Obsessive grooming - cat

Has anyone navigated obsessive grooming? He’s been seen a few times by the vet and we haven’t found anything skin related creating the issue. He spends a large portion of the his waking hours grooming. In general I often find mine grooming but more often than not I find him grooming if he’s awake.

I can break the cycle but it normally takes a few corrections for him to lay off. He has groomed his entire belly naked and is now progressed to the inside of his upper arms. I’d classify his disposition as an insecure alpha, so it feels more behavioral than physical. I’ve fostered 50+ cats while he’s been with us. He has been a phenomenal foster daddy to the tiny tots and super tolerant of the older cats. None of the permanent residents give him issue although he does pick on two of the more submissive ones. We are on long term pause with fostering and I haven’t seen any change in behavior with a stable household dynamic.

The only suggestion my vet had was Prozac but unless I pill pop him daily I can’t fathom getting a pill into daily? Has anyone else navigated this? Can they compound this into a topical the way they do with some other meds? Felineway or other products worth considering?

He’s currently sprawled out at my feet asleep. He’s a love and I guess the excessive grooming isn’t a “problem” but also, it can’t be good for his stomach or mental health to be compelled to groom continuously. My vets seemed very unconcerned but I’d like to pursue further and would love any leads.

I think it’s phenomenal that he’s such a good foster daddy but maybe having so many fosters in and out of his life is stressful. My cat was a stress groomer and the only way I got her to quit was rehoming a cat who didn’t let her have 100% of the space she was accustomed to, although he didn’t outright attack her.

Her grooming got so bad she got a secondary infection and we put her on steroids for a bit as well as a topical cream.

She was happy in a 2 cat home with another mellow cat.

The most common cause of overgrooming in a cat is underlying allergies and itchiness. I recommend starting with a good quality monthly flea preventative such as Bravecto or Revolution if he’s not already on flea preventative. If that doesn’t help the next step would be a limited ingredient or hypoallergenic diet in case of food allergy. If that doesn’t help either then he probably has environmental allergies and long term medication such as a steroid may help.

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A relative just went through this. In their case the cat was excessively grooming, constantly, to the point he had no hair on his stomach and legs. No smoking guns. Vet didn’t find anything abnormal but I’m not sure how extensive or what tests they had done, just that they had visited vet several times about it and the vet seemed unconcerned, similar to what you mentioned. Cat had been on same food for years, nothing new in environment, no evidence of fleas/ticks and he had his flea/tick meds regularly etc. He is older, not sure his age exactly but over ten at least.

They switched to a sensitive-skin food, not prescription but one of the pricier name brands, and that was it. He stopped the excessive grooming rather quickly and his hair has grown back.

I hope you figure it out!

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OP said vet had seen a few times so I assume they had already covered allergies. I went through the whole rigmarole (allergy testing, elimination diet, special diet) with my cat before we settled on behavioral cause. If a short course of prednisolone doesn’t turn it off like a light, then it’s behavioral. If it does, fix the trigger.

How long has he been grooming excessively? If it just started this spring/summer it could be allergies. I once had a cat that would lick herself bald every summer but her fur would grow back in the winter. Or like others have said, it could be a food allergy. A shot of prednisone could help distinguish allergies from stress grooming.

  1. We stopped the dry food,(Orion?something like that and $$$) which was for sensitive skin and stomach. Oatmeal doesn’t cut it.
  2. I let her out more, during the day, with her sibling.
  3. I stopped “manhandling” her. She objects anytime I do something against her will and use my superior strength to do so; pick her up, touch her etc. Anytime I “manhandled” her, she would,afterwords, obsessively start licking herself. I believe she was redirecting her anger/objection. So now I put my hand out for her to sniff, like you would a dog, and if sniffs my hand I’m good to touch her. If not, I just leave.
  4. Oils, she had really bad dandruff . She got constipated and the vet gave me Miralax, which is full of soybean oil (and petroleum jelly?). Her coat for the first time gleamed and her bald spots started to grow in.

Three and four were the most effective. I was able to give her dry food again, between her wet food twice a day.

Another thought . . . Has he been checked for hyperthyroidism? In humans that can cause itchy skin either directly or by increasing anxiety. My cat that licked herself bald was eventually diagnosed with hyperthyroidism, and after it was cured the excessive licking also stopped. We never knew if the licking was caused mostly by allergies or by hyperthyroidism.

It was allergies for my cat - I don’t think we did any allergy testing but putting him on a daily allergy pill solved it. I also think it could start as allergy and become behavioral. I was able to stop the allergy pills eventually and he never went back to the overgrooming so that may have broken a cycle.

Whatever I gave him either I could mix into his wet food or feed in a pill pocket so it wasn’t difficult to do daily.

Looked it up he took chlorpheniramine tablets. It’s an antihistamine.

