We have a cat who is quite young. He’s only 4 years old. Over the last two years, he’s started to strain to poop and started pooping outside the box. We had it under control by mid 2023, but then this summer we went on vacation. The family member who we paid to house sit the cats was given explicit instructions about his constipation and to make sure he was drinking enough as well as syringing him his pumpkin mix to help him keep regular. Instead, about halfway through the week, she up and left and our cats did not have any water for 3 or 4 days. What we came home to was rough and extremely upsetting. That has had, what we think is, a significant impact on our baby. Since then we have not been able to get him back to where he was health wise. He has developed full on Megacolon, needed 2 enemas(he had never needed them before) and an even more intense care treatment plan has been implemented. We have spent around 1500+ dollars on him. Unfortunately, this second enema didn’t get all of it and the ER vet said he will likely need surgery to remove it. She gave us lactulose, instructions to keep up the MiraLAX, to introduce a fiber supplement twice a day and a probiotic, as well as discontinuing dry food in favor of wet. We have done all of that, and a week later he is straining to poop again. He has a vet appointment tonight that quite frankly, we can’t afford but we need to take him, and I’m afraid they are going to say he needs surgery. If he does, we cannot afford it. We have other animals as well… this is devastating. It’s devastating. He’s so young and I don’t know what more we can do for him. I’m afraid if we can’t afford the surgery they’ll suggest euthanasia. Does anyone have any thoughts or advice?