Feline idiopathic cystitis is the most common cause of urinary problems in cats under 10. Stress management and environmental enrichment are as important as veterinary treatment.
FIC causes genuine suffering including pain during urination, frequent unsuccessful attempts to urinate, and in males, potentially life-threatening urethral obstruction. The connection between stress and urinary disease means that inadequate environments cause health problems beyond behavioral concerns. Cats experiencing FIC are communicating that their environmental needs are not being met. Veterinary treatment without addressing environmental causes leads to predictable recurrence. The indoor cat's limited ability to exercise natural behavior, combined with multi-cat social tension, creates chronic stress levels incompatible with urinary health in susceptible individuals.