Help with Constipation

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  • #840053
    Rachel
    Participant

    Hey I’m new here, and I apologize for the lengthy post. I recently (on October 20th) got 2 kittens who had been found in a field on an orchard near where I live. They are roughly 5-6 weeks old. One of the kittens is doing really well and the other kitten not so much. She has been in and out of the vet’s for the last week. Last week I noticed that she was having a hard time pooping, so I brought her to the vet on thursday. They performed enemas on her most of thursday and friday. On saturday she seemed to be doing well. She was pooping regularly, and they were pretty large poops. On sunday I noticed that the poops were fewer and getting firm, so I took the vet’s advice and added 1/8 tsp of laxative to her food twice a day (I feed her 4-5 times a day but I didn’t want to overload her with laxatives). This did nothing and by yesterday she was back at the vet for more enemas. At this point the vet suggested that I send Gracie home with one of the vet techs who has a cat who is very nurturing of kittens to see if the cat would give Gracie some extra TLC. I did that last night and then she went back to the vet for enemas today. I got Gracie back from the vet this afternoon and they gave me a bunch of instructions on what to do for her. After stimulating her a couple of times, not much comes out other than some watery dribble. I’m hoping that’s due to multiple enemas, but that’s not what happened last time and I’m nervous that these enemas did nothing. The vet tech felt Gracie’s stomach and told me it was “full of food” when I went home today, but in my opinion, there doesn’t seem to be much of a palpable difference between when she’s full of food and full of stool, but whatever.

    I asked the vet what could be causing this and her lack of weight gain and the vet said that if Gracie doesn’t gain weight in the next week, then their primary concern is her liver. I was hoping that all this started because I was trying to wean her off of the kitten milk that I had previously been giving her. She only eats wet food, and I add water to that to keep up her hydration since the vet said Gracie is dehydrated. I just feel like nothing I’m doing is working. She’s back on wet food every 4 hours and KMR whenever she wants it. I really want this kitten to gain weight and stop getting constipated all the time, but it’s starting to get very frustrating. The only thing that made me feel better is that in the last 2 days she has been far more active than I’ve ever seen her before. For the first week she pretty much just laid around while her brother Purrogi would play and chase toys and just be like a typical kitten. Today is the first day I’ve ever seen her chase a toy when I threw it or voluntarily go play by herself. The only thing that would make me feel much better at this point would be to see her have a bowel movement and put weight on. I don’t really know if I have an ultimate question here or if I’m just looking for some advice. I’m just really nervous for Gracie. I don’t want to lose her or anything, especially since I only just lost my 19 year old cat 4 months ago. Any advice or words of encouragement would be greatly appreciated!

    #840057
    Kittyzee
    Participant

    I think you are doing a great job Rachel, and I tend to think how could she have anything in her bowel at this point. I would stop the KMR and put her on goat’s milk. You can get it in the cold milk section with regular milk or in the baking aisle in cans. The canned is condensed, so you add water 1 to 1. You could mix it with her wet food if you want, or place it in a saucer beside her food. It is full of probiotics for her gut and tummy. I would think at this point, the enemas need to stop. Are you still stimulating her to go or is she using the litterbox? If she is using the litterbox, make sure you have only plain clay unscented litter in there as kittens tend to eat litter and if it’s the clumping kind it could be the cause of her blockages. I would think now that she is cleaned out, getting her on goat’s milk with her wet food, her gut will act more normally now. You could also get goat’s milk yogurt, or another yogurt that’s full of cultures that would help her too. Let us know how you are going. My sympathies also to you on the loss of your 19 year old cat. 🙁

