Yes, ingesting pine needles or sap from real Christmas trees can pose health risks to cats. Pine needles can cause oral irritation, vomiting, diarrhea, and potentially lead to gastrointestinal obstruction if ingested in significant amounts. The sap may also irritate their mouth and digestive tract. Additionally, water from the tree stand may contain fertilizers or bacteria, posing a risk if consumed. It's advisable to monitor your cat closely around real trees and consider using a barrier to prevent access. For any concerns or signs of illness, please visit us at our clinic in Askov, MN, for a consultation.