Constipation is the infrequent and difficult evacuation of feces with retention of feces within the colon and rectum. Obstipation is intractable constipation. The typical feline patient is middle-aged and male. Many cats have one or two episodes of constipation without any further problems. However, chronic constipation and obstipation may result in megacolon where a dilated large bowel is poorly responsive to therapy.
Pull one side up and over your cat's back and around her side, tucking the Gay dicks pix end under her feet. Cats, domestic felines should be eating animals that they can actually take Enemas for cats prey in the Ferrel world. DSS and disoctyl calcium sulfosuccinate are emollient laxatives available in oral and enema form. If he shows discomfort ease off in that area and report it to your Vet Eneas you see her later today or tomorrow. Side Effects Cats:. Hi I ordered enemas for cats on Amazon. Make sure Enemas for cats there is always fresh water available for the cat. Fot Dale Cloutier Mar 21,
Vintage blue jay foot plaster ads. Post navigation
VETgirl makes no representation with respect to, nor does it guarantee or endorse, the quality, non-infringement, accuracy, completeness, timeliness, or reliability of such third-party materials, information, services or products. There are 7 Enemaa cited in this article, which can be found at the bottom of the page. Putting her in another room, shutting the door, and letting her go about her business is not an option. Section c Enemas for cats of the Copyright Act, VETgirl designates the following individual as its agent for receipt of notifications of claimed copyright infringement:. It may be necessary to Enemas for cats several cat food brands before you find one that the cat will be interested in eating, as well as tolerate. It is Mature spanish feet responsibility to verify and track its CE completion status and eligibility for credit. Purchase an appropriate enema. Share This. Co-authors: You are solely responsible for the user-generated Content you submit.
Constipation is a common feline problem and is defined as infrequent or difficult evacuation of feces.
- Constipation is a common feline problem and is defined as infrequent or difficult evacuation of feces.
- These patients often present slightly dehydrated, very obese, and with underlying disease — in other words, a disease process that predisposes them to a dehydrated state e.
- An enema might seem like an unpleasant experience to most, but the procedure itself dates back to before ancient Egypt.
- Cat constipation is a fairly common problem and can be caused, often temporarily, by hairballs, dietary changes or medications.
- Forums New posts Search forums.
Constipation is the infrequent or difficult evacuation of feces, which are typically dry and hard. Constipation is a common clinical problem in small animals. In most instances, the problem is easily rectified; however, in more debilitated animals, accompanying clinical signs can be severe. As feces remain in the colon longer, they become drier, harder, and more difficult to pass. Obstipation is intractable constipation characterized by an inability to evacuate the mass of dry, hard feces; impaction extending from the rectum to the ileocolic valve can result.
Megacolon is a pathologic condition of hypomotility and dilation of the large intestine that results in constipation and obstipation. Peristaltic waves are responsible for the aboral movement of fecal material in the colon. Giant migrating waves that occur intermittently throughout the day move this matter farther and more rapidly. A reduction or loss of these waves may contribute to constipation.
Similarly, an increase in segmentation wave activity may predispose to constipation. However, diet is the most important local factor affecting colonic function. Chronic constipation may be due to intraluminal, extraluminal, or intrinsic ie, neuromuscular factors. Intraluminal obstruction is most common and is due to the inability to pass poorly digested, often firm matter eg, hair, bones, litter mixed with fecal material.
The lack of water intake or the reluctance to defecate on a regular basis because of environmental eg, stress or behavioral eg, dirty litter box factors or painful anorectal disease predisposes to formation of hard, dry feces. Intraluminal tumors may also impede the passage of feces. Extraluminal obstruction may be caused by compression of the colon or rectum from a narrowed pelvic inlet after suboptimal healing of pelvic fractures or from enlarged sublumbar lymph nodes or prostate gland.
Colonic stricture due to trauma or neoplasia should also be considered. Finally, some animals usually cats with chronic constipation or obstipation may have megacolon, likely caused by a lesion of the neuromuscular bed of the colon.
The etiology of megacolon often remains undiagnosed. Other diseases that affect neuromuscular control of the colon and rectum include hypothyroidism, dysautonomia, and lesions of the spinal cord eg, Manx sacral spinal cord deformity or pelvic nerves.
Hypokalemia and hypercalcemia also adversely affect muscular control. Some drugs eg, opioids, diuretics, antihistamines, anticholinergic agents, sucralfate , aluminum hydroxide, potassium bromide, and calcium channel-blocking agents promote constipation via differing mechanisms.
