- Joined
- Mar 17, 2018
- Messages
- 59
- Purraise
- 59
Hi. Me again. I continue to battle getting my 16 year old cat Bert regular. Now I'm noticing more frequent rectal prolapse which luckily does recede.
A month ago I took him to the vet due to constipation. They ran blood which was normal aside from a mild increase in Creatine (not enough to worry about). The Xray showed constipation and slightly enlarged colon, though not megacolon and a mildly plumped kidney. Ultrasound from last summer when I took him to ER showed some thickening of the intestines but without further tests couldn't be told why.
Anyway, the vet gave him an enema, told me to switch foods to Royal Canin Fiber Response (we needed something to keep crystals down in his urine because he had become blocked in the past). They said to increase Miralax from 1/4 tsp/day to 1/4 tsp twice a day. They also gave me a Rx for Lactulose if I wanted to try it.
He's been on the new food for almost a month. I think that's a fair amount of time to give it and the increase in Miralax to work. There has been no change in his inconsistent bowel movements. Some days are good. Some days are pretty bad. And now I have to make sure he doesn't prolapse and if he does that it goes back. So 4 days ago I tried the Lactulose. The next day he had a wonderful poop. I was excited. But the past 2 days his poops have gotten hard or tar-like and just now he tried to go, couldn't and is now hiding under the sofa. So I'm back to Miralax. I'm considering switching him back to his old food too. Because why hasn't the doubling of Miralax done anything? Now I'm wondering if Cisapride would make sense to add in.
The vet suggested I take him to an internist. I called and the cost to do that plus any tests are insane not to mention they're booked out 2 weeks. I could try to find a new vet but from I'm reading on this site I might hit a dead end with that. I would prefer to not do anything invasive unless absolutely necessary. I refuse to put him under the knife. He has a heart murmur so certain medications are a no-go (like cortisone shots for his hip arthritis, which could be contributing).
Please don't suggest pumpkin, or psyllium husks, or baby food, or slippery elm, or any of the alternate options. I've tried. I've tried every wet food. Every supplement that got decent reviews - including probiotics. Either it doesn't work (and trust me I give each thing a while to kick in) or he snubs it.
So until I can either find another vet or talk myself into the cost of the internist could Cisapride help? TIA!
I've started a spreadsheet and I'm so perplexed. Same food (Royal Canin FR + Fancy Feast Petites Pate - the only kind he'll sometimes eat). Same amount of Miralax (1/4 tsp 2x/day). Nothing additional. Same times of day:
A month ago I took him to the vet due to constipation. They ran blood which was normal aside from a mild increase in Creatine (not enough to worry about). The Xray showed constipation and slightly enlarged colon, though not megacolon and a mildly plumped kidney. Ultrasound from last summer when I took him to ER showed some thickening of the intestines but without further tests couldn't be told why.
Anyway, the vet gave him an enema, told me to switch foods to Royal Canin Fiber Response (we needed something to keep crystals down in his urine because he had become blocked in the past). They said to increase Miralax from 1/4 tsp/day to 1/4 tsp twice a day. They also gave me a Rx for Lactulose if I wanted to try it.
He's been on the new food for almost a month. I think that's a fair amount of time to give it and the increase in Miralax to work. There has been no change in his inconsistent bowel movements. Some days are good. Some days are pretty bad. And now I have to make sure he doesn't prolapse and if he does that it goes back. So 4 days ago I tried the Lactulose. The next day he had a wonderful poop. I was excited. But the past 2 days his poops have gotten hard or tar-like and just now he tried to go, couldn't and is now hiding under the sofa. So I'm back to Miralax. I'm considering switching him back to his old food too. Because why hasn't the doubling of Miralax done anything? Now I'm wondering if Cisapride would make sense to add in.
The vet suggested I take him to an internist. I called and the cost to do that plus any tests are insane not to mention they're booked out 2 weeks. I could try to find a new vet but from I'm reading on this site I might hit a dead end with that. I would prefer to not do anything invasive unless absolutely necessary. I refuse to put him under the knife. He has a heart murmur so certain medications are a no-go (like cortisone shots for his hip arthritis, which could be contributing).
Please don't suggest pumpkin, or psyllium husks, or baby food, or slippery elm, or any of the alternate options. I've tried. I've tried every wet food. Every supplement that got decent reviews - including probiotics. Either it doesn't work (and trust me I give each thing a while to kick in) or he snubs it.
So until I can either find another vet or talk myself into the cost of the internist could Cisapride help? TIA!
I've started a spreadsheet and I'm so perplexed. Same food (Royal Canin FR + Fancy Feast Petites Pate - the only kind he'll sometimes eat). Same amount of Miralax (1/4 tsp 2x/day). Nothing additional. Same times of day:
Date | Appetite | Poo Type | # of times pooped | Vomit |
9/9/22 | Medium | Soft | 1 | 0 |
9/10/22 | Poor | None | None | 3 |
9/11/22 | Poor | None | None | 0 |
9/12/22 | Good | Soft | 1 | 0 |
9/13/22 | Good | Soft | 1 | 0 |
9/14/22 | Good | Soft | 1 | 0 |
9/15/22 | Good | Soft | 1 | 0 |
9/16/22 | Medium | None | None | 4 |
9/17/22 | Poor | Mix | LOTS with crying | 1 |
9/18/22 | Good | None | None | 0 |
9/19/22 | Medium | Hard | 1 | 0 |
9/20/22 | Good | Hard | 3 | 0 |
9/21/22 | Medium | Soft | 2 | 1 |
9/22/22 | Good | Normal | 2 | 0 |
9/23/22 | Good | Normal | 3 | 1 |
9/24/22 | Poor | None | None | 3 |
9/25/22 | Poor | Hard | 1 | 1 |
9/26/22 | Poor | Mix | 2 | 0 |