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Cat peeing blood & accidents. Vet says stress, but is it FLUTD?

Updated On September 23rd, 2025

Pet's info: Cat | Mixed Breed | Male | neutered | 11 years and 8 months old | 15 lbs

My cat has blood in his urine and also keeps having accidents on the floor and in bed. We have had a physics exam, 2 urine analysis', and x rays done. Those came back negative and my vet said it's stress induced. But it seems more serious than that. Could stress be the cause of this or should I continue to seek a second opinion with another local vets office?

1 Answer

Most Helpful Answer

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Answered By Destini R. Holloway, DVM

Veterinarian

Published on February 5th, 2017

Your vet is right, this could very well be stress induced. It does seem that your vet has done the necessary screening tests to rule out some other common causes of symptoms like this. I don't know what your pets test results are specifically; however the only other test that could be ran be absolutely sure of the diagnosis, is an abdominal ultrasound. Salem may be suffering from a condition called Feline lower urinary tract disease (FLUTD), which causes blood in the stool and inappropriate urination in response to stress. This condition is typically managed with a diet change (Rx diet Urinary C/D multicare stress is my favorite to use in these cases) and sometimes anti-anxiety medication is needed. Here are some websites that also talk about environmental enrichment things you can implement in the home to de-stress your cat: indoorpet.osu.edu, jacksongalaxy.com Here is another website link that discusses FLUTD more in detail to inform you about this condition. http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=611 And again, if you feel that your pet is not improving with the diet change and other recommendations OR you want to make absolutely sure this is the proper diagnosis, then I would recommend getting that second opinion or requesting an abdominal ultrasound be done on Salem in the near future.

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