Diet to manage megacolon

animal7lover

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I was researching for my grandmothers cat "Pretty Boy" and came across your conversation. Pretty Boy has a megacolon and was "put out and dug out" two days in a row. Anyways he was put on the W/D fromula from the vets and I also dont agree with those foods. Ive been researching and I've found that some cats don't react well to high fiber especially since that canned food is 10.6% way to high!

Anyways Ive also found that eliminating grains in animals food just makes them look and aids with digestion and eliminating. I feed my canine lab 40 lbs Taste of the Wild dry free choice and Blue Buffalo wet 1 can total daily. She had digestive sensitivity so This has been the only cure. Im thinking that a grain free and low on fiber is going to be fine for my grndmals cat. Ive heard that fiber makes the stool bigger, but helps push it through digestive tract, but i feel that smaller stool pieces is better, especially because if you increase fiber you have to watch the water intake to make sure they are getting enough. I saw the post where you bought "katty" California naturals. I work at a boarding pet resort and we feed high end foods. The california naturals is very very rich and my bosses dobermans couldn't take it, they were gassy and had gas cramps. Dont get a rich food because it is only going to hurt your kitty. Also i saw you bought both "dry and wet" if the cat has a megacolon I would suggest canned food only, no dry. They NEED moisture to push it out. No dry is also what the vet told us but ive been researching and most people are saying no dry! Ive also heard that  chicken broth helps too. and canned pumpkin
 

animal7lover

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steroid shots can decrease your cats longevity, as it weakens their immune system
 

sylviab

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Hi... My cat Steve has megacolon and he is now on MediCal Fibre Response.  I would have to say that his diagnosis was really bad before I tried the MediCal Fibre Response and since he's been on it, he has done so well.. No more constipation.  Completely gone.  I recommend this food to any dog or cat. 

Sylvia
 

otto

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Hi... My cat Steve has megacolon and he is now on MediCal Fibre Response.  I would have to say that his diagnosis was really bad before I tried the MediCal Fibre Response and since he's been on it, he has done so well.. No more constipation.  Completely gone.  I recommend this food to any dog or cat. 
Sylvia
Hi Sylvia, and welcome to TCS! I'm glad this seems to have given your kitty some relief, but I have to warn you the relief is likely to be short lived. Megacolon cannot be managed on a dry grain heavy high fiber diet. I urge you to rethink this food. Dry food and adding extra bulk fiber are two of the worst things you can give a cat with megacolon.

How was your cat diagnosed? Did your vet take an x ray?

Cats, any cat, all cats, need to be on a moisture rich (as in canned food) diet, low fiber. As obligate carnivores, they are not meant to have a diet high in bulk forming fiber. That is how their bodies are made. Here is some reading to help you understand why

www.catinfo.org


Grain heavy foods and bulk forming fibers such as psyllium can make megacolon worse. This is because the fiber works by drawing moisture to the colon. ALL moisture. Which causes the kitty to be dehydrated and causes the stool to become huge. Cats do not normally have large poops. When poop that is mixed with something like psyllium sits in the colon sucking up all the moisture in the cat, the stool gets too large, making it difficult to pass. This also stretches the colon, and creates the megacolon.

Here is a great site on cats and constipation.

http://www.felineconstipation.org/index.html
 

bluebo

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Hi... My cat Steve has megacolon and he is now on MediCal Fibre Response.  I would have to say that his diagnosis was really bad before I tried the MediCal Fibre Response and since he's been on it, he has done so well.. No more constipation.  Completely gone.  I recommend this food to any dog or cat. 
Sylvia
I tried this too for my cat (don't know if you mean the kibble as there is a wet formula too). It worked for about 8 months and then he started getting constipated again, with blood. I'm now switching him to an all wet (high quality diet)... we are getting there!
 

widdles47

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Hello,

My one year old baby cat Widdles has recently been diagnosed with Mega Colon. In addition, he has a spinal condition, which I believe to be congenital( found him at 1 week-old) and so he can not use his hind legs. I believe his spinal condition plays a role in his diagnosis of mega colon, but without an MRI, I am not sure.

Anyway, my baby is currently on 1.5-2mls of lactulose every 8-12 hours, depending on stool consistency. He practically NEVER drinks water on his own, so I have been making sure to add water to his canned food and add tuba juice/olive oil to water in between meals. I picked up cisparide, but have not started it, because that is my last option if all else fails.

