Constipation - Dr prescribed pumpkin and laxatives but they're making her strain more?

sarahhalen

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I hope you can help me.  

My 15yr old girl is struggling with constipation for the 1st time. Her normal schedule is to poop every other day. The constipation began a couple of weeks ago.  The first time I saw her struggling, she repeatedly went back/forth to her litter box trying to poop. She visited her box about 10 times in as many minutes.  This went on for about an hour, and then she just kind of snapped out of it and was fine for the rest of the day.  The next day it started again, so I took her to the vet. After doing xrays, we learned she was mildly constipated and was given 2ml of Lactulose 2x per day.  She, like most cats, didn’t like the Lactulose so I thought Miralax would be easier to administer. The vet said to give 1/8tsp 2x per day for 3 days.  Day 1 produced a normal bowel movement and nothing more for 2 days. By Day 3, she was straining constantly to poop, everywhere.  After yet another vet visit and more xrays which showed a 70% decrease in stool in her colon, we determined that she was no longer constipated but that the laxatives were probably making her feel like she needed to go when she actually didn’t have to, and probably causing some cramping. We discontinued the laxatives and per the vet’s advice, began adding 1/4tsp of pumpkin to her food 2x per day.

She’s been on the pumpkin for a 6 or 7 days now and I thought we were returning to her normal schedule of a bowel movement every other day.

Today, she produced a small bowel movement this morning and another one this afternoon. Unfortunately after the 2nd one, she began the back/forth trips to the litter box trying to defecate even more. Then she began squatting on everything trying to poop (her beds, my shoes, the rug, etc). She even cried at one point, I think out of frustration. This went on for about 2 hours.  She was also excessively licking her rectum.  She finally got to the point of lying on my bed and straining to poop laying where she was, just like she did on the laxatives.  After an hour of this, she finally snapped out of it, and is now acting normally. I’m wondering if the pumpkin could be causing the same problem as the laxatives in making her feel like she needs to go, when she actually doesn’t.  I could actually hear what sounded like gas sounds while she was straining on the bed. Has anyone experienced this? Could you please share your advice?  I’m scared and my vet isn’t helping very much. :(
 
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denice

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The pumpkin could be making things worse.  I know it's kind of a generic thing for kitty constipation but sometimes adding fiber actually makes things worse.  I would take her to the vet to get her checked for constipation again.  Has she been checked recently for the things like kidney disease that is more common in senior kitties?

If she isn't constipated I would ask the vet about giving Miralax.  Miralax isn't a traditional laxative, it works by drawing fluid into the colon.  Normally you start with 1/8 teaspoon twice a day and adjust the dosage.  It can be used long term because it doesn't cause the issues that long term use of laxatives can cause.
 
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sarahhalen

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Hi, thank you for the reply.  I had her Miralax previously (mentioned in my post) and it appeared to make the problems much worse, causing her to strain to poop wherever she was laying.  I don't know if the pumpkin can cause the same problems.  She's been on the pumpkin for about 7 days and just started having problems today.  

She was checked a couple of months ago for kidney disease and appeared to be normal. She also had the SDMA peformed and it was an 11 (range is 0-14).   I know that it's common in older kitties and agree that she needs to be tested again to rule it out. 

Any advice is appreciated - thank you!
 
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LTS3

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Hi, thank you for the reply.  I had her Miralax previously (mentioned in my post) and it appeared to make the problems much worse, causing her to strain to poop wherever she was laying.
Were you giving the Miralax correclty? The dose has to be dissolved in water first and then mixed into canned food for easy admininstering. Miralax works by drawing water from the body into the digestive tract. If you give the powder dry, it'll just dehdyrate the cat and worsen the constipation.

Is your cat getting enough water to keep everything moving along the digestive tract easily?
 

momofmaxwell

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Hi Sarah.

I'm sorry you are struggling with your baby.I belong to the mega Colon group @ yahoo.We deal with chronic constipation & Mega Colon .As per another poster pls stop all fiber.Itis bunging her up.If it was going to help you would have known by now.

Small amounts are fine.My boy was on 1/8 tsp 2x per day.But that was for feeding good gut bacteria.Not to soften his stool.So I would stop pumpkin completley.Miralax can be dosed into a kitty any way that is not stressful.I used chicken babyfood as Maxwell loved it.1/2 tsp mixed in his miralax & pumpkin and he thought it was a treat.He was on 1/8 tsp of miralax 3x per day.