The classic clinical signs of constipation are tenesmus and the passage of firm, dry feces. Abdominal palpation and rectal examination can confirm the presence of large volumes of retained fecal matter. Passed feces are often putrid. Some animals are quite ill and also have lethargy, depression, anorexia, vomiting especially cats , and abdominal discomfort.
A history of dietary indiscretion and physical evidence of retained feces confirms the diagnosis. Detailed information regarding the duration of constipation and influencing factors may help determine the cause, as will a history of ingestion of indigestible material that may increase fecal bulk or cause pain that can terminate the defecation reflex.
Other historical factors that may be relevant include recent surgery, previous pelvic trauma, and possibly radiation therapy. A complete neurologic examination with special emphasis on caudal spinal cord function should be performed to identify neurologic causes of constipation, eg, spinal cord injury, pelvic nerve trauma, and Manx sacral spinal cord deformity.
Abdominal palpation and rectal examination, including evaluation of the prostate and sublumbar lymph nodes, should be performed to determine the presence of perineal hernia, foreign material, pain, or masses. Plain abdominal radiographs may help establish the inciting factor s of fecal retention and give some indication of what the feces contain eg, bones. A barium enema, ultrasonography, or colonoscopy may facilitate demonstration of obstructive lesions or predisposing causes of chronic constipation.
A CBC, biochemical profile including a serum T 4 level, urinalysis, and detailed neurologic examination should be completed in cases of chronic or recurring constipation. Affected animals should be adequately hydrated. Mild constipation can often be treated by dietary adjustment consisting of avoidance of dietary indiscretion, ready access to water and high-fiber diets, and use of suppository laxatives. Continued or longterm use of laxatives should be discouraged unless absolutely necessary to avoid constipation.
A number of pediatric rectal suppositories are available for management of mild constipation. They include dioctyl sodium sulfosuccinate DSS; emollient laxative , glycerin lubricant laxative , and bisacodyl stimulant laxative. The use of suppositories requires a compliant pet and a willing owner.
Suppositories can be used alone or in conjunction with oral laxative therapy. Mild to moderate or recurrent episodes of constipation may require administration of enemas or manual extraction of impacted feces, or both. Enema solutions should be administered slowly with a 10—12 French rubber catheter or feeding tube.
Phosphate-containing enemas must be avoided in cats. If enemas are unsuccessful, manual extraction of impacted feces may be needed. After adequate rehydration, the animal should be anesthetized with an endotracheal tube in place to prevent aspiration in case the colonic manipulation induces vomiting. Complete removal of all feces may require 2—3 attempts over as many days. Concurrent fluid and electrolyte abnormalities should also be corrected.
Laxatives are classified as bulk-forming, lubricant, emollient, osmotic, or stimulant types. Most act on fluid transport mechanisms and colonic motor stimulation. They should be avoided in the presence of dehydration. Bulk-forming laxatives are added to the diet. These products are dietary fiber supplements of poorly digestible polysaccharides and celluloses derived principally from cereal grains, wheat bran, and psyllium.
They absorb water, soften feces, add bulk, stretch the colonic smooth muscle, and improve contractility. Many constipated cats respond to dietary supplementation with one of these products. Dietary fiber is preferable because it is well tolerated, more effective, and more physiologic than other laxatives. Animals should be well hydrated before starting fiber supplementation to minimize the potential for impaction of fiber in the constipated colon.
Emollient laxatives are anionic detergents that increase the miscibility of water and lipids in digesta, thereby enhancing lipid absorption and impairing water absorption. DSS and disoctyl calcium sulfosuccinate are emollient laxatives available in oral and enema form. Mineral oil and white petroleum are lubricant laxatives that impede colonic water absorption and permit greater ease of fecal passage. These effects are moderate, and lubricant laxatives are beneficial only in mild cases of constipation.
Mineral oil use should be limited to rectal administration because of the risk of aspiration pneumonia with oral administration. Hyperosmotic laxatives consist of poorly absorbed polysaccharides eg, lactulose , 0. Lactulose is the most effective agent of this group. The organic acids produced from lactulose fermentation stimulate colonic fluid secretion and propulsive motility. Lactulose osmotically retains water in the bowel to soften fecal material.
It is also useful in management of hepatic encephalopathy because it decreases luminal pH, reduces bacterial production of ammonia, and favors formation of ammonium ions that are poorly absorbed. Stimulant laxative products eg, bisacodyl [cats and small dogs: 5 mg; medium-sized dogs: 10 mg; large dogs: 15—20 mg] increase the propulsive activity of the bowel. They are contraindicated in the presence of bowel obstruction.
