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Discussion Starter #1
Hello my cat Joey is about 7 years old a little chubby at 17-18 pounds.
About 2 years ago he was not feeling well so we took him to the vet and spent 700 for them to tell us he was just constipated. They put him on 3 mils of lactulose per day to soften his stool. He was ok for a while then it happened again and they upped his dose to 5 mils per day.
Last week it happened again. Eventually he was able to go on his own(we gave him a little extra lactulose).

Yesterday he woke up ate, went to the bathroom(his stools were small and hard) then laid down. Since then he wont get up at all except to pee and he wouldnt eat for the rest of the day. Today is the same. He ate a couple spoon fulls this morning and I had to take him out of his bed and put the food in front of him. This cat never misses a meal, he lives to eat!

When he gets like this his stools are usually large and round. This time was the same but he had some small ones but they were very hard.
He only eats blue buffalo wet food and I even add a bit of water to it plus he gets that lactulose 3 times a day.
I already lost one cat this year, spent way over 1000 and never even got a diagnosis so before the vet takes all of my money can anyone offer any advice or suggestions?
 

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Have you tried adding a teaspoon of canned pumpkin puree (not the pie filling with added sugar)? It has good fiber which is helpful to avoid constipation. I think the addition of the water is good too. I haven't had to use lactulose whenever one of my cats got constipated. You should very gradually decrease the quantity of food you are feeding him to get his weight down. Hope this will be helpful for Joey.
 

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Try Miralax

My Rupert has had constipation problems for years. A few years ago it was so bad he had many enamas and vet discussed having surgery to take out most of colon as she suspected mega colon. They had been treating him for 2 years and we did lactulose, wet food pumpkin etc. I did my own research before considering surgery as that was no guarantee. Came across info on Miralax and thought well worth a try.....worked wonders!! Lactulose loses it effectiveness over time and is just a sticky mess. Plain pumpkin can also help as suggested but 1/8-1/4 tsp of Miralax mixed into wet for with a little extra water may be the answer.i gave it to Rupert once a day , it took 3-4 days to work and he passed the last of the hard round stools, one which was very large and then came the soft poop but at least he was cleaned out! You can adjust dose up or down daily, every other after you see how it is working for you. That was 7 years ago and now he gets it maybe 1 or 2 X a week, sometimes less. But wet food is a must for cats with constipation, some kibble can be given but very little. He gets maybe 8 before bed. Some say add fiber to diet, but that can sometimes hurt, mine was less fiber, so don't use any fiber suppliment to add bulk. Pumpkin can be used for both so not bad, but Miralax is fairly cheap and I use so little it last a long time. Hope maybe this will help , I know how heartbreaking it is and then have never been so excited to see a good (even sloppy) poop! Good luck
 

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Thanks for the responses. I tried giving him pumpkin but he didnt like it. Maybe I will get some to mix in his food.
As for the mirilax I believe this is what the vet first suggested before switching us to lactulose.


@KRZ...Are you saying it loses effectiveness due to being old, sitting around too long or because the cat becomes immune to it? They do give us a large bottle which lasts a couple months or so so Im wondering now if this is too long.

Also this is my problem with the vets..you say they suspect he had mega colon. They can never give you a straight answer. They should be able to say either yes he has it or no he dont have it.


I mean is there a specific type of test to check for mega colon or to check his intestines. When I called them to ask the next step shes like oh well maybe we can do an xray when I already spent 300 bucks on an xray.

Anyway Joey seems better this morning. He finally got out of his bed and started moving around. He ate this morning. He drank a lot of water which he never drinks water but he has not gone to the bathroom. Usually when hes constipated he keeps going back to the litter box and he does a lot of pushing but he has not even been to the box at all. Im going to take him just for an anal gland expression and see what the vet has to say from there.
 

