DEAR DR. FOX: In May, we adopted two male kittens -- brothers and littermates. They are neutered. They get along very well, and they play together, groom each other and sleep together. I have three litter boxes (two are covered boxes, one is not. All get scooped two times a day.

Occasionally, B used the bathtub or sink to urinate in, but in early October, he pooped in the sink. Both cats love to drink out of the sink if I am there getting ready for work.

We have no small children or other pets. We feed the cats downstairs by their litter boxes so they know where they are located. The boxes are in a quiet spot -- no one bothers them when they're going. I put bowls of water in the areas where they're peeing to try and stop the behavior, since it is difficult to close off the rooms. That seemed to work until this morning. While I was trying to sleep, B pooped in the bathtub in the master bath, and he used towels to cover it up, even though there was a bowl of water in the tub, from which he and the other cat drink.

We believe B's brother -- the runt of the two -- is now the dominant cat. He can easily take B's toy or treat from him without any fuss. I don't know if this behavior is due to trying to establish dominance or something else.

I have had cats in the past, but I've never experienced this sort of behavior. I don't know where else to turn as my vet cannot find any reason for this behavior. My vet says he has heard of cats (especially neutered males) liking the texture/feel of porcelain sinks, and he believes that the behavior may be in response to an issue the brothers are having. My fear is that this is becoming a learned trait and will be impossible to stop. Any suggestions? -- R. & N.K., Houston

DEAR R. & N.K.: The out-of-place toilet behavior you describe in your cat is not uncommon. I would consider removing the litter box covers, which some cats detest. Fixing dripping faucets switches off many cats' delight in sipping and playing with the drops, so I'd suggest purchasing a plug-in drinking fountain. Cats, especially ones eating dry food, need to drink plenty of water, and a bubbling water dispenser attracts them.

After ruling out cystitis and constipation, my solution for my cat, Igor, who began pooping in my sink and peeing in the bathtub, was to put a few inches of water in both sink and tub for a few days. Most cats do not like to get wet, and this may be your best solution. I do not believe that this behavior has anything to do with their interrelationship.

DEAR DR. FOX: Six years ago, we brought home our female bichon from the vet's office after the breeder left her there when the vet delivered her puppies surgically. She was not socialized, and she didn't know how to walk with a collar and leash. We gave her the love and happy home she never had before.

She has been diagnosed with incurable kidney disease. She was dehydrated, vomiting and quit eating -- she always loved to eat. We want to give her the best possible medical care. Our vet hydrated her for a week and put her on antibiotics and nausea medication. She is starting to eat better now, but we understand that a diet for renal failure is necessary.

Do you have a good and tasty recipe that we can prepare for her? She is picky about her food -- if it doesn't smell good, she won't eat it.

We would appreciate any medical advice and a healthy dinner recipe you may have to keep our sweet little Sophie as healthy and happy as possible. -- M.K., St. Louis

DEAR M.K.: Chronic renal failure in dogs and cats takes more than a manufactured prescription diet to help maintain. Many of these special diets are unpalatable and high in cereals that may aggravate some of the consequences of kidney disease, especially when the patient is losing protein in the urine.

It is critically important to have the dog's creatinine level in the blood monitored, along with serum calcium and phosphorus. Potassium deficiency may call for appropriate supplementation, and high blood pressure and anemia need to be checked for and treated. Fish oil is one supplement that can help improve kidney function.

For home-prepared diets for this condition, visit secure.balacneit.com. My website, DrFoxVet.com, will also give further insights into dealing with this all-too-common canine malady.

REVERSE ZOONOSES: PEOPLE GIVING THE FLU TO ANIMALS

If you get influenza this winter, minimize contact with your pets because the virus may be transmissible to cats, dogs, ferrets and other species. Precautions like washing hands, wearing a mask and avoiding crowded and poorly ventilated public places -- along with good nutrition and supplements such as zinc and vitamins A, C and D -- may be more effective and less risky for some people than being vaccinated. Different flu strains are constantly evolving, which is why vaccinations can never guarantee total protection. Those working with animals on farms, horse stables, zoos and research laboratories should take time off if they get the flu.

