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Pam | 2 years ago
My 9 Year Old Potcake (probably Shepherd/lab/etc Mix) Has A Long History Of Lipomas, Which …

My 9 year old Potcake (probably shepherd/lab/etc mix) has a long history of lipomas, which grow fairly large. In late October of 2022 I found a lemon sized mass on the back of his right hind leg, which was not bothering him but was firm. Our vet in Ottawa ON is a VCA practice nearby; I was able to get an appointment the next day. The vet and I were both concerned at the location, size and consistency of the mass.

She recommended an xray of the limb and a chest xray to rule out cancer and metastasis as well as blood work. (all normal) She sedated him for the radiorgraphs and aspirated the mass multiple times with a presumptive diagnosis of lipoma. We discussed the fact that it was probably and inter-muscular lipoma, between the two muscles of the hind leg at the back . To remove it she advised a board certified surgeon elsewhere, who she said would want to do an MRI of the limb first to evaluate the extent of the mass in preparation for surgery. When I expressed concern about the cost she offered a surgeon at the VCA who is not board certified but who may be able to attempt a surgery without the MRI.

Since October the mass has grown, especially medially, and is now the size of a grapefruit. He is still not lame or uncomfortable when I feel the mass. I want to prevent problems for him with this leg but I also worry about the invasiveness of the surgery – and the cost, which I can’t afford right now. I am waiting and watching at this time. I worry about having the mass return even after surgery and wonder about removing the majority of it just to give him more comfort when moving – is it ok to wait until it gets bigger? I know that lipomas don’t tend to spread to other parts of the body like malignant cancer – this is why we took the xrays, to look for other signs of cancer in his body. Now i wonder if this was too soon, and should have waited on those tests.

2 Responses

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  1. Krista Magnifico

    Hello,
    Almost all of the lipomas hat I see are easily removed as they tend to form in a capsule that makes it easy to remove. Usually they can be shelled out without much if any bleeding and other than resolving the issue of left over dead space ( a drain might be needed) they heal quickly and easily. I have seen a few invasive lipomas that seem to form from within the muscle and are embedded within in the adjacent muscle. They do not shell out but often can be “debulked”.
    If cost is an issue see if you can find an independent veterinarian who is comfortable and proficient in surgery. I don’t think that many of these cases need or can afford an mri or boarded surgeon. At least in my cases I offer to try to remove and I usually know within a few minutes of surgery if this is going to be a routine lipoma surgery or something else. Talk about options cost and scenarios. Be available by phone while the surgery is taking place and know that it’s ok to both wait and monitor and look for affordable options. Lastly I would recommend you find an independent vet practice and avoid corporate practices as they tend to be more expensive and refer cases to specialists most people struggle to afford.

    I hope this helps.

    Good luck

  2. Pam Post author

    thank you for all of the advice, it helps a lot in decision making

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Mahesh | 2 years ago
Hi, My 1 Year Old Lab Was Taken For Neutering. We Were Aware That He Would Be …

Hi,

My 1 year old lab was taken for neutering. We were aware that he would be a crytorchild situation as his 1 testicle was not descended. VET did check for 2nd testicle by his abdomen incision but couldn’t find the other testis for a long time. N now recommending to go for a higher level ultrasound with a surgeon..to confirm if there is another testicle or not in the body. N then do the next procedure accordingly.

1. Is that possible to have just one testicle in Labrador dog?

2. If its hard to find the undecended testicle via ultra sound, can we take plan B – the visible n descended testicle is removed n then blood test is done in 4 -5 months for testosterone hormones in blood if anything changes to be sure if there is another testicle in body?

Youemf valuable inputs are much appreciated

Thanks mahesh

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  1. Krista Magnifico

    Hello?

    I am not a reproductive specialist. But I think your vet can ask their lab services rep about progesterone checks or go get an ultrasound or refer to a surgeon for help. These cases can be frustrating but it is really important to make sure a testicle was not left behind in the abdomen.

