Eye contact is an important part of communication for many people. Face-to-face meetings are thought to be more productive – participants are able to take note of the nuances of facial body language.

It is not surprising that our pets also communicate with us by sight – watching what we do and how we respond to situations. Dogs are well-known for looking and watching us but recent studies show what many cat owners already know – your cat is watching you!

Cats communicate with gaze


One study showed that cats avoid the gaze of a familiar human but another found that cats ate more food offered by humans who gazed at them while calling their names compared to just calling their names (Reference 1).

Cats are able to follow a human’s gaze to obtain food – they watch you turn your head and follow your line of sight as you put the food bowl down. Cats will also follow a human pointing a finger at a container with food (Reference 2).

Cats communicate with Gaze


Dogs are known to attract a human’s attention and direct it toward an object or another person or animal. They do this by first gazing directly at the human in question, then switching their gaze to the object. When confronted with a toy or food that they can’t access, they also alternate their gaze between the human and the hidden toy/food, “requesting help” (Reference 2).

Most evidence indicates that cats have not been found to gaze at humans to acquire the desired food/toy. They will use cues provided but will not “ask” for these cues like the dog with his meaningful stare (Reference 1).

However, a recent study found that cats would look back and forth from the owner to a treat box they could not open. These cats had an acclimation period of 3 days and a training session at the laboratory the day before testing. Caregivers were put into one of two groups: “attentive” and “inattentive” (Reference 3).  Cats with “attentive” caregivers looked to their caregivers earlier and more frequently than those with “inattentive” caregivers.  Cats with “attentive” caregivers were more successful than the other cats.

Cats also have been found to follow our lead as to whether a novel or strange object is safe.  A study used a fan with ribbons streaming from it when turned on as a novel object (Reference 4).  The owners were divided into two groups: one group was instructed to have a “happy expression” and behave calmly with regard to the fan while the other group was told to be “worried” and leery of the fan with its ribbons.

The cats in the “worried” group sought the escape route in the room earlier than the “happy” group, indicating that the cats changed their behavior in response to the emotional message of their owners (Reference 4).

cats communicate with gaze – Emotional Behavior


Other research has analyzed video clips of cats using a system that identifies cats’ facial expressions (CatFACS) and found the following links between gaze and feline emotions (Reference 5).

  • Blinking and half-blinking are associated with fear.
  • Cats often turn their heads and look to the left when anxious.
  • Cats will turn their heads and look to the right when relaxed.

Cat with half-closed eyesthe slow blink


The feline “slow blink” has been likened to a smile; the meme “i slow blink you so much” infers that the “slow blink” is a sign of affection, of positive feelings. It is interesting that the “slow blink” is associated with fear (see above) – after all, cats are more likely to approach an unfamiliar human who has “slow blinked” them (Reference 6). 

At the National Cat Adoption Centre in Sussex, UK, researchers found that cats who blinked back at humans who slow-blinked them were adopted more quickly. These cats tended to be more nervous around humans but gave longer slow blinks in response to human slow blinking (Reference 6).

  • A genuine human smile is one that reaches and wrinkles the corners of the eyes. Perhaps, cats who slow-blink seem to be smiling as they narrow their eyes – they may appear happier and potentially friendlier to prospective adopters.
  • Here’s another thought – nervous cats may view slow-blinking as a way to interrupt a tense, unbroken stare and redirect potential aggression and avoid physical conflict (Reference 6).

Cats communicate with gaze, responding to humans gazing at them and returning the gaze.  They also watch where their owners are looking and pointing to.  There is evidence that cats will look to humans when they cannot access food that they are seeking and will change their behavior in response to  emotional cues from their owners. Gaze gives us another way to communicate with our cats.

references

  1. Koyasu H, Kikusui T, Takagi S and Nagasawa M (2020), The Gaze Communications Between Dogs/Cats and Humans: Recent Research Review and Future Directions. Front. Psychol., 17 December 2020 Sec. Comparative Psychology Volume 11 – 2020 | https://doi.org/10.3389/fpsyg.2020.613512
  2. Péter Pongrácz, Julianna Szulamit Szapu, Tamás Faragó,
    Cats (Felis silvestris catus) read human gaze for referential information,Intelligence,Volume 74,2019,Pages 43-52,ISSN 0160-2896,
    https://doi.org/10.1016/j.intell.2018.11.001.
  3. Zhang, L., Needham, K.B., Juma, S. et al. Feline communication strategies when presented with an unsolvable task: the attentional state of the person matters. Anim Cogn 24, 1109-1119 (2021)
  4. Merola, I., Lazzaroni, M., Marshall-Pescini, S. et al. Social referencing and cat–human communication. Anim Cogn 18, 639–648 (2015). https://doi.org/10.1007/s10071-014-0832-2
  5. Valerie Bennett, Nadine Gourkow, Daniel S. Mills,
Facial correlates of emotional behaviour in the domestic cat (Felis catus), Behavioural Processes,Volume 141, Part 3, 2017,Pages 342-350, ISSN 0376-6357, https://doi.org/10.563390/ani101222
  6. Humphrey, T.; Stringer, F.; Proops, L.; McComb, K. Slow Blink Eye Closure in Shelter Cats Is Related to Quicker Adoption. Animals 2020, 10, 2256. https://doi.org/10.3390/ani10122256

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The idea of being able to talk to animals appeals to many people. The famous Dr. Doolittle, the central character in a series of children’s books, preferred animals to people and was able to talk to animals in their own languages. Nowadays, there are people who bill themselves as animal communicators and will “talk” to your animal for a fee.

It is not uncommon in western cultures for people to talk to their pets (in human language) and some scientific studies indicate that your cat or dog is listening to you. But do they understand what you are saying? Should you talk to your cat?

If you don’t talk to your cat, who will?


Cats Recognize Their Owners’ Voices


A 2013 study observed cats’ behavior to voice recordings of strangers followed by those of the their owners. The cats showed a stronger response (ear movement and head movement) when they heard their owners’ voices. (Reference 1).

Cats Learn the Names of Their Companion Cats


Still another study measured the response of house cats to the spoken names and pictures (on a computer) of familiar cats in their environment. In a second experiment, the house cats were presented with spoken names and pictures of human members of their household. The house cats were able to match their companion cats’ names and faces and to a lesser extent, matched their human family members’ names with faces (Reference 2).

