For years we battled it with a progression of pumpkin, extra water, tummy massage, vaseline at both ends, mineral oil, lactulose, cisapride, sub Q lactated ringers soln, B12 methylcobalamin, vet soap enemas, home water enemas, and finally miralax.
Of all that we we finally came to a combination that works and I feel is safe:
>1/2 t of miralax in 11 ounces of canned DM with 1/2 cup of water (120 ml) , sub divided into 4-6 meals over 24 hours.
~125 ml of lactated ringers every day
-close watching/palpating his tummy and warm water enemas whenever I start to feel bananas in his abdomen.
Miralax, lactated ringers and home enemas has been the long sought answer. Its been more of a problem then his uncontrolled diabetes, which I now know was due to acromegaly. thanks to the FDMB (for the miralax and acro dx)
