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Hello this is Dr. Holloway but you can call me Dr. H for short. I am so sorry to hear about Titus's decline in health as of late. He does appear to be having a hard time maintaining a good quality of life right now. I am afraid to say that loose stool, weight loss, vomiting and inappropriate urination are all signs of stress to him and his body system and very suspicious of lymphoma (intestinal cancer) which is quite common in older cats. I know some owners don't like the word cancer but it is a possibility in his case especially because it is so prevalent in older cats.
With that said, he does at the very least sound like he could use some supportive care at this point to try and help him maintain some level of quality in his daily activities. Cats are masters at hiding pain so you will not see the typically crying out that you can often see in dogs. Cat pain and distress is seen when cats either hide away from their owners or when they are seen to have a lack of energy and thrive that they usually have.
I believe that if you want to care for Titus you have to first get him seen by your vet for a physical examination of him. If he is suffering and has poor quality of life, which right now it does appear to be that way, and the proper diagnostics and treatment can't be implemented for him, then humane euthanasia is a viable option. But only you can make that decision when your pet reaches that point. Veterinarians job is to help guide you and help you make the best decision for his care and well-being.
- Dr. H