Cats Know When Their Owners are Talking to Them


A 2023 study found that cats reacted more quickly to a human experimenter (stranger) using a visual cue or a combination of visual and vocal cues than vocal cues alone (Reference 3).  A later study found that cats discriminated between speech directed to adult humans (Adult Directed Speech or ADS) versus speech directed to themselves (Cat Directed Speech or CDS) when spoken by their owners – they did not distinguish between ADS and CDS spoken by strangers.  These findings indicates that cats may put more emphasis on vocal cues with familiar humans but favor visual cues with strange humans. 

How do We Talk to Our Cats?


When talking to pets and young children, people tend to speak more distinctly, use shorter phrases and sentences, and repeat things more often. Charlotte De Mouzon found that both men and women speak in a “higher” voice (higher pitch) in CDS compared to ADS (Reference 3).

Should you Talk to yOur Cat?


Cats respond to people, particularly their caregivers, talking to them.  Cats appear to know their own names and possibly those of the humans they live with.  Talking to your cat helps establish a relationship that is unique to you and your cat.

The jury is still out as to how much of what we say can be understood by our cats but cats can be trained to perform a given behavior in response to a verbal cue. When working with cats, I tend to default to a combination of verbal cues and hand gestures, although recently I have been verbally labeling more and more of what I do with my cats as I am doing it. For example, I have been naming their head and shoulders as I put on their harnesses to prepare for going out for the morning walk.

This seemed to pay off the other day when I was shaving my Maine Coon, Zelda. I touched her right side and told her if she would lay on her side, then I would give her some Churu treat. She laid down on her right side and then, looked up  meaningfully at the Churu I had in my hand. Time to pay up!

Scientific studies indicate that cats recognize their owners’ voices and possibly the names of other humans in the household.  Vocal communication may be part of the closer cat-owner relationship while cats favor visual cues when interacting with strange humans.  So, talk to your cat in whatever language you speak – your cat is listening!

references

  1. Saito A, Shinozuka K. Vocal recognition of owners by domestic cats (Felis catus). Anim Cogn. 2013 Jul;16(4):685-90. doi: 10.1007/s10071-013-0620-4
  2. Takagi, S., Saito, A., Arahori, M. et al. Cats learn the names of their friend cats in their daily lives. Sci Rep 12, 6155 (2022). https://doi.org/10.1038/s41598-022-10261-5
  3. de Mouzon, C.; Leboucher, G. Multimodal Communication in the Human–Cat Relationship: A Pilot Study. Animals 2023, 13, 1528. https://doi.org/10.3390/ani13091528

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A cat and dog relax together

Although the expression “fight like cats and dogs” refers to people who are always arguing and fighting, cats and dogs can coexist in peace and harmony.  A slow, gradual introduction provides a foundation for positive and predictable interactions between dogs and cats.

The owner’s role in introducing dogs and cats


Slow, Gradual Introduction – Off to a Good Start


It is wise to be pro-active when introducing dogs and cats.  There are two styles of introductions (Reference 1):

Owner-led introductions

  • Owner uses strategies that prevent dogs from being aroused around the cat.
  • Strategies include distractions such as food treats and encouraging calm behavior.

Pet-led introductions

  • Owners put the pets together expecting them to “work it out”.
  • Behaviors indicative of stress in cats (aggression toward the dog, vocalization, hiding) are common.
  • Risk of injury to either pet is more likely.

How to Lead when Introducing Dogs and Cats


Introducing dogs and cats is surprisingly similar to cat-cat introductions in terms of swapping scents, no visual contact initially, and supervised visits with a barrier in between.  Experts recommend a multi-stage process rewarding both the cat and the dog for calm behavior (Reference 2):

Stage One – the New Pet Arrives

  • Set up a dog zone and a cat zone before bringing the new pet home
  • Allow the resident pet to become comfortable in his or her “zone”.
  • “New” cats do better if confined to a small space initially (see Moving with Your Cat).
  • Keep the dog and cat separate at first for a few weeks. Exchange bedding daily during that time so that each animal gets accustomed to the other’s scent.

It takes a dog about 3 weeks to destress and start settling into their new home and new routines (Reference 2).

Stage Two – Initial Visitations

  • Have two people – one to manage the cat and one to manage the dog.
  • Always use a barrier between the two pets.
  • Don’t force the cat to come to the barrier – wait until he is resting somewhere you can bring the barrier and the dog to him.
  • Consider using a free-standing accordion-style baby gate as a barrier.
  • Allow the cat to leave the area if he/she desires.
  • Have the dog on a leash.
  • Reward calm behavior by both pets with tasty treats.

Stage Three – Intermediate Visitations

  • Remove the dog’s lead and continue to use the barrier.
  • Reward the dog and the cat for calm behavior.

Stage Four – Advanced

  • Remove the barrier but keep the dog on a leash.
  • Continue to reward both the cat and the dog for calm behavior.
  • Gradually increase the duration of the face-to-face time as long as both pets are calm.
  • Be sure to supervise the dog and cat when the leash is removed.

Always make sure the cat has escape routes to safe places – these can be high cat trees, cat flaps in doors to closets or other rooms, the tops of bookcases or high closet shelves (Space Cats Vertically).

This cat can CHOOSE to go higher or to another room if he wants to avoid strange people or animals.

 

Remember that it is natural for dogs to chase cats – buried under the layers of domestication is an animal that chased down small prey to eat and survive. It is also natural that cats will run when threatened by a large predator, trying to reach a safe zone, like a tree.  In Owner-led introductions, the chase sequence is interrupted. These introductions tend to be more successful than pet-led introductions.

 

 

Rewarding calm behavior


When your dog first sees the cat, click (if using a clicker) or say “good” and see if he will take a treat. If he  is whining, barking, stiff, tense or staring at the cat, walk him away from the barrier until you reach a distance where he is relaxed and calm. Reward him with a treat when calm.

Watch your cat for signs of stress – if she is crouched and slinking away, hissing, growling, try to lure her to a place where she is more comfortable, say a high cat tree, where she can observe the newcomer from a safe place. Reward with a high value treat.

Introducing dogs and cats can take weeks to months, depending on the pets.  After your new dog or cat is settled in, you can start slow, gradual introduction. Be sure to monitor the pets’ body language and don’t hesitate to return to an earlier step if things are not going well.

 

A Useful Behavior

Dog owners will find it useful to teach their dogs to ignore food on the ground, other dogs, and small animals (such as cats). This is a useful behavior when introducing dogs and cats.