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Heather | 2 years ago
My Question Is About Urinary Crystals And Cat Blockage. I Specifically Want To Know About Jaundice …

My question is about urinary crystals and cat blockage. I specifically want to know about jaundice after surgery, but also to know if we should have done anything differently, we lost our little sweetheart a few days ago to urinary crystals.

Details: 4 weeks ago our little fellow, a 2-year-old neutered male, got worms. We brought him to the vet and, with medicine, successfully treated them. They stressed him, and he didn’t want to eat much, but the vet said this was normal. He seemed to get better, but a week ago started acting stressed again, not eating much, drinking very little, but still eating and drinking. Seeing his pee was not possible due to having 2 other cats (and not knowing what urinary crystals are, much less know what to look for)

We called the vet Friday morning, they told us he would probably need another dose of worm medicine, and scheduled an appointment for the following Monday. Keep in mind we had never heard of urinary crystals before, we thought he had worms again.

On Saturday evening, it became clear it was more than worms. He was lethargic, not going potty at all, and just wanting to lay down and close his eyes. We called the vet clinic which was closed, several other numbers for local cat places (adoption, care, etc) and could not get him seen but got the same phone diagnosis at every step, “probably a stomach tumor”.

It was 5pm Sunday before we got lucky, found an animal hospital 2 hours drive away, got a hold of an actual vet through their emergency number, and she agreed to open the hospital late on a Sunday and see him immediately for $1000. We got there at 7pm and by 7:15 he was in surgery to unblock him. She immediately knew what was wrong. His temp was already low, he was very weak and barely moving but alive.

The next morning, we found out he survived the surgery and was recovering with a catheter and IV fluids. The plan was to keep him in the hospital for 3 days and to let him come home if his pee was clear and his blood work for liver function was acceptable.

We got a phone call early on the second day telling us he was occasionally moving in his cage but wasn’t eating or drinking. She said he seemed depressed, and we could visit at 4pm to see if it perked up his spirits. It was the earliest time they could let us visit so we took it.

On our drive to see him, the hospital called us and said he wasn’t doing well. They asked if we wanted the blood work done immediately instead of on day 3 and told us he had become extremely jaundiced. During our visit he could only manage a couple of steps, so we held him, he was clearly exhausted and under the effect of pain medicine.

The hospital had taken the blood after the call and said his sugars were 3 times normal and other things “5 times normal”, and he was a deep greenish yellow in color around his ears. They brought him warm food but he was not interested. They explained organ failure and said his lungs would fail eventually, but he was breathing well.

In seeing us did perk him up a little, he focused on us, but he quickly faded again, preferring to lay down with his tongue out after 20 minutes. We didn’t want him to suffer and linger with no hope of recovering, and he was heartbreakingly euthanized at that point.

Again, I didn’t know anything about crystals before he went into surgery, and I have questions in case his brother, or any cat, is in that situation.

My questions are….
– Was the jaundice a terrible sign or could it have been from the IV fluid, exhaustion, surgery and lack of eating? IE was it normal after surgery, or recoverable?
– Given what I’ve described, should we have waited another day? Could it have been just needing more time to recover? Or is the jaundice and blood work at that point enough to know he’s fought all he can?

We just want to know more. We’re still in shock and miss him terribly, but we felt alone in making decisions, the hospital clearly didn’t want to influence our decision either way. We’re just not sure now that 24 hrs recovery was enough to make a decision, or how serious jaundice is when he didn’t have it pre-surgery/IV.

Any advice appreciated, we found this site via a YouTube video on urinary crystals. Thanks.
P.S. We aren’t second guessing or wanting to hear we did the right thing, it’s too late to help him, but we want to know more in case it helps another cat.

Also, the hospital took a deposit from us when we agreed to the $1000 fee, and said they would accept payments since there was no way to forsee this type of thing. They did seem caring and knowledgeable, but clinical, and would offer no advice on euthanizing or not. We felt alone with that specific decision…. and in hindsight aren’t even sure it needed to be made yet… or did it?

5 Responses

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  1. Krista Magnifico

    Hello,

    I’m sorry to hear about your cat.

