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19 yr old cat stopped using litterbox


female siamese cat, 2 months shy of 20. Problem started about a year ago when she started peeing blood. We assumed it was UTI, but repeated exams didn't show this & treatment (food & oral antibiotic) was ultimately not successful. She remained energetic.

Over the last 6 months she started peeing, then pooping outside the litter box. In recent weeks she has been less energetic & her nails grow long quickly as she doesn't use her scratch post much anymore.

We can cut her nails, but the peeing & pooping outside the litterbox has to stop.

She has been the only cat for many years in an apartment where we are often busy with other things or not home, so I'm wondering if loneliness is a problem.

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