“Leave It!” is more than just having the dog ignore the food or other animal. One of the key points in this behavior is when the dog focuses his/her attention on you instead of the food or other animal. He is looking to you for guidance.

This behavior is trained in stages but usually starts as follows (Reference 3):

  • Place a treat on the floor and put your hand over it.
  • Have a higher value treat behind your back or in your pocket.
  • Your dog will most likely try to get the treat, sniffing and pawing at your hand.
  • Say “Leave It!”
  • When she stops trying, click with a clicker or say “good”.
  • Offer a higher value treat as she looks up at you.

This behavior can be generalized to include small animals, people or other dogs. In the case of introducing dogs and cats, you can use “Leave It!” to direct your dog’s attention away from the cat to yourself.

references

  1. Kinsman, R.H.; Owczarczak-Garstecka, S.C.; Casey, R.A.; Da Costa, R.E.P.; Tasker, S.; Murray, J.K. Introducing a Puppy to Existing Household Cat(s): Mixed Method Analysis. Animals 2022, 12, 2389. https://doi.org/10.3390/ani12182389
  2. Introducing Your New Dog to an Exisiting Cat. December 5, 2023. https://www.battersea.org.uk/pet-advice/dog-advice/introducing-your-new-dog-existing-cat. Viewed 4/2024
  3. Gibeault, Stephanie. “Leave It” Command: Training Your Dog to Ignore Food and Other Items.  March 14, 2024. https://www.akc.org/expert-advice/training/learning-the-leave-it-command/.  Viewed 4/2024.

“Moving with Your Cat” was originally published 9-26-21. This newer version has been updated and contains additional information.

Moving to a new home is stressful even when everything goes right! Imagine how confusing moving is to our cats – the boxes are fun when empty but soon they fill up with things and your cat can no longer jump in.

 

From the Feline Purrspective…


The bed you used to siesta on gets bagged up and taken away by strange humans. Your world seems to be coming to an end. Will you have enough to eat? Will you be safe from predators? Where can you hide?

Cats are territorial animals. An outdoor cat’s home range is the maximum area he roams and hunts in. Within the home range is a smaller area that the cat will actively defend – his territory. Inside this defended area is a smaller area called the “core territory”, where the cat can rest, has shelter, and feels safe from predators and other cats. Moving with your cat removes him from his core territory – the house or apartment he lives in.

How can we communicate safety and security to our cats when we move? Somehow, we cat owners have to provide what our cats need even though we are no longer “at home”.Needs of Domestic cats

What our cats need:

  1. Resources : food, water, litter box, shelter
  2. Safe access to resources
  3. Belonging: territory
  4. Human interaction: predictable
  5. Playtime: predatory behavior

Moving with Your Cat

Getting ready


  1. Resources: Stock up on your cat’s preferred litter and food – if you are traveling by air, perhaps you can ship some of this to your new address.
  2. Safe access to resources: Create a “safe place” for your cat. When moving with your cat, this will most likely be her carrier.  Make sure your cat is comfortable in her “home away from home”.  In the weeks leading up to the move, leave it out for her to explore and nap in. Consider feeding her meals in it.
  3. Set up a “mobile” territory: A lot of cat communication is by smell. Cats have some of the best noses -with 30 genetic variants of the V1R receptor protein in their vomeronasal organs, they are able to discriminate between a wide variety of smells (Reference 1). So, avoid laundering cat blankets or quilts that your cat sleeps on – the familiar scent of home can help reassure your cat of his territory when he is on the move.
  4. Predictable, positive human interaction: Try to maintain daily feeding and grooming routines as you travel.
  5. Predatory play: Don’t forget play time – try to set some time aside to play with your cat when traveling.

Other things to consider when moving with your cat:


  • Is your cat microchipped in case he escapes?
  • Consider a calming supplement such as Zylkene, Calming Care. It is best if you start these several weeks before moving.
  • Have copies of your cat’s medical records. Locate a cat-friendly practice in the new neighborhood.
  • Do you need a health certificate for travel?
  • Consider getting your cat accustomed to wearing a harness and leash. Even if not fully leashed trained, a harnessed cat can be more easily handled in an airport or at a rest stop if you have to change out soiled pads in the carrier.
  • Consider asking your vet for calming medication for travel.
  • Multi-cat homes: Identify the social groups in your home before moving.  This can help you when introducing your cats to their new territory.

 

moving day


Although some cats travel well together, it is usually a good idea to have separate carriers for each cat in case some random event frightens one of the cats, resulting in a cat fight.

You may want to keep your cat(s) in their own room with their carriers while furniture, etc is being moved – you don’t want them to escape!

Arriving at your new home…


  • Establish a “safe place” for each cat or social group: Choose a room with a door you can close, that does not have places where your cat can hide (under the bed, behind a bookcase) and you can’t get him. Use one of your smaller moving boxes as a hiding space – put a comfy bed or blanket in this box. 
  • The “safe” room should contain all your cat’s essential resources – food, litter box, water, scratching post.
  • Use pheromone diffusers in the “safe place”. You may also want to have them throughout the new house or apartment.
  • A gradual introduction to the new house is best for most cats. Pay attention to your cat’s body language – if she seems scared or frightened, allow her to stay in the “safe room”. Once she seems curious about the world outside her safe place, allow her to explore the rest of the house – you may want to accompany her (a harness/leash can be handy) on her first forays into the new space.
  • Maintain feeding and play/grooming routines as best as you can.

In a multi-cat homes, you may want to use a protocol similar to introducing cats. Assess how the different social groups are adjusting before allowing free access to everything. A move can disrupt the social order, giving a dominant cat an opportunity to pick on a more timid cat.

Moving with your cat is an adventure…


When your cat arrives at his or her new home, he/she must establish a “new” territory.  We can facilitate this process by:

  • ensuring that your cat has familiar items with her – the food and litter she is accustomed to, beds/blankets that have her scent on them, and a carrier she is comfortable in 
  • allowing him to establish a new “core” territory first in a “safe” room
  • allowing her to choose when she is ready to leave her “safe” place to explore the rest of the house.