(Send all mail to animaldocfox@gmail.com or to Dr. Michael Fox in care of Universal Uclick, 1130 Walnut St., Kansas City, MO 64106. The volume of mail received prohibits personal replies, but questions and comments of general interest will be discussed in future columns.

Visit Dr. Fox's website at DrFoxVet.com.)

DEAR DR. FOX: I am responding to your request for success stories of dietary changes.

We have a beautiful, loved black Labrador retriever, Buddy. We've had Buddy since he was seven weeks old. When my husband and I retired, we moved from California to 20 acres in the Oregon countryside. Buddy was about 4 years old. About two months after we moved, he had a seizure. It was frightening for us and for him. It lasted about 10 minutes, and then he was back to normal. We thought maybe something he ate on the property caused the seizure. We didn't take him to the vet. He wasn't allowed to run on the property without being on a leash so we could make sure he didn't eat anything he shouldn't.

About three months later, he had another seizure. At that time we took him to our vet. Our vet said that a number of things could cause seizures in dogs and that we needed to keep an eye on him. Over the next year, he had four seizures. He had them about every three months, and they lasted 10 to 15 minutes. The vet said if the seizures became lengthy, we would put him on medication.

The vet suggested changing his dry food and periodically giving him raw meat. We started that immediately. We changed his dry food to Blue Buffalo, and we give him 1 cup of raw beef stew meat three times a week. After six weeks on his new diet, he had a seizure. We were dismayed as we hoped the change in diet would do the trick. We decided to keep him on the new diet regardless.

I am delighted to say that after being on the new diet for over a year, he has not had another seizure. I think he had the last seizure because his new diet had not had time to have an impact on his system.

My husband and I are totally convinced that his change in food stopped his seizures. -- M.A., Jacksonville, Ore.

DEAR M.A.: I trust that all dog owners with epileptic/seizure-prone dogs will take note. Dietary change is no panacea because there are several causes, but diet should never be dismissed as a nonissue.

DEAR DR. FOX: In one of your recent columns, you said not to feed your cats food that has soy or corn products in it. I feed my cats Purina, and it has both corn and soy in it. Can you please explain why Purina puts those items in its food if they are not good for the animals? I have been a loyal Purina buyer for more than 40 years. Am I feeding my cats something that will hurt them? Can you suggest a better food? -- L.W., St. Louis

DEAR L.W.: I would never advise people to feed their cats food high in corn and soy. Check my website, DrFoxVet.com, for details and brands of cat food, such as Evo, Organix and Wellness, that I prefer.

Cats are carnivores. Many are allergic to corn, and they do not need cereals in their diets, which can contribute to obesity, diabetes, arthritis and other illnesses. Soy is a cheap vegetable protein that has little nutritional value for cats and can cause digestive and other health problems.

(Send all mail to animaldocfox@gmail.com or to Dr. Michael Fox in care of Universal Uclick, 1130 Walnut St., Kansas City, MO 64106. The volume of mail received prohibits personal replies, but questions and comments of general interest will be discussed in future columns.

Visit Dr. Fox's website at DrFoxVet.com.)

DEAR DR. FOX: I lost my 10-year-old cat, Daddy's Little Boy, earlier this week, and it's taken until today for me to have the strength to write. I think there are lessons to be learned from his death at the vet's office for a relatively routine procedure -- radioactive iodine treatment for hyperthyroidism.

