Pet Central
Q&A

Q: Our 11-year-old cat was just diagnosed as hyperthyroid. But even before this, she missed the litter box. I wonder if there's somehow a connection. The missing of the box has worsened in recent years. She mostly goes on towels, clothing and other cloth objects. Just a few months ago, we added a kitten, but I doubt that has anything to do with the problem. We keep the litter boxes fresh. Do you have any insights? -- D.H., Tempe, Ariz.

A: Urinary tract disease is among the medical problems that can cause your cat to miss the box. It's possible, although unlikely, that hyperthyroidism plays a role, according to Dr. Philip Shanker, of Campbell, Calif. (near San Jose).

With the limited information you've offered, it's impossible to pinpoint the reason for your cat's long-term elimination problem. In addition to a possible medical explanation, your kitty may have a substrate (texture) preference. Try placing a towel your cat has piddled on inside the litter box, then slowly add litter to the box. As for litter, try either Yesterday's News (made of recycled newspaper) or a unscented clay litter. There are also new chemical-free wood chip litters, such as Luv My Kitty. After about three days, remove the soiled towel and add another smaller towel. Eventually, you can forget the towel in the litter box. Offer two options, one covered litter box, the other uncovered.

Shanker, past president of the American Association of Feline Practitioners, points out that hyperthyroidism requires treatment. You have three options:

-- Medication. Some cats can't tolerate the medicine (Tapazole) (cq), and patients must be frequently monitored. This is the least expensive option but only controls the disease, doesn't cure it.

-- Surgery. In the hands of a trusted surgeon, this does work. However, most hyperthyroid cats are elderly, and have other medical conditions, and hence a potential risk. The cost is $600 to $800.

-- Radioisotope: Radioactive iodine knocks out excess production in the thyroid gland, curing hyperthyroidism. However, it may recur in about five to 15 percent of cats. Vet offices don't offer this treatment, only veterinary schools. The cat must be kept quarantined at the facility for several days. The cost is $600 to $1,200.

 

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