Some kitties are on mere grams like 1/16 tsp per day while others are on 1/2 tsp twice per day.Every kittie's colon working differently than the other.The only time we recommend mixing miralax into water & syringing is if kitty can smell it & won't eat her meat.

it is odorless to us but to some kitties they notice.But not alot.Most do well with a small amount of canned meat something you know she'll eat stir in the miralax and watch it all gobbled up.Usual starting dose is between 1/8- 1/4 tsp twice per day.

I normally recommend going at 1/4tsp 2 x per day and working back rather than working forward.Usually I recommend starting at either dose and going two full days or 4 doses.looking for stool or attempts to the litterbox.If your kitty has rocks which stool can form, Miralax will not soften them nor break them up.Only an enema performed preferably by your vet will remove the rocks.

After 4 doses if still no poo you up one of your doses.For example if you start at 1/8 twice per day for 2 full  days & nothing the third day morning you would change that dose from 1/8 to 1/4tsp now & in the evening remain the same at 1/8.Go another 2 full days.Or 4 doses.Looking for stool.Still nothing then the pm dose gets upped to 1/4 tsp.

So now you are giving 1/4 twice per day.Now another two days.A rescue protocol is what I call it if a kitty  is really straining we at the MC group recommend 1/2 tsp twice per day.For two full days if needed.This usually gets it all moving an then you start tweaking back.If not 7 kitty is still straining at this dose a visit to the vet is essential.

Motility can also be an issue for your kitty.Which means your kitties colon is not moving the stool down to the anus properly.They make a med prescribable by your vet called cisapride.It is a motility drug that given 30 minutes prior to feeding.It helps stimulate the nerves in the colon to squeeze.When the colon squeezes it squeezes the poo which in turn moves it down toward the anus.

Some kitties just need cisapride as their stools are not dry, just not moving.Others just need miralax.Others need both.Cisapride comes in many forms.pills,chews,liquid syringeable form,transdermal gel.trasdermal is the pitts.Chews most cats won't eat them.pills can only be halved & quartered so dosing is really not great & the liquid compounded by a compounding pharmacy we find the best.It can come flavored or non.

How you tell is after dosing of miralax & you are now finally getting nice soft logs, not soft ice cream but logs but not firm logs then you see how long in between the bm's are.Some MC kitties only go every 3 days.MC is only diagnosed via xray of the colon.Constipated kitties not having MC should be going daily.

With MC there is no guessing by vets or assumptions.They either have it or they don't.If they do it is NOT the end of the world & very doable.Only an xray confirms or denies it.

You can use low salt broth if kitty likes it & mix the miralax in not too much & watch kitty lap it up.You can freeze the broth.I froze the babyfood in small ice cube trays covered in saran.When frozen kept them in a freezer bag & kept in the freezer.Only take out on a plate what you'd use in two days.Covered in saran.

Anything left over chuck & bring down new.So you would have to go out & buy one jar which makes a lot of cubes & see if first your kitty likes it.if so you are set.If not maybe you have a feral outside or homeless kitty or some furbaby that will like it or chuck it.(No onions or garlic in it either.toxic)

The dollar store has small ice cube trays.Mine were like 1" squares.Thisis not designed as a meal but a treat.Or in canned meat but I never added it on top of a whole bowl of  meal.I would take like a tsp of canned meat and stir in the miralax & watch your kitty eat it all up.Then serve the regular meal.

You can run all this by your vet if you like.Some are unaware of miralax but it truly is superior to lactulose.Less stress & over time lactulose loses it's ability as well as can raise blood calcium levels.

Diarrhea can be very deceiving when you have a constipated kitty.They will push out liquid poo past the hard rocks giving you the impression now your cat has diarrhea when in fact it is the opposite.Constipation.

So when dosing miralax or it's generic name.The main name being peg 3350. Miralax is just a brand name.Makes sure your ingredients on the bottle only says peg 3350.Nothing else as you can get chocolate,banana,added electrolytes.All BAD for cats.

This is a human stool softener like lactulose so they do have flavors.Just make sure it says ingredients; peg 3350 nothing else & you are good to go.Foreign countries i deal with peg 3350 goes by all different names.

So as I was saying about diarrhea & knowing if it is truly diarrhea or the opposite.I always stayed in diarrhea mode for two full days to make sure it was all too soft and no rocks were in there.Ifyou have to wipe kitty always wipe from the bottom of the anus upward towards the tail.Not downwards.

