My 16-year-old cat has severe constipation issues, most likely due to an unoperable tumour near her liver that is slowly pushing her organs out of place. Pretty sure from x-rays and vet examinations that it is not mega-colon. Other than the constipation, she's still fine. She's on cipriside 2 time daily, lactulose (0.8-1 ml 3 times daily), Sub q fluids when needed; and had an enema about 2 weeks ago (posted in the enema thread). The enema experience totally exhausted her. The constipation is coming back. Also exhausting for her. I'm giving up on the messy, ineffective lactulose and trying miralax (restoralax). I've read the various posts about how to mix with water and syringe use. Thank you for this information.
Question #1: this old duchess is tiny - 5.2 pounds. Is 1/4 tsp of miralax too much? I don't want to over do it, but I'm worried that starting small and working up will put us in another enema situation. For her, an enema is a terrifying trip to the vet, an indecent act, and at least 24 hours without any decent sleep. For me, it's 24 hours without any decent sleep, lots of cleaning, and tons of laundry.
Question #2: can I go straight from the lactulose to miralax -- i.e. give her the third dose of the day lactulose tonight, then start 2x daily miralax in the morning?
Thank you in advance for any advice and thoughts on this matter.
In a side note on miralax: not one of the 3 vets has mentioned miralax which can be bought otc . wondering if they don't mention it because they lose their prescription fee and medication mark-up..
Question #1: this old duchess is tiny - 5.2 pounds. Is 1/4 tsp of miralax too much? I don't want to over do it, but I'm worried that starting small and working up will put us in another enema situation. For her, an enema is a terrifying trip to the vet, an indecent act, and at least 24 hours without any decent sleep. For me, it's 24 hours without any decent sleep, lots of cleaning, and tons of laundry.
Question #2: can I go straight from the lactulose to miralax -- i.e. give her the third dose of the day lactulose tonight, then start 2x daily miralax in the morning?
Thank you in advance for any advice and thoughts on this matter.
In a side note on miralax: not one of the 3 vets has mentioned miralax which can be bought otc . wondering if they don't mention it because they lose their prescription fee and medication mark-up..