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Cat peeing outside litter box for years. How can I finally stop it?

Updated on September 23rd, 2025

Pet's info: Cat | Domestic Shorthair | Female | spayed | 23 lbs

I have a 4 year old spayed cat who has been urinating outside of her litter box on and off for 3 years. It started when the dog she was raised with passed, then got worse after she was attacked by a dog. She’s been on fluoxetine and it kinda helped but she’s been making more messes. I’m trying diffusers once they get here. Went to vet last week and he wasn’t helpful and didn’t even examine her. I’m at a loss on what else could be wrong or what else I can do to help. Any suggestions help!

1 Answer

Most Helpful Answer

Dr. Strydom, DVM

Answered By Dr. Strydom, DVM

Veterinarian

Published on September 27th, 2019

An underlying medical condition should be ruled out first. A UTI can cause these symptoms and can be sub-clinical for a while if not treated. Kidney disease and diabetes can also be underlying factors. You can get a home urine testing kit from Petco.

My other two suggestions would be to use some Feliway diffusers in your house, do some environmental enrichment for her and get more litter boxes to put around the house with different types of litter.

( https://www.feliway.com/us/Why-Use-Feliway/Cat-peeing-outside-the-litter-box )

( https://www.thedrakecenter.com/materials/environmental-enrichment-indoor-cats )

( https://moderncat.com/articles/how-enrich-your-cats-home-environment/ )

( https://www.petmd.com/cat/centers/litter/evr_why_multi_cat_households_need_multiple_litter_boxes )

Also, if you are not happy with your current vet it may be a good idea to get a second opinion elsewhere.

Hope this helps. Best wishes.
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