Moving is stressful for us and for our cats.  Make sure to monitor your cat(s) for sickness behaviors. Reduced appetite, vomiting, or diarrhea can be signs of stress-related issues. Consult a veterinarian if these problems don’t resolve in a day or two or if your cat does not eat for more than 24-48 hours.

references

  1. Kristyn R. Vitale Shreve, Monique A.R. Udell, Stress, security, and scent: The influence of chemical signals on the social lives of domestic cats and implications for applied settings, Applied Animal Behaviour Science, Volume 187, 2017, pp. 69-76, ISSN 0168-1591, https://doi.org/10.1016/j.applanim.2016.11.011

 

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Needs of Domestic cats

What do cats need to be healthy and happy? Whether you are a new cat owner or someone who has owned a number of cats, this is a question that needs some careful thought.

Your cat is not human; he/she is a different species. After all, if you were going to have a tiger as part of your household, you would need to learn something about how tigers live in the wild to set up an appropriate habitat. Zoos have found that providing an environment that allows animals to engage in behavior typical of their species reduces mental and physical health problems.

This post was originally published on 7/4/2021.  It has been rewritten and updated with new references on 2/17/24.

What do cats need – Healthy Feline Environments


Let’s start with ourselves. Many philosophers and psychologists have come up with answers to what humans need for a happy and fulfilled life. One of the simpler models is that proposed by the psychologist Abraham Maslow in 1943 (Reference 1).

Needs and motivation


Maslow postulated that people are motivated by five types of needs (Reference 1):

  1. Physical needs (food, water)
  2. Safety
  3. Love/belonging
  4. esteem
  5. self-fulfillment (be all that you can be)

Maslow's hierarchy of needs

As an individual satisfies needs in one of these categories, he is motivated to tackle the next level.

  1. What motivates behavior at the most basic level is the need to survive. We need to eat and drink to stay alive.
  2. Having satisfied these needs, the next step is to ensure that we will continue to have food and water. We need shelter and a job.
  3. Once fed and secure, we can address the need to be part of society – to belong to a group.
  4. The next level of needs is esteem: we need to value ourselves and feel that other people value us.
  5. We are now at the top of the pyramid. We can work on reaching self-imposed goals: maybe become a writer or artist, nurture extended family, or climb mountains.

There is flexibility in this hierarchy- some needs are met at the same time; for some individuals, reaching your full potential may be more important than the esteem of others.

Let’s apply this thinking to cats. We’ll start with the wild cats – those secretive, un-owned cats that populate neighborhoods and barns.

what do cats need? wild cats


  • A wild cat’s needs begin with having prey to eat.
  • Once fed, he will find a safe place where he can sleep, eat and retreat from danger – like a den.
  • He must establish his territory where he can hunt regularly and have access to food.
  • A well-fed wildcat who hunts successfully has good prospects for mating. 
  • As far as Nature is concerned, the wildcat has reached his or her full potential once he or she has ensured that there will be another generation to hunt and mate, continuing the species.What does a wildcat need?

 

When food is plentiful, some cats will group together in colonies near the food source. The colony forms around breeding females with some unrelated male cats in the colony that help with kitten care and protection. A colony fulfills safety and belonging for a wild cat.

what do cats need? Domestic cats


Things are a bit different for the cat who lives with humans. Hunting and establishing a territory have become separate from getting enough food; our house cats are spayed and neutered, so do not have a drive to mate and reproduce. We can construct a hierarchy showing what do cats need for the cats that live with us.

the 5 pillars of a healthy feline environment


The American Association of Feline Practitioners (AAFP) list five things that make a healthy environment for a cat (Reference 2).

  1. A safe place
  2. Multiple and separated key environmental resources
  3. Opportunity for play and predatory behavior
  4. Positive, consistent and predictable human-cat social interaction
  5. An environment that respects the cat’s sense of smell and other senses

 

We can assemble these needs into a pyramid diagram:

  • At the bottom of the pyramid are the needs for survival: food, water, and litter boxes.
  • The next level ensures that these essential resources are available to each cat to use safely, without fear of competition or interference from other cats, pets or humans. The cat owner should provide multiple and separated feeding, watering stations and litter boxes.
  • One of the AAFP requirements is an environment that respects the cat’s sense of smell and other senses.  Such an environment is the cat’s territory. Cats will mark walls and furniture in the home with facial pheromones and scratching posts with pheromones released when scratching. Your cat belongs to his territory.

Thinking about cats as aloof and independent would most likely consider the cat’s needs are met at this point.

Needs of Domestic cats

 

 

the cat-human bond


Our cats share basic physiological needs with their wild relatives. But the domestic cat has chosen a different path and has some different needs because of his bond with his human caregiver. The two final levels of the pyramid are 4) positive and predictable human interaction and 5) the opportunity for predatory play.

  • Human Interaction: To truly feel safe and secure in her territory, a housecat needs to know how the humans in the house will behave: when will she be fed? Will they approach quietly and greet her? Will they swoop down on her and pick her up when she least expects it and hold her dangling in the air?
  • Predatory Play: The need to hunt defines who your cat is – this is what he was born to do.  We need to provide our cats with an opportunity to hunt – whether it is fishing kibble out of a food puzzle or chasing a stuffed mouse at the end of a wand toy.

These last two needs bring us to the heart of the cat-human bond.

Positive and predictable interactions  allow us to communicate with our cats; predatory play helps us recognize the cat’s nature as a born hunter and allows us to share this essential part of his life.

We are one of the “5 Pillars of a Healthy Feline Environment”.

In return for helping our cats satisfy their needs, we humans enjoy the pleasure of our cats’ company, better heart health and reduced stress and anxiety. 

references

  1. Taylor S, St Denis K, Collins S, et al. 2022 ISFM/AAFP Cat Friendly Veterinary Environment Guidelines. Journal of Feline Medicine and Surgery. 2022;24(11):1133-1163. doi:10.1177/1098612X221128763

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Canned food spread on a textured silicone mat can give your cat the enjoyment of licking without ingesting fur.

As you are en route to the bathroom during the night, your foot contacts something tubular and mushy – another hairball! I have lived with over a dozen cats – some I have shaved to reduce the hairball menace; others I have dutifully given the hairball gels, which promise to lubricate the cat’s GI (gastrointestinal) tract to help the hairball pass. But, are hairballs normal, part of something you have to put up with when owning a cat?

