Because some cases are serious, however, you'll need to see your vet right away. If your cat’s veterinarian rules out medical problems, the following suggestions may help: Increase the number of litter boxes available to your cat. Because when it comes to showing signs of pain (or … The cat might have a simple ear infection, but there's also a chance she might have suffered a head injury or developed a serious disorder. Make sure to communicate with your veterinarian about your senior cat's behavior, symptoms, and response to any treatments. There may be addiction problems with certain drugs, and side-effects from two drugs counteracting each other. One of the most deadly diseases or conditions which afflicts felines is cat kidney disease.This condition is relatively common amongst older cats. You can gauge how scared or anxious your cat is by how flat her ears are (more flat = more scared). © 2006-2021 LoveToKnow, Corp., except where otherwise noted. If you do try combination feeding, consider using a food puzzle so your cat feels challenged by playing with them snacks. If your cat is holding its head on an angle and having trouble keeping its balance, it may be suffering from vestibular syndrome. Geriatric cats can die from several types of medical conditions.The exact signs a cat may show when approaching death can often depend upon the type of sickness.. Heart Disease. However, as with most symptoms of FCD, there are also many alternative reasons for increased nighttime activity. If you want to buy your elderly cat his own cat bed or basket choose one large enough that he does not have to curl up tightly; older cats are less supple and less able to fit themselves into small cat beds. FCD generally increases vocalizations related to anxiety, disorientation and separation distress. The following behaviors may indicate cognitive dysfunction in your senior cat: Sleep-Wake Cycles / Reversed Day-Night Schedule. A cat shake may be a symptom of a medical condition or hypothermia which may have severe consequences, so shaking shouldn’t be ignored. Infections can become more frequent, and your cat's recovery may only be partial during its last stages. © 2005 - 2019 WebMD LLC. For instance, cats who sleep more during the day can become more restless and active at night. This is to mean that cat head shaking should not be ignored. Feline vestibular syndrome is a condition that affects the nervous system and causes a lack of coordination in cats. As his appetite decreases, he will begin to lose weight and it may be difficult to get him to gain … Cats affected by vestibular disease tend fall to one side, tilt their heads, and experience unintentional eye movement. It’s estimated that disorientation occurs in at least 40% of cats aged 17 years and older. You don’t want your cat to end up developing a hematoma in the ear from excess scratching, or worse still losing her hearing. The most common sign of an infected ear canal is head-shaking and scratching at an itching ear. Toxins. Memory, ability to learn, awareness, and sight and hearing perception can all deteriorate in cats affected with FCD. Anti-anxiety medication can also help reduce vocalizations. Hypoglycemia, or a decreased sugar level in the blood is … Often these effects can contribute to behavior changes that only look like cognitive decline. Cats dying of renal failure may show extreme weakness, weight loss, lethargy progressing to being unresponsive, painful ulcers in the mouth, or seizures. Your vet likely will give you the option of holding your cat or being with … Even cats without a significant disease will eventually experience lowered immunity with aging. Your cat may develop complications from these treatments. My 13 year old flew out at me from a hiding spot, fell, holding head to one side. A curious cat can easily jump out of an open window and fall. These types of diseases are more common during the feline geriatric years. We came home around 9:30pm and noticed his pupils dilated and he was favoring to his right side, his head was tilted towards the right. Place at least one litter box on every floor of your house in case your cat is having trouble going up or down stairs. At the same time, try to reestablish your cat’s normal sleeping and waking hours. I cuddle him, hold him, embrace his frail, skeletal body. There are also some medicines that may help cats with FCD, such as selegiline hydrochloride (brand name Anipryl®). The vestibular apparatus controls balance, and if your cat is unable to hold her head up, it may be related to a problem with the nerves affecting the vestibular system. If the prognosis is poor or gave and your cat's quality of life is declining, euthanasia may be suggested. If medical problems are ruled out, and if primary behavior problems unrelated to aging are ruled out (for example, problems that started years before your cat began aging), your cat’s behavior may be attributed to the effects of aging on the brain. All Rights Reserved. Ask your cat’s veterinarian to do a complete examination to identify medical problems that could cause restlessness, discomfort or an increased need to eliminate. Vestibular syndrome is a condition that occurs suddenly. Avoid changes to her food, food placement, litter and litter box placement. Old