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Cat Stopped Using Litterbox

We have an elderly cat that messes everywhere in the house, on carpet and tiles. He has been to the vet multiple times and no diagnoses are ever made. We have multiple cat boxes, upstairs and downstairs, in close proximity to areas that he regularly messes and in areas he messes. The litter boxes upstairs have different types of litter in them and it still does not work. He uses the boxes sometimes, but still messes everywhere else. No signs of arthritis as he easily goes up and down stairs and up onto surfaces. It's not laziness because he will move from upstairs to downstairs or vice versa just to urinate. This is becoming a big problem in the house. Please help.

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