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Glad to hear he is doing a little better. Have you seen him pee? Just to make sure it is not a blockage problem. My research was that after a cat has been on lactulose for a long time, their system just gets used to it and it does not work as well. Seems fine for short duration. I too got a large bottle but over time I had to keep giving higher dosage and it was not working as well. If they did an ex ray, did it show that his colon was full? We never really had a mega colon diagnosis for sure , the colon was packed full, but they were ready to do surgery to remove 85% of it.....now I research everything and not just take vets work. Now that we can say it and laugh my husband said we spent $700.00 to find out that Rupert was constipated!! But it was very worrisome when we were going through it. The Miralax was a life saver if you ask me and my vet knew nothing about it and now suggests for constipation. You can mix the pumpkin into wet food or baby food, some cats like the taste but mine did not. I still buy pumpkin and use a tablespoon to put servings onto a cookie sheet and then freeze, after frozen put into a zip lock and you have it whenever you think you need it. But Miralax keeps the stool soft as it draws liquid into colon, that's why you have to adjust , too soft, too hard, more or less, so easy. Just get regular Miralax not additives, Walmart brand is fine also. I used to work for chiropractor and as a last resort one really bad episode , he had me bring Rupert in and he worked on him to relax him and muscle massage! I took him home and 2 hours later he pooped days worth!! We then began to massage his back and belly gently in a move down the colon motion! Let me know what the vet says.
 

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Discussion Starter #6
Well the vet was completely useless as expected. I took him to my normal vet where I already spent over 700 dollars. They took him in the back for a couple minutes then come out and tell me he has a bad urinary blockage and I should take him to the emergency room. I explained to them that he had just peed the day before and he drank alot of water right before I brang them but they insisted he had a blockage and I take him to the Er.

I took him home to see if he would pee and after an hour I took him to another vet. They told me there is no urinary blockage and he doesnt seem constipated but he was a little warm so they gave him a shot of antibiotics and some stuff to help him poop. Now hes back to just laying in his bed and still has not used the litter box.

Idk what to do anymore. I cant trust any of the vets in my area, its a complete joke. I think they just go in the back and google some crap and thats what they tell us.
 

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Yes, it can be so frustrating to get different diagnosis , at least it was not a urinary blockage and hopefully the antibiotic shot might make him feel better. The meds to make him poop is it Pulpucid (?). We have used that and it works well but first one might be a tough one to pass if it has been backed up. Let him rest and maybe you can entice him with some baby food, cooked chicken breast or tuna water juice. I truly hope you give the Miralax a try. Keep us informed and sure hope he feels better in the morning!
 

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I had 2 cats (one passed recently)... one loved canned pumpkin and ate it as a treat, the other hated it!

You might also try pureed sweet potatoes or bananas. I find that the Heinz organic Stage 1 baby food works out well and doesn't have any other ingredients. I haven't tried the bananas myself, but they worked well for a dog that's no longer with me.

Any of the pureed baby food meat might help, too.

Another option is unflavored Greek yogurt. Both of my cats would eat that like a treat :)


FWIW, I'm pretty wary of my local vets, too, and use them as an absolute last resort. I had one to diagnose my dog with ehrlychiosis (sp?) and took me for about $3,000. Then one Sunday I thought she was dying and rushed her to a different vet... he looked at her for one second and said, "oh, that's just a uterine infection, she should have just been spayed".

I complained to the original vet, and still haven't had an apology or any type of refund.
 

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The meds they gave him his was a shot of Convenia for his possible fever/uti and they gave us Cisapride to help him poop.
He is still not moving around. Hes eating very little. He has not even step foot in the litter box.


What could even cause him to have a urinary blockage and be constipated at the same time?
I would think he would at least do one or the other!
 

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It's possible that he has a urinary blockage that hurts when he strains, so he's intentionally not pooping because it hurts.

The vets should be able to tell whether he has feces in his colon, though. If not then the problem is digestive.

Did they do bloodwork to test the levels of urea in his blood?

You mentioned before that he had had small, very hard stool. This may be relevant:

Why could my constipated cat need surgery?
Extreme or terminal constipation is called obstipation. A cat with obstipation is suffering and has a miserable quality of life. The colon is so stretched by large, rock-hard stools, that it is incapable of expelling them. The muscles of the colon become unable to do their job. In those cases, medications, diet changes and enemas become useless. The goal of surgery (called a colectomy) is to remove the diseased, giant colon. Usually performed by a board-certified surgeon, this delicate surgery can be a life-saving procedure. Quality of life is typically excellent after surgery.

https://www.pethealthnetwork.com/cat-health/cat-diseases-conditions-a-z/constipation-cats-its-never-normal

That page also mentions the possibility of an untreated bone fracture (maybe an old one) that could be making it hurt for him to go.
 