Hairballs are rare to non-existent in feral cats and zoo cats. Why do our domestic cats get hairballs? Hair that is ingested during normal grooming activities passes out the intestines in the stool. On average, a short‐haired cat loses about 28 g of hair per kg of body weight each year. Two‐thirds of this hair consumed while grooming is found in the stool (Reference 1). The more the cat grooms herself, the more hair she consumes. Couple this with slower gastric emptying, hair can accumulate in the stomach, forming a hairball.  Here are the “why’s” and “how’s” of managing hairballs in cats.

managing hairballs in cats


If a hairball becomes too large to pass through the GI tract, the cat usually expels the hairball by vomiting. However, if vomiting is not successful, we risk (Reference 2)

  • intestinal obstruction
  • obstruction of the esophagus
  • hair lodging in the nasopharynx (top part of the throat throat just behind the nose) causing sneezing, retching, and nasal discharge

How Common Are Hairballs in Cats? (Reference 2)

  • 73% of cats have never had a hairball
  • 17% cats bring up a hairball once a year
  • 10% bring up two or more hairballs in a year
  • Long-haired cats are twice as likely to vomit hairballs than short-haired cats

When Do We See (or Step on) Hairballs?

  • Flea infestations can lead to increased grooming
  • GI motility is decreased due to food intolerance or gastrointestinal disease
  • The cat is “over-grooming” due to anxiety

What to Do About Hairballs


Chronic gastrointestinal disease, pain, and/or stress can change how fast hair and food move through the GI tract. Your first stop should be your veterinarian’s office. Appropriate management of GI disease can significantly reduce hairball vomiting (Reference 2). Your vet will consider dietary therapy and run diagnostics to detect GI disease.

Diet and Hairballs


Diet may be helpful in managing hairballs in cats. Studies have found that diets containing moderate levels of fiber (11-15% total dietary fiber) can minimize hairball formation, particularly in long-haired cats. Fiber aids in increasing the amount of hair passed out in the stool (Reference 1).

Hairball diets also have larger sized kibbles. Radiographic studies have linked larger kibbles with hairballs exiting the stomach and passing out in the feces (References 1, 2).

Consider feeding more canned food.  Canned food passes through the GI tract more quickly (about 4 hours) compared to dry kibble (14-16 hours) (Reference 2).

The following strategies may help reduce the amount of hair ingested and promote GI motility (Reference 2).


  • daily grooming to reduce loose hair
  • shaving long-haired cats
  • monthly flea prevention
  • increase gastric emptying by feeding frequent small meals rather than large meals
  • use petroleum-based laxatives to lubricate the intestinal tract easing the passage of hairballs
  • prokinetic drugs (metoclopramide, cisapride, ranitidine) promote GI motility

hairballs in cats: environmental modification


The GI tract is very responsive to psychological stress.  Stress, chronic GI disease, and pain are factors that can affect how fast ingesta are processed by the GI system (Reference 3).

Domestic cats spend 25-30% of their waking hours grooming; those kept solely indoors may spend even more time at this task. Grooming may increase when the cat is stressed or bored.

Enironmental modification gives us a way to reallocate the cat’s time budget – giving him/her other activities to do, in addition to grooming. It also helps us reduce the stress perceived by the cat. In addition to providing the requirements for a healthy feline environment, the following strategies can affect the feline time budget.

  • feeding frequent small meals (may also help with gastric emptying)
  • incorporating species specific behaviors in feeding strategies (Why Meal Feed Your Cat)
  • providing outdoor access in an enclosure or on a harness and leash
  • regular interactive play time
  • establish a routine; allow the cat control over his environment by knowing what will happen and when

Grooming is a self-soothing behavior. The use of lick mats (textured silicone mats that you spread food on) can take advantage of the satisfaction cats find in licking without hair ingestion.

Although hairballs may seem to be a nuisance behavior, frequent vomiting of hair balls is NOT normal and can be an indicator of underlying GI disease or stress. A visit to your vet can diagnose medical problems; implementing environmental modification can reduce stress that affects how much cats groom and how fast hair moves through the GI tract.

references

  1. Weber M, Sams L, Feugier A, Michel S, Biourge V. Influence of the dietary fibre levels on faecal hair excretion after 14 days in short and long-haired domestic cats. Vet Med Sci. 2015 Jul 7;1(1):30-37. doi: 10.1002/vms3.6. PMID: 29067172; PMCID: PMC5645811.
  2. Cannon M. Hairballs in cats: a normal nuisance or a sign that something is wrong? J Feline Med Surg. 2013 Jan;15(1):21-9. doi: 10.1177/1098612X12470342. PMID: 23254238.
  3. Rudinsky, Adam https://www.youtube.com/live/CkZsUYhswGk?si=dauNUIjuEBGtSvIx October 4, 2022: YouTube Live: Chronic Vomiting Cats: What Can We Do? Viewed 1-17-24

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An elevated perch allows this cat a good vantage point to survey her surroundings for other cats and people.

Pandora Syndrome refers to cats suffering from multiple medical ailments that do not resolve with appropriate medical treatment. Instead, the symptoms are chronic, waxing and waning in response to environmental stressors. These cats also share a history of traumatic experiences and exhibit an abnormal stress response, partly due to epigenetic changes resulting from the stressful events in their lives (Reference 1).

Pandora syndrome is an “anxiopathy” – a condition resulting from chronic activation of the central stress response system (Reference 1).

Treating Pandora syndrome in cats: the environment


Careful modification of the Pandora cat’s environment (in additional to medical therapies) can reduce the severity and frequency of the cat’s symptoms (Reference 1). One of the first studies to demonstrate the efficacy of MEMO (Multimodal Environmental Modification) studied the response of 46 cats with Lower Urinary Tract Symptoms (LUTS) to MEMO. Cat owners were asked to reduce environmental and social stressors using the following suggestions (Reference 2):

  • avoid punishing the cat
  • change to canned food
  • change to unscented, clumping litter
  • improve litter box management
  • provide climbing structures, viewing and resting perches
  • provide audio/visual stimulation when the owner was gone
  • increase interaction with the cat
  • identify and resolve conflict in multi-cat homes

The most commonly followed MEMO suggestions were:

  • increasing the amount of time interacting with the cat
  • changing to a canned diet
  • adding another litter box

During the 10 months of follow-up, no signs of LUTS were observed in 70-75% of the cats. Owners also reported reduction in fearfulness, nervousness, respiratory signs, aggressiveness, and lower intestinal tract signs (Reference 2).

