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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Peeing Outside the Box

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October 07, 2011 / (7) comments


When faced with a cat that is peeing outside of the litter box, the first thing many owners think is "bad cat." Stop right there! Pets don’t choose where to urinate maliciously; they pick what will work best for them at any given point in time.

 

As youngsters, most cats are "hard wired" to pee in a loose substrate like soil, sand, or cat litter. This is why we don’t have to train kittens to use the litter box. Just show them where it is, and they’ll take it from there. But when circumstances change a cat will alter his behavior accordingly.

Illness is the first thing to worry about. Certain medical problems make cats produce more urine than normal (e.g., kidney failure or diabetes mellitus) or have an increased sense of urgency associated with urination (e.g., feline interstitial cystitis, bladder stones, urinary tract infections, etc.). In these cases, a cat may simply think, "Hey, I’ve got to go NOW!" and not take the time or feel well enough to find the nearest litter box.

Therefore, the first thing an owner should do when faced with a cat urinating outside the box is make an appointment with a veterinarian. He or she will perform a physical exam and run a urinalysis. Depending on the findings, other tests like blood work, abdominal X-rays, and an abdominal ultrasound may be in order. Just keep in mind that some of these problems can be easily managed (e.g., with a change in diet) so as tempting as it might be, don’t skip this step.

If your cat has been given a clean bill of health, it is time to move on to the environmental and behavioral causes of inappropriate urination. Cats may develop an aversion to using the litter box for a number of reasons, including:

  • A box that is not cleaned frequently enough. Cats are very fastidious and many will not go into a box that smells bad or that is soiled.
  • A box that contains a different type of litter from the one the cat is familiar with.
  • Litter containing a lot of strong perfumes.
  • A box with high sides, making it difficult for the cat to get in and out of it. This is especially true for disabled, sick, or arthritic cats.
  • A covered box that is too dark and small, making it uncomfortable for cats to enter and move around inside.
  • A bad experience associated with the box, like being attacked by a housemate while inside.

Given enough time, a cat that urinates on the rug or other unsuitable surface will start to feel that this is normal behavior. It can be difficult to get these cats to start using cat litter again, so owners need to deal with inappropriate urination as quickly as possible.

 

 

Dr. Jennifer Coates

 

 

Image: Cat refuge by photofarmer

cat in box, bad cat, going outside the litter box

 

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COMMENTS (7)
1
Peeing Outside of the Box
by Skooterswife on 10/07/2011 05:53am

VERY WELL SAID & WRITTEN DR. COATES!!! It amazes me how many people with pets (my household included) believe that a domesticated animal should ALWAYS go potty when and where "we" decide. For more than 7 years, my husband and I have gone round and round on this issue to no avail until recently. He brought up the issue of "the higher intelligence of the human species versus the animal kingdom". Being the "devils advocate", I was able to reveal to him that "us" so-called intelligent people usually don't learn when and where we are supposed to go potty until the age of two years; and it takes A LOT of effort & consistency on the part of an adult. I also pointed out that many of us once hitting the "senior years" have to be "diapered" again. His conclusion that "we" are the more intelligent species was quickly re-assessed and he has become WAY more understanding on the issues of training/house breaking an animal. His "highly educated" Dentist friend (whom many turn to for insight), also changed his "way of thinking" once it was apparent that they had spoken before thinking it through. This Dentist has elderly parents whom he "takes care of" when the CNA/Home Care nurse cannot. He also has 2 cats, one of which is approaching 17 years and no longer uses the litter box like he used too. Congrats to YOU again! Job well done!

2
"Doctor!!!"
by TheOldBroad on 10/07/2011 07:11am

"Therefore, the first thing an owner should do when faced with a cat urinating outside the box is make an appointment with a veterinarian. "

Absolutely!

It took FIVE trips to the doctor to diagnose a kitty that started having a litter box problem after years of no accidents. The poor little guy was trying to tell me that he had lymphocytic lymphoma and didn't feel well. I'm so glad the vet worked with me to keep looking for a health problem because Winston was treated and had a quality of life longer than anyone expected.

Don't forget to have enough boxes - AND HAVE BOXES ON EACH LEVEL OF THE HOME! If you really "have to go" do you want to take the stairs, sometimes multiple levels, when you really need to go potty? So many people put the litter box in the basement (out of sight, out of mind) and wonder why kitty has a accident on the second or third floor of the house.

3
Thank-you Doctor Coates
by kay morris on 10/07/2011 11:42am

Great wake-up call, for Pet-Parents,

4
by Marcelle on 10/07/2011 03:17pm

well-written, informative article. i do take small issue with the claim that pets don't urinate maliciously, however. my cat has never had any problem letting us know she's unhappy with a new or visiting dog in the house -- typically by applying a generous dose of urine to my wife's pillow (ALWAYS her pillow, never mine). it's predictable enough so that we know to close off access to the bedroom for about 3-4 days after the visitor's departure, as by then, she's either forgiven or forgotten.

i've also known two separate couples who've brought home newborns, leading to a spray-fest by their cat(s)...

some people say the cats are just confused or traumatized. i say they know exactly what they're doing ;)

but yeah, back on topic, the messages about getting a checkup, keeping the sides low enough for arthritic cats, etc. is super important. there's something so very sad - tragic, even - about seeing somebody get furious at their pet for something they can't help. behaviors change for a reason!

by P on 10/07/2011 03:38pm

I think there is a different behavior when it is spraying or marking behavior from peeing outside the box.

Different behaviors require different solutions. I think the more cats in a home the more likely a cat will mark or spray. The behavior is territorial in nature not physical. I think you are doing the present cat a disservice to get more cats and increase the likelihood of the original cats' marking behavior when you get too many cats in a territory.

This is a different behavior than not using a litter box. Since it is a different behavior the solutions will be different.

The only thing they have in common is cat urine.

by Marcelle on 10/07/2011 09:50pm

good points p, and yes, it is a different sort of behavior. i was merely having some fun with the doctor about this. territorial or not, that kind of spraying can most certainly be malicious. at least that's how i see it :)

5
get a clue...or a cat
by PIA Petowner on 10/27/2011 02:06pm

stop right there..if you actually owned a variety of pets and in particular cats, you would NEVER make a statement like " Pets don’t choose where to urinate maliciously; they pick what will work best for them at any given point in time." because YOU would know differently.

and I am not talking about territorial marking either.

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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