Cat urination problem, definitely behavioral issue but not sure what else to try.

Vexas009

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The problem child, Ako, 5 years female is fixed. We only have one other cat who is also fixed. We have 3 litter boxes (used to have 4), and have tried many things. I'll list those below, this has been going on for about 2 or 3 years now.

Switching diet to wet food, water fountain, medication (fleuoxitine), catifying the house more. Making certain there are no strays. Many vet visits. Feliaway, and a calming collar (the collar is the only thing that has done a huge improvement but that's just in attitude and not in fixing the peeing problem).

We have moved boxes (by first adding a box) to the locations that she pees in. She'll just shift to another spot. She always pees next to the box unless I have a shirt or something on the floor. She used to pee on our bed (or even her cat bed) before we moved, but now that we are in a new place it's 99 times out of a 100 always by the litter box.

I've tried the kitty attract. Doesn't do anything. I tried switching to a grass seed from a clay litter. Doesn't change anything. When I switched to the larger boxes, for a little while she was peeing in the boxes but that stopped. I recently washed the boxes with dawn dish soap and i feel like it made the problem worse. The boxes aren't that old either. Maybe 3 months tops.

I want to put puppy pads down, but im worried that it'll just encourage her to move out from the boxes further (and some of the spots are in front of the door way so that's out of the question anyways. I'm going to be doing a full shampoo with nature's miracle this week, but honestly not sure how much it's going to help since it's happened in the last 3 places we've been at, all of which didn't have cat pee.

The vet wants to try this one food that's supposed to help with cat stress urination issues. She doesn't have any other ideas, and this stuff is going to be 50$ every order. I imagine it's going to be like 100$ a month if we end up using it. Tbh I'm not sure what brand it is, but I have my doubts it'll work, or anything will work. We've seen so many vets and have tried so many things....
 

Furballsmom

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Something to try would be putting tarp (tarp has no odor where new shower curtain liners often smell initially) on the floor of a small room, putting in several litter boxes, including a covered one and one with literally just puppy pee pads in it, and her with the door closed (unless she yells too much), until it appears she has determined which box setup she wants and uses consistently.
 
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FeebysOwner

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Just curious - any correlation between when this started and when your other cat joined the home - assuming Ako was part of the family first?

If this has been going on for 2-3 years now, it probably has become a habit. The best solution is some rendition of what Furballsmom Furballsmom said. She is going to have to be restricted to a confined space/room and given varying options for litter boxes. It doesn't mean that she has to be confined there to eat, but probably should spend a great deal of time in that confined area. Also, since you are home, you probably have a good idea about her peeing patterns/routines that will help you to know when she has to be placed in that room/space.

Putting down pee pads is not encouraging her to go outside the litter box - it is experimenting - along with various other options to see if there is something that works for her. She had an issue that became a habit, if you find something that works, you may be able to stop the issue that caused the habit in the first place.

Look around for other products besides Nature's Miracle in case you find one more suitable. If you have been using Nature's Miracle in the past, maybe it is just 'not doing the job'.

If all else fails, it might be worth it to find an internal medicine specialist and have an ultrasound or MRI done to see if this is something that is structural in nature. Perhaps, she avoids the boxes most of the time because something bothers her when she pees - most cats 'blame' the box and not their own body for any issues they have while trying to pee. Would also explain why she is not opposed to pooping in the litter boxes.
 
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Vexas009

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Just curious - any correlation between when this started and when your other cat joined the home - assuming Ako was part of the family first?

If this has been going on for 2-3 years now, it probably has become a habit. The best solution is some rendition of what Furballsmom Furballsmom said. She is going to have to be restricted to a confined space/room and given varying options for litter boxes. It doesn't mean that she has to be confined there to eat, but probably should spend a great deal of time in that confined area. Also, since you are home, you probably have a good idea about her peeing patterns/routines that will help you to know when she has to be placed in that room/space.

Putting down pee pads is not encouraging her to go outside the litter box - it is experimenting - along with various other options to see if there is something that works for her. She had an issue that became a habit, if you find something that works, you may be able to stop the issue that caused the habit in the first place.

Look around for other products besides Nature's Miracle in case you find one more suitable. If you have been using Nature's Miracle in the past, maybe it is just 'not doing the job'.

If all else fails, it might be worth it to find an internal medicine specialist and have an ultrasound or MRI done to see if this is something that is structural in nature. Perhaps, she avoids the boxes most of the time because something bothers her when she pees - most cats 'blame' the box and not their own body for any issues they have while trying to pee. Would also explain why she is not opposed to pooping in the litter boxes.
She wasn't the first cat. She was our second. I believe for the first 6 or 7 months she was fine actually. I mean, it's possible she was peeing on the welcome Matt and we just didn't notice it, but don't know. The very first time she peed it was on my bookbag, then a week later on some clothes, and then she started doing it on our bed pretty regularly. Our old place didn't really have doors. Think of it like a mini studio almost.

