What? The laundry basket isn’t my toilet?
Inappropriate elimination (urinating and/or defecating outside the litter box) is one of the most common behavior issues for which veterinarians are consulted. It also is one of the number one reasons why cats are relinquished by owners to a shelter.
Causes for inappropriate elimination are numerous and include- preference or aversion for certain types of litter boxes, location of the box, and litter substrates. Other causes include litter cleanliness issues, aversion secondary to a painful or stressful event, and inadequate access either caused by physical inabilities or aggressor cats in the household.
Inappropriate elimination should not be confused with urine spraying, though in some cases urine spraying can be present in addition to inappropriate elimination issues.
Initially there may be physical problems associated with the inappropriate elimination; therefore, a urinalysis should be performed in all cases and sometimes fecal testing is required. In some cases blood work to screen for diseases such as kidney disease, diabetes, and hyperthyroidism should be performed.
Once underlying disease is ruled out or addressed, appropriate changes need to be made regarding the environment. These may consist of moving the box to a new location, addition of a new box, removing the hood or any liners, offering a different type of litter, addressing actual care and cleaning of the box, and addressing stressors in the environment such as bully cats, remodeling or other changes to the environment, new animals or people to the household, etc.
In the majority of cases hoods and liners should be removed. Hoods trap odor in the box and also provide limited access in and out of the box which can be perceived as a risk in the multi cat household. Most cats prefer unscented litters and litters that are soft. However, some cats prefer one substrate for urination and a different one for defecation. Clues can be gained by observing what surfaces the cat gravitates towards for urination/defecation within the house.
The box(es) should be scooped at least once daily and the litter should be completely changed and the box washed every week to 2 weeks. The litter boxes should be placed in quiet, less trafficked areas of the house. Laundry rooms (a common location for boxes) are usually noisy and more heavily trafficked so often they are not a good location. A good rule of thumb is one box per cat group plus one – where a group is one or more cats that like each other. So, if there are 3 cats in the house, and only two like each other, there should be 3 boxes. These should be placed in multiple locations throughout the house, on different levels in multi-level houses, and away from food and water sources.
Changes may need to be made in the environment such as adding additional cat trees or vertical spaces for cats to improve social interaction in multi-cat households. Clients may need to experiment with the depth of the litter as well. Older cats often have difficulty with deeper litter due to arthritis and boxes with higher sides can make access difficult.
If there are complex interactions between cats in the household, Feliway diffusers, collars with bells on the aggressor cats, or even medication may be needed.
Your veterinarian will take a thorough history and will usually want a schematic of the house that includes areas where your cat is inappropriately urinating or defecating, where the cat or cats spend most of their time sleeping, and locations of food, water, and the boxes. In addition, a history of care of the box, interactions between cats in the household, and any changes in the environment will be discussed. Medical issues will be ruled out and changes made based on lab findings and history.
Because of the complex and multi-factorial causes surrounding inappropriate elimination these cases can be difficult to diagnose and often require several changes to rectify the situation. The longer the behavior is left unchecked, the more difficult it can be to correct. As always, your veterinarian is the best resource when dealing with inappropriate elimination issues.
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