stressors your cat experiences during a car rideCats tend to be homebodies – your cat’s ideal day may include eating breakfast, then finding a sunny window to nap in. Midday is time for a stretch and a snack; if the weather is nice, he may want to spend some time in his catio. Unlike dogs, few cats become ecstatic at the prospect of a car ride, hanging their heads out of the window.

Once your cat accepts his carrier, the next step to getting him to the vet is the car ride. The car ride introduces additional stressors for your cat to experience. Here are some tips to help your cat cope with the stress of the car ride.

Help your cat cope with the stress of the car ride


Unfamiliar Smells and Scents

 

Include your cat’s familiar bedding in her carrier to offset the unfamiliar smells of the car with the reassurance of her own, individual scent. Spraying the carrier with feline facial pheromones (Feliway Classic, Comfort Zone Calming) also sends a message of security and territory to the traveling cat. Make sure to spray the carrier 15-20 minutes before your cat enters it so that the alcohol in the spray dissipates.

Lack of Resources

Delays due to accidents or road construction are part of car travel. Make sure to provide your cat some resources on the way. A non-slip absorbent pad for accidents is part of a well-equipped carrier. On long car rides, you may want to consider putting some ice cubes in a bowl that will gradually melt, provide water to drink and less mess in case of spills.

Motion

Some pets may be prone to motion sickness – this may be in part due to anxiety. Carrier/travel training can alleviate some of this. Travel medications for anxiety and nausea will be addressed in a later post in this series.

Unfamiliar Noises

Horns honking, engine noise, and sounds of passing vehicles are part of the car travel experience. Try offsetting these unfamiliar noises with some cat-specific music (https://www.musicforcats.com/).

Researchers at the University of Wisconsin composed music that would calm cats. In 2019, this cat music was tested in the veterinary clinic at Louisiana State University.  Stress and handling scores were lower for cats exposed to the “cat music” than the scores of cats exposed to silence or classical music. (see Cat Music:Just for Cats).

Unfamiliar Sights

 

Flashing lights and large vehicles going by your car can startle and frighten your cat. Consider covering your cat’s carrier to shield him from unfamiliar sights.

Cat-Carrier-Cover

Help your cat cope with the stress of the car ride: Practice rides


Of course, there is nothing like actually having some positive travel experience. When teenagers first get their drivers’ permit, there is some anxiety and excitement on those first few drives that goes away as they gain experience driving.

Some short “practice drives” with positive reinforcement can help your cat cope with the stress of the car ride.  If your cat is clicker-trained, the clicker can be used to trigger some positive emotions – your cat associates the sound of the click with something good such as treats.

First, let’s get your cat used to the car.

  • Have your cat enter his carrier. Click and treat.
  • Carry the carrier to the car and put it inside.
  • After a few minutes, take the carrier back into the house and let kitty out.  Click and treat.

Once your cat is comfortable sitting in his carrier in the car, get ready to do some driving.

  • Have your cat enter his carrier.  Click and treat.
  • Carry the carrier to the car and put it inside.
  • Start the engine and let the car idle for a few minutes.  Play music if you plan to use it.
  • Go for a drive around the block.
  • Return home and turn car off.
  • Take the carrier back into the house and let kitty out. Click and treat.

Your cat now has some travel experience under his belt. Car travel should now be a little less scary.  Every so often, take kitty for a spin around the block or to a park nearby if he will ride in a backpack or stroller.  Try to allow him some positive experiences where the car drive does not end up at the vet.  (For information about your cat’s safety and carrier placement in the car, visit https://www.centerforpetsafety.org/).

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Working at a cat hospital, I have become sensitized to my patients’ distress. Many cats are terrified coming to the veterinary clinic. The experience is not only stressful for the cat but it can be stressful for you, the cat owner. Perhaps you feel embarrassed when your cat misbehaves or maybe you just dread the ordeal of getting your cat into his carrier. These are a few of the reasons why we don’t see as many cats at a veterinary clinic as dogs, although cats outnumber dogs as pets.

The net result of this stress and anxiety is that you may delay medical care for your cat because getting to the vet is so stressful.

What can we do to reduce the fear and anxiety of the vet visit for us and our kitties?

This is the first of a series of posts about making vet visits better for your cat. We will start by looking at how your cat feels about the vet clinic.

making vet visits better for your cat (and you!)


from the feline perspective


You know something’s up – your carrier is out. You hide under the bed but your human pulls you out and proceeds to squeeze you into the dreaded box.

You swing along in the air and then are loaded into a larger box that moves and smells funny.

You finally stop moving and swing through the air some more and arrive at another house where you smell lots of other animals. Oh no, not this place again! You can smell other cats – most of these cats too are afraid. As you move through the fog of smells, you arrive in a small room with a metal table.

