Help! My cat is peeing outside the litter box. What should I do?If your cat has suddenly stopped using the litter box and is now peeing on the bed, carpet, or other objects, they may be trying to tell you something. Inappropriate urination is a relatively common issue in cats but can be a difficult problem to solve. Continue reading to learn more about common causes of inappropriate urination in cats and what you can do to help your furry friend.Are you concerned about your pet? Book a video consultation with an experienced veterinarian within minutes.✓ Professional vet advice online✓ Unlimited vet visits - for just $90✓ Open 24 hours a day, 365 days a year Rating: 4.9 - more than 1600 reviewsRating: 4.9 - more than 1300 reviewsRating: 4.9 - more than 1600 reviews Book Video Consultation Reasons Your Cat May Not Be Using the Litter BoxDespite how it may seem, your cat isn’t peeing on your favorite shoes to get revenge. However, you should take this as a signal that something isn’t right. Never scold or punish your cat for inappropriate urination - this will only add to her stress and possibly worsen her condition.Causes of inappropriate urination in cats can usually be divided into two categories: underlying disease or behavioral.Underlying DiseaseSometimes, a cat will urinate outside of the litter box because he is sick or in pain. Almost any illness or injury may cause a cat to pee on your furniture; however, here are some of the more common culprits:Urinary tract disease - infection, crystals or stones in the bladder, cystitisGastrointestinal disease - stomach pain, diarrhea, or other intestinal issuesThyroid problemsPain or injuryBehavioral Causes of Inappropriate UrinationYour cat may start peeing outside of the litter box because she is stressed or upset about changes in her environment or routine. These problems can be very difficult to identify, but typically include things like:Routine changes in the home - new work or travel schedulesNew or rearranged furnitureGuests or new family members in the homeLoud noises outside such as construction or other animalsNew cats or other pets in the homeFighting or bullying from other cats in the homeNew litter in the litter box or change in location of the litter boxChange in diet or feeding routineHow to Help Your CatTo get your cat back to using his litter box, you must first determine why he started this behavior in the first place. This might require a little (or a lot) of detective work!Start by scheduling an exam with your vet or consulting FirstVet. A full physical exam and diagnostics such as a urinalysis and blood work may be necessary to rule out underlying disease.If you suspect that your cat is stressed about her environment or is upset about other pets in the house, try to address these problems as soon as possible. Ensure that the litter box is clean, and your cat can easily get in and out. Be sure there are plenty of litter boxes throughout the house if you have more than one cat. Consult a vet or a behavioral specialist for additional pointers. FirstVet can provide you with ways to help your cat at home or refer you to a veterinary behaviorist if necessary.Read more:The Cat-Lover’s Guide to Litter Box BlissWhy does my cat have blood in his urine?Kidney Failure in CatsNeed to speak with a veterinarian regarding your cat urinating outside the litter box or another condition?Click here to schedule a video consult to speak to one of our vets. You can also download the FirstVet app from the Apple App Store and Google Play Stores.