If you rule out skin/allergy issues, there are good, safe anti-obsessional meds that your vet could provide. Usually they are used for a short time to break the habit, then tapered off. If the issue is behavorial, though, it may come back down the road if the cat is under new long-term stress. Then you would just go back on the meds for a bit.

Another experience here where it was some kind of sensitivity related to what the cat was eating. I did multiple allergen tests that came back negative, skin scrapes, endless vet visits. Vet threw around the word “idiopathic” a lot. Tried some very expensive hydrolized protein-free prescription vet food for months, did elimination diets for the better part of a year, etc. No improvement, actually on the hydrolized diet the kitty got worse, she also had scratching dermatitis from overgrooming. In frustration I broke down and got Purina Pro Sensitive Skin. It’s made a night and day difference. I also groom her a few times a day, which I think helps - she is long furred.

Any time we’ve run out and had to feed something else, the dermatitis returns. So she’s permanently on Purina Pro Sensitive Stomach, with Weruva chicken wet food in the AM.

Had checked with relative and came back to update my earlier post with the brand of food but saw your response. That’s the same food my relative put the cat on that ended up working.

Purina Pro Plan Sensitive Skin. Night and day difference for their cat as well.

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Thank you everyone. COTH never fails to bring in an array of perspectives. I’m thinking that I may be dealing with an intersection.

@MadTrotter We haven’t really dug through much honestly. I love my vet but he’s a little too laidback at times. He honestly just shrugged and took a “I wouldn’t stress too much” approach. Between the dog’s cancer, another cat with chronic herpes and ocular keratosis, and the random scary health scares with fosters, I get the feeling that he tries to keep me from stressing about the non emergency things?

Fostering - I can’t imagine that fostering is stress-free for any animal in my house but he has historically had the least outward display. Perhaps he was experiencing more stress than I realized and internalized it. We’d already decided to really slow down fostering so I may push that to an even longer timeline.

Environmental - The dog has horrific flea allergies and we keep everyone on flea preventative so I feel pretty confident it isn’t fleas. HOWEVER!!! It just clicked with me that the last few months have definitely been worse. All cats have 24/7 access to a screened in porch. Environmental allergies could absolutely be a contributor. It has been very very wet and hot this year so animals and humans alike have been struggling. While I don’t think I’ve ever noticed a total absence of grooming, I do think it was better in the winter. Today he went out after breakfast and essentially baked in 90+ degree weather for almost 10 hours only coming in for the litterbox and quick drinks.

Food - I feed nulo medal series grain-free turkey & chicken dry in the AM and Dave’s grain-free turkey wet PM. He’s been on it for roughly 3 years and is ~8 this year. He was eating Iams or something generic before he came to us and a few other brands with more ingredients over the years. He could have developed a protein allergy I guess? Outside of the actual cat food he does steal random bites of the dog’s grain-free venison food, dried beef liver, and raw vegetables but in small quantities sporadically. Purine Pro Plan Sensitive Skin seems to have more protein sources, soy, and corn, which seems potentially more triggering than the current options?

@OzarksRider we haven’t do a thyroid panel. That seems like something to consider. Eight feels young but animals don’t always follow our timelines. I wish I’d tracked the timeline better but I’d say over a year? it started off as a little thinning and slowly became a bald area and then a bald area that spread. I’d say it has definitely been worse in the past few months. Outside of the last 3 weeks we haven’t had fosters in the house since April maybe? Before that pair (who stayed solely in quarantine) it was a stable house since November 2022.

@Zevida interesting thought about pill pockets. The dog gets them daily for his meds so I can play around with whether he will consider eating one too.

@Chall interesting observations. Outside of his naked belly he’s got a super shiny pretty perfect coat with almost no shedding. Unless any of mine seek me out, I tend to let them live like little feral gremlins in the house lol. They can seek out a lap or a pet but if someone wants to pretend like humans don’t exist, they have complete freedom to just “be” in the household. The only exception is monthly toenail trimming but he gets held like a football by DH and limp noodle lets me do his toenails while purring so I don’t feel like it’s too offensive for him. He is pretty independent during the day but typically joins me for couch time and usually bed as well.

When I began dating my now DH, his Brownie was like this. We believe it started as an itch and became stress related. Before I was in the picture, the cats were alone with daily visits A LOT as my hubby worked in the road 200+ days per year.
Brownie was on a daily steroid for YEARS!! Once I was in the picture, we tried several different vets, Prozac, etc. Cerenia (sp) worked the best for him and was effective (but not excellent) for several years, although the daily pill was awful (effective as in the constant grooming slowed, but never a great coat).
He eventually was hyperthyroid, and 2 radiation treatments (3 years apart I think) gave us 7 extra years.
OzarksRider, I found it interesting that you mentioned the thyroid, because he was tested for that again and again before he finally went hyperthyroid. His coat never looked decent until the first radiation treatment.

ETA: I truly believe the multiple years of steroid treatment damaged other organs, but it took me several years into the relationship before I could force the vet change.