I've been to 2 different vets in the process of his manual extractions( anesthesia/enema) and also a neurologist. They all are consistent in that they have him on prescription diet r/d and lactulose... I've read many good things about low fiber diet and miralax, but the vets don't seem to agree. Currently, my baby is producing BMs daily but the past few days, they seem to be firmer and in larger (ball-shaped) pieces. I am confused because I am thinking that maybe it's because if the high fiber diet and that I should switch to low fiber, but u noticed his stools got harder since I ran out of canned pumpkin and had to put him on w/d( a lower fiber food than r/d) until I picked up more r/d.... Please help!

Thank you,
Cari
 

cat person

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The only
, I can add to the thread, is as follows: if, the cat will eat wet food, whatever, brand that might be, add, as much water as possible to the food. Ideally, you want to do 50% food to 50% water. So, if, your cat eats, 2 oz at a time, try adding 2 oz of water. If, the cat will not do that, try, adding 1oz to 2 oz of food. Lastly, Predinzone, as directed by a licensed veterinarian, can ber very helpful.

The information, provided above, was, based on my one cat, that, had mega colon.
 
 
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batgirl

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Hi, Widdles47 and everyone!  I am new to post, but Widdles, I am in much the same boat as you.  I have a 1 y/o, Jo Gizmo,  that has been constipated really since being weaned.  She has had several enemas in the last 3 months.  We  tried w/d to start to no avail.  We have tried i/d, but she doesn't much like it, which is fine with me.  It contains wheat, and I am gluten intolerant.  (For those unfamiliar, it is an intolerance to a protein found in wheat, barley, rye, and oats).  No, I'm not going to eat the food myself, but I do need to handle it, and she licks me.  So, that poses a risk for me, as well.  No more i/d!  Tried pumpkin.  Turned her nose up at it.  Currently she is eating PetSmart Authority brand dry and wet food.  It's probably not the best, but it doesn't contain wheat, at least not the varieties I choose.  (more on that below)  I have discovered by experimentation that a combination of the wet and dry seems optimal for her.  It's almost as if the wet food alone is harder for her to eliminate.  (more on that below, too)

She has been on lactulose for many, many months, since before being spayed at 6 months.  It worked at first but has not been working as well or at all for a couple of months now.  She has been most recently on 2.5 ml 3 times a day.  I have also discovered, and her vet confirmed, that lactulose is associated with hypercalcemia (elevated blood calcium levels) in some cats.  I just recently learned that her calcium levels were a bit "off" when she was spayed, but nobody ever told me.  Last week I had all blood work checked, and again her calcium level was elevated.  Fortunately, she as been taken off the lactulose, at the advice of her vet.  We are trying Miralax for now.  I am also going to try an herbal laxative from PetWellBeing.com.  It is supposed to increase motility, which I am certain that Jo Gizmo needs, and I would rather try that first than Cisapride, which comes with possible cardiac side effects.  

Widdles, as your little baby seems to have, poor Jo Gizmo seems to have some sort of spinal affliction.  She has use of her back legs, but she has never been as agile as a young cat should be.  She is not capable of jumping up on the counter (no complaints here!), and she has always seemed be a little "slow."  She definitely has kitten-like moments but only when she is feeling really good.  

As an aside, Jo Gizmo has also recently been diagnosed with an ascending urinary tract infection, probably due to inability to clean her hind area properly during difficult bowel times and my inability to detect the difference between pain/discomfort associated with bowel difficulty and urinary difficulty until blood showed up in her urine.  Ugh!  

Annnnyway, it seems that Jo Gizmo's real difficulty may stem from not having the muscle tone to eliminate her stool, hence the probable need for motility drugs (or herbs).  BUT... before I try any more drugs, I have been contemplating a raw diet for her, and I have been doing research and ran across this thread.  I was wanting some confirmation of my suspicions that part of it was probably just inadequate food pushed on us by the manufacturers/vets, and this post, in addition to some other sites, gives me all the confidence I need.  I am going to try a homemade raw food diet for little Jo.  It would be easier for me if I could try some of the higher quality commercial foods mentioned earlier in this post, but alas, they contain barley.  So, I'm off to grind some chicken. 


