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Cat Forum / Health and Behavior / September 2007

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Serious Constipation

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DrLargePants - 05 Sep 2007 16:06 GMT
Last year our cat was suffering with serious constipation
(googlegroups link here: http://tinyurl.com/2z7k8n)

However in the last 6 months or so, he seems to be having to go back
to the vet for a clean out more and more frequently.  The last time he
was at the vets for nearly a week, and he's been back now for less
than a week and seems to be suffering again (he's back to the vets
tonight).

We're trying to manage his condition with lactulose, and another
product which is supposed to force his innerds to contract and move
the stool along quicker (the name escapes me), but it doesn't seem to
be working at all.

This is all starting to sound worryingly like megacolon.  I've heard
one of the solutions to this is to remove all or part of the colon.
Has anyone had any experience of a cat that has had this done ?

Here he is anyway:

http://www.facebook.com/photo.php?pid=229597&l=e38bd&id=627125965
Gail - 05 Sep 2007 16:40 GMT
It may be megacolon. Do you feed canned food only? Also, you can add pumpkin
(no spices) in the food.
Gail
> Last year our cat was suffering with serious constipation
> (googlegroups link here: http://tinyurl.com/2z7k8n)
[quoted text clipped - 17 lines]
>
> http://www.facebook.com/photo.php?pid=229597&l=e38bd&id=627125965
DrLargePants - 05 Sep 2007 20:36 GMT
> It may be megacolon. Do you feed canned food only? Also, you can add pumpkin
> (no spices) in the food.

Canned food only (low fibre).  Going to try him on liquid parafin when
he's back.
DrLargePants - 15 Sep 2007 23:37 GMT
> > Last year our cat was suffering with serious constipation
> > (googlegroups link here:http://tinyurl.com/2z7k8n)

Well he's much better now: http://www.facebook.com/photo.php?pid=281714&l=cb003&id=627125965

He seems to really dig liquid paraffin, so he's passing solids OK so
far.

Fingers crossed....
cindys - 05 Sep 2007 16:41 GMT
> Last year our cat was suffering with serious constipation
> (googlegroups link here: http://tinyurl.com/2z7k8n)
[quoted text clipped - 9 lines]
> the stool along quicker (the name escapes me), but it doesn't seem to
> be working at all.
-------
We have friends who in addition to the lactulose sprinkle BeneFiber on the
cat food twice a day. It helps a lot. The cat hasn't had a problem in
months. I understand this wasn't the main part of your question, but if it
could be of some help...
Best regards,
---Cindy S.

> This is all starting to sound worryingly like megacolon.  I've heard
> one of the solutions to this is to remove all or part of the colon.
[quoted text clipped - 3 lines]
>
> http://www.facebook.com/photo.php?pid=229597&l=e38bd&id=627125965
DrLargePants - 05 Sep 2007 20:33 GMT
> We have friends who in addition to the lactulose sprinkle BeneFiber on the
> cat food twice a day. It helps a lot. The cat hasn't had a problem in
> months. I understand this wasn't the main part of your question, but if it
> could be of some help...

Thats interesting as I presume that its a fibre suplement.  He's
actually been perscribed a low fibre food, and I thought (in humans
anyway) that high fibre was good in this sort of thing
cindys - 06 Sep 2007 02:10 GMT
>> We have friends who in addition to the lactulose sprinkle BeneFiber on
>> the
[quoted text clipped - 6 lines]
> actually been perscribed a low fibre food, and I thought (in humans
> anyway) that high fibre was good in this sort of thing

--------
It is. I am not a veterinarian, and I would not presume to dispute yours,
but all I know is that our friends' veterinarian told them to mix a fiber
supplement into the canned food twice a day. Perhaps you should get a second
opinion on this topic from another veterinarian?
Best regards,
---Cindy S.
cindys - 05 Sep 2007 16:51 GMT
> Here he is anyway:
>
> http://www.facebook.com/photo.php?pid=229597&l=e38bd&id=627125965
----------
He is totally beautiful!
Best regards,
---Cindy S.
DrLargePants - 05 Sep 2007 20:37 GMT
> He is totally beautiful!
> Best regards,

Thanks!  He's the sweetest cat ever, really  bonds with me in a big
way.
Matthew - 05 Sep 2007 17:03 GMT
I got a couple questions for you

How old is the furball?

How long has he had this?

If he has had since he was young.  There is a parasite that young cats gets
I forgot the name  but  it won't show up in routine testing it can cause
diarrhea and problems in the that area

> Last year our cat was suffering with serious constipation
> (googlegroups link here: http://tinyurl.com/2z7k8n)
[quoted text clipped - 17 lines]
>
> http://www.facebook.com/photo.php?pid=229597&l=e38bd&id=627125965
DrLargePants - 05 Sep 2007 20:35 GMT
> How old is the furball?
>
[quoted text clipped - 3 lines]
> I forgot the name  but  it won't show up in routine testing it can cause
> diarrhea and problems in the that area

No idea how old he is as he was a stray, but I'd guess about 4 years
old.  He didn't have it when we first had him, but he's had this now
for over a year.
Matthew - 06 Sep 2007 02:29 GMT
Have you tried going to a specialist or has your vet recommended that you do
this?