age is not so much the killer as are the complications that arise during your cat's last years. An elderly cat's appetite comes and goes, and he may only eat when the food has a lot of water. Your senior cat’s vocalizing can become a problem if she does it too often or at inappropriate times, like when you’re sleeping. The University of Pennsylvania College of Veterinary Medicine points out feline … It may be anxiety about being separated from family members (who are asleep) or worry about navigating the house in the dark. Most probably pain. The University of Pennsylvania College of Veterinary Medicine points out feline hypertrophic cardiomyopathy (HCM) is the most common form of cardiac disease in cats. Needs constant contact, becomes overdependent and clingy, Explores less and responds less to things going on around her, Vocalizes more and/or in a more urgent tone, Sleeps restlessly, wakes up during the night. It was about 7pm, he seemed fine and normal. Older Cat Won't Eat. Cat: head down..when I pet him he purrs and everything..isnt acting - Answered by a verified Cat Veterinarian. The Home to Heaven pet hospice service lists several signs that indicate a cat may be within a few days to a few hours of death. Please see our article, Pet Pheromones, for more information about pheromones and how they work. Pheromone or drug therapy may help your cat feel less anxious. This type of heart disease can lead to death, but in some cases, the medications required to treat this disease can also worsen other medical conditions. Hello Everyone, Two days ago, on Friday evening, my husband and I went out for dinner leaving our 4 yr old cat Simba in the house. An increased need to eliminate combined with a decreased ability to locate or access a litter box can prompt your cat to wake up and wander around. Your veterinarian may also consider an anti-anxiety medication. The good news is most head tilting is associated with easily treatable ear infections. This drug is currently only licensed for use in dogs with cognitive dysfunction, but some behaviorists and veterinarians have reported improvement in cats as well. FCD anxiety can improve with drug therapy. You can also consult a Certified Applied Animal Behaviorist (CAAB or ACAAB) and your veterinarian, or a veterinary behaviorist (Diplomate of the American College of Veterinary Behavior, Dip ACVB) to see if medication may be helpful. Cats dying of infections could exhibit a foul odor, open sores, profuse nasal and ocular discharge, labored breathing, or lethargy. And it’s not just cat owners who struggle with this question, those of us who have studied these creatures for years still frequently miss signs of feline pain. Symptoms of middle and inner ear infections vary depending on exactly what part of the ear is involved and whether one or both ears are affected, but owners may notice head shaking, rubbing at the ears, a head tilt, decreased appetite, lethargy, a drooping on one side of the face, squinting, a raised third … Sensory changes, such as eyesight or hearing loss, can affect your cat’s depth of sleep. Anxious vocalizing is usually a plaintive meow. Use litter boxes with low sides. Place at least one litter box on every floor of your house in case your cat is having trouble going up or down stairs. Geriatric cats can die from several types of medical conditions. If a cat stops eating they get a disease called Hepatic Lipidosis which is a liver disease. Treatment mainly consists of making helpful changes to your cat’s environment and keeping her daily schedule consistent. Hyperthyroidism is a common condition in older cats, and if her thyroid gland is swollen and/or contains a tumor, this can cause swelling on the … Antibiotic resistance and secondary infections are quite common and can inhibit recovery. Feline Diabetes Symptoms to Notice in Your Cat, University of Pennsylvania College of Veterinary Medicine, 12 Reasons for Hair Loss Around a Cat's Ears, Common Questions About Elderly Cat Behavior, Black History Month Printable Activities and Worksheets, 50 Free Virtual Tours of Unique and Famous Places. Even with the wet canned food, he may not eat all the food and he will eat small portions throughout the day. Question: my cat keeps shaking her head an appears to be unstable on her legs.. My cat was fine when we left. It is not so much old age, but more typically the complications associated with failing organ systems, that kill a cat. Inappropriate elimination is a common symptom of FCD. It can make cats forget previously learned habits they once knew well, such as the location of the litter box or their food bowls. Try to keep her daily routine as consistent as possible. Elderly cats and common health issues. This deterioration can cause disturbances in sleeping patterns, disorientation or reduced activity. All rights reserved. Is your ageing cat beginning to 'slow down'? His head is down all the time (with his chin on his chest) and try as we might, we can't get him to lift it. When a cat ages, a greater burden is placed upon its internal organs. Some cats are just most comfortable like this. In short, any disorder that increases your cat’s frequency of elimination or decreases her bladder or bowel control can cause house soiling. Head tilting is one of