A strange human opens your carrier door and tries to coax you to come out – you’re not sure what is out there but now your carrier seems like a good place to stay.

Suddenly, your world tilts and you slide out of the carrier onto the cold, hard table.

You hiss your displeasure. Another strange human proceeds to look into your eyes, put a hard plastic thing in your ears, and presses a cold metal disc against your chest.

Then, the strange human pokes you with a needle and you are finally allowed to escape back into the dreaded carrier – at least, it has taken you back home before.

The veterinary visit can make the most mellow cat anxious.

Does your cat…

  • Turn into a frozen lump on the exam table?
  • Or does he become a Tasmanian devil, hissing and striking at the veterinary staff?
  • Or will he frantically eat the treats offered in an effort to soothe himself?

How can we ask our cats to accept handling and medical exams?

Making vet visits better for your cat (and you!)


Sedation is one way to relieve anxiety and fear. But sedation works better when your cat is used to being handled. (For more about sedation, see https://www.felinepurrspective.com/medication-before-your-cats-vet-visit/).

In this series of posts, we are going train our cats to accept the handling that goes along with the veterinary exam. We will break the vet visit down into parts and work on making your cat comfortable with each part. We will use a technique known as “clicker training” to communicate safety and familiarity to your cat.  Your cat voluntarily accepts handling in exchange for something he likes. In this way, your cat becomes an active participant in his health care.

THE VET VISIT IN PIECES


  1. Getting kitty into the cat carrier
  2. The car ride
  3. The waiting room
  4. The exam room/vet exam
  5. Other procedures
  6. Homeward bound

From getting your cat into her carrier to the return trip to home, training can help reduce situational anxiety by making handling and traveling positive, familiar experiences.

However, don’t expect your cat to go through his entire repertoire of behaviors in a distracting environment with strange people such as the veterinary clinic. Unless you train your cat in such an environment, he may behave as if he has never done any of these  things before. However, because he is used to being handled, appropriate handling should not elicit defensive behavior.

A frightened cat fighting for his life is very intimidating to handle. However, the past 2 decades has seen the advent of stress-free handling techniques designed to address the frightened cat. If you have concerns about how your cat is handled at the veterinary practice, consider taking your cat to a Cat Friendly practice, where staff is trained in feline handling techniques.

Making vet visits better for your cat is challenging, even if your cat is calm, relaxed and food motivated.  We will start next week with carrier training.

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Brushing the Upper premolarsIn Part 1 of Brushing Your Cat’s Teeth: Why and How, we learned that brushing your cat’s teeth with a pet toothpaste such as the PetSmile or Virbac CET brands can help reduce the bacteria in your cat’s mouth and improve her dental health. But how do you convince your cat to let you brush her teeth?

The answer is to find something she likes (a Greenies dental treat? head rubs?) that you can use as a reward and break the tooth brushing into small steps that she can master while she becomes accustomed to the process.

brushing your cat’s teeth: Step by Step


To brush your cat’s teeth, your cat needs to

  1. sit still and have her head held
  2. accept the toothpaste
  3. allow you to apply some toothpaste onto to her upper cheek teeth with your finger
  4. allow you to gently brush her teeth

 

Step One


It is important to watch your cat’s body language and proceed at her pace. Break these steps up into smaller ones if you need to. For example, it will be helpful if your cat knows to sit on cue reliably before asking her to let you hold her head.

step two


In step two, we will offer her the toothpaste. Cat toothpaste is available in several flavors including chicken and seafood. Choose the flavor you think she’ll like best. Offer her the toothpaste on your finger and then on the toothbrush.

step three


Once she indicates which toothpaste she likes, move to step three: put some tooth paste on your finger and try gently rubbing her teeth.

step four


Go slowly with the toothbrush and use a very light touch. Remember, when you brush your own teeth, you can feel how hard you are pressing – you don’t have this feedback when brushing your cat’s teeth. The first few sessions will be short – try to end on a positive note, before she starts to struggle or wants to leave.

Make sure to reward her after each step. It may seem counter productive to give her a dental treat – after all, you just brushed her teeth! However, you have disturbed the biofilm with brushing and the saliva now contains the toothpaste with its antibacterial components.

It may take your cat several weeks to master all these steps.  Above all, go at your cat’s pace. Don’t move to the next step until she has mastered the step before.

To see how it’s done, check out the two-part video series, “Brushing Your Cat’s Teeth: Why and How” in the video gallery at www.felinepurrspective.com.  Part 2 features video of cats having their teeth brushed.

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Cat with Human toothbrush
Human toothbrushes are not designed for cats’ smaller mouths.

