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Hello, this is Dr. Jess. I am sorry to hear about your kitty! Can you tell me how these bowel movements look? Are they loose or firmer/dryer than usual? Or do they just look like normal stool? Does your kitty have any trouble getting around, like jumping on furniture, etc.?
Hello there, I apologize I was offline for a time here, but am reading through your information now. Has he ever had any x-rays done of his abdomen? And has your vet done a rectal exam on him? Or talked about potentially switching his diet to see if this makes a difference ( I would consider a trial of low-residue diet, your vet likely carries one made by Iams; and if not difference there, then consider a higher fiber diet or a fiber supplement added to the food)? The fact that he sometimes vocalizes when having these accidents makes me wonder if he is having pain or discomfort for some reason. I would want to look and be sure there wasn't a structural abnormality (x-ray and rectal exam) or an intestinal discomfort (diet trial) as the problem. It is possible that this behavior has been going on for so long that there could be a psychological component that could require a medication like Prozac, at least temporarily (have you ever tried him on one of these medications, or on the alternative type treatments for anxiety such as Feliway pheromone diffusers?).