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My cat is 17 years old and a few weeks ago she started to pee…

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My cat is 17 years...
My cat is 17 years old and a few weeks ago she started to pee na dpoop everywhere in the house. the vet diagnosed her with hypothyroidism. She get medicine for that but she still does her business everywhere in the house. I don't want to put her down but my house is also not a toilet. What could it be?
Submitted: 3 years ago.Category: Cat Veterinary
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Answered in 8 hours by:
7/2/2015
Cat Veterinarian: Dr. B., Cat Veterinarian replied 3 years ago
Dr. B.
Dr. B., Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 23,439
Experience: Small animal veterinarian with a special interest in cats, happy to discuss any questions you have.
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Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today. I do apologize that your question was not answered before. Different experts come online at various times; I just came online, read about your wee one’s situation, and wanted to help.
Again I do apologize that my colleagues could not aid you sooner. If you would still like assistance, can you tell me:
How long ago did this behavior start?
Where in the house does she go? Near the box, on furniture, by doors/windows ?
Are her stools soft, hard or normal?
Any changes to the litter box or litter brand before this started?
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Customer reply replied 3 years ago
Hi Dr. BThe behavior started month ago, but not on a daily basis. By now it happens every day and she urinates and defecates on the first floor of the house. She goes upstairs to the second floor but does none of her business there. The litter boxes are in the basement but she does not go there anymore. She defecates in every room, kitchen, dining room, living room and family room. stool is normal brown to dark brown besides 2 days ago when it was more whitish. Since I removed all the rugs in the house she likes to pee on the kitchen chairs, but it is not always the same one. Jasmine is 17 years old and she is very important to me but I don't know how long I can take this.
No changes to the litter box when it started. I have now 3 boxes with different litter but that did not help either.
Cat Veterinarian: Dr. B., Cat Veterinarian replied 3 years ago
Thank you,
Are any of the litter boxes on the first floor? Or are the all in the basement?
Does she go into the basement at all anymore?
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Customer reply replied 3 years ago
The 3 litter boxes are in the basement, but I brought one up and she did not use it at all. I don't think that she is just senile, because she knows where her water and her food is. She comes to me and lays down next to me and purrs. She listen when I call her name also. She also know that this is wrong what she does because after her business she take off like the devil is after her. She is also physically pretty fit because she can run and jump.
Cat Veterinarian: Dr. B., Cat Veterinarian replied 3 years ago
Thank you,
I have received your reply and will respond with my thoughts shortly.
Speak to you soon,
Dr. B.
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Cat Veterinarian: Dr. B., Cat Veterinarian replied 3 years ago
Thank you again,
Now the dilemma here is that her recently diagnosed health issue very much could have been the initial trigger for this inappropriate elimination. The problem is that if she has been doing this for a month, there is serious concern that her reasons now are just based in habit. Therefore, we are likely facing an uphill battle for her. Of course, we do also have to consider that cats can become aversive to their litter boxes if they do not like their location (either from a negative experience or if they find going into the basement daunting).
With these issues in mind, the first step here would be ensure that you are cleaning any where she has gone thoroughly. To do so, I would advise using an enzymatic odor neutralizing cleaner (ie Nature's Miracle, Fizzion) wherever she has gone because while normal cleaners will eliminate the smell to us, she may still be able to smell her own scent and thus choose to go there again. And this is something we really need to remove here since that would just re-establish her going out of the box out of habit. And just to note, if you want to find all the places she has gone, I would note that cat urine does glow under black light and this can help you find all the sites that need to be addressed.
Otherwise, at her age, arthritis would be another concern that could still play a role even with her current diagnosis and treatment. And I would note that age associated arthritis often does manifest in this manner. Cats, unlike dogs, go to great lengths to modify their lives around avoiding things that cause them discomfort. Where a dog will run on a sore leg until she can’t use it, a cat will just decrease doing the things that are causing the pain. It is wise for the cat, harder for us to pick up when there is a problem.