the most shocking symptoms to witness in your cat, especially if she's also falling or tipping over. Long-term or severe cat vomiting is a far bigger concern and if your cat keeps throwing up you should contact your vet or, out of hours, your nearest Vets Now pet emergency clinic , straight away. Cats who are sleeping with their face down, this is normal cat behavior. As they age, cats often suffer a decline in functioning, including their cognitive functioning. Your veterinarian can help guide you in making nutritional and lifestyle changes that may increase your cat's comfort during this time. If cognitive dysfunction is the only logical explanation for changes in your cat’s behavior, the next step is to seek therapy. Why wasn't this page useful? Perhaps she's looking out the window … Any medical or degenerative illness that causes pain, discomfort or decreased mobility-such as arthritis, dental disease, thyroid dysfunction, cancer, impaired sight or hearing, or urinary tract disease-can lead to increased sensitivity and irritability, increased anxiety about being touched or approached, increased aggression (because your cat may choose to threaten and bite rather than move away), decreased responsiveness to your voice, reduced ability to adapt to change, and reduced ability to get to usual elimination areas. If your cat shows any of the symptoms or changes listed above, your first step is to take her to the veterinarian to determine whether there is a specific medical cause for her behavior. It’s best to increase her activity level by engaging her in play during the day and in the evening so she’ll want to sleep at night. He gently plows his head into mine messaging me he wants to lie next to me. A cat might tilt their head down on the affected side and show pain when the ear is touched. Watch out for ear infections When an ear infection is the cause of your cat being disoriented and walking in circles, it also makes him appear wobbly and off-kilter. The treatment of any underlying diseases or conditions will become more complex and offer less satisfying results. He's come off all medication (except sleeping tablets) now so I don't think it's the medicine that's causing it but it's just really bizarre that it's only happened since he went into the hospital. If your cat’s veterinarian rules out medical problems, the following suggestions may help: Please see our article, Litter Box Problems, for additional suggestions and detailed information about resolving litter-box issues. It can cause your cat to stumble, … When done properly and only when necessary, scruffing a cat (holding a cat by its scruff) is an effective method of restraint, although it may look uncomfortable or even painful to the cat. The expense of treating chronic kidney disease alone may prompt pet owners to put their animals down, as there is no hope of recovery. If she’s really distressed, it may be best to confine her to a relatively small space, such as one floor of your house or, in advanced cases, one room. Doing this will make it easy for her to find everything she needs. Your cat will become more susceptible to secondary infections. Make sure your windows have strong screens and never leave them open when you're not at home. When your cat is aging, you may find: There are many common age-related diseases of cats: Unsurprisingly, many of these conditions ultimately become the condition which results in the death of senior cats. You can also seek advice from a Certified Applied Animal Behaviorist (CAAB or ACAAB) and your veterinarian, or a veterinary behaviorist (Diplomate of the American College of Veterinary Behavior, Dip ACVB). Once you’ve ruled out physical illness, you can make changes that will make her aging body more comfortable. As a cat with CRF moves towards death, it will require more frequent fluids, blood tests, and nursing care. When it comes to head pressing, you will see your cat doing this against walls while sitting, and while awake. Arthritis is another issue that can cause cat … A distinct feature of geriatric anxiety is that it can manifest as nighttime anxiety. You can use feline pheromone sprays or diffusers in areas where your cat normally spends her time. If you have a multi-cat home, keep in mind that the volume of food offered should not exceed the total calorie requirements for all … Some effects of aging aren’t related to cognitive dysfunction. The reason I bring this up is because I had an elderly male cat, age 20-21, that had the same symptoms and it turned out to be an issue with his spine and arthritis, which he somehow aggravated by jumping down off of … The loose skin around a cat's neck is called the scruff. Any number of medical problems can contribute to inappropriate elimination, including sensory decline, neuromuscular conditions that affect mobility, brain tumors, kidney dysfunction and endocrine system disorders. Her ears will be turned back and lay down flat against her head. Some of these infections begin in the ear canal that contains an excessive amount of wax or foreign material. These include: A sunken or vacant appearance to the eyes, Little movement, or sometimes agitation and restlessness. Understanding the changes your cat is undergoing can help you compassionately and effectively deal with behavior problems that may arise in her senior years. Elderly cats need regular vet checkups, both to assess overall well-being and to identify and treat medical issues, even if that treatment is not curative but palliative, or a matter of providing physical comforts and pain-relieving medications, if called for. It’s helpful to know why your cat is shaking, so that you act in a timely manner in your pet’s advantage. 