    It sounds like there are multiple issues here and I don’t know how they are related. I don’t expect the crystals caused the jaundice. Most of the time I see the crystals because of poor diet or stress. Stress can be many many things. I suspect this was either a cat with underlying conditions like FeLV fiv or fip. Also I suspect the jaundice was either hepatic lipidosis or parasites.

    You sound like you really love your cat but never had a vet who was invested in your cats care. It is my biggest gripe in vet Med now. We don’t care for people who care about their pets. We need to do more in providing both care and advice.

    I am also very concerned about the vet who took the deposit and didn’t do pre op blood work. Or talk about the possibility of all of rhe things that can happen if there are underlying conditions or post op complications.

    I’m sorry for your loss.
    Dr magnifico

    1. Heather Post author

      Thanks for your time, I’ll try to keep it shorter.

      Yes, we loved him and his brother dearly from the day we found them in our barn, a couple of weeks old at best. His feral mom didn’t return, we watched with remote cameras. After bottle feeding him and weaning him to soft food, we got him dewormed, neutered etc. He seemed happy and normal in every way, clean bill of health.

      – The jaundice first appeared 24 hours after surgery to unblock him, and he’s never had it before.

      – The vet said the surgery was too urgent to wait for tests, and after surgery said testing was pointless until he was ready to leave. She ended up wanting it on day two when he got jaundice, so it did feel a bit irregular.

      That’s why I want to know more about what the jaundice meant. We really thought the jaundice and other signals + a bad test result was what the vet needed to know he was not going to recover.

      Was that normal with meds? Post surgery? After not having eaten much in a few days?… Or was it the terrible sign we thought it was? It’s so emotional to experience.

      We weren’t being told what we SHOULD do, but were asked to make a decision anyway. It’s so hard to do what’s best for him at that moment, especially with how things happened.

      We had to leave either way, the hospital was closing. Leaving him there alone for the night, in that condition, felt wrong. Bringing him home for the night felt like it might just make him suffer more. The IV couldn’t come with us she said, it’s illegal, but she would leave the catheter in if that’s what we choose.

      It was a “decide now” moment… and then he rolled to his side with his tongue hanging out, exhausted. It’s truly heartbreaking.

      We live in a rural community and the only licensed vet is over an hour away. The only local cat care is from a local donation based feral adoption service, run by a woman and a Facebook group of like-minded people, but without a full time vet.

      This happens strictly on donations to have a vet visit regularly. Resources are always stretched. Spending lots on one cat means little is available for others. I get that, but we were willing to pay.

      What we did is what people usually do at that point, she said, but we don’t care about that, we wanted him to live. Did we do the right thing? It’s too late to help him, but an answer may help another cat in the future.

      As you said, premature end of life for avoidable reasons is such a needless loss.

      I did call the hospital to ask about the jaundice afterward, what it meant, and was told it was his organs failing and cells breaking down. Again, not technically wrong, but of no help to a non-vet to decide if it’s time.

      I can answer any specific questions you might have.

      Thanks again.

      1. Heather Post author

        About hepatic lipidosis, he was a fit 2.5-year-old cat that passed away at 12.8 lbs and had been exactly 13 lbs a month earlier when he was given worm medication.

        He was solid, lean and strong in appearance, like most young cats. He was a long-haired male cat often called a Tuxedo, if breed matters.

        I wouldn’t describe him as anorexic, though he had stopped eating as much 3 weeks prior, and stopped eating at all 3 days prior. He didn’t have kidney stones, but it was enlarged at the time of his blockage surgery.

        He also had crystals in his bladder. She showed me a picture of it opened up with pink colored crystals, which seemed to have worried her more than anything else.

        He did pee afterward, and the color was good, but it got dark a day later when jaundice set in.

        I’m not sure what else might give you a clearer image, but I can find out, I feel like he still had hope. Also, she wanted to know what specific food brand we had been giving him because he was the 4th complete blockage that week, which is a lot in her practice.