Treating Pandora Syndrome in cats: MEMO


Environmental modification for the Pandora cat needs to:

  1. increase the security of the environment
  2. allow the cat to feel in control of his environment

Treating Pandora syndrome in cats: choosing the memo that suits the cat


The basic blueprint for cats’ environmental needs can be  found at https://catfriendly.com/cat-friendly-homes/what-your-cat-needs-to-feel-secure/.  Treating Pandora syndrome in cats will be most successful when MEMO is tailored to the individual cat.  Here is some additional information to consider once the basic environmental needs are satisfied.

The Fearful, Nervous Cat that Prefers to Stay Alone

For these cats, MEMO will focus on providing safe places and positive, predictable interactions with humans.

  • make plenty of hiding places available – these can be the top shelves of closets or boxes in the bottom of closets
  • increase the number of “vantage points” through the use of shelves, perches and cat trees (Reference 3)
  • increase the security of the floor space: minimize wide open spaces by positioning furniture to create places where cats can rest and hide (Reference 3)
  • use baby gates to limit the access of potential stressors such as dogs or small children to the cat’s area (Reference 3)
  • allow the cat to choose to interact with humans (https://www.felinepurrspective.com/touch-not-the-cat-interacting-with-cats/)

Treating Pandora Syndrome in Cats in the Multi-cat home

In a multi-cat house, Pandora cats may show aggression or become ill when threatened. Successful MEMO requires identifying the social groups of cats in the house and ensuring that plenty of resources are spread throughout the house. Be prepared to intercept aggression when necessary (https://www.felinepurrspective.com/managing-aggression-in-the-multi-cat-home/) – keep the peace!

Separation Anxiety

Some Pandora cats were orphans or abandoned. These cats may exhibit some separation anxiety due to a strong attachment to the owner. For example, some of these cats follow the owners around like a dog (Reference 1). MEMO can be adapted for these cats.

  1. Encourage Kitty to spend “alone time” in an enriched room or space (don’t force – maybe coax her into the room with some treats). Enrichment can be elevated perches near windows, a play tunnel with toys in it, food puzzles with snacks. Cats have a great sense of hearing and many like music – choose music designed for cats when you are not there.
  2. Establish a routine – help your cat to have control of his environment by knowing what is going happen and when it will happen (https://www.felinepurrspective.com/routines-help-cats-reduce-stress-and-anxiety/).

Many cats cope with environments that are not optimal. However, Pandora cats have suffered traumatic events in their lives resulting in epigenetic changes. These cats exhibit an abnormal response to environmental stress. Consequently, they do not cope as well as other cats with changes in their environment and develop chronic illnesses. MEMO allows these cats to feel safer and more in control of their environments, reducing their stress, and, in turn, reducing the frequency and severity of their symptoms.

references

  1. C.A. Buffington DVM, PhD, DACVN.  Pandora Syndrome in Cats: Diagnosis and Treatment; Today’s Veterinary Practice. August 10, 2018, Issue: September/October 2018. viewed on 1/06/24 https://todaysveterinarypractice.com/urology-renal-medicine/pandora-syndrome-in-cats/
  2. Buffington CAT, Westropp JL, Chew DJ, Bolus RR. Clinical evaluation of multimodal environmental modification (MEMO) in the management of cats with idiopathic cystitis. Journal of Feline Medicine and Surgery. 2006;8(4):261-268. doi:10.1016/j.jfms.2006.02.002
  3. Ellis SL. Environmental Enrichment: Practical Strategies for Improving Feline Welfare. Journal of Feline Medicine and Surgery. 2009;11(11):901-912. doi:10.1016/j.jfms.2009.09.011

 

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Some of the Signs that May Indicate Pandora Syndrome

The term “Pandora syndrome” was coined by Tony Buffington of Ohio State University to describe cats with chronic clinical symptoms suffering from health issues involving multiple organ systems. Buffington initially studied a group of 200 cats that had “incurable” urinary tract symptoms (bloody urine, difficulty urinating, urinating outside the box, and urinating small amounts). These cats had other health issues in addition to the urinary tract disease.  Curiously enough, the cats’ symptoms resolved after living in an enriched environment (Reference 1).

Early studies linked the urinary symptoms to diets containing too much magnesium, causing formation of urinary stones. However, dietary changes did not resolve the cats’ urinary issues and they continued to suffer from bloody urine, difficulty urinating, urinating outside the box, and urinating small amounts, frequently in the absence of stones (Reference 1).

diagnosing Pandora Syndrome in cats


What “Pandora Cats” have in common (Reference 2):

  • history of traumatic experiences such as abandonment, orphaning, infection
  • having more than one disease at once
  • clinical symptoms that wax and wane in response to changes in the environment

More About Pandora syndrome in cats


Genetic makeup and traumatic events are thought to contribute to Pandora syndrome in cats. Our genomes (cats and humans) contains the DNA that makes us unique. DNA is made up of 4 building blocks that can be assembled in different orders. The sequence of the DNA building blocks in a gene provides the code for a particular trait such as eye or hair color (Reference 3).

However, there is more to growth and development than just genes that code for a particular trait. The science of epigenetics studies modifications to our DNA that don’t change the order of the DNA building blocks. The epigenome refers to chemical compounds that are attached to your DNA. Exposure to pollutants, what you eat, and stress are some things that can result in certain molecules attaching to your DNA and turning particular genes on or off. This is why genetically identical twins may have different skills, health, or behavior (Reference 3).

The epigenome is reset when the genome is passed on from parents to their offspring at conception. Maternal stress during pregnancy, traumatic events such as abandonment, orphaning, and infection can subsequently affect the epigenome. While many cats recover from these things, others may develop chronic illnesses or behavioral abnormalities (Reference 2).

Pandora cats are inherently “sensitive” cats who have difficulty coping with challenges presented by their environment.  They have a heightened stress response that increases the likelihood of them becoming ill.

Why the name “Pandora” syndrome?
Pandora is a figure from Greek mythology. She was a human woman made by the gods from clay.  She was endowed with many attributes, such as beauty, charm, cleverness, and curiosity. Before sending her to earth, the gods gave her a box, that she was told NEVER to open. Pandora’s curiosity got the best of her one day and she opened the box, releasing evils to plague mankind – disease, violence, greed, old age, death… However, all was not lost. Hope was also in the box to help people survive and cope with the evils in the world.

Like Pandora’s box, “Pandora cats” have multiple problems (“evils”).

diagnosing pandora syndrome in cats


A diagnosis of Pandora Syndrome is a diagnosis of exclusion – the symptoms may respond to medical therapies but then recur. Diagnostic procedures do not reveal a root cause. Diagnosis requires an extensive review of the cat’s life history, medical history and home environment. Some sample questions are below. (A more complete history form can be found in the supplementary materials of Reference 2).

