Hello! I'm new here, and I don't speak English very well, but I'll try. :heartthrob
I have a cat of ten years, with CKD for almost five years in stage II (and progressing) and episodes of chronic pancreatitis and sometimes IIE. In addition, Felix was hit by a car when he was 1 year old and fractured his pelvis. All these diseases led to constipation problems that have been increasing over the years. He has been taking 1.5 every 8 hours of lactulose for a year and has been eating Hills ID dry food. Two months ago it was no longer enough and I no longer managed to defecate regularly. They increased 2ml lactulose every 8 hours and still two to three days go by where if it doesn't, I should give Miralax 1tsbp every 8 hours (in Chile it is Lax 335, and if 1tbsp flush and not a tsp as I read in this forum that several cat owners do) I have to give him only until he defecates, he has diarrhea emptying himself completely and after that the cycle of eating and being well for a couple of days returns and he is constipated again. I tried giving him wet food EN proplan + his dry food but it worked for me for a couple of days helping him to defecate daily but then he no longer wanted canned food and only dry food. In addition, eating another food caused intestinal problems, returning to constipation. I don't know what to do anymore, does lactulose lose its effect over time in your cats? Will I be able to give Miralax + lactulose or is it too much for a cat? Have you guys given him that amount of Miralax to help him? That amount was given to me by the Vet and it has helped me avoid enemas so far, but I think that's a lot.
In my country there are a lot of foods and remedies that are not sold and I want my cat to be well. He is on several medications, pregabalin for pain in his pelvis and joints 1/8 50mg pill every 12 hours, Traumeel half a pill every 12 hours, lactulose 2ml every 8, now cerenia (maropitant) to reduce possible inflammation of the pancreas x 10 days and prulocapride 1/4 of a 20mg tablet every 24 hours to improve intestinal motility and was added to his medications about two weeks ago.
I have read that it could incorporate fiber but there are also cases that there is a lot of fiber and that is why they do not defecate, I don't know if it is good to try that too. Or if they have any techniques to get their cats interested in wet food more than dry.
I hope you can read me and share your experiences and opinions. (He has gone and continues to go to the vet but I am losing hope until I found this beautiful forum)
I have a cat of ten years, with CKD for almost five years in stage II (and progressing) and episodes of chronic pancreatitis and sometimes IIE. In addition, Felix was hit by a car when he was 1 year old and fractured his pelvis. All these diseases led to constipation problems that have been increasing over the years. He has been taking 1.5 every 8 hours of lactulose for a year and has been eating Hills ID dry food. Two months ago it was no longer enough and I no longer managed to defecate regularly. They increased 2ml lactulose every 8 hours and still two to three days go by where if it doesn't, I should give Miralax 1tsbp every 8 hours (in Chile it is Lax 335, and if 1tbsp flush and not a tsp as I read in this forum that several cat owners do) I have to give him only until he defecates, he has diarrhea emptying himself completely and after that the cycle of eating and being well for a couple of days returns and he is constipated again. I tried giving him wet food EN proplan + his dry food but it worked for me for a couple of days helping him to defecate daily but then he no longer wanted canned food and only dry food. In addition, eating another food caused intestinal problems, returning to constipation. I don't know what to do anymore, does lactulose lose its effect over time in your cats? Will I be able to give Miralax + lactulose or is it too much for a cat? Have you guys given him that amount of Miralax to help him? That amount was given to me by the Vet and it has helped me avoid enemas so far, but I think that's a lot.
In my country there are a lot of foods and remedies that are not sold and I want my cat to be well. He is on several medications, pregabalin for pain in his pelvis and joints 1/8 50mg pill every 12 hours, Traumeel half a pill every 12 hours, lactulose 2ml every 8, now cerenia (maropitant) to reduce possible inflammation of the pancreas x 10 days and prulocapride 1/4 of a 20mg tablet every 24 hours to improve intestinal motility and was added to his medications about two weeks ago.
I have read that it could incorporate fiber but there are also cases that there is a lot of fiber and that is why they do not defecate, I don't know if it is good to try that too. Or if they have any techniques to get their cats interested in wet food more than dry.
I hope you can read me and share your experiences and opinions. (He has gone and continues to go to the vet but I am losing hope until I found this beautiful forum)
Felix is now focused on a treatment for pain, since they think that he does not defecate because his old pelvic fracture hurts (pregabalin 1/8 and 1/4 every 12) and he has a portion of his colon expanded (3,6cm). He is also taking medications to induce intestinal motility that is reduced (prucalopride 2mg every 24hrs) in addition to lactulose 2ml every 12hrs. and has been stable. My only current dilemma is that it's okay because I give him half a portion of wet food (mornings and nights) and half of dry food that he always prefers, and the wet one allows him to have soft stools, not the dry one 
. Also for the pain he is taking tramadol syrup, a week ago and he hates it. He usually saliva and then it goes away but yesterday I gave it to him and he already knows more or less the time and I notice that he gets more tense because he knows that I am going to take it to give it to him, and he vomited medicine and food. This frustrates me a lot and worries me, because it's hard for me to feed it and I don't want it to break down due to vomiting the remedy. Do you have any advice for administering syrups, especially this one that is bitter? 
tramadol is better with or without food in his stomach
