Chronic Diarrhea in Cats

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Chronic diarrhea is probably one of the most frustrating conditions, both for the affected cat, and for her guardian. Diarrhea is considered chronic if symptoms persist for longer than three weeks, but any time your cat has diarrhea for more than a day or two, a visit to your veterinarian is indicated, especially if your cat […]

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Feline Chin Acne

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feline chin acneFeline chin acne is similar to the acne that occurs in humans. A form of follicular keratinization in that there is an overproduction of keratin, a protein found in the outer layer of the skin. When this excess keratin get trapped in the hair follicle, comedomes or “blackheads” form. If bacteria infects the comedomes, then pustules or “pimples” are formed.

The exact cause of this skin disorder is not know but may be related to a seborrheic disease such as seborrhea oleosa, or an increase in excess sebum production, the natural moisturizer of the skin. Other causes may be poor grooming habits and in a number of cats, this condition has been linked to the use of colored plastic food dishes.

Early disease shows a black dirty chin and when the blackheads are squeezed, the excess sebum trapped in the hair follicle can be seen. As the disease progresses, infections develop which results in larger, bloody sores and a painful chin.

To treat the disease, the owner must help the cat clean his chin. I recommend a pyoben based gel or shampoo, or an antiseborrheic shampoo to cleanse the affected area. In severe cases, I have often manually expressed the lesions while the cat is under anesthesia in order to get the chin cleaned well. Oral antibiotics will help if the chin is infected.

Daily to weekly cleaning will be needed to keep the condition under control, depending on the severity of the acne.

We also recommend switching the food bowls from  plastic to either ceramic, glass or stainless steel.

Brushing your Cat’s Teeth

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Tooth Brushing
Brush a cats teeth? This may seem like a daunting task, but your cat can gradually learn to accept daily dental care at home. The key is to start slowly and make the experience as pleasant as possible. Place a small amount of the liquid from a can of water-packed tuna on your finger and allow him to lick it off. Repeat, this time holding his mouth closed and stroking the outside surfaces of his teeth lightly.

Eventually, over a period of one or more weeks, you can substitute a piece of gauze, a finger toothbrush, or a small, soft toothbrush instead of your finger. Remember, unless your veterinarian directs you otherwise, you only need to clean the outside tooth surfaces. This reduces the chance of a painful bite! Once your cat comfortably accepts the brushing process, you can introduce toothpastes designed for pets in place of the tuna water.

The most important aspect of tooth brushing is the mechanical action, but toothpastes can add helpful ingredients like fluoride, enzymes that help break down plaque, and antiseptics that prevent bacterial growth. They are flavored to please your cats palate too. Never use toothpaste designed for people the ingredients may irritate your cats mouth and cause an upset stomach.

Plaque begins to develop within hours after brushing. Within about three days, plaque is converted into tartar. Therefore, daily brushing is recommended. Less frequent brushing is still beneficial, but may allow the gradual development of periodontitis. A daily brushing routine not only keeps your pets mouth healthy but also keeps his breath smelling fresh.

Feral Cats – Living on the Edge of Society

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Creeping through the back alleys and vacant lots, millions of stray and feral cats live on the edges of  our cities and suburbs. Fearful of humans, these “wild” cats are blamed for everything from killing off songbirds to attacking the sea otters. So, what is the truth behind these feral felines and why are some humans so determined to help them ans save their lives?

More than 80 million pampered felines share our homes and cat lovers are abundant across our country. But, those cats living outdoors have few admirers and live in constant danger of imminent death, usually at our hands!
There is no way to know for certain, by some experts estimate that the feral cat population in North America may equal or even exceed that of the “owned’ cat population. Feral cats are not socialized to humans and avoid contact with people whenever possible. In contrast, “stray” cats are often those cats that have left a home or have been abandoned by their owners. These strays may have been socialized to humans at one time and will often approach people and may even allow petting.  All cats, feral, stray and owned cats that simply roam the neighborhood are all members of the domestic species, Felis catus.

Traditionally, feral and stray cats are trapped whenever possible and then are taken to local animal shelters. Once at a shelter, if they are socialized to humans and have a calm disposition, some cats may be adopted out. However, the vast majority of these feral cats may be harboring diseases, such as Feline Leukemia, or they are totally wild and cannot be adopted out. These cats will often face death by lethal injection and may be euthanized. According to an organization for feral cats known as Alley Cat Allies ( nearly 70% of the cats that arrive at shelters are euthanized making euthanasia the number one documented cause of death in felines in the United States.