Life History

  • where did the cat come from? from a shelter? was he/she a stray? an orphan?
  • are other cats/pets in the house?
  • how many people in the house?
  • indoor only? outdoor access?
  • is your cat fearful? friendly?

Medical History

  • vomiting? diarrhea? coughing? sneezing?
  • using litter box?
  • history of medical problems- e.g. allergies, heart problems?

Environmental Resources

  • safe and secure resting places?
  • multiple, separated litter boxes, feeding stations, water bowls?
  • can the cat interact with people and other pets on his/her own terms?

treating pandora syndrome in cats


Pandora syndrome is treated with medical therapies and MEMO (multimodal environmental modification).   MEMO aims to reduce the cat’s perception of threat and increase his/her perception of control of his/her environment. There is no cure for Pandora syndrome but medical therapies and MEMO can reduce the cat’s clinical signs and increase the time between episodes of symptoms (Reference 1).

The goal of MEMO is to create an OPTIMAL environment for the individual cat.  This will be the subject of the next post.

references

  1. C.A. Buffington DVM, PhD, DACVN.  Pandora Syndrome in Cats: Diagnosis and Treatment; Today’s Veterinary Practice. August 10, 2018, Issue: September/October 2018. viewed on 1/06/24 https://todaysveterinarypractice.com/urology-renal-medicine/pandora-syndrome-in-cats/
  2. Tony Buffington CA, Westropp JL, Chew DJ. From FUS to Pandora syndrome: Where are we, how did we get here, and where to now? Journal of Feline Medicine and Surgery. 2014;16(5):385-394. doi:10.1177/1098612X14530212
  3. National Human Genome Research Institute; Epigenomics fact sheet 8/16/20. Viewed on 1/6/24. https://www.genome.gov/about-genomics/fact-sheets/Epigenomics-Fact-Sheet.

 

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Cats have many more odor sensitive cells in their noses than we humans do. They also have a vomeronasal organ (VNO) in the roofs of their mouths to process odors. Cats communicate by smell.

cats communicate by smell


This post was originally published May 2, 2021 and has been updated to reflect new content.

For a cat, odors can be associated with a particular place or individual animal, identifying that place or animal.

Another way cats communicate by smell is through semiochemicals. Odors can contain semiochemicals, molecules that carry “messages” from one organism to another. The organism receiving the “message” responds with a change in physiology or behavior. For example, there are insect traps that use hormones that simulate the type of scent produced by the female insect. Male insects are lured into the traps, preventing them from mating.

Semiochemicals that carry “messages” between members of the same species are called pheromones. For cats, pheromones are used to mark territorial boundaries, advertise that a cat is ready to mate, or send greetings. Lactating mother cats also produce a blend of “appeasing” pheromones,  that make kittens feel safe and reassured when their mothers are nearby.

Cats release pheromones from glands in their bodies. These glands can be found in…

  • the lips
  • the cheeks
  • the pads of the feet
  • at the base of the tail
  • the area surrounding the teats in females.
Glands producing pheromones
Locations of the glands that produce pheromones in the cat.

 

Cats communicate by smell -pheromones


When your cat rubs his cheeks against furniture or that corner wall, he deposits pheromones there. Researchers have separated secretions from the sebaceous glands in your cat’s face into 5 pheromone-containing fractions. The “F3 fraction” is thought to be a friendly greeting, marking the area as safe.

Cat Appeasing Pheromone (CAP) is released when the mother cat nurses her kittens. It is a message to the kittens that they are safe and secure – after all, mom is there!

Cats also release pheromones when they scratch, marking territory with another pheromone, FIS or feline interdigital semiochemical. The cat making the scratch marks also leaves behind his own individual scent, giving the next cat who comes along an idea of who left the pheromone message. As time goes on, the pheromones/scents decay. This change in pheromones/scents  notifies the incoming cat when the previous cat was there.

using pheromones to communicate with your cat


It is not surprising that synthetic versions of the F3 fraction of the facial pheromones and CAP have been made with the intention of calming cats and reducing conflict in multi-cat households. These products are available as diffusers or sprays.

Facial Pheromones F3 Fraction


  • Diffuser: place in areas you want your cat to identify as safe and secure, for example, sleeping areas.  You may not need to use the diffusers all the time – after all, your cat or cats are most likely marking these areas themselves. However, the diffuser could give an added boost in times of increased stress, such as home renovation.
  • F3 spray can help with  urine marking. Clean the marked spots with enzyme cleaners (eg. Tide), followed by rubbing alcohol. When dry, spray the spot with one of the F3 sprays.
  • The F3 spray is also useful to discourage scratching. Try spraying the area you DON’T want scratched with the F3 spray and place a scratching post nearby.
  • BSerene spray features the F3 fraction combined with catnip oil to promote calm behavior.

Cat Appeasing Pheromone


  • Diffuser
  • This product can be useful in multi-cat households when introducing a new cat. Place the diffuser in the common areas where all the cats will congregate.
  • You may not need to use this diffuser all the time but it can give a boost during times of stress, for example, when one cat returns from a veterinary visit.
  • The BSerene brand offers a diffuser that contains both F3 and CAP.

A product called Feliscratch contained a synthetic version of FIS. Feliscratch was applied to the scratching post to encourage cats to use it.  This product has recently been pulled off the market due to flagging sales.

No Feliscratch?

  • Make scratchers appealing with treats or catnip
  • If your cat will knead a small fleece blanket, it is possible that this blanket may have FIS deposited on it.
  • Placing the blanket near a new scratching post may attract your cat to the scratcher.

Feliway Optimum – one size fits all?

Feliway Optimum is the result of computer simulation and features a single product designed to address urine spraying, scratching, fear, and inter-cat conflict. It is a proprietary blend of specific pheromones that bind to receptors in the VNO in cats. It comes in a diffuser (Reference 1).

 

How effective are pheromones in communicating messages to cats?


The idea of managing cat behavior using pheromones is appealing. There are no pills to give and you can treat all your cats at once. However, studies aimed at determining whether these products work or not have mixed results (Reference 2).

How receptive an individual cat is to pheromone signals may depend upon her experience (Reference 2).  A free-roaming cat or cat who is a member of a multi-cat household will use pheromone signals more than an indoor cat who lives alone.  A kitten bottle-fed by humans will not be exposed to CAP like kittens nursed by a feline mother.

