Liz Buchanan BVSc MRCVS
Keymaster
Hello! Evie is not my patient, so I will answer for a general stressed cat.
Cystitis in particular can be very commonly linked to stress. Cats do not show social stress signals as easily as humans and dogs, who have evolved body language and (in humans' case) spoken language to communicate with other members of their 'group.'
Indeed, cats split into 'territories' even within the same household (if there is more than one cat in your house, you may be able to map this). When their territory is threatened, they tend to either physically avoid conflict, or to stand their ground and fight, having evolved very few subtle 'in between' or 'warning' social graces to settle things.
A site to urinate in their own territory is very important to a cat - as important as a seat at the family dining-table is to many humans. Something as simple as someone leaving a strange object like a suitcase near a favourite litter-tray, or a changing of cat-litter, or it being cold outside, or too much human activity near a toilet site, or having to access the toilet by passing through another cats' 'territory,' can be enough for a cat to 'go off' their urine site or avoid using it, holding their urine for longer periods, causing cystitis.
To find out more about this, search for cystitis and feline urine habits in our blog. It is also something to ask your vet about. Sarah Caney, one of our writers on this subject, has her own website, Vet Professionals, which may be useful. In general, it helps to have a good choice of multiple litter trays available to each cat, within their own chosen territory (place to hang out).
However, it's also worth mentioning that eating 'as if she's starving' can also be a serious clinical sign in a cat. You seem to imply that your vet knows about all these signs but if they don't, you should think about hyperthyroidism or diabetes or cancer or other such concerns and Evie should be checked out urgently again just in case. Illness can, of course, contribute to stress and some illnesses cause excessive urination themselves.
Best of luck.
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