Constipation! Update....

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Kahluasmom

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This is not for Kahlua. One of my other kitties is backed up. She went a bit yesterday, but tonight is trying to poop and just can't. I changed her to the LC food that Kahlua eats about a month ago and she has had hard stools since. I've been adding pumpkin and it sort of helps...but not consistently. What else can I do for her? She's a tiny 6 lb. girly!
 
This is not for Kahlua. One of my other kitties is backed up. She went a bit yesterday, but tonight is trying to poop and just can't. I changed her to the LC food that Kahlua eats about a month ago and she has had hard stools since. I've been adding pumpkin and it sort of helps...but not consistently. What else can I do for her? She's a tiny 6 lb. girly!
Hi Maria , a lot of us use Miralax , get the generic it's cheaper and it's the same thing
Such as clearlax or any other brand
(polyethylene glycol 3350)
You can start off with an 1/8 of a teaspoon everyday mixed in with the wet food and add water
to it, it's tasteless. See how that dose works for a couple of days, you might have to increase it to twice a day.
 
Hi Maria , a lot of us use Miralax , get the generic it's cheaper and it's the same thing
Such as clearlax or any other brand
(polyethylene glycol 3350)
You can start off with an 1/8 of a teaspoon everyday mixed in with the wet food and add water
to it, it's tasteless. See how that dose works for a couple of days, you might have to increase it to twice a day.
She just threw up. Do I give her more miralax?
 
What is your civie eating, does she throw up a lot?
I can tag a few members for you about your civie
@tiffmaxee

@Sienne and Gabby (GA)

@Wendy&Neko
Hi ladies this is about Maria's civie not her diabetic kitty
Thank you ladies
She eats Blue Buffalo Turkey or beef like Kahlua. She is an occasional poker and has always had some constipation issues. She's also a fuzz eater. I gave her more miralax a bit ago. She's not eating.
 
She really isn't interested in food. She was doing a lot of smacking and swallowing last night. She is just laying by the heater. She's very uncomfortable.
 
When did she last eat? Is she still throwing up? Did she get any Miralax this morning?

Cats that are constipated can throw up after using the litter box. Constipation can also cause a loss of appetite.

You might want to speak to your vet and see if she needs to be given an enema or evacuated manually.
 
When did she last eat? Is she still throwing up? Did she get any Miralax this morning?

Cats that are constipated can throw up after using the litter box. Constipation can also cause a loss of appetite.

You might want to speak to your vet and see if she needs to be given an enema or evacuated manually.
She ate yesterday late afternoon. She hasn't thrown up this morning. She got 1/8 tsp. of Miralax this a.m. She did poop 2 teeny tiny turds late last night. Very tiny. She's still very uncomfortable. The problem with the vet is they will want to see her. They won't answer any questions without seeing her. And it would be an emergency visit so $$$$. There is a walk in vet that Kahlua sees. They are okay but have never seen Mouse before.
 
It's good that she has stopped vomiting, but would be good if she ate. Let me tag @Katherine&Ruby who has much more experience with constipation than I do!

Could you get an appointment with your regular vet for today/tomorrow? Or the walk-in vet?
 
Hmm sounds to me like she may need the cat version of a suppository, so I guess an enema? I wouldn't say emergency just yet, but I'd try to get her in today.

Idk if Miralax works same in cats and humans, but with humans it does pull water in to the stuff that's formed and...ready to go. So I'd still stay with the miralax, personally I'd increase it a bit just to get things moving. The problem is the backup just compounds itself, all the stuff behind it also gets compacted. Miralax or enema to get it all out, but still have to address the front end with something like probiotic, you mentioned pumpkin, etc. I believe problem with pumpkin (or any fiber) is that if there also isn't enough water/fluid to keep it moving, the fiber becomes a problem.

@Katherine&Ruby is the poop expert, a title I'm not sure she wants! I think she's currently trying lactulose and probiotics.
 
Hmm sounds to me like she may need the cat version of a suppository, so I guess an enema? I wouldn't say emergency just yet, but I'd try to get her in today.

Idk if Miralax works same in cats and humans, but with humans it does pull water in to the stuff that's formed and...ready to go. So I'd still stay with the miralax, personally I'd increase it a bit just to get things moving. The problem is the backup just compounds itself, all the stuff behind it also gets compacted. Miralax or enema to get it all out, but still have to address the front end with something like probiotic, you mentioned pumpkin, etc. I believe problem with pumpkin (or any fiber) is that if there also isn't enough water/fluid to keep it moving, the fiber becomes a problem.

@Katherine&Ruby is the poop expert, a title I'm not sure she wants! I think she's currently trying lactulose and probiotics.
I guess what I'm concerned about is dehydration. She's such a tiny thing. She looks dehydrated to me. I'm thinking to take her to walk in. I hate the stress and cold factor though.
 
I guess what I'm concerned about is dehydration. She's such a tiny thing. She looks dehydrated to me. I'm thinking to take her to walk in. I hate the stress and cold factor though.
Did you do the scruff test? Lift it up, should snap right back almost immediately. Can also check gums - should be slippery.

