Dr. Magnifico, Our beloved cat, Dexter (male, 13yo) was diagnosed with Megacolon a little over three months ago. We continue to go downhill. We’ve tried everything, Cisapride, Lactulose, Miralax ,an appetite stimulant, weekly enemas, been seen in ER three times, and multiple times at two separate vet clinics. Now he’s not pooping at all and urinating little. Being told our only options are surgery or putting him down. With a cat of this age, do you think surgery is advisable? He seems pretty worn out and definitely tired of all these doctor visits and enemas, some of which he’s been sedated. Now these two separate vets will not sedate during an enemy for manual evacuation because they say they don’t think he’ll make it through sedation. Thanks in advance for your time, response and your caring heart. Just watched your video about the black cat with megacolon. That was posted two years ago. Hope he’s continuing to do well. Thank you again. Krista in AL