Most vets but not all  won't admit if they don't know what to do.  Just like
doctors I never trust just one opinion no mater how much I trust them

>> How old is the furball?
>>
[quoted text clipped - 8 lines]
> old.  He didn't have it when we first had him, but he's had this now
> for over a year.
CatNipped - 05 Sep 2007 20:52 GMT
> Last year our cat was suffering with serious constipation
> (googlegroups link here: http://tinyurl.com/2z7k8n)
[quoted text clipped - 13 lines]
> one of the solutions to this is to remove all or part of the colon.
> Has anyone had any experience of a cat that has had this done ?

I've never had a cat with this as an ongoing problem.  When my 17-yr-old got
constipated after a surgery the vet had me give her plain mineral oil.

Hugs,

CatNipped

> Here he is anyway:
>
> http://www.facebook.com/photo.php?pid=229597&l=e38bd&id=627125965
Cheryl - 06 Sep 2007 02:25 GMT
> This is all starting to sound worryingly like megacolon.  I've
> heard one of the solutions to this is to remove all or part of
> the colon. Has anyone had any experience of a cat that has had
> this done ?

I'm so sorry he's going through this. I had a cat diagnosed with
megacolon and I'm sorry to say we couldn't get it under control
with lactolose, and another drug, I too can't remember the name of
now. I know someone else will remember as I've seen this on this
group over the years many times.

You're right to not use high amounts of fiber because I think I
remember being told that fiber will absorb fluids and make the
feces even harder to pass causing strictures.

My cat was at the point of surgery or euthanisia when I had to make
the decision. He was getting enemas to pass anything at all, and
couldn't live that way for long. This was just about at the time I
discovered Usenet, so wasn't able to find out how well they can
live with a shortened colon, but the vet's prognosis for him wasn't
good. I wish you luck or courage, whichever way you go.

Signature

Cheryl

Rhonda - 06 Sep 2007 06:33 GMT
Yes, our cat had this. Once they get to a certain point -- supplements
and other things don't seem to help.

Our cat had her colon removed after a week of daily trips to the vet.
She just could not get anything to move and time was running out. The
vet sent us to a great surgeon at an emergency clinic.

The surgeon had done lots of these surgeries and had never had a
problem. Sweeter did well through the surgery but ended up getting
weaker after she got home. We had to take her back in and she had
another surgery. She had developed a septic infection because some
internal stitches had come loose. The surgeon was very upset and
operated the second time for free.

Sweeter survived, and recovered quickly once the infection was
diminishing. She is doing great a year later. She is a new cat, seems to
have a new lease on life. She's playful again!

If you have the surgery, get a referral to a surgeon with lots of
experience. Our surgeon said Sweeter's colon was so bad and thin, it
actually tore when he touched it. Poor cat, she had suffered for quite
awhile apparently.

By the way, the only medication she takes now is a potassium supplement.

Good luck,

Rhonda

> Last year our cat was suffering with serious constipation
> (googlegroups link here: http://tinyurl.com/2z7k8n)
[quoted text clipped - 17 lines]
>
> http://www.facebook.com/photo.php?pid=229597&l=e38bd&id=627125965
DrLargePants - 06 Sep 2007 10:06 GMT
> Our cat had her colon removed after a week of daily trips to the vet.
> She just could not get anything to move and time was running out.
> The  vet sent us to a great surgeon at an emergency clinic.

Did she have issues with incontinence after the procedure ?
Rhonda - 06 Sep 2007 16:01 GMT
>>Our cat had her colon removed after a week of daily trips to the vet.
>>She just could not get anything to move and time was running out.
>>The  vet sent us to a great surgeon at an emergency clinic.
>
> Did she have issues with incontinence after the procedure ?

Urination was fine, but she did have diarrhea. We were warned of that
because the colon is what takes the water out of the feces. I was
actually glad to see the diarrhea, that things were moving through. All
we did was change to a clumping litter for her.

The vet said some cats' small intestines start taking over for the colon
and form solid feces. He seemed to think cats are a miracle! Sweeter now
only has occasional diarrhea.

Rhonda
DrLargePants - 06 Sep 2007 16:05 GMT
> Urination was fine, but she did have diarrhea. We were warned of that
> because the colon is what takes the water out of the feces. I was
[quoted text clipped - 4 lines]
> and form solid feces. He seemed to think cats are a miracle! Sweeter now
> only has occasional diarrhea.

tbh I'd be glad to see him have diarrhea now!  I don't think I could
cope with diarrhea 24/7 though.