In my own experience, cats with a feral background respond more strongly to the pheromone products than cats raised in a human household.

You can think of pheromones as those signs in the library asking you to KEEP QUIET or the NO SMOKING signs – there is always someone who is talking or smoking. Compliance is never 100%.

Since cats communicate by smell, synthetic cat pheromones allow us to add some basic messages when we are trying to change a cat’s behavior. Do these products work? The efficacy of these products may depend on the experience of the individual cat.  Consequently, pheromones are best used in conjunction with other behavior modifications.

references

  1. De Jaeger, Xavier & Meppiel, Laurianne & Endersby, Sarah & Sparkes, Andrew. (2021). An Initial Open-Label Study of a Novel Pheromone Complex for Use in Cats. Open Journal of Veterinary Medicine. 11. 105-116. 10.4236/ojvm.2020.113006.
  2. Zhang Lingna, Bian Zhaowei, Liu Qingshen, Deng Baichuan. Dealing With Stress in Cats: What Is New About the Olfactory Strategy?. Frontiersin.org/articles/10.3389/fvets.2022.928943, DOI=10.3389/fvets.2022.928943 

 

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A cat enjoys the scents of a summer night from his window seat.

I remember visiting the zoo as a young child. Back then, the animals’ enclosures were not the large, landscaped areas that you see today. The animals were behind iron bars with a few hides to go into, water, and maybe a tree or two. It was not uncommon to see the tigers or lions pacing repetitively back and forth along the walls of their enclosures or the giraffes continually licking the chain link fences.

These repetitive behaviors are referred to as ARB’s, abnormal repetitive behaviors. In the past few decades, zoos have found that changing captive animals’ environments to allow more natural behaviors reduces ARB’s significantly. Expressing species-specific behaviors allows an animal to control and modify its environment, ensuring survival and reproductive success. Creating a den (safe place) is an example of how an animal controls and modifies its environment (Reference 1).

Environment and cat behavior


Many cats live predominately indoor lives. Our homes are quite different than the territory of a wild cat. The indoor cat often has little opportunity to engage in typical cat behaviors such as hunting and climbing trees. It is not surprising that some domestic cats indulge in ARB’s to reduce the stress of being unable to predict and control their environment.  Overgrooming, where a cat licks or scratches her fur so much that the area becomes inflamed and bald, is one of the more common ARB’s shown by domestic cats.

Of course, a good, solid medical workup may uncover a cause for overgrooming and itchiness – perhaps kitty has a food allergy or skin infection. But it is not uncommon for some of these cases to be “idiopathic”, meaning we don’t know what the cause is.

environment and cat behavior: ARB’s


The wound on this cat’s neck comes from repeated scratching.

A study published in 2018 (Reference 2) investigated the link between the environment and cat behavior. The study followed thirteen cats who had been diagnosed with Idiopathic Ulcerative Dermatitis (IUD).  IUD presents as a crusted, non-healing ulcer on the neck, head or between the shoulders. Medical therapy including surgical excision is rarely successful. The cat scratches at the wound frequently; the wound will heal if the cat cannot scratch it, say if she wears a collar or bandage. Once the collar or bandage is removed, the cat will scratch the area again and the wound reappears. (Reference 2)

 

The research team asked the owners of the 13 cats to institute the following environmental changes:

  • Leave closets open to allow cats to use them as a hideout
  • Free access to food and water (add a fountain if the cat prefers running water)
  • Free access to a garden or balcony/window – a cat door was recommended
  • Provide access to a secure area where each cat can sleep, eat, use the litter box without competing with other cats (some cats were separated from their house mates)
  • Regularly offer new toys to the cat
  • Stop interactions initiated by owner such as carrying the cat, petting the cat. Allow the cat to initiate the interaction.

As soon as environmental changes were set up, the ARB of scratching stopped within 2 days. All cats except one healed – for this cat, the owners were not able make the environmental changes. Oral medication was given to this kitty for two months but the neck wound did not heal. The other twelve cats did not receive medication.  The research team followed these cats for two years and no relapses were noted in that time.

The environmental remedies in this study aimed to give the cat control over her environment by allowing her to exercise typical “cat” behaviors.  These are in line with the AAFP* recommendations for a healthy feline environment (Reference 3):

  • Provide a safe place <> leave closets open to allow the cats to use them as a hideout
  • Provide multiple and separated key environmental resources<>secure area for eating, sleeping and using litter box
  • Provide opportunity for play and predatory behavior <> offering new toys to the cat
  • Provide positive, consistent and predictable human–cat social interaction <> emphasize interactions initiated by the cat
  • Provide an environment that respects the cat’s sense of smell <>  access to a garden/balcony/window exposes the cat to outdoor scents and smells

Although our cats are a domestic species and have lived alongside humans for over 10,000 years, life in our homes sometimes reduces their opportunity to express behaviors typical of their wild relations. The environment and cat behavior are intertwined.  Improving the cat’s environment to encourage species-specific behaviors can reduce a cat’s stress and, in some cases, cure disease.

Note: I don’t agree with free-feeding cats even in such a situation – I think it is better to meal feed and use feeding as a positive interaction with humans. Using food puzzles and tossing kibble for the cat to hunt down allows cats opportunities to engage in foraging and hunting behaviors.

* American Association of Feline Practitioners

references

  1. Joseph P. Garner, “Stereotypies and Other Abnormal Repetitive Behaviors: Potential Impact on Validity, Reliability, and Replicability of Scientific Outcomes”, ILAR Journal, Volume 46, Issue 2, 2005, Pages 106–117, https://doi.org/10.1093/ilar.46.2.106
  2. “From Feline Idiopathic Ulcerative Dermatitis to Feline Behavioral Ulcerative Dermatitis: Grooming Repetitive Behaviors Indicators of Poor Welfare in Cats”, Titeux Emmanuelle, Gilbert Caroline, Briand Amaury, Cochet-Faivre Noëlle. Front. Vet. Sci., 16 April 2018 Sec. Veterinary Dermatology and Allergy Volume 5 – 2018 | https://doi.org/10.3389/fvets.2018.00081
  3. Ellis SLH, Rodan I, Carney HC, et al. AAFP and ISFM Feline Environmental Needs Guidelines. Journal of Feline Medicine and Surgery. 2013;15(3):219-230. doi:10.1177/1098612X13477537

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