: lumps, scabs, dermatitis hidden under the ruff
• Coat: dryness, brittleness, pattern of shedding

Experience with Bali:
His coat hides everything – tiny scabs, bumps, or dryness go unnoticed unless I point them out. Because he stays calm, vets often assume his skin is perfect unless prompted to look closer.

2. Heart And Lung Auscultation (Vital For Maine Coons)

Maine Coons have the highest known prevalence of Hypertrophic Cardiomyopathy (HCM) among pedigree cats.

Your vet must:

• Listen for murmurs
• Check rhythm regularity
• Evaluate respiratory sounds
• Count resting breaths

This should take a full 60 seconds, not a 5-second listen.

Experience with Mika:
Because he is vocal, some vets rush the heart check. I now always request they:
“Take a full minute to listen – he’s prone to getting stressed and masking symptoms.”
This has improved exam quality dramatically.

3. Weight, Body Condition Score & Muscle Score Tracking

Large cats hide weight changes under substantial fur.

What should be recorded annually:

• Exact weight (compare to last year)
• Body Condition Score (BCS) on a 1-9 scale
• Muscle Condition Score (MCS) – especially shoulders & hips

Body Condition Chart For Maine Coons

Why this matters:

Maine Coons reach full maturity at 3-5 years, not 12 months like most breeds, so weight trends must be monitored long-term.

4. Coat, Skin & Parasite Examination

Because Maine Coons have semi-water-repellent coats and thick undercoats, issues may be missed without a deep check.

The vet should examine for:

• Fleas, flea dirt
• Ticks (often hidden under the neck ruff)
• Ringworm lesions
• Fungal infections
• Dermatitis
• Sores hidden under matted fur

Experience with Mika:
His fur mats more easily in winter, and some vets do not look beneath his ruff or the fur on his backend unless I specifically request it. I suspect this is because they are scared of him! If you live with a slightly spikey Maine Coon as I do, offer to hold them in a towel at the vets – this usually removes the fear from the vet’s eyes!

5. Dental And Oral Health Screening

Dental disease affects >70% of adult cats, yet most symptoms are silent.

Your vet should check for:

• Gingivitis
• Resorptive lesions
• Tartar
• Broken teeth
• Mouth ulcers
• Jaw tenderness

Large-jawed breeds like Maine Coons often hide oral pain because they continue eating normally.

6. Gastrointestinal Health Check

Your vet should ask about:

• Vomiting frequency
• Hairballs
• Diarrhoea
• Constipation
• Appetite changes
• Food intolerances

A gentle abdominal palpation helps identify:

• Intestinal thickening
• Blockages
• Soreness
• Enlarged organs

7. Joint, Hip & Mobility Examination

Maine Coons are genetically prone to hip dysplasia, lax joints, and early arthritis.

Vet should:

• Flex and extend each leg
• Palpate hips and knees
• Check gait and mobility
• Assess pain response
• Evaluate muscle symmetry

If your cat jumps less than before, this should be discussed.

8. Blood Tests & Urinalysis (Annually For adults)

Bloodwork should include:

• Kidney function: BUN, CREA
• Liver enzymes: ALT, ALP
• Inflammation markers: WBC profile
• Anaemia screening: RBC, HCT
• Electrolytes: potassium, sodium
• Glucose: diabetes screening
• Thyroid (T4): from age 7+

Urinalysis checks for:

• Urinary crystals
• Early kidney decline
• Infection
• pH issues
• Glucose spills
• Dehydration

Many owners mistakenly think bloodwork is only for senior cats – it is critical for young Maine Coons too.

9. Behaviour, Anxiety & Stress Assessment

Changes in behaviour often point to deeper issues.

Your vet should ask about:

• Sudden aggression
• Hiding
• Reduced appetite
• Excessive vocalisation
• Pacing
• Stress behaviours (overgrooming, spraying)

Experience with Bali & Mika:
Their personalities affect how exams unfold. Mika reacts loudly if handled incorrectly, while Bali goes unnervingly still. Both reactions can mislead nervous vets into skipping assessments. I always explain their behaviours beforehand as this improves accuracy and reduces fear.

10. Vaccination Review (Lifestyle-Based)

Your vet should tailor vaccination depending on:

• Indoor-only
• Indoor/outdoor
• Travel
• Exposure to boarding facilities
• Multi-cat households

Standard yearly discussions should include FVRCP, FeLV (for outdoor cats), and Rabies (regional requirement).

11. Nutrition Review

Your vet should:

• Evaluate the current diet
• Check calorie intake
• Advice on protein levels
• Determine the correct hydration strategy

A nutritional review is essential because Maine Coons require high-quality lean protein to maintain healthy muscle mass.

Annual Vet Visit Checklist (Printable)

Take this to your appointment:

• Full physical exam
• Heart & lung check
• Weight, BCS & MCS
• Dental exam
• GI evaluation
• Mobility check
• Parasite screen
• Blood test & urinalysis
• Vaccination review
• Behaviour review
• Diet review
• Notes about your cat’s temperament (gentle vs reactive)

Take A Look!

• Top 9 Maine Coon Health Issues
• Maine Coon Diet And Nutrition
• Maine Coon Grooming
• Maine Coon Litter Care
• The Silent Threat Of Maine Coon Hypertrophic Cardiomyopathy
• Maine Coon Vaccination Schedule

FAQ Section

1. How often should a Maine Coon go to the vet?

At least once per year for a full health check, and every six months for senior cats or cats with health issues.

2. Do Maine Coons need blood tests every year?

Yes. Their genetic predisposition to kidney and heart disease means annual bloodwork helps detect issues early.

3. Are Maine Coons more prone to dental disease?

Yes. Despite their large mouths, Maine Coons still suffer from tartar and resorptive lesions that require yearly checks.

4. How long should a Maine Coon vet exam take?

10-15 minutes minimum. Anything shorter usually means areas were missed.

5. Should you request a specific vet for your Maine Coon?

If your cat responds better to a particular vet or the vet is more confident handling large breeds, it is absolutely worth requesting them.