Alley Cat Allies formed their organization in 1990 hoping to stop the killing of millions of cats. One of their founders, Becky Robinson, recalls walking in an alleyway and seeing a whole colony of “tuxedo cats”.  Observing the alley cats interacting with one another gave her insight into the social lives of these “wild” animals and prompted her to work towards their preservation. Since that memorable night, Becky and her volunteers have introduced the Trap-Neuter-Return (TNR) concept to the United States. Originally conceived in England, these TNR programs have helped to improve the health of many feral cats through vaccinations and sterilization and are working towards reducing the size of the feral cat colonies.

Simply put,  the TNR uses volunteers to capture the feral cats in humane cage traps. These wild cats are then transported to participating veterinarians who anesthetize, neuter and vaccinate the animals. To help identify the cats that have been sterilized so that they do not have to be trapped again, a notch is cut in the cat’s ear. The notched ear is easier to see from a distance than a tattoo on their belly. Once they have recovered from the surgery, the cats are taken back to their original capture location and allowed to re-join their home colony. Caretakers will then monitor the overall health of the colony and conduct a population census while providing feeding stations for the cats.

The TNR programs do have their critics. Bird watchers are concerned about the impact of feral cats on songbird populations and other wildlife. Neighbors living near feral cat colonies worry about cats urinating and defecating in their gardens. While public health officials are concerned about zoonotic diseases, such as toxoplasmosis, plague and rabies. These colonies also seem to have a higher incidence of Feline Leukemia, and Feline Immunodeficiency Virus that can cross over to “owned” cats that may be outside. The website TNR Reality Check ( states that there is little evidence that TNR programs help control the feral cat population.

Ms. Robinson disagrees with their findings and points to several recent scientific articles that demonstrate TNR is a valid means for controlling and even reducing the size of a feral cat colony. Furthermore, she also questions the validity of claims by such groups as the American Bird Conservancy that feral cats are the biggest threat to songbird survival.
Cat owners may also be contributing to the controversial issue. Many of the cats in these feral colonies are abandoned by their owner and are left to fend for themselves in these colonies. Some cat owners are hesitant to take their cats to animal shelters and may feel less guilty about leaving the cat alone outside if they know the colony of feral cats has a caretaker that is feeding the cats. However, this is unfair to the people attempting to care for the colony and exposes your defenseless cat to the dangers of the outdoor world.
With the economy tightening, many people are given the tough choice concerning their pet cats, especially if they are forced to move and cannot afford the pet deposit of the new apartment or rental house. If your personal circumstances changes and you simply cannot continue to keep your cat, do not simply leave your cat to the mercy of the outdoor elements to fend for himself. Contact your local humane group or city shelter and request their assistance to help find your feline friend a new home.

Dealing with the sheer quantity of millions of feral and stray cats in this country alone will be a controversial topic for many years. But, as Becky says, “cats have lived on the outskirts of our society for almost 10,000 years. This is a fact we shouldn’t try to change.”
To learn more about the work of feral cat organizations across the country, feel free to visit

Caring for the Older Cat

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If your cat is seven years or older, he has entered his golden years. In middle and old age, the metabolism slows, the digestive system has more difficulty absorbing nutrients, and joints and muscles become weaker. Diseases such as diabetes, kidney failure, hyperthyroidism, and various cancers are more common. The good news is that many illnesses respond to treatment if discovered early. Here are some simple steps to keep your senior cat healthy and happy.

Routine Veterinary Visits
Even if your cat seems fine, he should visit the veterinarian at least twice yearly. Remember, cats age the equivalent of four or more years for each calendar year. Your veterinarian will perform a comprehensive physical examination and listen to your cats heart and lungs. He will check for signs of illness, especially conditions that occur commonly in older cats. Your veterinary visits are also a great opportunity to ask questions.

Diagnostic Tests
When people reach middle age, routine tests such as blood analysis, cancer screening, and evaluation of the heart are recommended to maintain good health. The same is true for older cats. The reason, in both cats and people, is that some illnesses are not visible during a physical examination, but can be detected in other ways. Tests recommended for cats seven years or older are listed below.

Comprehensive Blood Panel Each type of blood cell is counted and the chemical components of the blood plasma are measured. This provides information on the health of the bone marrow, kidneys, liver, pancreas and thyroid, and can help to detect infections.