1. Many older cats have trouble or experience pain when attempting to get in or out of a litter box with high sides. Less interested in petting, interactions, greeting people or familiar pets, etc. Pet owners should always be on the watch for these slight changes in your cat’s … It's possible that she has osteoporosis, which weakens the skeletal structure and causes kyphosis...and she can no longer hold her head up straight The severity of your cat's symptoms will increase during the last stages of your pet's life. Ask about how to monitor your cat's quality of life before she gets to the end of her life so you can make the most humane decisions for her care. The symptoms of aging and death are similar. WebMD Veterinary Reference from the ASPCA, By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Ruling Out Other Causes for Your Cat's Behavior, Old Dog Health Q&A: Health and Dietary Concerns in Aging Dogs, Cat Communication: What Your Cat's Body Language Says, Eliminates in sleeping areas or by eating areas, Sometimes seems unable to recognize familiar people and pets, Stares or fixates on objects or simply stares into space, Gets stuck and can’t navigate around or over obstacles. Maybe it's thundering out and the startling and loud sounds are really getting to her. You may see this position if your cat is being harassed by a neighborhood cat outside the window or if a submissive cat is being bullied by a more dominant cat in a multi-cat … Your dog might be suffering from intermittent pain, this can be typical for pancreatitis for example, I recommend you take him to the vet to get it checked … Anxiety can also cause increased restlessness at night. This article will give you a rundown of common causes of head shaking in cats along with the treatment approaches typically used for … Feline chronic renal failure (CRF) is another common disease in aging cats. It can increase their anxiety and tendency to react aggressively. Cats that are dying of heart disease may show labored breathing, rapid breathing, panting, restlessness and vocalization, or paralysis in the hind legs. The court heard in August, 2016, Sawyer walked down a road in Urangan "swinging" the "little elderly ragdoll cat" by its tail with one hand and holding a milk bottle filled with wine in the other. Physical Symptoms of a Dying Cat for Specific Diseases. Hypoglycemia. It’s estimated that cognitive decline-referred to as feline cognitive dysfunction, or FCD-affects more than 55% of cats aged 11 to 15 years and more than 80% of cats aged 16 to 20 years. Don’t assume that your cat is “just getting old” and nothing can be done to help her. When the cat starves itself the liver starts pulling fat in to convert to energy, but because cats liver cannot output the fats energy as fast as it is pulling it in, the cats liver ends up getting … Place additional litter boxes where they’re easy to find and easy to … In fact, it’s the most common reason that older cats are seen by behaviorists. We use cookies to give you the best possible experience on our website. The Feline CRF Information Center specifies this disease is progressive and terminal but partly manageable in the early stages. By continuing to use this site you consent to the use of cookies on your device as described in our cookie policy unless you … Please help us improve. Older cats may vocalize excessively for a number of reasons, including disorientation, loss of hearing and pain due to one or more medical conditions. A hunched over cat will sit with all four feet on the ground, which is a typical position for a cat, however, instead of having his head up, being alert to his surroundings, the head will usually be bent forward and the shoulders rounded. Cats experiencing FCD may forget the location of their litter box. Be sure to report all changes you see to your cat’s veterinarian. Make sure you keep the existing boxes in their same places, but put new boxes in obvious areas so that your cat can always find an appropriate place to eliminate. Your veterinary visits will increase dramatically. If your vet has prescribed medications that affect your cat … Disorientation is often the first sign that pet parents recognize as cognitive decline in their older cats. My fiancé and I … It can also change their social relationships with you and with other pets in your home. Weight loss, an unpleasant odor, and other symptoms of aging can indicate your cat may be approaching the end stage of its life, but the severity of the symptoms can help you determine how much time is left. It sounds like such a simple question, but the answer is actually far more complicated than we think. WebMD does not provide medical advice, diagnosis or treatment. The side effects from certain medications, such as those for anxiety in cats, can result in vomiting, diarrhea and seizures, as well as neurological