If she's dehydrated then yes best thing to do is get for fluids, unless you happen to have some at home
 
Did you do the scruff test? Lift it up, should snap right back almost immediately. Can also check gums - should be slippery.

If she's dehydrated then yes best thing to do is get for fluids, unless you happen to have some at home
Her skin snaps back down....so not dehydrated. I panic. I don't have fluids here....I'm warming up the van and will take her in.
 
Her skin snaps back down....so not dehydrated. I panic. I don't have fluids here....I'm warming up the van and will take her in.
They are running some tests. She has a heart murmur and the vet says to pray for hyperthyroidism....I'm scared....
 
:bighug: Keep us updated on what the results say. How old is she? Did they say why she was constipated?
Okay....so the heart murmur isn't as bad as she first thought. Phew! No hyperthyroidism. All her values are fine except 1 liver value is slightly elevated. She is backed up. She's getting fluids, a warm water enema and some sort of gel that helps them absorb water....I'll have to look up the name. The urine results will be back tomorrow and then she'll know which antibiotic to give. I opted to wait on that to see which, if any are needed.
 
What a relief on the heart murmur and hyper T. Why does she need an antibiotic?

Hopefully the enema and suppository will help. Once she is clear, she will feel better and want to eat as well.

If she has chronic constipation, you might need to address that. Fibre, SEB, Miralax etc.
 
What a relief on the heart murmur and hyper T. Why does she need an antibiotic?

Hopefully the enema and suppository will help. Once she is clear, she will feel better and want to eat as well.

If she has chronic constipation, you might need to address that. Fibre, SEB, Miralax etc.
The antibiotic would be to cover any infection that might cause that higher liver value. It might just be from constipation, so i decided to wait. Her WBC was normal. But, yes.....relieved! Until my husband sees the bill that is!
 
@Katherine&Ruby is the poop expert
I love how I've earned this moniker! :rolleyes::p I'm really glad to know that Mouse is just stopped up.

Sorry about the need for the enema. I opted to give one to Ruby at home not so long ago and it was a very unpleasant experience for everyone involved! That's when we started Lactulose and although I have tried other, more natural solutions to alleviate the problem, Lactulose seems to be the only thing that truly works for her. If I were you, I'd start with Miralax--cats tolerate it well because it has no taste, but she has to like her food a little watered down because Miralax draws water into the intestines. Humans take it with a full glass of water, so you should add lots of water to her food as well when you mix it in. You may want to consider sprinkling some human probiotic into her food as well. Start with small amounts and work up to one cap a day. It will be good for her gut flora and help her overall health.
 
I love how I've earned this moniker! :rolleyes::p I'm really glad to know that Mouse is just stopped up.

Sorry about the need for the enema. I opted to give one to Ruby at home not so long ago and it was a very unpleasant experience for everyone involved! That's when we started Lactulose and although I have tried other, more natural solutions to alleviate the problem, Lactulose seems to be the only thing that truly works for her. If I were you, I'd start with Miralax--cats tolerate it well because it has no taste, but she has to like her food a little watered down because Miralax draws water into the intestines. Humans take it with a full glass of water, so you should add lots of water to her food as well when you mix it in. You may want to consider sprinkling some human probiotic into her food as well. Start with small amounts and work up to one cap a day. It will be good for her gut flora and help her overall health.
The problem is she won't eat. I syringes some water with miralax in her last night and this a.m but very little water. I'm so worried. No poop, no pee and no eating....
 
I have dealt with two cats that had severe constipation. One was diabetic and it caused him to get mega colon, the other one was born with a colon problem. Make sure you have a vet teach you how to give an enema. It's really easy to do once you get the hang of it and it can literally save a cat's life. If you can do them yourself, it will save you tons of money in vet costs. Lactulose is also really good.
 
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I have dealt with two cats that had severe constipation. One was diabetic and it caused him to get mega colon, the other one was born with a colon problem. Make sure you have a vet teach you how to give an enema. It's really easy to do once you get the hang of it and it can literally save a cat's life. If you can do them yourself, it will save you tons of money in vet costs. Lactulose is also really good.
That would be great if I could do it. I'll ask tomorrow. Sadly it seems that every vet I've ever used won't help unless they see my cats. But, I'll ask.
 
Guys...Mouse ate 1 tsp. of food. She's not peeing, pooping or drinking. She growls when I touch her. I am terrified. Her next dose of lactolose isn't until 10...so 2 hours. What should I be doing?
 
Guys...Mouse ate 1 tsp. of food. She's not peeing, pooping or drinking. She growls when I touch her. I am terrified. Her next dose of lactolose isn't until 10...so 2 hours. What should I be doing?
The enema worked right? She probably just feels terrible. Is she interested in food or water, just not doing it? Wondering if she's nauseous, or in pain. Is her mouth ok? I assume vet would have checked it but never know
 
The enema worked right? She probably just feels terrible. Is she interested in food or water, just not doing it? Wondering if she's nauseous, or in pain. Is her mouth ok? I assume vet would have checked it but never know
She never pooped here at home. They never said if she pooped there. I assumed it would happen at home. How fast does it work?
 
