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- Oct 25, 2020
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My 16 yr old kitty has kidney disease for a couple of years now. Recently we've been battling constipation. Unfortunately it took about 3 months to figure this out. Her symptoms presented as her waking me up at night meowing (screaming) in my face, humping my arm & ripping out her hair on the right side of her body. The Dr. thought it might be a UTI and prescribed antibiotics. 10 days later and she was no better I noticed her pooping wasn't daily so we tried laxatone (she hates) then miralax. She was receiving hydration 200 cc a week at the Dr. office. We asked the Dr. to give her an enema but she said she didn't feel backed up. We sought a 2nd opinion and was prescribed miralax (up to 1 tsp/day), cobalequin, SQ fluids 200 ml 2x/week, epicatin, gabapentin 100 mg x/day for nerve pain, cerenia for nausea and mirtazapine (appetitie stimulator). Most of those she did not tolerate well. With the gabapentin she couldn't walk straight for almost 12 hrs. Most others knocked her out as well including miralax. After a few enema's and changing meds to Cisapride 2.5mg 2/day & Lactulose 10 mg 2/day she was doing way better. Her weight had gone from 10 lbs to 6 lbs. We went from dry food to wetting the soaking the dry food to Science Diet W/D to Delectables stew senior 15+ kidney support with added water. For the past couple of weeks she's been getting out of bed, coming downstairs and being more alert. Recently we tried vitamins and she got constipated again. So the question is should we be hydrating 2/weekly and should we give enema's if she hasn't pooped in a few days or try to change meds to help her. Are enema's bad for her or is letter the stool build up worse?