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My cat poops outside the box, has dry skin, and vomits. What's wrong?

Updated On September 23rd, 2025

Pet's info: Cat | Russian Blue | Male | neutered | 4 years and 11 months old | 14 lbs

Hello. My Cat is 4 years old. Since a kitten, he has been pooping outside of the litter box occasionally, had had extremely dry, flaky skin & vomits regularly. I've tried everything when it comes to the litter box.

1 Answer

Most Helpful Answer

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Answered By Amber W

Veterinarian, Certified Veterinary Acupuncturist

Published on December 11th, 2017

Inappropriate elimination (peeing or pooping outside the litter box) in cats can be frustrating and difficult to treat. If you have tried a lot of different things to correct the issue then it's definitely time to have Captain Jack examined by a veterinarian. During this examination his skin can be evaluated and, if necessary, testing or treatments can be started A lot of times a cat will start going outside of the litter box due to health problems like urinating tract infections, pain, urinary tract inflammation and digestive problems. Once you have established that there aren't any medical reasons for inappropriate elimination the following may be helpful: 1. Cats will urinate or defecate outside of the litter box for stress related reasons. Therefore it is best to keep the litter boxes in several different, quiet areas of the household. 2. A pheromone diffuser like Feliway can be quite helpful. 3. Ensure you have at least one litter box in the household per cat plus one. For example, if you have 3 cats, then 4 litter boxes are recommended. 4. Feeding an all canned food diet can help if there is inflammation in the bladder. There are also prescription diets available to help with bladder inflammation or digestive issues. Your veterinarian can help you choose the best one for your cat. 5. The litter boxes should be cleaned once to twice daily and completely emptied and washed weekly. Most cats prefer litter to be the clumping type that is kept a few inches deep. Certain litter types like Dr. Elsey's Cat Attract litter may be helpful. 6. If you are still having problems after taking the above steps you may want to talk to your veterinarian about behavioral medication. This article may be helpful to you: https://www.petcoach.co/article/5-common-litter-box-mistakes/ Thanks for using PetCoach and good luck!

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