Constipation or megacolon?

Dr. Marie replied:

Sorry to hear that Saccharin is having these problems. Constipation issues in cats can be very frustrating.

Not all cases of chronic constipation are megacolon. If she has had xrays then she probably doesn't have megacolon or else your vet would have mentioned it. Megacolon is usually very obvious because the colon look much much larger than normal. It is very obvious.

Regardless, the treatment for chronic constipation and megacolon is pretty much the same. You may want to ask your vet about the possibility of trying Royal Canin Gastro Fiber Response diet. This prescription food has a number of things in it that I have found to work better than w/d.

There are a number of other things that can possibly help. I will often put these patients on a drug called Cisapride which can help to move the intestines. Sometimes I will also prescribe Lactulose to help to soften the stools.

There is the odd case where cats with constipation issues actually have inflammatory bowel disease (IBD). While most cats with IBD have diarrhea, some can have constipation. Sometimes putting the cat on a low dose of steroids can help.

I have also had success with adding very small amounts of miralax granules to the food every day.

I wouldn't do any of these treatments on your own though, but it is worthwhile to ask your vet if they believe that any of these things could possibly help for Saccharin's case.

I have had some cats where no matter what we did, the constipation issues would keep coming back. However, since we started using the Royal Canin Fiber Response, *most* cats that I put on this do really well and don't need medication. (And no, I am not paid by the company to say that.)

I hope that helps!

Dr. Marie.


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