Have a 7 month old orange tabby. Adopted at 4 months. Has a bout of diarrhea after a long progress of switching him to kitten food instead of adult that was at the shelter (dry, Hills normal kitten). Then harder bowel movements occurred. Small incomplete prolapse occurred. Vet thought could be parasites (none on fecal) and did proactive dewormer. Also started on revolution plus. No improvement, started wet food (hill sensitive stomach kitten). Added water and a probiotic. Perforation continued. Saw vet two weeks later and did another round of dewormed. Said it should resolve on own.

Second opinion at new place. The did manual exam, nothing structurally abnormal. Planned on purse string but then vet consulted and decided conservative measured first. Animax cream and hills I/d. Started to become super constipated. A lot of tummy massages and forced “bicycle” kicks. You could feel the back up. Two week later, switched to hills biome. Did another fecal (negative). Less straining but still harder than average BMs. Continued with adding water and probiotics.

Almost a week ago, did purse string. This poor guy had a bad night the following night after surgery. Only way I can describe it is that it’s almost like a mega colon. He’s able to get highly compacted BMs partly through. I help assist with wiping, warm compresses, warm bath, it’s miserable for the both of us and I thought he’d would burst the stitches or just create a new opening. Finally got most of it to pass. Took back to vet in the am. They could only see a little bit of stool on x-ray but said everything is fine. Upped lactulose to 2mL tid and .75 gabapentin tid. Things were okay until he has to push again. Not as bad but I’m afraid this will be an issue once the stitches are removed in 2 days. Still watering down food, even more since surgery and blended up the biome.

I’m just not sure how to express the compacted BMs are continuing. I had to beg for a CBCw/diff just to ensure there wasn’t a concern for high eos. He drinks great and no concerns with urination. He struggles to eat because of all of this. He’s a little underweight. Super active happy kitty besides all of this.

Any advice on diet, tests, ect that I can bring up to vet? Enema before stitch removal? They do consult a specialist since he’s a kitten and I’m about to ask for a referral. Switch to Royal GI kitten? I just feel horrible that the dude is back and forth in a cone and not fully enjoying his kitten phase. Plus this is putting a strain on our relationship.