Complete Urinalysis The concentration and chemical constituents of the urine are measured. Cells and other solids in the urine are examined microscopically. The urinalysis provides information on the health of the kidneys and bladder, and is also useful in the detection of diabetes.

Chest X-Rays X-rays allow visualization of the internal organs of the body. Chest x-rays are recommended to assess the condition of the heart and lungs and to detect tumors.

Abdominal X-Rays X-Rays of the abdomen are helpful to detect tumors and to assess the condition of the kidneys, bladder, intestine, and spleen.

Electrocardiogram This test measures electrical impulses within the heart, using sensors placed on the skin. The ECG is helpful in detecting heart conditions.

Just as he did when he was younger, your cat continues to benefit from the protection of regular vaccinations against infectious disease. Your veterinarian will recommend a vaccine program tailored to your cats age, lifestyle, and health status.

Healthy older cats require a diet that is lower in calories, while still rich in essential nutrients such as high quality proteins, essential fatty acids, vitamins and minerals. Special diets are available to address the more specific requirements of cats with medical conditions. Your veterinarian is your best advisor in selecting a diet that will keep your cat purring.

Dental Care
Keeping your cats teeth and gums healthy is critical to his well being. Dental disease is painful and can lead to infection in the internal organs, such as the kidneys and heart. Your veterinarian should check your cats teeth regularly. He will let you know when your cat needs a professional dental cleaning. Under general anesthesia, all of the plaque, tartar, and bacteria is removed from the. After your cats teeth are clean, it is your job to keep them healthy. Tooth brushing and dental diets are highly effective.

Cancer in Cats

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Cancer is the leading cause of death in senior cats. As we already know, this is a very serious disease that can affect virtually all areas of your cats body. However, the spread of cancer is more rapid when certain areas of the body are reached, such as the lungs or liver. There are too many forms of cancer to discuss in this post; so instead, we will discuss various signs that you can be mind of and the veterinary options available.

There are many symptoms to watch for that might indicate your pet has developed a cancer. It is important to realize that many of these symptoms can be related to several other illnesses, so do not assume your cat has cancer until he has been officially diagnosed by a veterinarian. Unexplained weight loss, abdominal distention, respiratory distress, difficulty swallowing, changes in bowel consistency (diarrhea or constipation), blood or mucous in the stool, unusual bleeding or discharge, lameness, growths that can be felt through your pets skin and any areas of skin discoloration should be reported to your veterinarian. Remember that these symptoms are merely indicators that you should bring your cat to see the veterinarian.

Unfortunately, there are no blood tests to determine whether or not cancer is present in our cats. Therefore, acquiring a sample of the tumor through biopsy is often necessary and this sample is normally sent off to a specialized pathologist for microscopic examination. Many cancers can be cured if caught early enough and if the lump is small enough to surgically remove. Even after a lump is removed, your veterinarian may wish to send the sample to a pathologist to ensure that the margins of the growth are cancer free.

If your cat is diagnosed with cancer, many of the same treatment options available to humans are also available for pets. Chemotherapy and radiation therapy for pets is offered at most veterinary specialty practices in major metropolitan areas. Your veterinarian will be able to share more information about these treatment options with you. It is important to understand that these therapies are costly and some forms of cancer are more easily treated than others. If chemotherapy and/or radiation therapy are not an option, your cat can be treated symptomatically, and depending on how aggressive the cancer is, your cat may be able to live for several months to a year. Other medications and therapeutic options will be outlined by your veterinarian.

There are steps that can be taken to avoid cancers. Having your pet spayed or neutered will drastically decrease the chances of various reproductive cancers. Feeding your cat a high quality diet and keeping him at a healthy weight will also help to prevent certain cancers. Obesity is a major cause of many cancers in pets. It is impossible to prevent all cancers and genetics also play a role in this disease. If you have any additional questions about a specific cancer or are concerned about your cat, please do not hesitate to discuss this with your veterinarian.

Cat Bite Wounds

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Cats are highly territorial and often fight when they meet outside or, less commonly, within the household. During fights, cats inflict deep bite wounds that inject bacteria from the mouth into the internal tissues. Cat bite wounds frequently become infected and abscessed. An abscess is a pocket of infection that the body has walled off.

