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Is he frequenting the box today?Has he definitely passed a reasonable amount of urine in the last 12 hours?
If blood is present, it's time for an examination and urinalysis. The cat who is urinating blood likely has a UTI. If he's struggling to pee, as well, we should be concerned about the risk of him becoming blocked (completely unable to urinate) which is a medical emergency. More info here: https://icatcare.org/advice/feline-lower-urinary-tract-disease-flutd If this is just a UTI, your vet will more than likely prescribe a course of antibiotics and may also recommend a change in food, depending on what is found on the urinalysis.
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