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Discussion Starter #11
^^^I did not have any testing done because the last time I spent 700 and all they could tell me is that he was constipated.


Joey did have a urinary blockage 4 years ago but hes been fine since so thats why I thought it could be that again. He also has battled constipation in the past.


Anyway yesterday he was the same sleeping all day and eating very little but he was drinking water which he never does, maybe the shot he took made him thirsty.
Around noon he was still sleeping and had not peed in 2 days so I picked him up and put him in the litter box and he peed right away with no struggle then he went back to sleep.
This morning I found a very long but not hard poop in his litter box finally! He seems more normal today. He was up and alert, begging for food and even knocked the garbage can down. I gave him a little extra food since I been keeping his portions down because I didnt wanna fill him with food if he wasnt using the bathroom. He cleaned himself which he hasnt been doing then went to sleep.

Idk for now I am going to try to give him lots of extra water in his food and mix in some pumpkin along with his meds and hope to keep him going on a regular basis and see how he does.
 

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Great news! Hopefully that's all he needed :-D

He doesn't need a huge amount of pumpkin... 1/2 teaspoon twice a day is the recommended amount. If he still refuses it, though, then you can try any of the purees that are high in fiber, just make sure they don't have any hidden ingredients. Sweet potatoes, bananas, prunes, mashed carrots, and mashed peas are some options to try.

If he doesn't go for any of those then you can also use 1/8 of a teaspoon of unflavored psyllium fiber powder in his wet food, once a day. I haven't tried that myself, but it's a suggestion I've read in a few places.
 

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Well that's good news!! Pumpkin works for both constipation and diarrhea so I always freeze TBS. full on cookie sheet and then Put in freezer bag, just pull one out and thaw as needed. Also always have Miralax on hand and Rupert gets that but not as much as we used to need. Watch how the extra fiber goes, As it can make things worse in some kitties, like mine. So the thinking on that adding extra fiber has changed somewhat but works for others, you have to see what works for you. Hope things keep moving, keep us updated.
 

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Discussion Starter #14
Thanks guys.
Joey seems to be back to normal for the most part. He is peeing more frequently but only pooped monday and today. I need to get him going more regularly somehow.

He wants nothing to do with the pumpkin(I let him smell it and he made a funny face squinting his eyes, he really dont like it) though I slipped some in his food yesterday and he didnt notice.
I been sprinkling a pinch of mirilax on his food twice a day and hes still getting his other meds.
 

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Discussion Starter #15
Well Joey was doing fine for a few days but yesterday he barely ate and today he wont eat at all. He does not feel warm like he has a fever. He used the litter yesterday with no noticable straining. He just wont eat and he wont move around, just been sleeping for 24 hours.

The antibiotic shot was supposed to last 2 weeks so I really have no clue what can be wrong with him.


Any ideas?
 

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I don't know what to tell you, but a cat not eating is never a good thing. Liver problems can start after 4 days of not eating.

My Charlie was 16 1/2, but he went from fine on Saturday but not eating dinner that night, to me trying to force feed him on Tuesday, to passing away on Wednesday.

I can only recommend trying to force feed him on Monday, and if he's not eating on Tuesday then go back to the vet :-( You can get a syringe at Walgreens (they give them to me at the pharmacy counter), and some wet food mixed with a little water is easy enough to load in the syringe. It's a dramatic experience, though, and you'll probably need some help.
 

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Discussion Starter #17
Joey wasnt looking good today, not eating again and hadnt peed since saturday so we went back to the vet.

We did bloodwork, xrays, he got fluids and another shot and they still have no idea what is wrong with him.

Everything came back ok. He had a fever of 103 but thats all they could tell us for another $220.
He came home ate, peed and went back to sleep.
 
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