Signs of Abscesses
If you know your cat has been in a fight, its a good idea to examine him carefully for signs of injury. Bite wounds may leave only tiny puncture holes on the skin. Veterinary care is always recommended for cat bite wounds. More often, you wont know that your cat has been fighting until an abscess forms. Signs of an abscess include fever, lethargy, loss of appetite, pain and the appearance of a swollen area. Hair may be lost in the area, and the skin may rupture, leaking foul-swelling pus onto the fur. The most common areas for bite wounds and abscesses are the face, legs, and the base of the tail.

Your veterinarian can usually diagnose the abscess based on a physical exam. It may be necessary to shave hair from parts of the body to look for bite wounds.

Abscess Treatment
Cats typically require anesthesia for initial drainage and cleansing of the infected area. All of the pus and dead tissue will be removed. The wound is encouraged to heal without trapping bacteria under the skin again. This usually means that the wound is left open so that the internal tissues heal first, before the skin. Drains may be placed temporarily under the skin. In addition to giving oral medications, it may be necessary for you to administer topical antiseptics or antibiotics directly to the wound area. Hot packing the area with a warm, wet washcloth for 5-10 minutes twice daily is also beneficial. Most cats heal well with proper bite wounds

Even though an untreated abscess usually ruptures and drains on its own, recurrence is extremely common without professional care. Cats with abscesses can also get sick enough to stop eating and become severely dehydrated. Prompt medical attention is a must for all cat bite wounds and abscesses.

Biting is the most common means by which some serious cat diseases are spread. Feline Leukemia Virus (FeLV), Feline Immunodeficiency Virus (FIV), and Rabies can all be spread by bites. If your cat goes outside he should be vaccinated against FeLV and Rabies. Your veterinarian may also advise testing for exposure to FeLV and FIV after a bite.

Preventing Abscesses
The main mechanism for preventing abscesses is keeping cats indoors, where they are less likely to fight. Routinely checking your cat for injuries is also a good idea.

Debra Garrison, DVM

Diabetes in Cats

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Diabetes in catsTwo forms of diabetes can be found in cats. The first, Diabetes Mellitus is the most common and will be the form discussed in this handout. The rarer form is called Diabetes Inspidus, which will not be covered here. Diabetes mellitus is caused by an excessive amount of sugar in your cats blood and a deficiency in insulin, a hormone secreted by the pancreas. The exact causes of this disease are unknown, but diet, obesity, genetics, age and complications from other illnesses can all lead to diabetes. This disease is more common in dogs and only one in every four hundred cats develops diabetes.

So, how do you know whether or not your pet is developing diabetes? There are signs to look out for! If your cat is drinking an excessive amount of water, has an increased appetite, is urinating more often and seems to be losing weight, then your cat may be developing diabetes. Your veterinarian is able to test for this disease, which will be discussed later on. Before we discuss the treatment of this condition, lets discuss some preventive steps that can be taken to avoid it.

Once your cat has diabetes, this disease will be with him for the remainder of his life. Therefore, it is very important that we take steps to avoid this disease. Although diabetes can be acquired through genetics, which is difficult to avoid, the most common cause of the disease is obesity. It is very important that your cat gets regular exercise and is maintained on a well balanced diet. Your veterinarian can recommend a cat food that is right for your pet and make recommendations for an exercise regiment. Cats that are kept indoors should be encouraged to play in order to maintain a healthy body weight.

If diabetes is suspected, your veterinarian will perform a simple blood test to measure the level of glucose (blood sugar) in your cats blood. Multiple blood glucose tests are often necessary to establish a baseline. If your cats blood glucose level returns high on the first test, this may have just resulted from a recent meal and does not necessarily indicate that your cat has diabetes. If your veterinarian determines that your cat does have diabetes, he or she will want to perform regular blood glucose tests at the veterinary practice to monitor levels. Your veterinarian may also have you monitor your cats blood glucose at home by sending you with an easy to use urine test kit.

Some mild cases of diabetes can be treated with a strict diet that is low in carbohydrates and high in protein. However, many cases will require your cat to be on insulin therapy. An oral form of insulin is available for humans, however, this is not effective in pets and an injectable form must be used. Your veterinarian will determine the proper type of insulin for your cat and the specific dose. This dose may be changed several times during the first few weeks of insulin therapy in order to properly regulate your pets blood glucose levels.

