!Header Logo

Cherry Hill Dog & Cat Hospital

!Give us a call button

Give us a call! 410-398-1331

!Social Media Icons

!Call Icon

Ask the Expert: How to Tackle Litter Box Problems with Your Cat

February 1, 2025

Has your cat recently started avoiding the litter box or leaving messes around the house? You’re not alone—and you’re not out of options. Litter box trouble is one of the top concerns cat owners bring to their veterinarians. But the good news? These issues are often solvable once you understand what’s behind the behavior.

We spoke with our experienced Elkton, MD veterinary team to bring you expert insights into common litter box problems—what causes them, what to watch for, and how to help your feline friend return to good habits.


Q: My cat is suddenly going outside the litter box. What should I do first?

A: Always start with a vet visit. Many litter box problems are linked to medical conditions like urinary tract infections (UTIs), arthritis, or kidney disease. Cats may associate the box with discomfort and start avoiding it. Take Fluffy to our Elkton, MD pet hospital as soon as possible. A full exam and urinalysis can help rule out underlying health issues.


Q: What are the typical medical causes of litter box problems?

A: Health issues that may cause litter box avoidance include:

  • Urinary tract infections (UTIs)
  • Feline lower urinary tract disease (FLUTD)
  • Kidney problems
  • Diabetes
  • Constipation or diarrhea
  • Arthritis (making box access difficult)

If your cat is straining to pee, vocalizing in the box, or going frequently with little result, treat it as an urgent situation and call your Elkton, MD pet hospital immediately.


Q: My cat is healthy—what else could be the reason?

A: Cats are very sensitive to changes. Behavioral and environmental factors often play a big role. Common triggers include:

  • A litter box that isn’t cleaned frequently
  • Switching to a new litter type
  • Moving the litter box to a different spot
  • Stress from changes like moving, new people, or pets
  • Tension between cats in a multi-cat household
  • Loud or scary appliances near the box

Even minor disruptions can lead a cat to reject their litter box.


Q: How many litter boxes should I have?

A: Follow the “one box per cat, plus one” rule. For two cats, have three litter boxes. This reduces stress and gives each cat options, especially in shared spaces.


Q: Does litter type matter?

A: Absolutely. Most cats prefer soft, unscented, clumping litter. Heavily scented options or crystal/pellet styles can be uncomfortable. When switching litters, introduce the new type slowly by mixing it in over several days.


Q: Where should litter boxes be located?

A: Choose quiet, accessible spots without a lot of foot traffic or loud noises. Don’t place litter boxes next to washers, dryers, or in places where your cat might feel trapped. Senior cats should have boxes that don’t require climbing stairs.


Q: What type of litter box is best?

A: Most cats prefer open-top boxes, which allow better ventilation and visibility. Covered boxes can trap odors and make nervous cats uneasy. Also, size matters—make sure the box is 1.5 times the length of your cat from nose to tail.


Q: How often should the litter box be cleaned?

A: Scoop daily and deep-clean the litter box weekly with mild, unscented soap and water. A dirty litter box is one of the top reasons cats start to be eliminated elsewhere.


Q: What if my cat still refuses to use the litter box?

A: Keep a log of when and where accidents happen. Look for patterns and possible stressors. You can also try litter attractants or calming aids like Feliway diffusers. Still stuck? Talk to your Elkton, MD vet—early intervention often leads to better outcomes.


Final Thoughts:

Litter box problems can be frustrating, but they’re usually solvable. Whether it’s a health issue or an environmental tweak, solutions exist. Remember: your cat isn’t misbehaving to be difficult—they’re trying to communicate something.

Need Help Solving Your Cat’s Litter Box Dilemma?

We’re here to help. Contact our Elkton, MD clinic today to schedule an exam or get personalized advice for your feline friend.

!Single Blog Social Sharing Icons

Keeping Fido Fit

Is your dog an active, super playful pup? Or is Fido more of a couch

Acupuncture for Pets

Here at Cherry Hill Dog & Cat Hospital, we provide cutting-edge veterinary technology as well
1 2 3 10