Oddly enough the vet is now sugesting that he should go on a (higher)
fibre food and a different drug.
Rhonda - 07 Sep 2007 06:16 GMT
Rhonda wrote:
>>Urination was fine, but she did have diarrhea. We were warned of that
>>because the colon is what takes the water out of the feces. I was
[quoted text clipped - 7 lines]
> tbh I'd be glad to see him have diarrhea now!  I don't think I could
> cope with diarrhea 24/7 though.

You could cope -- it's far worse for the cat. All we have to do is use
scoopable cat litter and then it's about the same as urine in the litter
box.

> Oddly enough the vet is now sugesting that he should go on a (higher)
> fibre food and a different drug.

The problem with the fiber is that it may work well on new feces being
formed -- but the stuff already in him is probably rock hard. The body
pulls the fluid out of it. Is your cat getting sub-cu fluids to try to
hydrate it?

The only hope is really to get it hydrated and softened, and to get the
muscles of the intestine working. Sweeter's colon was so stretched that
the muscles would no longer work. I hope your cat is not at that stage yet.

Rhonda
DrLargePants - 07 Sep 2007 11:59 GMT
> The problem with the fiber is that it may work well on new feces being
> formed -- but the stuff already in him is probably rock hard. The body
[quoted text clipped - 4 lines]
> muscles of the intestine working. Sweeter's colon was so stretched that
> the muscles would no longer work. I hope your cat is not at that stage yet.

Well he's had another enema but is off his food and hasn't passed
anything since.  He was fine until a week ago as well, thats what I
don't understand
DrLargePants - 06 Sep 2007 14:37 GMT
> Last year our cat was suffering with serious constipation
> (googlegroups link here:http://tinyurl.com/2z7k8n)

Well he's still in the vets having had an enema this AM and has not
passed anything yet.  I fear the worst tbh :(
Catman 07 - 07 Sep 2007 12:24 GMT
>Last year our cat was suffering with serious constipation
>(googlegroups link here: http://tinyurl.com/2z7k8n)
[quoted text clipped - 9 lines]
>the stool along quicker (the name escapes me), but it doesn't seem to
>be working at all.

I had a BIG problem with my own constipation and megacolon. The "cure"
for me was, and is: 1/2 tsp/day of epsom salts. That is: MAGNESIUM
SULFATE! My body absorbs what it needs from the gut and leaves the
excess Mg in the gut,which holds water. Mg is absolutely necessary for
proper muscle contraction, including the digestive tract, in cats as
well as humans. In your case, the BIG question to be answered is: does
magnesium SULFATE acidify the urine?!  I'm sure you are aware of the
bad name Mg has regarding FLUTD in cats. There is serious debate
around this issue. From what I understand, crystals and stones of Mg
CANNOT form in acid urine. You can probably find the answer on the web
somewhere. If I knew that MgSO4 acidified urine, I would give the
epsom salts a try to treat my male cats severe constipation. Why not?
Hopefully, someone who knows more than me can answer that. Ask your
vet.
In humans, too much epsom salts causes severe diarrhea. I started
with 1/4 tsp/d and worked up from there. Not too much and not too
little, but just right is what you're after.The way I would do it for
my cat would be to dissolve 1/4 tsp in a cup of warm water, and then
add 1/2 tsp of that liquid to my cat's canned food.
            Catman
       

>This is all starting to sound worryingly like megacolon.  I've heard
>one of the solutions to this is to remove all or part of the colon.
[quoted text clipped - 3 lines]
>
>http://www.facebook.com/photo.php?pid=229597&l=e38bd&id=627125965
DrLargePants - 08 Sep 2007 10:12 GMT
> Last year our cat was suffering with serious constipation
> (googlegroups link here:http://tinyurl.com/2z7k8n)

Well he's back from the vets.  He's totally clear now but he's not
eating any food (still drinking though).  I think he's had too much
lax at the vets as he' straining to poo all the time but not passing
anything.

Hopefully he'll start eating soon.  Very worried :(
Gail - 08 Sep 2007 16:51 GMT
I would try warmed, meated baby food (without onion). I usually am able to
"jump start" my cat's appetite this way.
Gail
>> Last year our cat was suffering with serious constipation
>> (googlegroups link here:http://tinyurl.com/2z7k8n)
[quoted text clipped - 5 lines]
>
> Hopefully he'll start eating soon.  Very worried :(
DrLargePants - 10 Sep 2007 09:14 GMT
> Last year our cat was suffering with serious constipation
> (googlegroups link here:http://tinyurl.com/2z7k8n)

Much better today, eating and drinking normally and very chirpy.  Just
need to wait and see if he can pass solids normally.
Gail - 10 Sep 2007 13:36 GMT
Great news. Keep us posted.
Gail
>> Last year our cat was suffering with serious constipation
>> (googlegroups link here:http://tinyurl.com/2z7k8n)
>
> Much better today, eating and drinking normally and very chirpy.  Just
> need to wait and see if he can pass solids normally.
 
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