    2. Heather Post author

      Sorry for the triple response, more information. He was given warm wet food after surgery and didn’t touch it. He hadn’t eaten for 3 days prior, and hadn’t been eating much since he started showing what we thought was worm related behavior, or about 2 weeks before that.

      Would it be normal to see jaundice appear in an already exhausted cat AFTER surgery, if likely hepatic lipidosis was not treated immediately by feeding him nutrients through a tube? It all seems to have progressed so quickly.

      He was never given a feeding tube, and in hindsight, I don’t see how he could have been expected to take a bite and swallow, he was too weak.

      The jaundice though, it was entirely absent pre-surgery and extreme 12 hours later. I can’t help but feel it was not a sign of the end but a sign of hurry up and do…. ??

  2. Heather Post author

    Closure – When he was diagnosed with worms, the vet missed that he also had urinary crystals forming, likely from being stressed. The change in behavior was attributed to the worms, and we didn’t know until it was too late.

    A lot of things went wrong, obviously.

    We’ll never know if a young male cat could have survived through the jaundice, after an unblocking surgery, with bloodwork showing levels 5x too high and not an ounce of energy left in him.

    The grieving has been difficult through the sense of guilt for not having been able to figure things out in time. I don’t believe in ghosts, but regular activities trigger memories of when he’d join in or watch… which is like a ghost, but the memories bring smiles too.

    He touched our lives in such a meaningful way that he’ll never be far from our thoughts, still bringing those smiles.

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Lara | 2 years ago
Hi All !! I Have A 1 1/2 Year Old , Female Chinese Crested . I Have Had Her About Six …

Hi All !! I have a 1 1/2 year old , female Chinese crested . I have had her about six months now and she’s been in great health and super happy and active . Saturday am , she went out and came back in a little while later limping on her back left leg . I checked her out and couldn’t see anything that would have caused it , so I had her lay down in her crate for about 2 hours. When I went to let her out , she couldn’t get out of the crate and soon I a realized that she could not use her back two legs at all !! I was so shocked ???? and just couldn’t believe how this could happen?!? Got her into the vet and he said she had absolutely no feeling in her lower half ???????? He said that he believes she had IVDD and we need to go to a neurologist for blood and X-rays to rule out anything else . We called two different places 1-2 hours away . One wouldn’t even tell us how much a visit was or bloodwork or X-rays or anything. The other place told us that if she had no feeling that we’d be wasting out time on bloodwork and X-rays , because it won’t change anything and she’ll be like this forever ???? I am so distraught and have been googling and watching YouTube videos on IVDD . I found Dr Krista Magnificos YouTube channel and all her videos on IVDD . I am
Praying that there is some kind of hope that my girl will be able to walk again. I would love any and all advice in this situation and I would love if Dr Krista herself could help me with this !! Thank you so very much !!

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  1. Krista Magnifico

    Hello,

    I think we already saw her. Right? I’m so sorry. Some how this one slipped through my inbox.

    I have tons of info on my blog and YouTube channel.

    Most of all I urge people to never give up hope. Ever. And keep looking for a vet who will help you.

    Please call me at the clinic if you need anything.
    Krista.

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Ren | 2 years ago
My 3 Yo Male Nuetered Tuxedo Cat Kenobi Was Diagnosed With FIC By The ER DVM Yesterday …

My 3 yo male nuetered tuxedo cat Kenobi was diagnosed with FIC by the ER DVM yesterday with no blockage. He is peeing just a dime size at a time. Should I also give him Apple Cider Vinegar as his PH was 7.0 ? Other than his urinary levels, red blood cells in his urine, struvite crystals, his blood work was good with no infection. The ER DVM gave him ; Buprenorphine, Prazosin, & Gabapentin. We have changed his food to all wet Royal Canin Urinary SO from mainly kibble with some wet. We think the stressor was the absence of our 19 yo tabby Tinkerbelle we had to help cross over 2 weeks ago. Should I get Kenobi a companion kitten to replace Tinkerbell? We also are buying a water foundation as he does not drink water enough.