Daddy's Little Boy was diagnosed with hyperthyroidism about a year ago, and he was prescribed methimazole. It stopped working, so I decided on the radioactive iodine treatment, even though it was $1,200. I took him in for the treatment last week. The day he died, I asked to see him, but they wouldn't let me because he was "hot" -- I think that means radioactive. That evening he had a stroke and was dehydrated and disoriented, and the vet's office told me I should get there. He was in an oxygen incubator. I made two visits that evening to comfort him while wearing protective gloves and vest. They called me on my way home to say that five minutes after I left, he stopped breathing and they had to put a tube in his lungs. By the time I turned around and got back, his heart had stopped.

The vet told me this had happened only once before in 10 years. I believe him, but that's of little consolation. Whenever an animal is left at a facility overnight, there must be a sense of abandonment and separation anxiety. If the pet cannot go home by the next day, arrangements should be made for visitation. Even if the pet is radioactive, precautions, like the vest and gloves I wore, should make that possible.

Though this facility holds the pet only 48 hours, I'm told there are others that hold them them for up to two weeks. It's not a coincidence that my cat's death happened at the facility. It wouldn't have happened at home. -- B.H., St. Louis

DEAR B.H.: My deepest condolences. What a sad ordeal you and your poor cat went through. Hyperthyroid disease is almost an epidemic in cats today. Fire-retardant chemicals in carpets, furniture upholstery/stuffing and possibly even in the food chain; fluoride in drinking water; toxic levels of iodine in some pet food ingredients; and endocrine-disrupting BPAs and phthalates in pet food containers are contributing factors.

For most cats and many dogs, being left in a veterinary hospital for even a few hours can be stressful enough to compromise treatment and recovery. Veterinarians aware of this problem encourage visiting/petting hours for animals in for long-term treatment, and others do house calls and provide in-home treatments.

But with your cat's diseased thyroid, after methimazole treatment failed, large doses of iodine might have proven effective. Surgical removal of the gland under general anesthetic was another option. Treatment with radioactive iodine 131 is not advisable if there are any signs of poor renal function. Beta-blockers are often prescribed to reduce elevated heart rates and blood pressure in cats with this thyroid disease while undergoing treatment, which may lead to renal failure.

DEAR DR. FOX: I have a disgusting question about my 5-month-old female Lab-mix.

She was originally rescued from a barn as a tiny puppy. I had the privilege of adopting her at three months. I feed her and her 7-month-old male Lab-mix adoptive brother a broiled chicken breast for breakfast (split between the two of them), and a can each of puppy food for dinner. They get a rawhide each day and assorted puppy treats throughout the day, and I keep their bowl of dry food full.

She has access to a doggy door that opens to about a half acre of land. Although her adoptive brother is completely house-trained, she still, on occasion, goes in the house.

Now here is the disgusting part: I believe she might be eating feces. I have not seen her eat it, but I've noticed that occasionally her breath smells like poop. Fecal matter is missing from the lawn -- she has very solid feces that become like logs when dry, and when I return to pick them up, they are gone. I have joked that both dogs have pica because they are always eating things that are inedible (sticks, paper, feces).

Are they missing something from their diet? Is this typical puppy behavior? -- N.C.T., Mount Airy, N.C.

DEAR N.C.T.: This is the most unsavory of all dogs' behavior that is, to a degree, normal. Check the archives section on my website, DrFoxVet.com, for a host of letters addressing this issue.

"Cures" range from muzzling your dog when outdoors and feeding her digestive enzymes, probiotics and brewer's yeast to not letting the dogs see the poop being picked up. Cleaning up the den area and acquiring essential digestive bacteria and trace nutrients are some of the possible reasons for canine coprophagia. Unfortunately, there is no simple remedy.

As for the halitosis, PetzLife Oral Care for dogs will sweeten the breath and help keep teeth and gums clean and healthy.

(Send all mail to animaldocfox@gmail.com or to Dr. Michael Fox in care of Universal Uclick, 1130 Walnut St., Kansas City, MO 64106. The volume of mail received prohibits personal replies, but questions and comments of general interest will be discussed in future columns.

Visit Dr. Fox's website at DrFoxVet.com.)