A member of the veterinary staff will instruct you on how to administer an insulin injection, which is given subcutaneously (below the skin). It is very important to follow your veterinarians exact dosage as an overdose of insulin can cause dangerously low blood sugars. If you ever feel that your pet has received too much insulin, you should contact your veterinarian or local emergency pet hospital if it is after hours. Corn syrup or honey can be given to quickly increase your cats blood sugar levels if an overdose is suspected. Patients that have overdosed on insulin tend to become very lethargic, unsteady, develop shaking and in severe cases convulsions can occur.

If your cat is insulin-dependent, it is important that he receives a diet high in protein and low in carbohydrates. He should be fed at the same time everyday and insulin should be given at mealtimes as directed by your veterinarian. Maintaining a healthy weight is very important for the diabetic pet, so regular exercise is a must. Cats that have been diagnosed with Diabetes Mellitus can be effectively treated with insulin therapy and can lead healthy, normal lives.

Prescription diet m/d

For the Nutritional Management of Cats with Obesity or Diabetes For veterinarians with overweight feline patients, Hill’s now provides two nutritional therapy options: Prescription Diet® r/d® Feline cat food is a low-calorie, high-fiber, nutritional therapy with the highest levels of L-Carnitine to effectively reduce weight and increase muscle mass while keeping cats feeling full. Prescription Diet® m/d® Feline cat food is an alternative nutritional therapy for weight loss in cats. Prescription Diet® m/d® Feline is a low-carbohydrate, high-protein food with the highest levels of L-Carnitine that alters a cats unique metabolism to reduce body fat and increase muscle mass. Added fiber increases satiety. Prescription Diet® m/d® Feline is also useful as a nutritional aid for cats with diabetes mellitus.The nutritional formulation of Prescription Diet® m/d® may also be useful for pets with a variety of conditions.

Debra Garrison, DVM

Caring for Your Cat’s Teeth

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We all know how important good dental hygiene is for our own health, but many cat owners are unaware that this is true for their pets too. Dental disease is one of the most common preventable illnesses in pets, affecting more than 75% of dogs and cats over three years of age. Infections of the teeth and gums can cause pain, loose teeth, and damage to internal organs like the kidneys and heart. All of this can be avoided by practicing proper dental care techniques.Caring for your Cat's Teeth

Dental Disease in Cats
The term dental disease includes a variety of ailments. The most common of these is periodontitis. Plaque, a soft mixture of bacteria, food, and saliva accumulates on your cats teeth, especially near the gums. The plaque hardens to become tartar. The plaque and tartar irritate the tissues around the tooth and its root. This starts out as gingivitis (reddened gums). Infections and abscesses develop around the tooth, resulting in bad breath, bleeding, pain, and tooth loss. Infected, bleeding gums allow bacteria to enter the bloodstream and circulate throughout the body, damaging the kidneys and heart.

Another common condition in cats is Feline Odontoclastic Resorptive Lesions (FORLs). This is a big word for kitty cavities that occur on the sides of the teeth, near the gum line. They cause the tooth to erode, exposing the pulp to infection or causing the tooth to break. They are also associated with severe inflammation of the gums. Unlike cavities in people, the cause of FORLs is not well understood. Fluoride may have a preventive benefit. If your cat develops a kitty cavity your veterinarian will advise you about the necessary treatment and care, which may include tooth restoration or extraction.

Dental Examinations
Each time your cat has a routine physical examination, your veterinarian will check his teeth and gums. He is looking for buildup of plaque or tartar, reddened gums (gingivitis), bleeding, broken teeth, and other problems. Your cat should receive a dental exam at least once or twice a year. If you notice problems like breath odor, drooling, or difficulty eating, he should be examined right away. The sooner that dental disease is identified and treated, the better the outcome.

Professional Care
Most cats require professional dental cleanings and periodontal care periodically. If your veterinarian detects signs of gingivitis or tartar accumulation during the exam, he will recommend a professional cleaning in order to halt the progress of periodontal disease.

Your cat will receive anesthesia for the dental cleaning. All surfaces of the tooth will be carefully cleaned, even below the gum line. The teeth will be polished to discourage deposition of new plaque. Fluoride or other preventive treatments may be applied. Because your cat is asleep, his mouth can be inspected carefully for signs of additional problems. The professional cleaning is the only way to stop the progress of periodontal disease once tartar has formed.

