? Increased constipation since starting Lantus

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zerovector

Member Since 2022
Before his diagnosis, he pretty much either had diarrhea or he pooped normal logs. He has had kidney disease officially since 2020. Previously this was managed with plenty of available water, and kidney disease specific wet food.

Since his diabetes diagnosis, I've transitioned him to meat only (with EZcomplete) which he has had no problems with. His water intake is high as usual, however now he poops 2 or 3 small, hard pellets every other day. His bowel movements have been every other day for the past 2 years but the new thing is how small and hard the feces are.

Since he's started lantus, he's had about 3 incidents where he really struggled to poop. He does eventually get it out but under duress. Today was the worst I've seen, crying, walking around, licking his butt, all until a 2nd pellet falls out. Today his butt also looked swollen, leading me to believe he was prolapsed but it looks normal now.

I have an appointment tomorrow for 1:30 to rule out any glandular issues or to see if his KD has somehow rapidly advanced in the month since his last bloodwork, but i'm curious if any of you all have had this happen before and what I can do at home to help him? He's 18 and I don't want a situation where he needs surgery or anesthesia, I can't see that ending to well for him.
 
I've done some more reading. It seems that this is a common issue with cats on a pure meat, or raw diet. I'm going to use the chicken skins with his meals for now on (for fat) and I've given him cat grass, and I will add some pumpkin as well.
 
The same thing happened to Taz (diabetic) and his sister Bella (not diabetic) when I switched them over to canned food only. Both of them get 1/8 tsp of miralax in their morning meals now. It seems to help them some.
 
I'll try that next, so far he's not bothered by the pumpkin in his chicken. He also gleefully eats the cat grass.
 
My cat started having the same issue after switching to low carb high protein food and Lantus. Fortiflora seems to help. Plus he likes it on his wet food. Double bonus.
 
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