INAPPROPRIATE ELIMINATION
DISORDERS
What is “inappropriate
elimination?”
This is a term that means
that a cat is urinating and/or defecating in the house but not
in the litter box.
What causes it?
IMPORTANT NOTE: It is
essential that you rule out illness that may be causing the
problem. Please have your cat vet-checked prior to determining
next steps.
There are many possible
non-medical causes that fall into two general categories: 1)
dislike of the litter box, and 2) stress-related misbehavior.
Why should a cat not like
its litter box?
One of the main reasons for
this is because the litter box has become objectionable. This
usually occurs because it is not cleaned frequently enough or
because the cat doesn’t like the material in it. The latter is
called substrate aversion; it can occur because the
litter was changed to a new, objectionable type, or because
the cat just got tired of the old litter.
What stresses can cause
inappropriate elimination?
There are probably hundreds
of these, but the most common ones are as follows:
- A new person (especially a
baby) in the house
- A person that has recently
left the house (permanently or temporarily)
- Several new pieces of
furniture
- New drapes
- New carpet
- Rearrangement of furniture
- Moving to a new house
- A new pet in the house
- A pet that has recently
left the house
- A new cat in the
neighborhood that can be seen by the indoor cat
- A cat in heat in the
neighborhood
- A new dog in the
neighborhood that can be heard by the indoor cat
I feel that this is a
problem that cannot be tolerated, even if the cat has to leave
my house. Is that wrong?
No, many people are very
proud of their home and feel that way. But there are things
that can be attempted before surrendering your pet.
Can the problem be
treated?
Yes, in most cases. You
should work with your veterinarian to determine the best
method for addressing the issue of inappropriate elimination.
Treatment is more likely to
be successful if several of the following are true:
- The duration is less than
one month when treatment begins
- There are only one or two
locations in the house where the cat is inappropriately
eliminating
- It is possible to identify
and relieve the stress-causing situation
- It is possible to
neutralize the odor caused by the urine or feces
- You have only one cat
What is involved with
treatment?
Most successful treatments
rely on a combination of behavior modification and drug
therapy.
What are behavior
modification techniques, and how are they used?
They can be described as
Aversion Therapy and Attraction Therapy. The former
repels the cat from the inappropriate location, and the latter
encourages the cat to choose an appropriate location.
The purpose of Aversion
Therapy is to make the area of inappropriate urination or
defecation undesirable for the cat. There are many ways to do
this, but the following steps have proven successful in a high
percentage of cases.
- A product to neutralize
the odor of urine or feces should be used in places where
inappropriate urination or defecation has occurred. If the
objectionable location is on carpet, it is necessary to
treat the carpet and the pad below because most of the odor
will be in the pad. This usually means soaking the carpet
with the neutralizing product so it penetrates into the
pad. Test an inconspicuous piece of carpet for staining
before using any odor-neutralizing product.
- Cover the area(s) with
aluminum foil and secure it to the carpet or furniture with
masking tape. Aluminum foil is a surface on which most cats
won’t walk.
- If the soil in potted
plants is being used, place a lemon-scented air freshener at
the base of the plant. This will usually repel the cat.
The purpose of Attraction
Therapy is to make the litter box more desirable than the
inappropriate site. The following are usually successful:
- Purchase a new litter box;
even well-cleaned litter boxes have odor deep in the
plastic. It is important not to use a litter box with a
hood. Although we like our privacy, most cats find a hooded
litter box undesirable.
- Purchase non-scented
clumping litter. If your cat has not been using this type of
litter, it will usually find it more desirable than the clay
types. That increases the chances that the new litter box
will be used.
- Place the new litter box
near the area of inappropriate urination until it is used
for several days, then move it 2-3 feet per day back to the
desired location.
- Keep the existing litter
box in the normal location in case the aversion therapy
causes your cat to return to it.
What drugs are used?
There are several that have
been used. Generally, they fall into three categories:
- Anti-depressants,
including amitripyline and buspirone
- Tranquilizers, including
diazepam and Phenobarbital
- Hormones, including
megestrol acetate and medroxyprogesterone acetate
Are these drugs approved
for use in cats?
No. All of these were
developed as anti-depressants or tranquilizers for
humans. However, most have been used on enough cats to give us
reason to believe that they are very safe.
I understand that
buspirone has gained popularity recently. What is this drug?
Buspirone (trade name Buspar®)
is an antidepressant drug prescribed by physicians; it is a
human drug, not a veterinary drug. It has been shown to be
effective in a significant number of cats with elimination
behavior problems.
Its success rate is not 100%
but, for the intended purpose, it has been show to be more
effective than many of the other drugs.
How is buspirone dosed?
The following outline should
be followed. If the sequence is not clear, please call your
veterinarian for further instructions.
1) Give 5 mg (1 tablet) twice
daily for 1 week
a) If there is no
response, give 7.5 mg (1 ˝ tablets) twice daily for 1 week
-- If there is no
response, discontinue bispirone
b) If there is good
response, give 5 mg twice daily for 8 weeks
2) If a relapse occurs after
successful therapy, resume buspirone at a dose of 5 – 7.5 mg
twice daily and continue for 6-12 months