Colonic prokinetic agents eg, cisapride enhance colonic propulsive motility by activating colonic smooth muscle 5-hydroxytryptamine-2A receptors in a number of species. Anecdotal experience suggest that cisapride 0. No significant adverse effects have been reported in cats treated with cisapride at dosages of 0.
Cats with longstanding obstipation and megacolon are not likely to improve with cisapride therapy. Ranitidine and nizatidine , H 2 -receptor antagonists, are reported to stimulate colonic motility by inhibiting acetylcholinesterase. They stimulate motility by increasing the amount of acetylcholine available to bind smooth muscle muscarinic cholinergic receptors.
To prevent recurrence, high-fiber diets are recommended, ready access to water should be maintained, and frequent opportunities to defecate allowed.
Cases of simple intraluminal obstruction due to dietary indiscretion respond well to bowel evacuation and prevention of this habit in the future. Chronic constipation unresponsive to medical management eg, some cats with megacolon may respond to subtotal or total colectomy. Colectomy with colocolonic, ileocolonic, or jejunocolonic anastomosis may be performed depending on the extent of the disease. Mild to moderate diarrhea may occasionally persist for weeks to months after surgery, and some cats may have recurrent constipation.
In such cases, pathologic hypertrophy may be reversible with early pelvic osteotomy. In these cases, hypertrophy is followed by muscular degeneration and pathologic dilatation, and pelvic osteotomy alone will not provide relief from obstipation. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
The Veterinary Manual was first published in as a service to the community. The legacy of this great resource continues in the online and mobile app versions today. Common Veterinary Topics. Videos Figures Images Quizzes. Etiology and Pathophysiology:. Clinical Findings:. Treatment and Control:. Test your knowledge. In all animals, malassimilation refers to an impaired ability of the gastrointestinal tract to provide nutrients to the body because of maldigestion or malabsorption.
Maldigestion occurs when food cannot be properly broken down within the intestinal lumen. Malabsorption occurs when nutrients fail to pass from the intestinal lumen into the blood. Which of the following diseases is most likely to result in maldigestion? Foal with congenital cleft palate nursing. Notice milk from the nares. Add to Any Platform. Was This Page Helpful?
Enemas for cats. Fleet enema toxicity in cats | VETgirl Veterinary CE Blog
Constipation | Cornell University College of Veterinary Medicine
Rags Before His Cat Enema on When Rags stopped going number 2, he tried giving him all sorts of things from Metamucil to Enulose Generic Name: lactulose LAK too lose to canned pumpkin. He hated it all. I also started giving him fluids, in hopes that would help the kidneys run better and help the motion of everything in that area get-a-movin! So, as a last result, he has started getting cat enemas.
Different vets do a cat enema different ways. Before he had it done at KC Cat Clinic. KC Cat Clinic required that he have X-rays done of his colon to see how much poop was in there, then, they would administer the enema and make him stay all day to have it done.
Mariposa, on the other hand, has a relatively quick and painless procedure. Chappell fills a container with water and KY jelly and mixes it up. Once she is done, he is put in a cage with a litter box and usually does his business in the first minutes and then we go home.
You cannot complain about that! I think the best thing for me was that Dr. Chappell allowed me to watch the procedure and watch my cat, so that I felt comfortable with everything that was going on.
I have talked to Dr. Chappell about giving Rags enemas at home. I will be picking those up next week. So I will start giving Rags enemas at home, which I am sure he will prefer—and I will have no problem doing it, as I hate being constipated myself! Chappell administers the enema a solution made up of water, KY Jelly and a little bit of soap! Chappell has created water, KY Jelly and soap —see this solution in the silver bowl in the picture below.
Enulose Information. You may leave a comment about the post, reply to existing comments, or both. We have tried everything with Max and still end up at the vet every few months for an enema and now we live in China and the vets here are dodgy at best. Also Max goes wild, screaming and biting which he never does so thought it would be less stressful at home.
Thanks much. I am hesitant to offer advice in this area because not only am I not a vet tech, but nor am I a vet. I only did it on my old kitty that was in chronic renal failure. He died in March — so it has been over a year since I have done it. Why is Max constipated? Have you tried various foods to help him along? I hear pumpkin or squash helps — if you mix a little in his food. I recommend contacting Lisa A. With that said, with Rags, as you saw on the post — there was a small red tube.