Unfortunately, in cats with pain derived litter box issues, trips to the litter box aren’t something that can be skipped. So no matter how much discomfort it can cause, life demands that a cat not stop using the toilet. And in these cases, this behavior is often related to
discomfort in the back, hips, and back legs. And again it is possible that if this is mild at this point, than these litter box signs might be our only hints and the only time we can appreciate that she isn’t 100%. And it is understandable, because if you imagine, toileting requires significant forces on the body, which they do while balancing on pebble like litter, while standing on two feet. Often in cats with back pain or arthritis, this can be a bit much. And this is when they just decide that it is easier to go outside the box (often choosing a substrate that they can get better grip on like carpets or hard floors are free of the pebble like texture that litter has). For some cats this will then become an all the time occurrence, while others will just do it intermittently (when they can't be asked to deal with the box). The problem is the more they do it, the more likely they are to continue to do so as it goes from being a lapse to a habit.
So, I would also advise making sure that we are addressing any lurking joint discomfort she may have. To start, I would note that there are some joint supplements that can be of benefit. First, you may consider trying glucosamine/chondroitin supplementation with her. This is a nutrient supplement that is available at your vets, pet shops, and health food stores (as capsules, liquids, and even treats). It works by aiding joint suppleness by helping cartilage replenish itself and blocking enzyme destruction of cartilage in the joint. Often we can find this helpful in animals with mild signs, but it might be enough to take some of the discomfort away and help her to comfortably use the litter box. Normally we give kitties 50mg glucosamine + 15mg chondroitin a day per 10 pounds of body weight. So, do consider trying this with her.
As well, we do find fish oil ( omega 3+ 6) beneficial for cats with arthritis. This is a natural anti-inflammatory and can reduce inflammation in sore joints. Typically, we will give 90 mg EPA and 60 mg DHA per 5lbs of body weight. So, this too would be something to consider for her. And if you did think she was very sore, you could also speak to her vet about kitty safe pain relief (ie Metacam).
Further to joint supportive care, do consider trying a litter box on the first floor in one of the common sites she has targeted. And do make sure that it is a box with a lower lip, so that she has no excuse/difficulty getting into the box. As well, you may also consider changing her litter to a paper or sand based litter to see if this just takes some of the strain of litter box time. And of course, if you are concerned that she is 'forgetting' where her box is, do try a litter attractant as a reminder.
Overall, we do have a few concerns for her signs but the extra complication that this could be becoming a habit. Therefore, I would advise addressing and ruling out arthritis since its so common a cause at her age. But also we need to ensure we are thoroughly cleaning the areas to a level that they remove the smell for her as well. And if we do that, we can hopefully get her back into the box and break this habit.
Please take care,
Dr. B.
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Customer reply replied 3 years ago
Hi Dr. BSo I followed your advise and brought a litter box upstairs, put even some of the litter box attractant in it. I brought Jasmine into that room talked to her, pet her and showed her the litter box. Unfortunately no success.
Yesterday I stayed home the whole day. Jasmine was sleeping on the chair. Every time I was sitting down on the couch she came to me and wanted to be pet and stayed with me all the time. The whole day she did not poop nor pee. This morning, I was still in bed, I heard a lot of commotion. Sure enough she did her business everywhere. Three pieces of poop in 3 different places and a big pile on the chair where she like to lay down. There was a little bit of blood in that stool. I also found another spot which was only blood a mucoid substance. It seems to me that she is afraid to go to the bathroom but at some point she has to. That's why she is always running away after she did her business. It might hurt her. Do you think I have to put her down? She seems to be in good shape otherwise and I don't know what is the right thing to do.Best Regards,Roman
Cat Veterinarian: Dr. B., Cat Veterinarian replied 3 years ago
Hi again,I don't think putting her to sleep is necessarily the answer. I do think we need to restrict her to the room with the box overnight, but if you are seeing blood and mucus then we'd be concerned that there is more of an internal reason causing her this issue. So, do make sure you are treating for arthritis as well. And if she doesn't settle, then a check up to rule out colitis +/- trial her with a kitty anti-inflammatory to reduce any soreness would be indicated for her before we assume that she is beyond help. Take care,Dr .B.
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