Any input from all you veterans is appreciated, and Widdles, I wish you luck with your little one!  I will try to keep an update going.  
 

kittylover23

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Hi, Widdles47 and everyone!  I am new to post, but Widdles, I am in much the same boat as you.  I have a 1 y/o, Jo Gizmo,  that has been constipated really since being weaned.  She has had several enemas in the last 3 months.  We  tried w/d to start to no avail.  We have tried i/d, but she doesn't much like it, which is fine with me.  It contains wheat, and I am gluten intolerant.  (For those unfamiliar, it is an intolerance to a protein found in wheat, barley, rye, and oats).  No, I'm not going to eat the food myself, but I do need to handle it, and she licks me.  So, that poses a risk for me, as well.  No more i/d!  Tried pumpkin.  Turned her nose up at it.  Currently she is eating PetSmart Authority brand dry and wet food.  It's probably not the best, but it doesn't contain wheat, at least not the varieties I choose.  (more on that below)  I have discovered by experimentation that a combination of the wet and dry seems optimal for her.  It's almost as if the wet food alone is harder for her to eliminate.  (more on that below, too)

She has been on lactulose for many, many months, since before being spayed at 6 months.  It worked at first but has not been working as well or at all for a couple of months now.  She has been most recently on 2.5 ml 3 times a day.  I have also discovered, and her vet confirmed, that lactulose is associated with hypercalcemia (elevated blood calcium levels) in some cats.  I just recently learned that her calcium levels were a bit "off" when she was spayed, but nobody ever told me.  Last week I had all blood work checked, and again her calcium level was elevated.  Fortunately, she as been taken off the lactulose, at the advice of her vet.  We are trying Miralax for now.  I am also going to try an herbal laxative from PetWellBeing.com.  It is supposed to increase motility, which I am certain that Jo Gizmo needs, and I would rather try that first than Cisapride, which comes with possible cardiac side effects.  

Widdles, as your little baby seems to have, poor Jo Gizmo seems to have some sort of spinal affliction.  She has use of her back legs, but she has never been as agile as a young cat should be.  She is not capable of jumping up on the counter (no complaints here!), and she has always seemed be a little "slow."  She definitely has kitten-like moments but only when she is feeling really good.  

As an aside, Jo Gizmo has also recently been diagnosed with an ascending urinary tract infection, probably due to inability to clean her hind area properly during difficult bowel times and my inability to detect the difference between pain/discomfort associated with bowel difficulty and urinary difficulty until blood showed up in her urine.  Ugh!  

Annnnyway, it seems that Jo Gizmo's real difficulty may stem from not having the muscle tone to eliminate her stool, hence the probable need for motility drugs (or herbs).  BUT... before I try any more drugs, I have been contemplating a raw diet for her, and I have been doing research and ran across this thread.  I was wanting some confirmation of my suspicions that part of it was probably just inadequate food pushed on us by the manufacturers/vets, and this post, in addition to some other sites, gives me all the confidence I need.  I am going to try a homemade raw food diet for little Jo.  It would be easier for me if I could try some of the higher quality commercial foods mentioned earlier in this post, but alas, they contain barley.  So, I'm off to grind some chicken. :yummy:

Any input from all you veterans is appreciated, and Widdles, I wish you luck with your little one!  I will try to keep an update going.  
Welcome to TCS! :wavey: It's great to meet you! ;)
 

bigboy6

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My cat Bigboy is going through this currently. He had a case of it a year ago, but the vet just said he had constipation. He lost a lot of weight in the last month, when I took him to a vet, he was in liver failure. They tried to free up the obstipation, this cost me $1000 for med's and 3 days hospitalization. They sent me to a specialist, he has been there for 4 days. They put an easphogeal feeding tube today and they tried to deobstapate him but only could a little. Tomorrow they are going to try again. They are telling me they would have to give him medication that cause diarrhea in order for this not to happen again. IF he has to have the surgery it would be another $3000. I have paid them $2500 already. They also told me that if there is nerve damage to the colon it would creep up the rest of the colon even if he has the surgery. He is a very special cat to me, he 5 years old. Yes I do have 5 other cats, but none like him. I have paid out more money on him than myself. I had cancer last year and still have bills from it. I have taken money out of my IRA to pay this. When do you stop I love him so much. I wish he had died in his sleep one night than me having to go through all of this. Any help would be appreciated!
 