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  1. Krista Magnifico

    Hello,
    I would ask your vet about the following;
    Giving sq fluids at home daily, adding a short course of a steroid and the latest opinion on prazosin’s efficacy. (I don’t use it).
    Also I don’t use vinegar.

    These are a matter of experience and preference. Therefore please ask your vet or find a feline only practitioner to help.

  2. Ren Post author

    Thank you for your reply. Ill ask but given this study I don’t see why she would.
    Summary
    CLINICAL RELEVANCE
    Prazosin administration increased the likelihood of rUO by 14 days; ongoing investigation of other therapies to decrease rUO in cats is warranted. Without specific indications, the use of prazosin for the prevention of rUO should be discouraged.
    Link
    https://avmajournals.avma.org/view/journals/javma/260/S2/javma.21.10.0469.xml
    He is doing better this AM and has had at least 2 large urine eliminations during the PM, one I would consider normal. the other the size of a gold ball ( litter clump) We administered 1/2 teaspoon of H2O and ACV orally x2 last night. 1x this am. along with prescribed meds. He is running around to get to food bowl , face rubbing, purring, jumping on the bed, acting like his old self . I plan to continue to water his wet food. He does not seem to drink well. We have bought a fountain to encourage water consumption. He likes to drink directly from the tap so maybe that will work.

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Carol | 2 years ago
I Think My 2 Month Old Foster Kitten Has A Nasal Polyp. I’m Working With A …

I think my 2 month old foster kitten may have a nasal polyp. I’m working with a vet who doesn’t think she has a polyp because he says she’s too young to have one. We’ve tried a couple of antibiotics and nothing has worked yet. Her breathing is getting louder and she breathes with her mouth open while holding her head up when she sleeps. I had 2 other kittens last year that had polyps with the same symptoms. After 5 months of trying to treat the congestion with antibiotics, during spay surgery, both were found to have very large polyps. I don’t want to wait that long with this little one.
Do you think it is possible for a 2 month old kitten to have a polyp? If so, what is the earliest age for exploratory/removal of the polyp? Thank you!

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  1. Krista Magnifico

    Hello
    I don’t think being too young is a reason to not look for one. I know many rescues and shelters who spay and neuter this young.

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Tammi | 2 years ago
I Have Two Dogs Who Made “friends” With A Skunk About A Week Ago. I Have …

I have two dogs who made “friends” with a skunk about a week ago. I have bathed them in hydrogen peroxide, baking soda, dawn dish soap. Also had the bathed at the groomer and then bathed them again at home with Skunk Out shampoo. The still smell but not too badly. What seems to really stink is when they open their mouths. I use Fresh Dental in their water with limited success. Any other suggestions?

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  1. Josaph

    You can use traditional methods like putting cardamom or fennel seeds in his mouth. This is a temporary solution. I hope this will be helpful. Lemon or vinegar can also be helpful.

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ANA ANGELIKA | 2 years ago
My Cat Is Currently On The Hospital For Confinement, He Has UTI And Is Not Fond …

My cat is currently on the hospital for confinement, he has UTI and is not fond of water these days. How can I engage him into drinking water and not forcefully feed him water?

PS: I already have water fountain on the way but I’m not sure if he’ll get comfy on drinking there and if there are any other ways to make him drink water

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  1. Shiria

    Hello,
    Does he eat wet or dry food? If he eats wet food you can add a little bit of water to every portion.
    My cat didn’t drink out of her water bowl… possibly because it was too close to her food bowls. But she started drinking out of my water cups/glasses… so I placed some for her in the rooms and she uses them.
    I have a fountain too, but it is only used when I clean her cups.

    Otherwise you can use things like the water that’s left when you cooc chicken and there are also special fluids for cats with UTIs. (I think from Royal Canin?)