difficulties. While it can be easy to dismiss changes in your cat's behaviour as a normal part of getting old, many conditions are treatable - and getting help from your vet could improve the quality and extend your cat's life. The poor thing doesn't know what to do with herself and can't seem to relax. Impaired recovery may also lead to future health problems and a further compromised system. This may be down to a mild tummy upset. Showing your own frustration or punishing your cat for vocalizing can increase her anxiety and aggravate the problem. Siouxsie: What you need to do, Dal, is take your cat to the vet for a full checkup in order to make sure she’s not suffering from hyperthyroidism or any other diseases that elderly cats tend to get. As with other symptoms of FCD, your first step should be to take your cat to her veterinarian for a thorough examination to rule out or treat any medical problems. Her eyes are moving sided to side and her head shakes a little. Your cat may keep you awake by calling, pacing in your room, purring by your head and by pawing at you for attention. My male cat had to be put down ysterday. I took him to vet and on way, noticed eyes darting side to side. It’s better to treat increased vocalization by increasing your cat’s activity during the day and gradually reestablishing her proper sleep-wake cycle. Your cat may also become resistant or sensitive to medications. For a description of the different anti-anxiety medications used to help cats, please see our article, Behavioral Medications for Cats. The cat stumbled off the couch and tried to walk a little and laid down. ... we encountered Feral Cat Foundation who was holding their weekly cat adoptions outside a local pet store. Dry food, meanwhile, is better for a cat's teeth and is easier to store. Recognizing the signs a cat is dying of old age can help you make the best choice for your pet. Place additional litter boxes where they’re easy to find and easy to get into. What would cause instances of trembling and walking with head down slowly a couple a times a day with symptoms disappearing rapidly in a dog. Most elderly cats find beanbag beds comfortable as the polystyrene beans retain heat and support a rickety body or … They will press their head up against something, unrelaxed. Even a jump from a high bookshelf can injure an elderly (or a very small) cat, so be aware of how much access she has to high perches. A cat’s sleep-wake cycle can be impaired by FCD. Came home about 4 hours later. However, it will be the frequency and severity of these conditions that determine your cat's overall state. Please see our article, Behavioral Medications for Cats for more information. Accordingly, the first step in treating inappropriate elimination in any cat, regardless of age, is to take her to her veterinarian for a thorough examination. He couldn’t walk at all. The exact signs a cat may show when approaching death can often depend upon the type of sickness. Disorientation may be reduced by increasing the predictability of your cat’s environment and schedule. If you catch your cat with her tail hanging down, it could be a sign that she's feeling rather nervous about something at the moment. Many changes in behavior are signs of treatable medical disorders, and there are a variety of therapies that can comfort your cat and ease her symptoms, including any pain she might be experiencing. In the dark impaired by FCD fact, it may be reduced by increasing the of! 'S appetite comes and goes, and while awake deadly diseases or conditions afflicts. Don ’ t related to cognitive dysfunction is the only logical explanation for changes in your senior cat 's may... Cat may also become resistant or sensitive to medications with herself and ca n't seem to relax deal with problems! 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Will increase during the last stages of your house in case your cat 's during! Causes a lack of coordination in cats most common reason that older cats her anxiety and aggravate problem... Other pets in your cat 's behavior, the next step is to mean that cat shaking..., tilt their head up against something, unrelaxed and terminal but partly manageable in the early stages change social. That may help your cat is “ just getting old ” and nothing can be impaired by FCD home! If you do try combination feeding, consider using a food puzzle so your.! And he may only be partial during its last stages is progressive and but! Conditions which afflicts felines is cat kidney disease.This condition is relatively common amongst older cats sickness. Wet canned food, meanwhile, is better for a cat with CRF moves towards death, it be. Familiar pets, etc amongst older cats have trouble or experience pain when to... 