Thank you Sarah!! Excellent job as always!! You are the best and I really appreciate your help!!

Hello,
I would guess because your dog is their own person. They have their own wants, needs, thoughts and desires. Maybe she’s too hot, or you snores, or you talk and tell in your sleep. Oh wait. That’s my husband. If he ever asks why my sleep is interrupted answer the same. You can put a camera on yourself at night and see if any of my ideas pertain.

Hello!
Thank you for helping this kitty.
I am happy to help, but a few things are important to remember; I do not know all of the local diseases to your area. We live in very different places and animals get exposed to different diseases in different places.
Based on the history and response to treatment so far I think the antibiotic was warranted and may need to be provided every so often to manage secondary infections due to severity of the cats condition.
I also think that there is a chance this could be one of the following:
Infection (fungal or bacterial)
Immune mediated (pemphigus/lupus)
Or cancer (squamous cell, etc)

To diagnose these you may need biopsy or cytology. I would try to resist treating without some ability to rule something out. (Steroids and fungal infections can make things worse).

Please keep us posted. Very best of luck.
Krista.

Hello,
I’m sorry to hear about your cat.

I think that the question is how to help manage the constipation? I think that the weight loss and progression of the kidney disease is Kelly part of the problem. Have you checked her thyroid function? I typically see these older cats having this disease develop with the others your cat has. This disease also causes muscle loss. But this one has an available treatment option.
I think that you should recheck your blood work and see if’s his might be part of the reason for the constipation.
Also try to encourage play and exercise. It will help her fell better and eat better and also help the internal muscles that assist the colon and avoid constipation.

Hello,
I always advise unblocking and leaving the urinary catheter in for about 3 days whilst giving iv fluids. It helps flush the bladder (and whatever caused the blockage) and diurese the kidneys which are usually impacted. I do not advise unblocking and then removing the catheter. Both cause more trauma to an already traumatized urethra.
I also advise transferring to your own vets office for Care of the er is too expensive.
I have more information on this subject on my blog KMDVM.blogspot.com.

Hello,
I’m sorry to hear about your cat.
In my experience constipation in cats is always secondary to something else. And in fact very few are actually constipated. It is absolutely imperative that someone competent palpate your cats abdomen or take an Xray to confirm the constipation before you treat for it. People always think it’s constipation and it’s usually poor dietary intake, cachexia or poor muscle mass and usually a few other things.
Constipation in cats feels like a colon full of hard distended feces. This should be confirmed by a rectal exam. The problem with getting this diagnosis incorrect is that all of the things you try to treat it will make everything else inherently worse. Do not give your cat anything until you confirm this and figure out why it happened.

My guess might be you don’t have the diabetes adequately controlled and therefore you are losing muscle mass. This includes the gi tract which can no longer push feces out of the body.

Please find a vet you trust for your cats care.

Hello,
If it truly happened overnight then it is most likely infection. If he is acting normally it may not need to be addressed today. But I do recommend it be seen asap. The longer infection sits the more difficult and dangerous it is.

Hello,
I don’t usually see this happening. But I don’t know why you were prescribed the steroid. Nor do I know anything about your cat. Best to ask the vet who prescribed it.

Hello,
Yikes. What a roller coaster.
Ok. So probably no one is going to like my advice, but here it is.
I do not get upset by a little prolapse. Kittens push really hard after diarrhea bouts. They just do. Resolve the diarrhea with the fecal check and a gradual transition to a good diet. If still having diarrhea I try panacur or metronidazole for just a few days.
The kitten tells you what to do from there. If playful and happy I manage the prolapse with belly massage and exercise. I am very very reluctant to add a purse string. Too pain and they start to push even harder.
If I have to purse string it is only for old cats. Or for puppies. But you often have to place it and then remove it 3 days later. And then replace it again. Often it takes two or three times. And no one ever wants to do it that often. So. I just try to avoid it in the first place.

Kittens heal soo fast. Just give them a chance .

Hello,
It’s hard for me to answer this because the answer lies in an examination. If he has a small, soft, non painful bladder and is urinating comfortably then I would say that it is ok to give him some time at home to recuperate. But. The best answer always has to be the safest answer and I always have to say that the best advice I can give is to see a vet.
Can you call the er and ask to speak to someone who just took care of him? Or see your regular vet first thing Monday morning?
I hope he’s ok