Stool has bacteria as we all assume but it can enter the genital area & go up into the bladder & cause alot of bacterial problems.If you are on an all dry diet you may want to try to introduce canned.Canned food having over 70% water even the cheapest friskies (Non fish) is far better than the best quality dry you can buy.

I know it can't happen overnight as kitties become dry food junkies but it can happen.Also at your kitties age which is not old but truly hydration from the more the water the better.Ialways stayed away from fish.Changing them later to something else is almost impossible & it usually has alot of phosphorus in it unless it is a renal food.Which it is not.So not good for the kidneys.IMO.

Any other questions concerns don't hesitate.Going back when in diarrhea mode for two days you  tweak back one dose say it is at 1/4 you decrease by 1/8.Go another couple of days.Still too soft, tweak your other dosing to  the am's dose.Again observing.

Some kitties are on 1/16 tsp daily.So small spoons are really great to have & help tweaking miralax back very slightly when you get to almost that right stage.HTH C

Our site link if you want it is https://groups.yahoo.com/neo/groups/FELINE_MEGACOLON/info But we can help you here just as well Hugs to the babe.
 
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sarahhalen

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Hi thank you so much for the wealth of information!   She's been on Wellness grain-free canned food for the past 13yrs.  I add 1-2tbsp of water to each meal (4x per day).  

She was put on Miralax when she was first diagnosed with constipation. We never reached the soft bowel movement or diarrhea stage. She had a normal movement after the 1st day, then after 2 additional days, began squatting and straining everywhere but no additional BMs. I took her back in, they did an xray and saw that 70% of the stool had already passed through. The radiologist didn't see any evidence of constipation. The vet surmised the reason for the excessive straining was because she was experiencing some cramping and GI upset from the laxatives.  So we immediately discontinued the laxatives 1 week ago. 

She's had a normal bowel movement every other day for the past week (which is her normal BM schedule). 

I had her on the 1/4 tsp pumpkin 2x per day for the past 7 days and things were OK until yesterday when she started going back/forth to the litter box & squatting everywhere else repeatedly for 2 hours. Then she snapped out of it and was fine. 

I'm wondering if the pumpkin could have been causing the same cramping issue as the laxatives?  

The thing we can't figure out is why it's cyclical. Why she seems to have the 2hr constipation 'episodes', then be back to normal (sleeping, eating, grooming, etc) for 18-24hrs.

I've never dealt with a cat with constipation so when I'm reading that they're squatting everywhere and visiting the litter box, is that ALL of the time? (i.e., every hour of every day is spent squatting in the litter box?) Or just little episodes like I'm describing?

The vet mentioned another possibility but it seems really out in left field:  She has arthritis in her lower back and tail.  The doctor said that there's a nerve at the base of the tail/pelvis area that get's triggered when they have to defecate.  (She said this is sometimes why older kitties become constipated is due to the decreased  function of that particular nerve due to arthritis).  She thought that perhaps when she is able to defecate, that nerve gets stimulated and she suddenly feels the urge to go. Then when the nerve calms back down again, the urge to go disappears? 

Could anyone share their thoughts?
 

