Feline lower urinary tract disease is strongly linked to stress and environmental factors in indoor cats, and welfare-focused management can reduce recurrence and suffering.
Idiopathic cystitis is essentially stress-induced bladder inflammation. This means that the most effective treatment is not medication but environmental modification - creating a calmer, richer environment that reduces the cat's stress load. Adding resources, reducing conflict with other cats, providing predictable routines, and increasing environmental complexity all reduce recurrence. The condition is a welfare signal as much as a medical diagnosis.