Hello,
I would ask your vet if maybe a fentanyl patch might be easier? Or I often give an nsaid injection. These can last days. Which is about all I give them. In about 3-4 days they seem to settle down enough to not need more analgesia. But strict cage rest is imperative! No walking! Make sure you ask about a stool softener too.

Hello,
I wrote a ridiculously long answer, which seems to have disappeared into oblivion.. I suggested the following;
1. Never doubt the cat. They are always trying to tell us something, albeit, not always in the most socially pleasing manner. Trust they need you and listen to them. I always say that “if your cat had opposable thumbs they would write on the wall “HEY! MOM! I NEED ____” but instead they pee out of the box.
2. Do multiple urinalyses, not just one. Too often the answer lies in the second or third urine submitted.
3. There is a very strong environmental component. Try lotd of different litter boxes, scrutinize the location (like down in the basement (who wants to go down there?), next to a loud piece of equipment (like the washer or dryer,, too scary), or take the cover off, try different substrate (like potting soil, which is nice a soft like a towel?), try a wide box, low box, covered versus uncovered, etc etc.
4. Try a big cage covered in litter in one area, sand in another and soil in the last. see where he goes. Then fill the bottom with that. Each day add newspaper to the corner or one edge. Every day you make the litter area smaller until it only exists in an area the size of a litter box. Then add the litter box. See if that helps to retrain him.
5. You can board him with us. We essentially keep them until they are calm and litter trained. It is a bit of solitary confinement meets spa escape. The clinic cats were all former inappropriate urinating cats brought in to be euthanized. We retrained all of them. It can take a while but it helps them calm down and readjust.
Lastly, we forget to see the world through our cats eyes. They aren’t us. They too often get fed the wrong food, which causes bladder inflamation, get too bored inside, and some of them really are reclusive, and we dont give them places to hide, or perch, or run.
Please follow up with me at the clinic. I want to help you guys.
I am here for you all
Krista

Hello,
I have only seen this occur due to surgery. But it can happen with trauma. Did you ask your vet what they thought my be the cause?

Hello,
Have you spoken to your vet about this? Can you try a different appetite stimulant (assuming that is what you are using it for) to see if maybe that would help? Also ask about concurrent disease like thyroid, blood pressure, kidney diseas etc?

Sounds good!! Best wishes!

Hello,
Well this is a somewhat difficult question to answer. Here has been my experience. If you do not have the ability to see a surgeon and have this corrected by them (in my area it would be anywhere from $2000 to $5000. Then I always suggest strict cage rest. No leaving the cage for two weeks. No exceptions. The crate should have a very low bed, low sided litter box and food and water. They should be fed a watered down wet food to keep the stool soft and easy to pass. After two weeks see your vet for a recheck X-ray to see how the pelvis is healing.
Have the cat spayed asap.
If the cat presents with anal tone and deep pain in all four feet I recommend cage rest

The best option is surgery. If you cannot afford it try cage rest. They will be painful for a few day. A fentanyl patch might help or try buprinex. Ask your vet about these.
Let me know how she does