I actually do want to try the isolation thing. I didn't think about tarp. Could be possible in the office where I work from home. Every room in the apartment is carpet other than the bathroom, which is too small for that suggestion. It could work in the office. I'd have to cut up sheets to make it work, but might be worth seeing if I can make it go.

I know an ultrasound has been done, no MRI. In the various tests nothing has been consistently found. The most recent test they found trace amounts of blood, which is why the vet is recommending the food.
 
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Vexas009

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You can try putting a puppy pad, no litter, in a litter box to see if she will use that.
I will try this with an empty litter box we have. Do you think I should put some pads on the floor as well?
 

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I actually do want to try the isolation thing. I didn't think about tarp. Could be possible in the office where I work from home.
Some people use tarps to keep cats off of areas as most are plastic, so if that deters her from wanting to be in that room, there are absorbent canvas drop cloths that are washable. Just something else to consider. Just one of many options -
Amazon.com: Simpli-Magic 79052 Heavy Duty Multi Purpose Canvas Drop Cloth, 6X9-Foot, Natural : Arts, Crafts & Sewing
 

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I know an ultrasound has been done, no MRI. In the various tests nothing has been consistently found. The most recent test they found trace amounts of blood, which is why the vet is recommending the food.
Hmmm. The blood - that is not normal, no matter how you look at it. What do you mean by "nothing has been consistently found"? So, tests found things and then later didn't?

Ever consider a vet who specializes in urology as a consult to review all of her records?
 
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Vexas009

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Hmmm. The blood - that is not normal, no matter how you look at it. What do you mean by "nothing has been consistently found"? So, tests found things and then later didn't?

Ever consider a vet who specializes in urology as a consult to review all of her records?
Kinda yea

The first couple of tests said her bladder was inflamed, but couldn't figure out why, and that her urine concentration was high. They put her on antibiotics.

The second time they found nothing.

The third They couldn't get a good sample.

The fourth They found trace amounts of blood, nothing alarming they said, and zero inflammation seen. Which is why they were unsure if it's what's causing the issue. This test was sent to a full lab where they ran detail on everything and found out she has FeLV.

In total I've done the tests at 3 different vets so far.
 

FeebysOwner

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They found trace amounts of blood, nothing alarming they said, and zero inflammation seen.
As far as I know, inflammation cannot be seen with a urinalysis, only a possible infection (via WBC in the urine). Inflammation and infection are not one in the same.

It would be so helpful to know exactly what tests were run, and when, and the results of each. Otherwise, we are all just shooting in the dark in terms of trying to offer any constructive advice. It seems like there could be some suggestions beyond what you have already gotten - given additional information. Maybe not, but sure worth a try.

Go down the path of behavioral, but if that doesn't work, you have to go another direction.
 
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Vexas009

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As far as I know, inflammation cannot be seen with a urinalysis, only a possible infection (via WBC in the urine). Inflammation and infection are not one in the same.

It would be so helpful to know exactly what tests were run, and when, and the results of each. Otherwise, we are all just shooting in the dark in terms of trying to offer any constructive advice. It seems like there could be some suggestions beyond what you have already gotten - given additional information. Maybe not, but sure worth a try.

Go down the path of behavioral, but if that doesn't work, you have to go another direction.
I've attached the imgur link with information on which of these was from when. There's doctors notes that I didn't upload but those didn't involve any tests just examining Ako

 

FeebysOwner

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I've attached the imgur link with information on which of these was from when. There's doctors notes that I didn't upload but those didn't involve any tests just examining Ako
That was a 'tough' read as I am not familiar with Imgur, or the format of the lab results. Nothing extraordinary, per se. The urine values/readings seem quite good, with the exception of this last time when they found blood in her urine, which tends to lead one to think of FIC as a probable cause. The only thing that stuck out was the notation in the report at the end which requests a fecal sample - perhaps it is because of the high eosinophil count - which can indicate internal parasites, just as one case. But, it can also tie to so many other things besides that.

I am not a vet, nor even remotely close, but I think that this might be treated as FIC - which is not really behavioral, but often times requires similar treatments.
Feline Idiopathic Cystitis (FIC) | International Cat Care (icatcare.org)
Feline Idiopathic Cystitis (FIC) in Cats | PetMD
 
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