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Your Cat and the Litter Box: What’s Going Wrong and How to Fix It

February 1, 2025

Is your cat suddenly refusing to use the litter box? It’s a frustrating scenario, but rest assured—it’s a common one. Litter box problems rank high among the reasons pet owners seek veterinary help. The encouraging news? These issues usually have a cause, and better yet, a solution.

We asked our Bel Air, MD veterinary team to break down the most frequent litter box concerns, so you’ll know what to look for and how to help your cat get back on track.


Question: My cat is no longer using the litter box. Where do I start?

Answer: Begin with a health check. When cats stop using the litter box, it’s often because something’s hurting them. Urinary tract infections, kidney issues, or even arthritis can make urination uncomfortable. Visit your Bel Air, MD vet and consider a urinalysis to rule out medical issues before assuming it’s behavioral.


Question: Which medical conditions commonly cause litter box avoidance?

Answer: Several health problems can make cats avoid their litter boxes, including:

  • UTIs (urinary tract infections)
  • Feline lower urinary tract disease (FLUTD)
  • Kidney disorders
  • Diabetes
  • Digestive issues like constipation or diarrhea
  • Arthritis or joint discomfort

Warning signs like straining, yowling in the box, or frequent but unsuccessful attempts to go are serious—call your Bel Air, MD vet immediately.


Question: My vet says my cat is healthy. What now?

Answer: Once you’ve ruled out health issues, consider changes in your cat’s environment or daily routine. Cats are creatures of habit, and disruptions can lead to litter box refusal. Possible triggers include:

  • A box that isn’t cleaned regularly
  • Swapping litter types suddenly
  • Moving the litter box
  • Major life changes—moving, new pets, or houseguests
  • Tensions between household cats
  • Loud noises or disturbances near the box

Our feline friends are creatures of habit. Even small environmental changes can throw a cat off.


Question: How many litter boxes should I have in my home?

Answer: The general rule is: one box per cat, plus one extra. So, if you’ve got two kitties, provide three boxes. This helps cut down on territorial stress and ensures every cat has access.


Question: Does the litter I use make a difference?

Answer: Definitely. Most cats prefer fine, clumping, unscented litter. Strong fragrances or coarse textures like crystals can turn cats away. Always introduce a new litter gradually to help your cat adjust without stress.


Question: Where should I put the litter boxes?

Answer: Location matters. Choose quiet, easily accessible places. Don’t put litter boxes near loud machinery, in busy areas, or somewhere a cat might feel trapped. Senior cats especially need boxes on the same level as where they spend most of their time.


Question: Is there a certain type of box cats prefer?

Answer: Most cats like open, uncovered boxes—they offer good ventilation and visibility. Covered boxes may hold in odors and feel confining. The box should be roomy—at least one and a half times the length of your cat from nose to tail.


Question: How often should I be cleaning the litter box?

Answer: Cats are very clean by nature. You should scoop waste daily and thoroughly wash the litter box once a week using a mild, unscented soap. A clean box is key to encouraging proper use.


Question: I’ve tried everything, and nothing’s working. What now?

Answer: Try logging any accidents—note the time, location, and what was happening in the home at the time. Stress-reducing tools like pheromone diffusers or litter attractants may help. If issues continue, check back in with your Bel Air, MD vet. The sooner you get help, the better the outcome.


In Closing:

Litter box troubles are a headache, but they don’t have to be permanent. Whether it’s pain, stress, or a simple preference, most cats can be guided back to better habits with some time, attention, and expert support. And remember—this isn’t bad behavior. It’s communication.

Make An Appointment At Our Bel Air, MD Pet Hospital

We’re Here to Help If your cat is having litter box issues, give us a call. Our team can help diagnose the cause and recommend a plan that works for both you and your pet.

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