Cornell Feline Health Center
Cats afflicted with hyperthyroidism usually develop a variety of signs that may be subtle at first but that become more severe as the disease progresses. The most common clinical signs of hyperthyroidism are weight loss, increased appetite, and increased thirst and urination.
The most common causes of PU/PD in cats include chronic kidney disease, hyperthyroidism and diabetes mellitus, all diseases of geriatric cats that can co-exist in an individual cat .
2016 AAFP Guidelines for the Management of Feline Hyperthyroidism ...

Because thyroid hormone affects various body systems, the clinical presentation of a hyperthyroid cat can include a variety of signs . No single clinical presentation is pathognomonic for FHT. Also, as FHT is being diagnosed earlier in its progression, clinical signs may be subtle in many cats .
Urinary incontinence is an unusual but important presenting sign of LUT diseases (discussed later). Non- urinary signs may include overgrooming of the abdomen (Figure 3), perineum and hindlimbs, indicating underlying pain, and non-specific signs such as lethargy and hyporexia.
Dr. Erica Thacker explains urinary incontinence in cats , including symptoms, causes, diagnosis, and treatment options.

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Learn what urinary incontinence is in cats , how you can recognize it, and how to differentiate it from other inappropriate urinary behaviors.
Urinary Incontinence in Cats
Urinary incontinence is the involuntary release of urine. An affected cat may dribble urine or void a large amount, while seemingly unaware.

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Hyperthyroid cats often have urine specific gravity (USG) values <1.035. It remains unclear how USG changes after treatment, if USG can be used to predict azotemia after treatment, or how iatrogenic hypothyroidism influences USG values.
PDF Cat Carer Guie to Lower Urinary Tract Diseases
Common things that owners notice in their cats are weight loss, increased hunger and thirst, patchy hair loss, or failure to groom (some cats have been observed to pull their hair out), and increased urination. Some cats are hyperactive and some persistently restless or nervous.
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