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Constipation help
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28 March 2021
10:13 am
Member
Members
Forum Posts: 15
Member Since:
8 January 2021
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Thanks all!!

Amelia has been really wiped out since her vet visit on Thursday. I am operating on my gut that all of this isn't reoccurrence and the cascade of events. Over use-- phantom pain -- then she stopped moving-- got dehydrated-- consistent injections of biphosphosphonates-- her last dose was 3 weeks ago-- uti and moderate constipation--

SO-- what I have done-- she HATES the lactulose-- this morning I mixed the miralax into her food and I will switch to the miralax vs tha lactulose. She really has needed encouragement to eat since Thursday and the enemas. BUT we did do our first at home hydrotherapy yesterday morning-- my thought was two fold-- she needs to move AND when I feel terrible that shower/bath always helps reset me-- She did GREAT. She made it 10 minutes-- Did some standing and walked back and forth in the tub a few times letting me help her move that rear leg to midline --which she has significant atrophy now and it is no where near midline to support her-- I think this is a HUGE piece of litter box struggle. I was going to do hyrdrotherapy again today but she was tired yesterday and I don't want to over work her so I will do every other day until the rehab place lets me know what they suggest. She did eat, drink and took a good nap after the bathtub and then was purring and seemed to perk up last night. This morning I only gave her gabapentin and hid the miralax and she ate and drank for me. Moved around a little to get on my lap and let me pet her. She is resting now. She hasn't pooped since thursday but she also hasn't really eaten much and was totally cleared out. I guess Friday she did go. 

I have a call with Dr. Parshley probably Tuesday afternoon/evening. So anything you all think of for me to ask I am all ears!! I am hoping I can get her in for acupuncture now that I have a couple more places to try. I am going to call tomorrow. 

28 March 2021
10:14 am
Member
Members
Forum Posts: 15
Member Since:
8 January 2021
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I forgot to say thank you all! I am so worried right now! So thank you all!

28 March 2021
3:07 pm
Michigan
Member
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Bucketeers
Forum Posts: 2822
Member Since:
11 July 2016
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I figured on the lactulose, how often did they prescribe the lactulose and dose? Do they have you giving it two times a day? 

Were you able to get the dosage in before switching to the Miralax?

You want to do the same dosing in Miralax. You can do 1/8 tsp 2 x a day or 1/4 tsp 2 x a day. You gauge how much by what the poop looks like too runny give less 1/8 tsp 2 X a day - too hard 1/4 tsp 2 times a day. Again please continue to give the Miralax and do not stop. 

Questions I have had your first post Phantom Limb and litter box regression

 post you wrote this

Amelia was diagnosed with extensive osteosarcoma this past October. They did chemotherapy to start and we finally decided on a very risky hemipelvectomy January 7, 2021. It was all or nothing as the mass was wrapped around the head of her femur and had pushed her colon and was affecting her tail and bottom two vertebrae. 

I would ask if the tumor was pushing against the colon, is it possible there was nerve damage done to the colon?  

Would Amelia benefit from a motility drug to keep the poop moving? 

If the oncologist is worried about C, what does she want to do to check a CT, MRI? Is Amelia strong enough right now to endure that? Being sedated etc. ?

Was there any evidence to have her question with the colon x-ray? Any masses?  

Did the colon look distended or just full of poop? 

What are the side effects of bisphosphonates in cats? 

Can this be the cause of constipation for Amelia?

She hasn’t pooped since thursday but she also hasn’t really eaten much and was totally cleared out. I guess Friday she did go. 

So we understand - Did she poop on Friday? If so, what did it look like? Did she strain to go, and how did she go? Can she stand to poop? 

Has she been peeing? Ok? 

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