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Jenn | 3 years ago
My 9 Yr. Old Megacolon Cat Eli Wasn’t Able To Poop. It Happens Sometimes. He’s …

My 9 yr. old Megacolon cat Eli wasn’t able to poop. It happens sometimes. He’s on Cisapride and Merilax daily, but he still get’s backed up. When he started vomiting after not being able to BM and jumping out of the litter box I took him to the vet. They did an enema on June 20th. He’s still backed up! I can’t afford 1k plus to have a vet manually extract the feces (this is Washington, DC area – everything is very expensive!). He hasn’t started throwing up again, but he’s not eating much and I need to find out if there is something I can do more at home to get him through this emergent time. I can’t just watch my cat suffer. I have Pedi lax, but don’t know if that would help or hinder at this point. I watch videos on palpitating the colon to try and break up the feces. I know there are specific enemas to give cats at home. Is it too late to try this? My vet is frankly bad and too busy to bother, so she said to just go to the emergency. It sure seems like there are other steps that can be taken ,,,at least I hope so becuase I just don’t have that kind of money left with the cost for caring for my hospice Husky, Loki. Help!

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  1. Krista Magnifico

    Hello,
    For these cases I talk a lot with owners about trying to identify the underlying cause. Often it is poor diet and sedentary life but there are also diseases and illnesses that can contribute. If able start to learn how to palpate your cats colon and feed watery wet food and use the fiber supplements and laxatives. Exercise is also very important. For these cats we start training in a harness to go outside for walks. I feel that if you don’t increase environmental enrichment and stimulation they won’t start moving.
    But before all of this you have to remove the obstructive feces. This often needs a vets help. Call rescues and shelters and keep asking for affordable help.

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Herd | 3 years ago
Household “accidents”, Need Advice, Please!! I Have 3 Cats, 3 Dogs, And A Toddler Human. In The Past …

Household “accidents”, need advice, please!! I have 3 cats, 3 dogs, and a toddler human. In the past few months my two youngest “house trained” dogs (9 & 5 yrs) and my youngest cat (4 yrs) have been purposely relieving themselves in different parts of my house. The dogs poop/pee on the floor, in the past month they began peeing on my couch, it’s gotten so bad I have to keep them in crates most of the time they’re inside. The cat will pee on my toddlers belongings – first on clothes in his laundry basket (which is now inside a closet) and on his stuffed animals (which I had to hide in a bin), now has resorted to peeing on any accessible hard plastic toys. If I put the cat in a kennel she uses the litter box 100% of the time, once releasing her she’ll behave for 1-2 days then starts up again. The dogs will have “accidents” within 10 minutes inside after being outside for 30-60+ minutes. I have 3 litterboxes, each with a different kind of litter, all clean, no diagnosed medical issues (taken all 3 to the vet twice since this started $$$). My oldest dog has been going through dementia for the past year, it’s getting worse but not yet at the point of euthanasia. I started preparing to move the past 6 months, house is almost done being packed/cleared. I’m not sure which/both/none are triggers for them acting this way. All of them have moved with me before and they never did this on previous moves. Vet prescribed multiple anxiety meds which are not helping at all, they have no other solutions to offer. Ironically my 14yr old dog with dementia barely ever has accidents in the house. Personality wise they aren’t acting any different. Messes are thoroughly cleaned immediately and they don’t even bother to do this secretively, all 3 seem to purposely do it right in front of me. The situation is driving me to my wits end, I really need help 🙁 Besides keeping them all in crates I have no other solution. Does anyone have insight to what I can do? Thanks so much!

1 Response

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  1. Krista Magnifico

    Hello,
    In cases of inappropriate urination we always start with looking for a medical reason and start addressing the behavior possibilities. That means every animal urinating outside the box or inside in unwanted areas gets an exam and a urine check. It might be that one has a urinary issue and is soiling and the rest are following the same behavior because the area now smells like a place to pee. You have to clean so thoroughly they can’t smell residual urine (and remember their noses are so much better than ours!)
    Also rhe stress of moving might be contributing. Or even the stress of the other dogs dementia might be a contributor. I use a lot of calming agent like feliway and DAP and add more litter boxes. Different kinds of litter and even try different kinds of litter. Try not to get angry at them. They think they are doing something completely appropriate and never do anything to make you upset or for spite. (Only humans do those things). If all of that fails you can try an oral behavior modification medication. They have worked well in many cases I have had.