Feline Idiopathic Cystitis (FIC) represents one of the most common and frustrating diagnoses in small animal practice, characterized by lower urinary tract signs without an identifiable organic cause. This review synthesizes current evidence from veterinary science (pathophysiology, diagnostics) and animal behavior (environmental enrichment, stress physiology) to argue that FIC is not a purely organic disease but a triggered by chronic stress. A combined approach—pharmacological intervention plus behavioral modification—yields superior outcomes compared to either discipline alone.
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In rescue and shelter settings, behavior is often the primary determinant of adoptability. Feline Idiopathic Cystitis (FIC) represents one of the