Furthermore, research into feline idiopathic cystitis (FIC) has revealed a fascinating loop between behavior and physiology. Stress triggers the release of norepinephrine, which activates the sympathetic nervous system. This neuroendocrine cascade increases the permeability of the bladder wall and decreases urine flow, causing severe inflammation. In this context, a "behavioral" issue (stress) is the direct cause of a "medical" disease. Treating the bladder without addressing the environmental stressors results in a failure of care.
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As veterinary medicine has advanced, our patients are living longer. With increased longevity comes a rise in geriatric conditions, most notably Canine Cognitive Dysfunction (CCD) and Feline Cognitive Dysfunction. In this context, a "behavioral" issue (stress) is