    #840059
    Rachel
    Participant

    I guess I could try the goat’s milk. I put her back on the KMR at the vet’s suggestion. They never mentioned any other alternative that could help or anything so I didn’t know. I’m not 100% sure that she is cleaned out completely. Last time I got her, she was. This time they said she was full of food, but like I said before, there doesn’t seem to be a difference between full of food and full of poop, and since she’s having a hard time going right now I’m inclined to think she’s full of the latter. She also hasn’t been in the mood to eat the last couple of times I offered her food, but she’s still more active than ever before. But she needs to put weight on and I don’t know how to get her to do that. She uses the litterbox on her own, but the vet still told me to stimulate her to go. I don’t really think this is necessary. She goes to the litterbox whenever she needs to go, but the problem is that the only thing that comes out when she tries to go is like, a tiny bit of liquidy stool that coats her tail, so I don’t really see how me stimulating her is accomplishing anything. Also, I do have clumping litter right now since it makes clean up much easier, but I guess I can switch. I’ve never noticed her eating any of it, but I guess it could get in her when she licks her paws. The vet also never suggested this as a possibility. I don’t really want her to have another enema, but if there is stuff stuck in her that won’t come out, I’m not sure how else to get it to come out. This is just a very confusing, frustrating situation and I feel like I’m not getting any answers. All of the suggestions handed down from the vet are the things I have been doing from the beginning. They want to run blood tests to check her liver function, but she doesn’t have enough body mass or blood volume to accomplish this and despite all my efforts, nothing is being added to her body. She has weighed exactly the same for the 2 weeks that I’ve had her. I just don’t get this and am starting to feel very hopeless. Luckily she doesn’t seem to be getting worse, and my only silver lining here is the improvement in her activity, but everything else is making me very anxiety ridden and frustrated.

    #840061
    Rachel
    Participant

    Also I guess it’s worth noting that when she goes to try and poop, it’s like when you try and squeeze the last bit of toothpaste out of the tube. It makes a kind of sound like a bunch of little bubbles popping, and she passes gas. So I guess it’s not a complete blockage, but it seems like she’s trying to get something out that just won’t go. Maybe if she tries long enough?

    #840076
    jcat
    Participant

    Rachel, I think Kittyzee is absolutely right, try her on the goats’ milk and see if that makes a difference. Unlike kitten formula, it doesn’t constipate and is good and healthy for cats at any age — give it to her as milk, mix it into her wet food instead of water, also try giving her some plain yoghurt. You could also ask your vet about probiotics for cats. If it is her liver, that is something only the vet can help you with but also check out the pink tag ‘constipation’ and this thread, ‘Chaos’s guide to constipation’ for more help: http://dailykitten.com/chat/topic/chaos-guide-to-constipation/

    #840091
    Anonymous
    Inactive

    Yes the Goats milk is what you should give her. It give her probiotics and ease her tummy without constipation. You might give her plain yogurt too. All the antibiotics are hard on her system. You can start changing her diet to cat food. I don’t know condition her leg is in but you might ask if her leg needs to be amputated. I don’t say this lightly as it is a major surgery but if she’s in pain and has other health issues, it may be an option. Cats do just fine with amputations esp. at a young age.

    PG

    #840095
    Rachel
    Participant

    She doesn’t have a problem with her leg. That must have been another thread, unless I made a typo. An update: I stimulated her about 10 minutes ago and a piece of stool came out. It was about .5 – 1 inch long. Not as big as I’d like, but definitely better than nothing at this point. There’s definitely more in there since this looks like it had broken off of a larger piece. I’m going to try stimulating her every half hour to see if I can get any more of it out of her system. I asked a vet tech about goat’s milk or something with probiotics. She said that they kept her on the KMR mainly for hydration purposes since she won’t drink water on her own. She didn’t really give an opinion on the goat’s milk. She said the vet suggested pedialyte for hydration instead of the formula, and to mix the miralax in with her food and that that’s my best shot at this point. I’m hoping I can empty some more of her bowel out, and then basically be at square 1 and keep up with laxatives and then ask the vet again about the goat’s milk.

    #840096
    Kittyzee
    Participant

    Rachel, a lot of vets don’t know the benefits of goat’s milk as they haven’t hand reared kittens themselves. They have been to vet school and and I have not, but I have hand reared many kittens and I’m telling you that goat’s milk does NOT constipate kittens like KMR does. The powder constipates, and the liquid gives diarrhea to kittens. Period. I’ve used them all and I’ll never use powdered/liquid kitten formula again as it’s expensive and goat’s milk is not. I know you are hesitant about switching, but don’t be. So was I. Experience only taught me that it works. She needs some good gut flora and she needs it now. Enemas and laxatives for a prolonged period are doing her no good. You are risking nothing in trying the goat’s milk. Except about $2.98 for a can of condensed milk.
    I know the convenience of clumping litter. But for kittens it’s not recommended until they are older and don’t eat the stuff.
    BTW, did the vets do an xray? I’m wondering since they think her stomach is full of food, she could have ingested some litter and it could be causing a blockage. When you take her back, I would ask them if they would do an xray. She is struggling an awful lot especially after having enemas, laxatives and stimulation. She is getting her food, her formula (only good things) there is a reason why she is struggling.