Good dental care for people centers on regular dental cleanings once or twice a year. This is supplemented by home dental care – twice daily brushing and daily (or more) flossing. Our cats should have periodic professional cleanings done under anesthesia but what about home dental care? How about brushing your cat’s teeth?

Brushing your cat’s teeth


The Veterinary Oral Health Council (VOHC) has a list of accepted products for cats. On this list are several dental diets including the over-the-counter Hills Oral Care, a water additive, oral spray and oral gel made by HealthyMouth, in addition to Greenies treats. The list is a bit outdated with the most recent entries dated 2012. Nowhere are toothbrushes or toothpaste.

Having tried the diets, the water additive, and brushing teeth, I have found that hands-down brushing your cat’s teeth is the most effective. Tartar accumulates most frequently on the outside of the cat’s upper premolars and those are the teeth we can target.

The benefits? Brushing reduces the amount of bacteria in the mouth more effectively than water additives and sprays. Cats are prone to developing tooth resorption which is similar in some ways to human cavities. However, where filling cavities works in human teeth, these feline resorptive lesions just get bigger and bigger once they start and filling them does not work – they need to be extracted.

While we don’t really know why tooth resorption occurs in cats, bacteria is thought to play a major role. (“Microbiome analysis of feline odontoclastic resorptive lesions (FORL) and feline oral health”, Thomas et al., J Med Microbiol. 2021; 70(4): 001353.)

For dogs, VOHC recommends the PetSmile brand of toothpaste, that works by dissolving the biofilm that forms on the teeth using hydrogen peroxide.  The PetSmile website indicates that this toothpaste can be used for cats also.

Virbac makes the CET brand of dog and cat toothpastes.  CET toothpaste contains lactoperoxidase and is designed to boost a naturally occurring anti-bacterial process in the cat’s saliva.  Watanabe and colleagues measured bacterial counts on dogs’ teeth and found that simply applying the toothpaste to the teeth reduced bacteria, although not as much as brushing with the toothpaste. (J Vet Med Sci. 2016 Jul; 78(7): 1205–1208. “Inhibitory effect for proliferation of oral bacteria in dogs by tooth brushing and application of toothpaste”)

So, consider brushing your cat’s teeth. To learn more, check out the two-part video series, “Brushing Your Cat’s Teeth: Why and How” in the video gallery at www.felinepurrspective.com.  Start with Part 1 to find out which teeth you need to brush, what you need to do this, and a strategy to encourage your cat to accept the toothbrush.

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The big eyes and round heads of kittens may elicit a caregiving response in humans.

It is often said that cats are not fully domesticated. There is that streak of wildness in them – they can be aloof and take care of themselves. We don’t control the breeding or hunting habits of the cats that live in the shadows of our neighborhoods and cities.

To some, this offers an opportunity to study the process of domestication. Some of the easy to see hallmarks of domesticated animals are the changes in their faces and shapes of their heads. In selective breeding of foxes, rounder heads, white pigmentation, and droopy ears became apparent after 10 generations of allowing less aggressive animals to mate [“Changes in Cat Facial Morphology are Related to Interaction with Humans”, Hattoi et al, Animals 2022, 12, 3493].

 Domestic cats have short noses and rounder eyes


These changes in face and head make the animals look more juvenile. The noted ethologist, Konrad Lorenz, defined these traits (the round face and big eyes) as the “baby schema”. The “baby face” of human infants is said to stimulate the premotor cortex and activate the basic emotion of CARE in human adults.  Likewise, animals with round heads and big eyes are “cuter” and more appealing to humans.
A research group in Japan [Hattoi et al. see above] compared the facial structure of 1) feral mixed breed cats, 2) owned domestic mixed breed cats, and 3) owned domestic purebred cats with the facial structure of 4) the African Wildcat, the ancestor of our domestic cats. They hypothesized that cats that interact with people would show changes in their faces, and this could be a marker of the process of domestication.

The team mapped facial dimensions to find a measure of the “baby schema” they could use. Since the size of the cat’s eye is dependent on brightness, the researchers chose the nose length and the angle of the eyes to compare the faces of the 4 categories of cats.

Measurement of Nose length in catsThe nose length (B) was reported relative to facial size, the distance between the inside corners of the eyes (A). Eye angles measured the slant of the eyes, from the inside corner to the outside corner.

