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Serious megacolon

lisa in alberta
September 12th, 2005, 11:44 PM
I am devastated.. I took my cat to the vet today, as she is still not pooping even though she was started on Cisapride a couple weeks ago (She pooped twice since then). My vet told me that if it keeps happening, then she may have lost all control for her colon to contract, and there are only 2 options: either euthanasia or surgery. He said the surgery is very expensive, adn of the 2 cases he has seen, both did not make it through surgery (partial removal of colon). If she does not poop this evening, I have to bring her back tomorrow and he will see if he can get her to poop, or try manual evacuation. Yoda is 12, and other than not pooping, she appears normal. She is as affectionate and playful as ever. I can't imagine making the decision, and her not being her to greet me when I come home. Has anyone experienced a similar situation?

Lucky Rescue
September 13th, 2005, 10:39 AM
So sorry to hear.:(

You may want to really consider the surgery. The long term prognosis is usually good, if your cat is otherwise healthy. Your other option is to put her through the manual evacuation every few days - not a pleasant procedure for your girl or for you.

If your vet is reluctant to consider the surgery, you might want to get a second opinion, maybe from a specialist.

justncase
September 14th, 2005, 10:55 PM
There may be some things you and your vet could look into before considering the surgical solution. Acupuncture , massage have helped to correct megacolon by stimulating the intestines and colon in a different way than Cisapride which has more of a role of just moving the food through the digestive process.(www.ivas.org) So have laxatives. There are various types of laxatives, some are called stimulant laxatives and they will stimulate the intestinal walls and the large intestinal muscle to contract which will move the stool mass along but it's a matter of working with your vet to pick the right one. Some human laxatives are toxic to pets so you would have to consult a vet on this beforehand.
You may wish to also consult a holistic vet(www.ahvma.org/referral/index.html) on this also because is a dietic aspect to this too. The stool can become too large to pass through regardless of how much intestinal stimulation is occurring. The role of fibre plays a role and there is a link between megacolon and an electrolyte imbalance.
There are really numerous ways to stimulate the intestinal muscle ( large and small), to stimulate the intestinal wall, to affect the amount and consistency of the stool that could be looked into first before surgery is considered.

The following sites offer some info ( adaptable for pets). There are alot of others.


www.dulcolax.com/com/laxatives.htm

www.pets1st.com/articles/00046ConstipationAndYourCat.asp

anthraquinones that stimulate intestinal contractions which work to push undigested material down ... it softens the stool and brings it down lower into the bowel.
conceptsinconfidence.com/catalog/product_info.php?products_id=246&osCsid=737de2cbd3d7f4f11..


holistic-vet.com/acupuncture.htm

www.wellvet.com/constipationcats.html

lisa in alberta
September 15th, 2005, 01:23 AM
Thanks so much for your responses. Yoda returned to the vet, and same as last time, shortly after they administered sedation, Yoda pooped on her own!! An xray showed she has no stool left in her colon! The vets in this practice said they have never seen this reaction before, and say her case is unique. I asked if we could use sedation as the treatment, as it seems to work. She is given a high dose while at the vet clinic, but we are going to try giving her a lighter dose for the next episode. I want to try things that are the least invasive as can be! I am willing to try some homeopathic solutions, so thanks for the info justncase. Hopefully the combination of higher dose of Cisapride and Lactulose with sedation, as necessary, will work magic. It is a blessing that Yoda is not acting like she is uncomfortable or in pain. I'll keep you posted!
Lisa

justncase
September 15th, 2005, 01:23 PM
Thanks for the update. How wonderful for both you and Yoda. You(both) must be very relieved! Please let us know, if this approach continues to work and , as things improve , Yoda is eventually able to have bowel movements on her own without any sedation or other assistance.