How do you know when it's time?

[Atypical13435]

My old boy is nearly 17. In the last couple of years he's had his ears removed due to skin cancer, a large cyst removed from his side and he's having treatment for hyper thyroidism. This week he has twice pooed in the house, and he's just tonight had a wee in the house. Apart from when recovering from surgery he has always done his business outside. My DH has just gone to the shop to get litter and tray etc.
Part of my thinks this is him telling us he's had enough, but I just don't know. My dd adores him, and he loves cuddling up on her lap, but apart from that he doesn't seem to do much.
We've had him since he was a kitten, and I hate the thought of losing him, but I don't if it would be kinder to let him go. Why is he suddenly soiling in the house?

Because he's either feeling ill or unhappy, @Atypical13435.
I don't mean that to sound harsh - you've obviously done your very best to give him a loving home and look after him.
You may well get some posters coming on to say take him back to the vets and try anything you can, but in your shoes I'd PTS. Once you start to doubt, it's time.
I really feel for you.

Becoming incontinent is usually a sign that the end is very near. I agree with the previous poster.

See how he goes with an indoor tray. He just might not feel like going out anymore. If it's still happening, then I would agree that it's probably time.

Yes when she started doing the toilet inside she had CKD so she also ate very little. 17 is a long life I think if you are asking then you know it's time.

Oh op, I'm sorry. This is the downside of caring for a loving a pet to old age. I do hope the little tray helps if it's just a case of him not wanting to go outside anymore, but if the soiling continues it's definitely his way of saying he's had enough. Sending you love 💐

Thanks everyone. He has used the tray today and no more accidents. I think we'll keep an eye over the weekend and see how he goes. I'm the meantime we'll have to start preparing the DC that it might be time to say goodbye soon. 😞😞

I would definitely give him time to see how he goes with the tray - it’s good that he’s used it already. He’s getting on in years and may just need to know he’s got more creature comforts available to him.

In fact, having the tray will enable you to have a better idea of things. You’ll be able to keep an eye on what is being produced - is there blood, are stools sloppy rather than formed, etc. If you notice anything in there that doesn’t look right, then straight to the vets imo.

Having said all that, please just bear in mind that cats are very good at masking how they’re feeling. So, for example, purring may not be a sign that they’re doing well, they can purr to soothe themselves.

It’s not easy to find the balance between giving them the best chance possible with treatment vs putting them through unnecessary procedures to prolong life.