Treats, Chews, and Other Products
A variety of products are marketed to help keep your cats teeth clean at home. These include dental care diets, plaque reducing treats and toys, and solutions that are applied to your cats mouth. Check with your veterinarian before using these products, because some may be unsafe or may interfere with other treatments your cat is receiving. Also, remember that although these products may be of some benefit, there is no substitute for daily tooth brushing.

Debra Garrison, DVM

Elimination Behaviors in Cats

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Elimination behaviors in catsThroughout their lives, many household cats will experience some problem with elimination behaviors. These behaviors may include urinating, defecating or scent marking outside of their litter box. Although the causes for these behaviors vary greatly, most stem from medical issues, litter and litter box aversions, or stress caused by changes to environmental factors. In order to diagnose and correct the behavior it is important to determine the underlying cause behind the new behavior.

There are many different medical conditions that may cause your pet to begin eliminating in unwanted areas. It is important for your veterinarian to perform a complete examination and, perhaps, other tests to determine if there is a medical condition that would precipitate the behavior. Some of the medical conditions that your veterinarian would look for are diseases of the urinary tract, liver, kidneys or endocrine system. Many of these diseases can cause pain when urinating or may cause increased fluid intake and excretion. Other diseases of the colon and digestive tract may also cause defecation problems. When examining your cat for medical causes, your veterinarian will also look for limitations in motor and mobility functions. If your pet is having difficulty with its senses, joints or other muscular issues it may not be able to access its current litter box as easily and, therefore, result in unwanted elimination behaviors.

At times, some cats may experience an aversion to their current litter or litter boxes. These aversions may be due to smell, size or the tactile sensation. If your pet has started to eliminate in unwanted areas, analyze where the behavior occurs, the type of substrate, the time of day, and the frequency with which the animal demonstrates the behavior. Your pet may demonstrate these behaviors if the litter box is located in an undesirable area. Area that are considered undesirable vary by pet, but are often high traffic areas, areas that are far away from all family members, such as basements, or areas that are inhabited by many pets. Determine the type of substrate your pet prefers to eliminate on, such as hard surfaces or on carpet. Some pet owners notice that their pets only practice the unwanted elimination behaviors at specific times of day, such as when the owners are preparing to leave or when a child returns home from school. Other animals may demonstrate these behaviors when their box is cleaned, due to an aversion to the scent of the cleaners used.

In order to minimize unwanted elimination behaviors it may be necessary to try many different combinations of location, litter and box, until your cat is satisfied with its new litter box. Begin by offering your pet two litter boxes. One box should remain in the current location and the other should present a new option of box, litter or location. Once your pet demonstrates a preference for a new choices, change the first box to that choice and keep offering new options with the second. This process will allow you to find the perfect match for your pet.

Some ideas for determining different animals preferences include: For a cat that location appears to be the problem, work to move the new box to a quite are of the home. If your pet prefers to eliminate on a specific type of substrate, mimic that feeling in the litter box. For example, for a cat that prefers to eliminate on tile, linoleum, or another hard surface, line the litter box with newspaper or a fine layer of litter over plastic; for a cat that prefers carpet, line the rim of the box with carpet and place a fluffy litter inside; and for a cat that prefers eliminating in plants, use a sand or very fine litter. For a cat that may be experiencing physical conditions such as muscle pains, experiment with low sided boxes or ramps. Some cats crave privacy and will only eliminate in boxes with hoods, while others feel that they may be ambushed and will not enter a box that is covered. The key to determining your cats preferences is to slowly and patiently analyze your pets behavior and choices. Continue to work with your cat and offer new choices, until you and your pet are satisfied with the perfect combination.

During the process of determining the best elimination scenario, it may be necessary to confine your pet when you are not able to be present and supervise its behaviors. If confinement is necessary, be sure to choose a secure location where the animal has not inappropriately eliminated in the past and provide comfortable bedding, food, water and a litter pan with the preferred substrate. As you find the right combination of elements and your pet begins to eliminate appropriately, the confinement periods should be able to be eliminated.

When analyzing the cause of your pets behavior, be sure to look for factors that may cause stress elimination. Cats are very sensitive to changes in their territory and may stress easily. Strong stress factors such as new pets, a new baby or the loss of a family member may trigger unwanted elimination episodes. Other factors such as new furniture, changes in routine or moving may also cause issues. Finding the perfect combination for your pet, may take time and patience, but your beloved pet will soon be demonstrating model behavior.

Debra Garrison, DVM