It's supposed to be within 10 minutes or so I think, but can go for up to an hour?
What can I do for her? The vet said if she didn't poop tonight she'd need to come back tomorrow for another enema. Is that safe? I am a wreck.
 
What can I do for her? The vet said if she didn't poop tonight she'd need to come back tomorrow for another enema. Is that safe? I am a wreck.
I am not sure unfortunately. I dont know if is safe to do miralax and lactulose at same time, quick Google says probably not a good idea. I also wouldn't move the lactulose dose up. Best you can do is water...I know she's upset but needs water to get it moving

Did they do x rays?

@Suzanne & Darcy I'm sorry if this is sensitive topic but any ideas?
 
I am not sure unfortunately. I dont know if is safe to do miralax and lactulose at same time, quick Google says probably not a good idea. I also wouldn't move the lactulose dose up. Best you can do is water...I know she's upset but needs water to get it moving

Did they do x rays?

@Suzanne & Darcy I'm sorry if this is sensitive topic but any ideas?
They did do x-rays. She has some poop way up and then a space and more poop. She said it wasn't too bad, but she is constipated. They gave me lactolose and hydra care. She won't touch the hydra care. She did eat 1 tsp of Fancy Feast salmon. She tried the litter pan a bit ago, but nothing.
 
Oh Maria, I am so sorry you are having such a hard time! And poor Mouse. I would not give lactulose and miralax together. Did the enema not work? How much Lactulose are you giving at a time? 2 mls?
 
They did do x-rays. She has some poop way up and then a space and more poop. She said it wasn't too bad, but she is constipated. They gave me lactolose and hydra care. She won't touch the hydra care. She did eat 1 tsp of Fancy Feast salmon. She tried the litter pan a bit ago, but nothing.

That space in between the poops is gas. This will be extremely painful for her, especially if the gas can't get around the poop in front of it. You can always try a home enema, but you'd need a large turkey baster for it and to watch videos that could walk you through it. Enemas usually work pretty quickly. They soften things and force the urge to go. Ther only thing I can think of, if the enema doesn't work, is that it might be too large to push through the rectum. Our cat Magno had that issue because his rectal muscle didn't constrict to make poops thinner. In his case it would get to the hole and couldn't come out. His butt would protrude and the vets would have to sedate him and go in with tweezers to break it up. Not pleasant.
 
Oh Maria, I am so sorry you are having such a hard time! And poor Mouse. I would not give lactulose and miralax together. Did the enema not work? How much Lactulose are you giving at a time? 2 mls?
I don't think the enema worked. I didn't think to ask if she pooped at the vet. They took her back to treat her, brought her out and we left. At the time, my daughter had been waiting in the school office to pick her up because she was sick. I was just relieved that Mouse wasn't more serious, shocked at the cost and worried about my kiddo. I just figured she'd poop at home. She's getting 1 ml of lactolose every 8 hours.
 
She never pooped here at home. They never said if she pooped there. I assumed it would happen at home. How fast does it work?
If she has really hard, dried out stool then the first enema may not work. She may require more. What did the X-ray show? I’m trying to figure that in the thread. Lactulose is a “dose to effect” medication. That means you give as much as is necessary to get the cat to go. Unfortunately that is sometimes a lot.
 
Did the vet say she was dehydrated? Did they do a chemistry panel as well as a CBC? They obviously ran a T4 if they said her thyroid was okay. What were her BUN, Creatinine, Phosphorus? There are other numbers I would like to know. Do you have a copy of her bloodwork?
 
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Did they give her sub-q fluids at the vet? I wish they would have. Some extra hydration could really help. My cats won’t touch HydraCare either.
 
They did do x-rays. She has some poop way up and then a space and more poop. She said it wasn't too bad, but she is constipated. They gave me lactolose and hydra care. She won't touch the hydra care. She did eat 1 tsp of Fancy Feast salmon. She tried the litter pan a bit ago, but nothing.
@Suzanne & Darcy here's the x rays

She said vet did give fluids. All labs in normal range except liver
 
So everyone keeps saying enemas work quickly. This has not been my experience at all. Sometimes multiple enemas are required and sometimes they do not work quickly at all or even the same day. It depends on how hard the stool is.
 
I am very happy that you have started Lactulose so early in the process. Kudos to your vet for doing that. That gives me hope that she will be able to get over this rough patch. I don’t have much faith in Miralax - it hasn’t worked well for my cats - although it works for some people’s cats.
 
I didn't get a copy of her bloodwork. I just assumed it was in the pile of stuff they gave me, but it wasn't. I saw it when the vet went over it with me. They billed it as a diagnostic profile with thyroid. The vet didn't think she was dehydrated, but we decided fluids were a good idea. I got most of the lactulose in her tonight. She fought me tooth and nail though! She is eating tiny bits...no poop yet, though she's tried.
 
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