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kattiekitty

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Hi Bigboy6,

I just saw this thread pop up and was surprised as i started it years ago. It sounds like your Bigboy has a little more of a complex case than Kattie. Kattie did get obstipated a couple times when we were figuring things out, and surgery was mentioned but never needed as she was borderline at that point. Due to her recent workup though a few weeks ago, she is determined to not have megacolon at all, but an old pelvic fracture that healed badly has narrowed her pelvic canal so that she has the potential to get constipated more easily.She is doing great on her low fiber canned and dry diet plus miralax every few days to soften stool. I believe that getting constipated or obstipated frequently is what sets up the megacolon, and then the megacolon causes more constipation. It is a vicious cycle. I think that where you are right now, I would try to get the liver and constipation under control. Get him cleaned out and maybe meds and a low fiber diet could work. He is young and a good candidate for the surgery, but I would worry about his liver and the weight loss. The medication that they are probably talking about is lactulose or maybe miralax. I prefer the miralax as it has no side effects and is OTC. I have dosed Kattie withh too much and caused her diarrhea, but then I back down the dose till the stool is soft,but not runny. It really is a playing around with the dose til you get it right for your kitty. Cisparide is a gut motility drug that might be good for your kitty as he sounds a little more severe than Kattie was. Also maybe a canned only low fiber diet. Kattie can eat dry and be fine but I stick to the lower fiber drys.

I know how nerve wracking it can be when your babies are sick. Just last month Kattie had to go in because she wasn't eating as much we did a whole workup and a second opinion to find out she is ok. At the same time my dog's old age arthritis was getting much worse and he needed a work up and to get on expensive arthritis meds. We have spent well probably close to $2000 or more in the month on the animals, some of my bills didn't get paid and we are eating ramen till we get paid again. It sucks, but we love them. Since this is Bigboys's second occurance with constipation, maybe try the drugs and diet route first. Once you get him back to good health and get the liver under control,(have you tried denamarin for that, it is very good liver support) then reevaluate him. If he does well with drugs and diet, he just might not need surgery. He is still young that even if this happened again a year now, he would still be young and you could still consider the surgery. I wish you and Bigboy good luck and send vibes your way

 
 

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My 14 yr old cat has been through so much over the last year with megacolon. The vet had put him on a variety of Hills Prescription dry foods, changing it every time he was in pain, stressed, vomiting etc. Finally after a barium meal they said he had megacolon. They tried cortisone for pancreatitis, antibiotics and bowel motility drugs. He became a zombie, not focusing, having spasms, vomiting and on a fast downhill track. In desperation, I ceased the drugs, ceased his dry food and started him on Metamucil and raw food. He had a couple of massive bowel movements and seemed to improve but then deteriorated again when he had to board at vets for 10 days and stressed out.

Since coming home, he didn't poop for a whole week so I have started him on Miralax and continued with Raw meat, cooked fish and cans of Fancy Feast. I stopped the Metamucil which was hard to get into him anyway and no more Hills...ever! After 2 days he had an almost normal poop. He is a new cat and today for the first time in months actually ran and jumped up on the ledge and played and chased his 16 yr old adopted brother around the house playing. What a relief, after months of not finding a solution to his misery was at my wits end and couldn't bear to see him suffering.

Hope this helps anyone trying to find a solution.
 

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Hi All,

I'm new to this site - found it by researching 'feline intestines' to try to figure out what was going on with my baby, Sabbie - a 12 year old Burmese with chronic kidney disease diagnosed a year ago.  She had been chronically constipated since changing to Hills Prescription K/D dry - so I started adding her favourite Eukenuba or Iams dry.  (She doesn't like wet food).  We went down the enema road twice, then glycerine suppositories twice and now we're on Ducolax little pills when needed.  

Then I remembered that I was told my last cat had 'something wrong with her kidneys - make sure she drinks more' when she was about 15.  I kept the dry food but added a heaped tablespoon rotating through minced chicken, chopped kidneys, chopped scallops or minced fish every night.  She lived until she was 22, almost 23.  Now that I've read all the 'RAW" diets for cats, and I see that most of them contain the basics of what I was giving my last cat!!!  

SOOOO - I've started the same with my Sabbie and she's doing much, much better.  I think I will try her on the grain free stuff though. 

The tip I have to add though is that Sabbie will go and sit on the toilet seat (my toilet seat, not her litter box) when her stomach hurts.  That's her signal to me to come and rub her tummy.  I can feel the faeces in the colon and I just massage it slowly in circles and break it down.  I start at about where her appendix is, move across under her ribs and then slowly down the colon until it gets to the pelvis.  She usually has a bowel movement shortly thereafter.  WITH NO PILLS!!!

