Purrkins brother has had mucus in his stool on occasion. Some is normal it is abnormal to see a lot of it. Again it can be from constipation, dehydration & as Sally said, inflammation glad you have an appt already.

Vomiting and staining at the same time or even after straining in the box is a sure sign you need urgent assistance ok. That's when the stool is too big to pass.

Did they do an x-ray of the colon last time? That is how they determine how much stool is in there, the stool's size, if it's going to pass ok, etc. It can give you some peace of mind on what's next. rule other things out. I'm happy to see you have normal poops now.

I do wonder if the colon was affected by her intensive surgery, was this discussed? Once you get the poop in a regular form on a regular basis, UTI cleared up. NO pain, you will have the best shot at getting her back in the box.

Are you using an enzyme cleaner to clean up where she goes? A UV light after cleaning to make sure it is clean. Otherwise, it is a losing battle if she can still smell her urine/ poop any residue. Those spots will be the litter box.

Let us know what the vet has to say.  Excellent job staying on top of this and finding the positives.
Big hugs & best of luck tomorrow!
Holly & Purrkins

Awe, I'm sorry about the two enemas. You caught it, and it was not an er visit! Trust me that does counts for you both.

Amelia will be wiped out; it is exhausting and stressful for them.

Best of luck with the lactulose its not pleasant to give or receive; it's a sticky wicket mess; a few cats don't mind, so I'm hoping Amelia is one of those. 

Just for information, both lactulose and Miralax are the same types of laxatives. Both are an Osmotic Laxative. 

We hope this is temporary, but please do not stop any therapy; you cannot chase constipation; you want to stay ahead of it. Purrkins brother gets Miralax 2 times a day has for years. The laxative is to add water to the stools and keep things softer. Plus, he is on a motility drug called Cisparide to move things along. Only time will tell you how Amelia does, but please try not getting discouraged; this is manageable either way. NO, it's no fun either way, but you have a fresh, clean colon now. The laxative will keep things soft and easier to pass. If the colon is slow-moving, there are meds to help with that too. OK

Trust me when I tell you we understand we went thru all that with Purrkins brother and too many er visits. We have given enema's at home on occasion. The vet instructed us how, of course. Thankfully it's rarely needed, but it's a skill I'm grateful to know beats the er visit for us both!

Great job on the fountain it helps us here, too, having multiple freshwater sources and in different locations—any way to promote more fluids, the better. Even so, some cats still have issues OK. We have one!

We take Purrkins for acupuncture and chiropractic adjustments. I think you will see significant improvements! Purrkins brother also benefited from acupuncture and chiro for his constipation! 

We also look forward to seeing the therapy at home in the tub. 

Bristol Stool Chart for reference. Yes, we learn to be experts in poop!

Happy to share our own experiences and any information we have. What has worked for us and what has not. Again all cats are different. There is never one size fits all. But there are proven remedies! It is finding the right balance for Amelia & you will!

Keep us posted, 

Hugs and scratches to Amelia, please!

Holly & Purrkins💝💝💝

Amelia was peeing before this right? Just not in the box?

I went back to read your first post. Is Amelia still getting bisphosphonates ? That can cause constipation; please inquire about that!

Hold on to the pawsitives. No signs of recurrence, clean margins!!

Pawsitive thoughts and prayers this is a bout of constipation & not C returning!

Do your best to stay pawsitive as you observe, ok. NO C!  fingers and paws crossed for some poop and pee as you observe!
🙏🏻🙏🏻🙏🏻
(((((Big hugs)))))
💝💝💝