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As with many cat behaviors, it's usually milk related. Most cats only do the rhythmic "kneading" of the front paws, relating back to the squeezing of the mother to get milk.

The problem with urine is that the smell on the couch tells them to use it there. Cat urine is VERY difficult to remove, especially to the degree that cats can't smell it. Is it possible to separate...

The biggest cause is the same as in humans- plaque. The best way to help cats avoid tooth and gum problems is to feed them dry food and the crunchy treats. These may also come with hairball treatment.