Thanks for reaching out with your question! It sounds like your kitty has a few health challenges, so it's understandable you're concerned about this new behavior. Cats often develop associations with where they feel most comfortable or safe doing their business, and changes in their environment or routine can sometimes cause them to seek out alternatives like pee pads.
With chronic kidney disease (CKD), your cat might be urinating more frequently or in larger volumes, which could contribute to this change in behavior. Arthritis can make it difficult for your cat to climb into the litter box, particularly if the sides are high. The heart murmur might also mean your kitty's energy levels and comfort are fluctuating.
At home, you could try offering a lower-sided litter box for easier access. Make sure it's in a quieter, easily accessible area to encourage its use. You might also try placing pee pads near the litter box to gradually transition your cat back.
Watch for signs like blood in the urine, straining, vocalizing in pain, or changes in appetite or behavior, which may signal the need for urgent veterinary care.
I recommend booking a video consult with one of our Dial A Vet professionals to discuss your cat’s health further and ensure there isn't an underlying medical issue causing this behavior. They can provide tailored advice and support for you and your furry friend.
June 27, 2025
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