At the initial follow-up telephone call three days later, the owners reported to the supervising veterinarian that Tiger had
not had another episode of lower urinary tract or gastrointestinal signs, was taking the medication without difficulty, and
had never returned to use the litter box in the basement once the new one was made available. Although associated with resolution
of the problem, what may have been aversive about the basement litter box was never determined.
Subsequent follow-up over the next three months confirmed that the owners had successfully introduced a climbing structure
and that Tiger was now eating exclusively from the food puzzle, which she seemed to enjoy. No further urinary tract signs
were reported, and the owners had found only one hairball in the intervening period, after guests were at the home for a dinner
party. The owners were not concerned by this finding, recalling that the frequency had been much reduced, and the behavior
was explainable by the stress of strangers in the home. The owners scheduled a follow-up evaluation in six months, but declined
an offer to assist with obesity therapy.
1. Buffington CA, Chew DJ. Intermittent alkaline urine in a cat fed an acidifying diet. J Am Vet Med Assoc 1996;209:103-104.