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,
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.