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A cat will change her behaviour when something is not right. An adult cat adopted from a rescue shelter may already have been neutered altered or you must sign a contract to have it neutered. Some cases respond well to insulin pills and there is progress with insulin nasal spray in humans which may also become available to cats. There is a huge cat overpopulation problem in the US. Ageing cats adapt their lifestyle to cope with any incapacity; slowing down gradually, seeking warm, comfortable spots and spending more time asleep.
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Cat Urinary Issues (General)

Fistulas, which when present, typically occur as a consequence of certain surgical procedures. Many symptoms of heart disease lack of energy and appetite, decreased activity, long rest periods are overlooked because they are also symptoms of normal old age. If you seek the practitioners yourself, it is still common courtesy to tell your vet. Warmth and sleep are great pain-relievers and a hot-water bottle wrapped in a fleece and placed in the cat's bed may help. Treatment includes radioactive iodine treatment effective but expensive , chemotherapy for a tumour , surgical removal common with very good success rate and oral medication pills.
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TOWARDS THE END - From Feline Old Age Through To Pet Bereavement

He needs highly nutritious food quickly, perhaps via a feeding tube through his skin and directly into his stomach. General anaesthesia is riskier in older cats, but this should not prevent any dental surgery. I've had elderly cats live very comfortably on "borrowed time" for 3 times the estimate while others managed only a third of their estimated "good quality life expectancy". In the US, a full health-check may include physical examination, weighing, checking stool sample, urine sample, blood sample and possibly tissue biopsies, X-rays or ultrasound scans. He may become irritable or vocal due to discomfort and may resent being handled or even stroked in certain places. Cat food ingredients basically simulate mouse-in-a-can or mouse-in-a-biscuit. It is rarer for a cat to lose both hearing and sight.
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He will not appreciate climbing stairs every time he needs water or his litter box. Placing his cat-basket in your own bedroom may solve this. The use of the pronouns "he" and "his" are for convenience only, substitute "she" and "her" if applicable to your situation. Sometimes, a terminally ill or injured cat is given life-prolonging treatment because the owner cannot yet come to terms with its condition. Frequent comiting may be due to stomach ulcers, kidney or liver disease, diabetes, various types of cancer. The figures are based on veterinary and behavioural research, though as with all individuals there is a wide degree of variation and there are always exceptions, with some cats and humans enjoying a robust old age.
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