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why would a cat start peeing in the house

Because cats are fastidious about their own cleanliness, they also want their litter boxes to be kept clean. Some cat owners don't empty the litter boxes often enough to suit their pets that don't want to do their business in the equivalent of an unflushed toilet. Can you blame them? Regularly changing the box to provide fresh litter at least once a day, more frequently if necessary and thoroughly washing the litter box weekly will ensure that your cat always has a clean place to go. Always have at least one more litter box than the number of cats. Even a single cat should have two boxes; that way if you're delayed getting home from work or are too tired to change the litter, the cat will still have a clean place to go. Feline urine has an extremely pungent and unpleasant odor due to feline protein metabolism, a combination of uric acid, phosphates, calcium oxalates and aerates. If the cat has an inflammation or infection in his urinary tract, the protein concentration will be greater and will smell even worse. When dried, the urine forms crystals that create hard-to-remove stains. Specially formulated cleaning products, such as Nature's Miracle Just for Cats and Urine Off, are designed to target cat urine with enzymes that break down the crystals and remove the smell and the stains.

Because cat urine is ammonia-based, using regular household cleaners -- many of which contain ammonia -- will not remove the stain or odor, and will in fact just encourage kitty to urinate in that same spot again. To the cat, the ammonia scent is reminiscent of his own urine! Thoroughly cleaning the affected area with the right products will get the stain and smell out, and the cat will not automatically return to that place to relieve himself. If the litter boxes are clean, but your cat still eliminates outside the box, he is showing his stress or displeasure. Your impulse may be to yell at him, but that won't accomplish anything except scaring and confusing him. If you catch him in the act of peeing on your carpet, instead of shouting at him, gently pick him up and confine him to a closed room with a clean litter box. He's eliminating on the carpet because something has scared him physically or emotionally, and once you've calmed down, you can start to figure out the reason.
Definitely with those new symptoms. straining, odd physical behavior, frequency of litter box visits. thats medical!

I know some information from my experience with FUS, and it so happens that persians seem to have higher incidence of calcium oxalate crystals! Which I've heard about occasionally (though not as much as FUS). The condition FUS involves struvite crystals. sometimes larger struvite crystals can form, however usually you don't see that kind of crystal form unless the food is really bad quality or the cat is fed table scraps because to form struvite crystals you need a high urinary PH. So, you find nowadays most good quality cat foods give a very acidic PH, because in general it's better to have a low urinary PH because that prevents the vast majority of urinary issues (specifically FUS or urinary crystals) in cats. Struvite stones can form in some cases in cats, generally in younger animals, though those can be dissolved by urine acidifiers, and you don't see them in a good quality low urinary pH producing diet. The type of stone that often develops in older animals on good diets (low pH) tend to be the calcium oxalate stones. Because having such a low pH also leaches calcium out of a cats system, and calcium oxalate stones form only in a low pH environment, some cats will form these types of stones as a result of a low pH diet.

Low urinary pH actually prevents FUS from occuring, the weird thing is. in some cats, it causes calcium stones to develop. But, the food manufacturers still maintain a low pH because FUS is much more common than the formation of calcium oxalate stones. There's a whole host of info I'm hoping that for your cats sake (and your wallet) that they're not the calcium ones that can only be removed surgically. As far as the costs go, if you do wind up in that situation I would definitely ask the vet about the long term costs of maintenance. Likely he will have to have more frequent vet visits initially and more urinary tests, etc. If cost is a concern you need to know in advance what would be involved for his future, etc. Obviously, if it's the calcium ones then it's going to involve the surgery which is the big upfront cost. Anyhow, LOTS of hugs and good wishes for your boy. I can imagine you are so scared and worried about him. There's also something called "care credit" that many people here have used when they've had unexpected medical bills for their pet or themselves.

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