momofmaxwell

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Hi Sarah.My kitts were on wellness as well & great with the added water.it all is so beneficial.What I can tell is in older cats not even older cats.cats are being seen as young as 7 yrs old with already arthirtis showing up.So as kitties age that arthritis gets worse & some kitties it actually hurts them to assume the position.This is not what your baby is doing.The ones that do feel pain will sometimes leave the litterbox holding the poos & it becomes drier staying in the bowel causing constipation.Or they get a learned aversion and start pooping some place else.they avoid the litterbox to poo but will pee there.Also kitties have urinary infections that they have experience pain while peeing in the litterbox  some of those can soon learn to pee in other areas.your symptomology and I'm assuming the radiologist looking at her her colon and saying 70% was gone.Where was the 30? Right at the anal opening ready for the next BM or way behind?it is not normal to have a colon have a long area of no stool from anal opening back and then way back there is some.The purpose of pumpkin & actually there are two roles pumpkin play depending on how much you give a kitty.Pumpkin holds water.Pumpkin in small doses like my boy was on for yrs feeds good gut bacteria.When good gut bacteria is fed & happy the environment in the bowel becomes more acidic.Being an acidic environment stools retain more water to stay softer.That is one purpose.The other purpose is larger amounts used for "bulking" the stool.The reason for bulking which is actually making the stool "Fat in diameter" is because the colon in a cat is a tube about the diameter of our thumb.Inside the walls of this tube it is full of nerves.It is those nerves that get stimulated which in turn contracts the colon to squeeze.When stool is fatter it stretches the colon wider & stimulates the nerves more.It is not a pipe & will expand.Expanding the diameter of the colon does start the squeezing action & begins to move stool down on most cats.For kitties with MC bulking can make stool movement alot worse as those nerves are damaged in the colon.Do not work properly like a kitty just with constipation.Hope I made that understandable.Your kitty sounds to me like almost cystitis.How is your kitty's urine? You had her tested right? Full urinalysis via cysto looking for bacteria,rods,crystals &her usg etc?Kitties with cystitis and you can google it will have sterile inflammation in the bladder.But the bladder becomes over stimulated making the kitty feel she has the urge when in fact the bladder is empty.Telling a kitty peeing & assuming to poo can be demanding, although you know your cat.Sterile cystitis would show nothing on regular urine testing.No bacteria found but is still a condition.A treatable condition though..But is different as per the pooping dept.I myself if i was having a kitty having trouble pooping would bring on diarrhea like I told you.Then knowing for sure than we all in all liquid mode.Then work your way back.But what your vet is talking about the nerves in the tail I'm sure He is right as that being a symptom so if that is what is wrong so what does he/she recommend? In all the yrs dealing with poo & no poo.Many elderly kitties I have never seen this symptomology coming from th anal dept.Renal dept  yes.That being said my brain is a sponge and is open to new things every day.We will never know everything.But am curious as per her peeing.How big of clumps are you finding in the litterbox.Her actual renal values on last blood work.creatinine ,bun.& Urine specific gravity.So reading in your post

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She was put on Miralax when she was first diagnosed with constipation. We never reached the soft bowel movement or diarrhea stage. She had a normal movement after the 1st day, then after 2 additional days, began squatting and straining everywhere but no additional BMs. I took her back in, they did an xray and saw that 70% of the stool had already passed through. The radiologist didn't see any evidence of constipation. The vet surmised the reason for the excessive straining was because she was experiencing some cramping and GI upset from the laxatives.  So we immediately discontinued the laxatives 1 week ago. 

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So reading that how high of dose were you giving her of miralax? Also miralax does not work right now.It works on new stool that is forming but yes can cause cramping.The pumpkin will be causing if anything bulking,but not much as that is small amount.but her colon may be sensitive now as she has aged.things unfortunately change with our kitts.We are used to a schedule for all the yrs then all of a sudden things seem to change.We also pay more attention to a empty food bowl than we do find at the other end.the litterbox.We always find poos to clean but what was that poo like when t left her body?? This is key.And for most of us who work we have no idea nor even think it is of importance.But if you noticed she did not eat then a bell would ring.Do you understand?I'm hoping the radiologist was on the ball as there is a90 degree turn in a kitties bowel.humans have two.Alot of problems with constipation seem to be beyond that curve.But most xrays there will be a side view & one where kitty is lying on their back.The one on their back shows the actual curved section.Not the side view.She should not be a having any cycles of 2 hr period s to poo.it is not normal like you said.Stool is always there Sarah unless an enema has been done.It gets pooped then the next section moves down to the anus.I am concerned & possibly feel this is not related to her colon squatting every place else in your words.If it is colon related she is having the urge to poo & would sit & strain.But an xray would show stool right there.the nerves in the colon go to the brain to tell them they have to go.Up the spinal column.Kitties with spinal injuries often have pooping issues as those nerve messages are not getting through the CNS central nervous system to the brain at all or are delayed or interrupted.A good read about how a cat's gut works from mouth to anus is my friend who wrote a book on it.pat Erickson the poo master herself.Yes i have her book.

She is also emailable  Sarah. Her book link www.felineconstipation.org  That is the next rout if all urinary issues are ok.You are receiving lge urine balls & not small egg size ones etc.i would personally send her an email just copy & paste exactly what you have typed & ask her for advice.If it is colon related she may have some insight.If it is renal problems she has also deal for yrs with renal kitties. have you tried in stead of pumpkin babyfood butternut squash?My Boy was also on that & I froze that in ice cube trays.pat knows all about it but pay attention to renal issues now too.Very important & curious as to what her renal values last time were.You are privy to all documents of every test your cat ever had from your vet.in paper form.I learned that many yrs ago & have files for all of my angels.Very helpful even if you can't read them & understand what they are saying.I know people you can read them like the back of their hand.Need to make absolutely sure she is trying to poo & not pee..If it ends up being something related to the urge to pee but nothing whole different ball game & yes I can steer you to people that deal with it daily on a group.Many members here as well have dealt I'm sure with cystitis & crystals as it so huge in the feline world.So very interested on her last urinalysis.The actual paperwork of the test & findings..

