I have read through this post after our appointment today. Thanks for all the info! Quick question – I have the Metamucil pictured and I have purchased Atilax. Until Piccolo’s next consultation, would you use solely one of these products or a mix of the two? I’m going to start with 1/2 teaspoon of Atilax twice a day with food as recommended. We won’t know if it’s working until our next visit so at some point should I add in Metamucil in addition to the Atilax twice a day?

Thanks,
Zara

Thank you Dr Andrew. I was just re-reading your website today in case I missed something, and then I saw my comments, a lovely surprise. Yes I will continue to see a local Vet. I have an appointment with them next week. I told them I was managing well with the lactulose, and now stools were becoming frequent. I realise too Minnie had been more stressed than I thought from her Vet visits. She is a quiet, gentle cat and more home time has her eating and drinking water more. I shall keep vigilant in her care. I love her heaps. Many Thanks, Glenda

Thanks Glenda. Yes, it’s all about doing it very carefully. It’s also important that even if the treatment options from your vet have not worked, once you are using the lactulose that you go back regularly as I believe only a vet can really detect the level of constipation and tell you how things are going. Good luck.

Hi Bella. You’ll find my advice for managing constipation in the text above. In addition to m that you will also need specific guidance from your vet.

Hi Rachel. Keep working with your vet and you should get to a better place. They can also help advise you on some good cat foods as it’s hard to get by without them.

Hi Andrew, thanks very much for your reply, most appreciated! That’s good to know because it’s the only way I have found to keep him regular and I only have him on a fairly low dose per day. He’s still getting sick though. Currently has pooh like water and recently had blood in it. Vet hasn’t done xray, said I could send him for ultrasound. She has suggested completely changing his diet but I am at a loss as to what to change it to as most cat food seems to be not so great for them, ironically?!

Hi Sabrina. I would trust your vets’ opinion – megacolon is fairly obvious on x-ray and there’s no reason to imagine that there are two concurrent problems. My only advice is that if you are unsatisfied with the treatment so far, and you have already communicated this with your vet, then consider asking for a referral to a specialist. They may either suggest further medical therapy (likely to begin with) or suggest a surgical option. Good luck.