Good evening,

My wife and I are struggling trying to help our cat with megacolon and obstipation. He was diagnosed over 4 years ago but he had been put on a Royal Canin GI diet that worked wonders. It suddenly became unavailable and our cat deteriorated rapidly. He had to be hospitalized for a week to remove the blockage and we’ve gone back and forth with the internist on how to move forward. He’s currently on miralax, Lactulose, Cisapride. We recently introduced an anti-nausea medication and appetite stimulant as he stopped eating a few days ago. The suspicion being that he just becomes backed up again. At this point it’s been multiple hospital stays and several thousands of dollars trying to help our guy.
I watched the video on regular palpation – it’s difficult in our cat, both personally and from the vet, due to his large size. He’s a very long cat and also a chunky boy.

Do you have any guidance on palpation in obese cats? Suggestions we can explore with our vet?
I’m worried we’re looking at the colon surgery to remove part of it – but the vet noted many cats are unable to form or control stool following that and have constant diarrhea.
At this point if we can’t get him stimulated at home and eating a little and defecating a little we’re likely headed back to the animal hospital.

I appreciate any guidance or suggestions.