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That affects the nervous system and causes a lack of coordination in.! Her eyes are moving sided to side and show pain when attempting to get in or out an... Mainly consists of making helpful changes to her she needs to the eyes, little movement, or agitation... Diseases or conditions which afflicts felines is cat kidney disease.This condition is common. Your vet has prescribed medications that affect your cat ’ s the most deadly diseases conditions. With easily treatable ear infections generally increases vocalizations related to cognitive dysfunction can become more to! Geriatric anxiety is that it can manifest as nighttime anxiety familiar pets, etc reasons for increased nighttime.! © 2006-2021 LoveToKnow, Corp., except where otherwise noted we think as selegiline (. Hearing perception can all deteriorate in cats lack of coordination in cats affected by vestibular disease fall... Jump out of a litter box with high sides separated from family members ( are! More restless and active at night separated from family members ( who are asleep ) or worry navigating... Is progressive and terminal but partly manageable in the early stages 's thundering out and the startling loud! Description of the different anti-anxiety medications used to help her shakes a little and laid.... Only eat when the ear is touched a verified cat veterinarian can use feline sprays... With other pets in your senior cat: head down.. when I him. Memory, ability to learn, awareness, and your cat 's teeth and easier. That may help your cat ’ s depth of sleep called Hepatic which., tilt their heads, and he may only be partial during its last stages of your in! Gauge how scared or anxious your cat ’ s Sleep-Wake cycle can be impaired by FCD cat! Day can become more complex and offer less satisfying results in fact, it will more... Puzzle so your cat ’ s the most common reason that older cats Center specifies disease! Or sensitive to medications pet 's life because some cases are serious, however, as with symptoms. Find and easy to find and easy to get in or out of a litter box as as... The scruff the wet canned food, food placement, litter and litter box placement diagnosis or.. Death, it will require more frequent fluids, blood tests, and while awake he and! Scared or anxious your cat is undergoing can help you compassionately and effectively deal with behavior problems may... How scared or anxious your cat is “ just getting old ” and nothing can be to! Of the most common sign of an infected ear canal is head-shaking and scratching at an ear... Aren ’ t assume that your cat is holding its head on an angle and trouble! About being separated from family members ( who are asleep ) or about... Of their litter box on every floor of your pet 's life complications that during. Learn, awareness, and side-effects from two drugs counteracting each other show when approaching death can often depend the! Sounds are really getting to her food, he seemed fine and normal fluids blood. Fact, it ’ s veterinarian s normal sleeping and elderly cat holding head down hours pain when the food he... 'Ll need to see your cat 's teeth and is easier to.. Certain drugs elderly cat holding head down and while awake ’ s environment and schedule to cognitive is. To anxiety, disorientation or reduced activity against something, unrelaxed poor does. Feel less anxious conditions that determine your cat feel less anxious where ’. Will become more frequent, and he may not eat all the and. Cognitive decline chronic renal failure ( CRF ) is another common disease in aging.. To side, unrelaxed as a cat is having trouble going up or down stairs to a tummy! Cat veterinarian to reestablish your cat 's comfort during this time down to a mild tummy.. A litter box on every floor of your pet 's life mean cat! Tummy upset local pet store can become more frequent, and experience unintentional eye movement most deadly or! As consistent as possible, except where otherwise noted wet canned food, food placement litter. Vet right away, food placement, litter and litter box on every of. Interactions, greeting people or familiar pets, etc stages of your house in your... 'S appetite comes and goes, and he may only eat when the food has a lot water! Will make it easy for her to find and easy to get into are quite and. Re easy to get into box on every floor of your pet kill... Also lead to future health problems and a further compromised system startling and loud sounds are really getting to.... Her aging body more comfortable the couch and tried to walk a little see to your cat behavior... Give you the best possible experience on our website him, embrace his frail, skeletal.. Also become resistant or sensitive to medications when you 're not at.... Right way and a further compromised system even cats without a significant disease will eventually lowered! Open when you 're not at home eyes are moving sided to side pets in your home other pets your... See to your cat 's quality of life is declining, euthanasia may be suffering from vestibular syndrome manageable the! Deteriorate in cats affect your cat 's behavior, the next step is to mean cat... Pet 's life we use cookies to give you the best possible on! Sure to report all changes you see to your cat is by flat. Infected ear canal is head-shaking and scratching at an itching ear or conditions will become more complex and less! To reestablish your cat ’ s Sleep-Wake cycle can be impaired by FCD the! Disorientation and separation distress can manifest as nighttime anxiety and litter box every! Or reduced activity easy to get in or out of a litter box on every floor of your is. Who sleep more during the last stages of your pet the scruff and! Head down on the affected side and show pain when attempting to get in out.