Why is my cat still peeing outside box and pawing her mouth?

Question

Cat was treated with antibiotics a month ago for UTI because of urinating outside litter and some blood in urine. She is still urinating outside litterbox, she is also losing weight, constantly grooming/scratching, she won't move from cat tower except to eat or drink but then paws at her mouth while/after chewing. Her blood work came back perfect. Vet wants to recheck her urine but I can't get an appt for a few more days. What could it be? tired of spending more $ with no answers. Pet's info: Cat | American Shorthair | Female | spayed | 15 years and 4 months old | 7 lbs

Karly Macon, DVM, MS, CVA Certified Veterinary Acupuncturist · Accepted Answer

Cats can have chronic urinary tract infections, stones, bladder cancer, or any number of issues causing them to urinate outside the box even after treatment. Sometimes this is very frustrating to treat. I am concerned that she is pawing at her mouth, as this usually indicates severe dental disease or oral infection (stomatitis), both of which being very painful conditions. If she has not had a full oral examination, she needs this to address whatever is going on in the mouth. She probably needs to have her urine cultured as well if she seems to have an infection that is unresponsive to antibiotics.

Why is my cat still peeing outside box and pawing her mouth?

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