Hope this helps some one else with their baby.
 

elbeezmummy

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Quote:




Originally Posted by otto /img/forum/go_quote.gif


Since this cat is only five or six years old, the best avenue would be the surgery. Megacolon in a cat that young is facing a lifetime of medications that have to be continually increased.


I am not 100% sure I agree with this statement. This cat was obviously being given the wrong treatment for megacolon. I think before she goes the route of surgery - because the surgery DOES NOT guarantee a life free of megacolon - she should try the low fibre canned food, Miralax and Cisapride (if need be). And if these avenues do not produce good results then she may have to consider the surgery. This cat may not be very far along with megacolon (who knows if the cat even has megacolon or is just reacting badly to the added fibre) at all and may not even need Cisapride.



Quote:


take her to a vet experienced in this surgery


.


I agree

Quote:


She will need Cisapride, which is very expensive, and again, has to be continually increased.


Are you sure it has to be continually increased? In some cats maybe. Depends on how severe the case is and how soon you catch the megacolon and start treating it properly with diet and the proper stool softner (not lactulose). My 9 year old megacolon cats dosage of Cisapride and Miralax has continually been decreased since we started it in April.



Quote:


I think surgery is the best avenue for this cat. There is no other cure for megacolon, and she has years ahead of her


.


But she can have many happy and healthy years ahead with proper management with diet and if need be medication. Once again - the surgery is not a guarantee that the cat will not have complications from the surgery or the megacolon. Just go on the Feline Megacolon group on yahoo and you will see first hand that the surgery is no guarantee.


Quote:


My Ootay had megacolon, but by the time it was properly diagnosed she was too ill in other ways to manage such an invasive surgery. But if she had only been 6 years old I would have had the surgery done, no question. By the time I lost her she was taking medicine 8 times a day, just to poop. she was at the maximum dose of all of them. Your kitty is to young to be dealing with all that.




I am so sorry to hear Ootay went through all of this. Unfortunately it sounds like she was sick in other ways as well. And her body may have shut down. And was too week to respond to the treatment and this was why she was at the max dosage?


One day if the medication stops working for Lexus (she is nowhere near the max dosage the doctor allowed for her) then I may consider the surgery. But for now she is happy and healthy and pooping on a regular basis with the right dosages and diet. It may take a bit of time to understand what works for your kitty (it has been a journey for Lexus and I) but it is worth it in the end.
hi, my name is Jessica. My cat Elbee just developed mega colon. The vet is unwilling to help him with enemas. He is on Lactulose for the time being. You mentioned Lexus being on a diet that manages the mega colon. I'm at a loss as to where to start with proper diet and maintenance of a kitty suffering from megacolon.
 

mrsgreenjeens

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Jessica, the post you responded to was started in 2009.  It might be best if you started a brand new thread of your own to get the answers  you need.

BTW, WELCOME to TCS.  I'm sorry it's under the circumstances of your furbaby having Megacolon, but we have folks here (obviously), who have cats with it, so hapefully they will be able to help you out.

My own Sven (RIP) had CRF and chronic constipation, and we gave him Miralax for the last few years of his life.   I have it to him twice a day, every day, and it worked like a charm to keep him regular.  We gave him 1/4 teaspoon mixed in a little water then added to just tiny bit of wet food (to make sure he got his "medicine", before he got the rest of his food.  We found this worked so much better than Lactulose, and was much less messy, and much less stressful for all of us
.  But our Sven was NOT ever diagnosed with megacolon.

Anyway, I suggest you start up your own thread.  That it will be easier for your to follow. 
for your little one
 

anitaskinner

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Hi Becky, I want to tell you our story about our cat that has mega colon. It started when he was a kitten and he will be 8 years old this year. We took him to the vet and they suggested the surgery which is expensive and risky. We tried castor oil, pumpkin, metamucil, etc. and nothing would help our Salem. One day way back then my husband suggested that we feed him baked fish as it is very easy to digest for humans and hopefully it would work for Salem and his mega colon. IT DID! I have been baking fish for him for the last 7 years. I buy a 2 pound bag of frozen whiting filets and I cook the whole bag at once and it will last for about a week. I lay the frozen filets on top of the grate that comes with a turkey pan and put them in the oven at 425 degrees for about 30 minutes. I then take each filet and with a knife scrape off all of the skin and put the fish in a plate and cover it with saran wrap and store it in the fridge. Every meal time I cut a piece of fish off and heat it in the microwave and I add 1.75 ml of lactulose and mix it in the fish. I feed him twice a day. For the last 7 years he has been able to poop with no problem whatsoever. The fish and the lactulose saved Salem's life. My husband and I spent many a day and night crying back then thinking that we were going to have to put him down. Our lives and Salem's life has been changed forever. If you have any questions let me know.
 

