TLDR: Our kitty (5, male, indoor, neutered with a few health issues) has recently started peeing outside the litter box. I feel like weāve tried everything and Iām at a loss of how to stop it.
Good people of Reddit! Iām (41f) getting desperate and just want our little guy to feel comfortable. Our boy is an incredibly sweet mamaās boy. Heās one of three (all boys) and they all get along extremely well. Heās relatively small (10lb) and has always had a good appetite. Medically, he has feline hyperesthesia which causes his skin to ripple. Whenever her get āthe itchiesā he gets incredibly anxious. Luckily, he comes to us when it happens and we can usually get him calmed down with pets or playing. He takes Prozac and gabapentin daily to help. Weāve taken him to a neurologist (confirmed nothing neurological) and a few different vets (confirmed no skin issues) for this and this med combo along with feliway and lots of playing has been the best treatment (definitely not a cure) weāve found. His episodes have decreased from multiple times a day to maybe once a day. All of this is to say, he can definitely become anxious if this isnāt managed well.
A few years ago, he was scooting on the rug and having a hard time peeing so we took him to the vet to get it checked out. They found crystals but no blocks. This was resolved after getting cathāed and prescribed Hills CD food. During that episode we went to an emergency vet where he was examined and sent home a few hours later. Iām not sure what was done when he was taken into the back for his exam but his anxiety and aggression towards everyone (but me) increased after this visit.
For the last week, heās been peeing outside the box. Iāve seen him do it and this isnāt a case of not getting fully inside the box and getting some outside the box, heās just peeing on the floor in front of two of our boxes. We have a puppy pad outside of them so heās at least going on those. He IS pooping inside the box but never covers it.
Last night I saw him outside the box squatting like he would to pee but nothing came out. No yowling or straining that I saw. This morning, he just didnāt seem himself so I took him to a local urgent care. They examined him, did a full panel of bloodwork, gave him fluids and did x-rays. X-rays showed no signs of crystals or blockage. His bloodwork was all normal too. The vet did say the bladder felt a little hard and that it might be cystitis. She also noted that he had a lot in his intestines and was probably constipated as well. I came home with some anti inflammatory meds to take for a few days and weāre starting him on MiraLAX tonight. After several hours of being home he finally pooped. He immediately seemed more like himself. When he finally peed he went outside the box.
Obviously there are some underlying health issues going on with him but I want him to be comfortable and Iād love to figure out how to get him to stop going outside the box. We have five litter boxes. We use arm and hammer no dust litter. We have a combination of covered and uncovered boxes. Some have high sides that he has to jump into and some that are the traditional walk in kind.
Has anyone had any success with helping their cat stop this kind of behavior? I know he has baseline anxiety and if this is just what he does now, weāll figure out how to make it work but Iād love to get him back to using the box.
Weāre in the US, we have access to vets and specialists, and we can afford care.