 

Analysis of 3295 photos revealed:

  •  Domestic cats have short noses  and rounder eyes.
  • African wildcats and feral mixed breed cats have longer noses and slanted eyes when compared with domestic cats.
  • The study also found that people preferred cats with shorter noses – they were “cuter” than cats with longer noses.
 Nose Length(B/A)Angle of Eyes
African Wildcats1.3425.61
Mixed Breed Feral Cats1.3225.10
Owned Mixed Breed Cats1.2325.31
Owned Purebred Cats1.1422.77

Humans prefer cats with shorter noses and eyes that are not so slanted.  These features may elicit caregiving behavior in humans.  Domestic cats have short noses and rounder eyes; this suggests that domestication or interaction with humans has changed the facial structure of domestic cats.

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a cat chewing on plasticHave you had or do you have a cat who would eat anything – hair ties, ribbons, plastic – in addition to food? Have you experienced the anxiety waiting for your cat to pass whatever object you think he ate? It is not unheard of for cats to eat, chew or suck on non-food items. This behavior is called pica.  How do you manage the cat with pica?

The Bristol Cat Study (Animals 2021, 11(4), 1101; https://doi.org/10.3390/ani11041101) followed a group of cats for a little over 3 years.  To participate in the study, the owners had to own a kitten or kittens, 8-16 weeks old at the time of registration.

These owners were asked whether or not their cats chewed (with or without ingesting) one or more of the following items: 1) woolen fabrics 2) other fabrics 3) plastics 4) other materials. These questions were repeated at 2-4 months, 6.5-7 months, 12.5-13 months, and finally at 18.5-19 months.  About 25% of 2203 cats were reported to exhibit some pica behavior.

Findings

  • plastics were the most commonly targeted material
  • pica was most commonly reported at 6.5-7 months of age
  • about half of the cats reported to have pica at 6 months did not show pica at 18-19 months of age
  • cats who moved to a new house when they were around year old were more likely to have pica

 

Managing the cat with pica


Pica can result in GI injury, poisoning, or electric shock. The goal of managing pica is to prevent injury to the cat.

Step one: Identify the material being targeted


Yarn? Thread? Hair Ties?

  • yarn can wrap around the tongue
  • thread may have a sharp needle attached
  • hair ties

Poisons?

  • Household chemicals: cleaners, antifreeze, insecticides, plant sprays
  • House Plants: can be toxic – lilies in particular can cause kidney damage even in small amounts

Other?

  • Filmy plastics and things like “fabric softener sheets”
  • Chewing/biting electrical cords
  • Kneading and sucking on blankets
  • Chewing or sucking on toys

Step two: Keep targeted items out of reach of the cat with pica


  • keep blankets and other fabrics in closets your cat can’t get into
  • put hair ties and elastics away
  • replace toys your cat may be eating with ones that he can’t eat
  • supervise play times and access to toys
  • cover electrical cords with plastic covers that cats can’t bite through
  • unplug unused appliances
  • discard or hang houseplants
  • store household chemicals in a secure closet

Step three: Provide the cat with pica an alternative behavior


We would like to provide Kitty with an outlet for her oral activities and provide something safe for her to interact with.

Cat using food puzzleKeeping kitty busy


Try “free feeding” your cat with pica if possible. If “free-feeding” is not an option, frequent small meals will work. Food puzzles offer a natural cat behavior (foraging) as well as a snack. For some ideas, visit foodpuzzlesforcats.com.

Licking – a soothing behavior for cats


Slow-feeding mats are textured silicone mats that you spread canned food on. The cat licks the food off much like a wild cat may lick meat off a bone. Licking appears to be calming and soothing to cats. Some cats may like licking toys or balls made from compressed catnip.

Chewing

There are silicone toys that can be filled with catnip or silver vine (see the PetZone Boredom Buster dental chew toy). There is also a gum stimulator on the Catit Wellness Center that is designed to be chewed and sucked on. If you try these, be sure to monitor the wear on them and be around to supervise your kitty with these.

Cat Grass


Cats are attracted to grass and like to chew on it. There is the grass sold at pet stores and seeds you can plant. Some varieties of ornamental grasses are non-toxic to cats. Make sure to check the ASPCA site to make sure that the plants you choose are safe.

Step four: reducing stress in the cat with pica


Stress can stimulate an increase in pica behaviors, especially as cats grow out of the kitten stage. Identify and reduce stress whenever possible.

Social stress: 

  • How does the cat with pica get along with other pets in the household?
  • Do neighborhood cats come to the windows?
  • Are interactions with humans
 predictable?

Environmental stress:

Managing the cat with pica can be challenging.  Although the Bristol Cat Study indicated that half the cats who had been reported with pica at 6 months were no longer chewing/ingesting things at 18 months, it is wise to monitor your cat for such behavior, even if it seems to have gone away. Providing cats with safe opportunities to lick and chew is key to having a happy and healthy cat.

Your veterinary team is an important resource if you suspect your cat has pica. GI distress, oral pain and neurological issues can sometimes exacerbate pica and are best treated.

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