What I can share with you as i said all my cats were on wellness catfood.Never had a uti nothing.Mary the co owner of the Flutd group at yahoo, used to work for a vet.Huge numbers of cats were coming into the office with crystals.Many infact like 80% on wellness.The vet actually put a poster on the front glass stop all wellness catfood & to this day her & I have it out about it.But she has no reason to say anything about a food.Nothing to gain .She also had her kitties on it and dealt with crystals,cystitis big time.Just what she experienced & learned from all the kitties coming through the door.She said i was a lucky one.And that may be.If you would like to talk to her I have her link as well.Hugs honey. Yes i can understand totally the frustration of what the heck is going on with my baby.C
 

momofmaxwell

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Hi Sarah again.Sorry i thought of some other things.And also went back & read your original posting more carefully.When she first had this bout of constipation & you took her to the vet & the vet said she was constipated.Was an xray done then?Or did he/she palpate for stool(Feel)?Feeling is not a great method imo if that is what was done.Xray if they know how to read it properly then yes.it took me three vets reading the same xray of Maxwell's colon to only to scream to see a specialist and then her reading the same old xray & diagnosing him in 2 minutes.So you can see wht we think they can do with no real effort sometimes they cannot.When she does actually have a bm what is is like?Pls be explicit as i have opened every stool my boy had with a knife & fork for 6yrs looking for hair,hard spots etc.Does she every poo in balls? Or is she pooing logs that re soft?hypothetically speaking if you were to catch her right as she was doing one and right after took a tissue to pick it up would it droop at either end?this is how soft it needs to be.it is hard for me to describe for you a good bm.The pumpkin if you are still giving it you would only know by product of elimination if these symptoms stop.Meaning stopping the pumpkin completley.It will not unlikely stop them right away as there will be some still in her colon but it may stop.Only way of knowing for sure would be to stop it.And observe.After two days nothing has changed it has nothing to do with pumpkin.Then i would reintroduce miralax only at 1/8 tsp twice per day.Like you were.And this may not be enough.You have to observe as per my other posting tweaking up or down.For her to be crying and lying on her side on your bed is NOT a good thing.You already know this.Something is going on in there.When you say she snaps out of it.you mean she stops straining and goes back to her normal daily routine right?i see in your posting you feel your vet is not much help.I'm sorry but I see it on a daily basis with constipated kitties.Me myself also going through it with 3 cats.it's ugly.You are privy to a copy of her xray as well.Most are digital & can be emailed to you.many members email there xrays of their kitties colon's to our group.you may actually be able to post it here as this group allows pictures with your posting.yahoo does not allow any attachments and photos have to go in the photo section of our groups' home page.Pls ask for all copies of everything from your vet including the lst bloodwork done so many months ago.it could be she is having IBS symptoms & i will send you some links about that.And yes this can occur at any time in a kitties life.When you see symptoms of IBS don't think your cat has to exhibit all these symptoms.it may just be one you are seeing.also if the links i send you are into cyber space don't be shocked as I am not good at it at all.LOL You can Dr.google IBS in cats & symptomology.OK.HTH If you want to talk to Pat please send me a private message and i will contact her & see if we can't get something going for you.OK? Also if these symptoms sound alot like what your baby is having consult your vet.Some links recommend natural products.I do not recommend them but a good probiotic like proviable.etc could be used.But ultimately at the end of the day you have to stop the pumpkin to see if the symptoms go away.That's what I would do.She could have a food allergy now which can happen at any time & a diet change may be in order.JMO.I do belong to the IBD group but unfortunately IMO they are not as good as they used to be 10 yrs ago.Also this link from Dr.Pierson may have some ideas.She is super & her kitty long ago had IBd symptoms but she may talk of IBS as well.

www.catinfo.org

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I believe Sarah one or more of these links may be of symptoms of humans but cats can get this as well.HTH hugs to the Babe.C.
 
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