    #840099
    Rachel
    Participant

    The vets did an xray last friday when she was empty to assure me that she was empty. That night and the next day she was defecating normally. Then it firmed up again, I’m assuming because she became dehydrated. I’ll try switching litters and the goats milk. Will the goat’s milk still benefit her even if she is already somewhat impacted?

    #840101
    Rachel
    Participant

    They only seem to have evaporated goat’s milk. Is is this still adequate?

    #840104
    Rachel
    Participant

    Okay I found a carton of plain pasteurized goat’s milk and bought that instead since it doesn’t have extra ingredients like the evaporated can did

    #840106
    Kittyzee
    Participant

    If she is impacted, I don’t know. Constipation is one thing, impacted is another. But add a few drops of olive oil to her food. Feed her the goat’s milk. Things should start moving knowing that she doesn’t have a blockage since you got an xray.

    #840112
    Rachel
    Participant

    Okay. I mean, she passed some about an hour ago so maybe she’s not impacted. It’s worth a try

    #840115
    Kittyzee
    Participant

    I don’t think she sounds dehydrated either, but with all the laxatives what else is going to come out but poopy bubbles? She needs food and goat’s milk as it will keep her hydrated. The olive oil may be overkill at this point but it’s gentle and natural at least.

    #840116
    Kittyzee
    Participant

    Remember, that most kittens aren’t weaned until 8 to 10 weeks. Also most kittens will drink milk for a lot longer than that because they like the closeness of the nipple and sucking. But my kitten drank it in a bowl long after that and he still gets it for a special treat. If his stomach gets upset for some reason, goat’s milk always settles him back down.

    #840118
    Rachel
    Participant

    She only just got a dose of laxatives today. Otherwise, the only other time she’s had laxatives was on sunday. I think there’s a lot more that could come out besides the bubbles. She put out a small pieces of feces 2 hours ago, and it was a broken piece, so there’s more in there, and probably fairly close to the anal opening

    #840120
    Rachel
    Participant

    Update: Another piece of poop was expelled after stimulation. I called the vet out of excitement. They were still concerned about liver disease due to the gray color of her stool, but the vet seemed extremely pleased when I informed her that Gracie is capable of producing brown poops, and that those poops were brown when milk was cut out of her diet, and turned grey again when it was reintroduced. So liver stuff has been put on the backburner and they are now just treating this as a case where Gracie’s digestive system just hasn’t reached it’s peak level of functioning. So now I’m just supposed to keep her hydrated, fed, warm and stimulated.

    #840123
    Anonymous
    Inactive

    I’m so glad Gracie is finally pooping. I didn’t see anything about her leg condition and that’s why I mentioned amputation. I didn’t mean to offend you. The Goats milk is the best.

    #840125
    Rachel
    Participant

    No it’s cool, I’m definitely not offended. I’ve had a very anxious few days, and very little sleep last night, so I’m sorry if my response seemed agitated. She poops best with stimulation right now, which the vet said is expected in developmentally delayed kittens. I suspect that she was the runt of this particular litter since her brother is doing quite well. I can’t say for certain though since there were only 3 kittens left out of 6 when I got to the farm. I’m just glad that the vet seems to think the poop color is not indicative of some sort of liver disease. That is the best thing I’ve heard all day. Other than that I’m going to keep doing what I’m doing, including incorporating the goat’s milk into Gracie’s diet. I’m just hoping I got the right kind. Hopefully her system will regulate itself soon!

    #840133
    Rachel
    Participant

    Okay so she has pooped again! Again with stimulation, but at this point that’s fine, I just want her to evacuate. She really likes the goat’s milk so I’ve been giving her that. I think she’s still a little clogged up because she’s not as interested in the food as she is in the milk. I’m hoped as she passes more stool her appetite will increase. We shall see!

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