I used KY jelly to lube it up and I put it on his butt hole and on the tube. I only put it in him inches or less. But I assume the least harmful there is. But the idea of the soap was lubrication. Rags was my cat since I was 10 years old — he was used to me doing about anything to him. Wonder why?! We my boyfriend and I laid him on his side. Bill held him down, while I inserted the tube and the hardest part was pushing the solution water, KY Jelly and soap through the syringe at a slow rate — it was hard to keep Rags still.
But one time I did it too fast and he vomited — in other words — you end up pushing the poop back into his tummy — or something along those lines. I had not been warned about rupturing the colon, but rather inducing vomiting.
Although Enulose was encouraged — it sucked and Rags hated it. I am really sorry you and Max are struggling with this — it totally sucks.
Hi I ordered enemas for cats on Amazon. I administer a couple of times per week as my kitty boy is 19 and needs the help. This syringe non needle type is quick and easy and has been immediately to 5 minutes later effective. Best luck to you. This sounds like a vet needs to evaluate before you continue with enemas.
The cat is young to be having ap problem like this. Also foul smelling etc is a heads up. Best luck! I have been feeding her milk as a last resort which I must feed her with a syringe since she refuses to eat, drink or move at all.
It took a lot longer and I made her lay on her side while I performed her enema and I kept her calm by soothing her with my voice and waiting until she was calm, relaxed and ready. The second enema got out some really thick foul smelling stuff obviously dissolved from the first one. She seems to be feeling slightly better already so I can hardly wait to use the next one, hoping it will finish the job.
I am using store-bought enema bottles that have soft tube-tips and lubricant inside the tube to be squeezed out slowly during insertion. Milk is not good for them — but if she refuses to eat, then having something is better than nothing.
Be careful on the enemas because if you go too fast with them, it can make them vomit. You have to do it really slowly. What is she eating regularly? What was she eating before she became constipated? Dont use the solution that comes in the bottles! It can kill cats! Unscrew the cap, rinse it out really well and use plain water, warm, not hot. A drop or two of castile soap is fine but never any sort of saline solution that comes in those enema bottles….
I appreciate the picks and information and personalized story, re: Rags and his issues with Kidney failure and enemas! He is having his third serious flare up now has been doing really well for a year, and almost seemed cured though I was being super careful, except for his favourite treat.
Also have him on wet food with some dry that is prescribed—similar to Comfort 38 by Royal Canine, but prescription version. But regardless, I have been trying enemas and seeing the pis is better than reading about it but together it is great! I think I was doing it all too quickly—s I listened and did it much, much slower like 3 or 4 X;s. Lets hope it works soon!
Rags had a good long life! Here is also hoping my fella has the same! Patty, Sorry to hear you are going through those struggles. I remember them all too well. What is Chronic C? Yes, slow on the enema is good — otherwise it can make them vomit if you go to fast. I see enemas as a possible solution but living alone without assistance in administering the enema sounds like a problem.
Hi Stan, I found a lot of support here, and a lot of love too. At Yahoo groups ask for Melinda! However, the best way is to go tomorrow to the Vet or when you get this, and ask him or her to show you how to do it.
One note you should get them started as soon as possible. Delays are not good. Use appropriate enema, always use warm water, I always boiled water and then let it cool to right temp, test on back of wrist, I was able to give my cat an enema by myself, but the first few times I did have my hubby stationed at his head, talking to him and petting him to distract him.
You may be able to ask a friend who loves cats, and is good with them. The other thing is have you got your Kitty on Mirilax?
It brings water to the bowel. Also get Vet to show you how to start the flow, and how to remove—also, always have flow going when you remove the enema tube as this can suck in tissue and cause bleeding and damage. Always lubricate the first 2 inches of tubing with KY Gel, buy one enema kit—from vet or online or infant sized enema bag and tubing Always rinse equipment and clean asap, using tissues to wipe and then thoroughly clean it tubing for next use Unless you can throw it away, and have another?
If you like: Please provide email address so I can forward the info to you? Or give it to Jenny to forward to me—and that way it is not on the internet… All the best! All the best to you and your pet, as well as all the pets and owners out there! My husband and kids rescued a kitten a few months ago. Her tummy was extremely distended and when we brought her to the vet she was way blocked up.
The vet says she has Mega Colon now and put her on enulose and cisapride. What can we do at home as its the weekend and vets are closed? We tried using something similar to miralax and so far nothing.