jeri hibbs

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Thanks Babz.. this info is very helpful.. we live in a VERY multicat household.. and to keep one on a totally different diet is a struggle.. We are going to the vet this afternoon to pick up Spike for his 4th putout-clean out in 6 months.. he is on Cisapride..and laculose.. but like you say..it is now ineffective.. i am going to talk to my vet about Miralax. We can not afford to keep taking him in for this.. he is really suffering..surgery, for us is out of reach.. maybe with a very good prognosis..but no one can say if it will be successful.. so for now..we can only do the best we can with meds and diet..and hope it helps him.. otherwise..we maybe forced to let him go to Rainbow bridge... Thank You., Jeri Hibbs
 
 

happybird

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I want to thank all of you for the advice. One of my babies, Bob, right now has a stool so large she is having problems passing it:( My husband has just left for the 24 hour Walmart to pick up some Miralax. We already figured out the low fiber/wet food solution through trial and error, but she still gets blocked up with these large, rock hard stools about once a month or so. We try to keep her away from the dry food but it is very hard when you are feeding many cats! I believe her chronic constipation is mainly caused by hairballs, however she absolutely refuses to take Laxatone or any other remedy and pumpkin...forget about it. Hopefully a small dose of Miralax each day will help to keep her regular and her stools soft. Plus, I am going to try adding some of the foods I've seen mentioned here to her diet as well as some plain, broiled fish. One thing that has helped us is canned tuna packed in oil (not albacore, just chunk light). I try to give her half a can, with the oil, everyday. You have to read the label and make sure they haven't slipped in any vegetable broth or a bunch of nasty preservatives. The organic brands usually contain only tuna and oil. Once again, thank you so much and the best of luck to you all and your kitties.
 
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raintyger

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I have been dealing with some constipation issues with my cat. Here is what I've found through my experience and internet research:

There are two schools of thought on diet for constipation/megacolon. It is a trial and error process, so be prepared for a possible long ride. Old school is high fiber, and it does work for many cats. If high fiber doesn't work, then try low fiber. Also, there are different kinds of fiber: soluble and insoluble. Soluble doesn't bulk up the stool and encourages good gut bacteria growth. Insoluble passes food through faster. Soluble fiber is usually preferred, but sometimes insoluble fiber works. Most food is a combination of both insoluble and soluble. Benefiber = soluble fiber; Metamucil is a combination with more insoluble than soluble.

Read your cat food label! And feed canned, which has the moisture in it needed to soften your kitty's stool. Most canned food has about 1.5% fiber, but some have only .5%; others have 3%.

Typically people find more success with Miralax than lactulose. Plus, Miralax is OTC and cheap. It is dehydrating, though, so you have to watch your dosage.

Cisapride causes heart problems in people, but is well tolerated in cats. I heard this is because there a problems in combination with antibiotics, but cats don't take the antibiotics in question.

KEEP a JOURNAL. Since you're going to be changing and experimenting with different foods, medication dosages, etc., a journal will help you zero in on what's happening and possible dietary causes. It was only through a journal that I was able to remember what initially happened to my kitty and come up with some theories as to why. I record things like time of defecation, estimated stool volume, whether or not there were hairballs and hairball volume (I have a long hair), stool softness. A journal will also help you know if a possible blockage has occurred because you'll see a slowdown in stool volume or passage. Look up "bristol stool scale" so you can rate the stool softness and discuss it with your vet.
 

happybird

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Hi, everyone! It's a few days later and I want to report that Bob is doing much better! We gave her 1/8 tsp. of Clearlax (Walmart's knockoff of Miralax with the exact same ingredients) mixed onto a Tbsp of her wet food and she finally was able to use the box. Several times! The stool was very soft and has now firmed up a bit to the proper consistency. Now we are just watching closely to determine how often we'll have to dose her. It's so good to see her back to her usual happy and lovey self:) It was also great to use a remedy that was so easy to administer. Thank you all again for the wonderful advice!
 
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