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

This post is specifically for Dr. Krista Magnifico, however anyone is welcome to chime in if you feel you can contribute.

On the evening of Monday, 11/20, our strictly indoor 8yo cat Louie had an accident at home. We aren’t entirely sure what happened, but we observed him jump down from the couch and race across the room, knocking his water bowl over in the process in a way that suggested he was spooked or startled, possibly by an outside noise.

That night he loafed a bit more than usual, but we didn’t think anything of it.

The next day (Tuesday) we noticed he had a noticeable limp in one of his hind legs. He had a slight sprain about six months prior in one of his front legs, and all he was prescribed was rest, so we figured this required the same since he bounced back from that sprain in under a week.

By Tuesday night it was noticeably worse and now both legs were effected, and he was extremely lethargic and kept hiding. We made sure he was comfortable and made plans to take him to a vet the following morning. The next day he was MUCH worse, now dragging his entire body by his front legs with hardly any rear leg movement, and his tail was partially limp as well. Both still had movement, but something was clearly very wrong.

We found a vet who did a quick half assed exam and wouldn’t take x-rays even though we asked for them. She did labwork and prescribed pain meds and said it was likely just a bad fall and he just needed to rest. She told us to follow up with her when we felt it was necessary.

By the next day, Thursday, his rear legs and tail showed absolutely no movement, and he was completely dragging himself with his front legs. And since it was Thanksgiving, everyone was closed, and we don’t have the means to pay for a 24hr emergency facility.

We called the vet back as soon as they opened Friday morning and scheduled the follow-up the same day. We waited in a small room while they took him into another room for a second exam, and when she came back she said his blood work was fine but she recommended putting him down asap because he had developed some sort of neurological issue, likely a slipped disc with his spine. I inquired about treatment options but apparently I didn’t look rich enough, because she just dismissed it as “probably too expensive” and suggested taking him home for some goodbye time, followed by making arrangements.

On Wednesday it was “probably a sprain, just let him rest” and 48 hours later she’s telling us to kill him. Economic Euthanasia in action. Are there treatments? Yes. Can you afford them? No. So fuck you and fuck your cat.

I immediately reached out to another facility for a second opinion. The prognosis was poor, but I was told that there was a chance he could recover with enough rest, attention, love and patience. As long as his appetite remained and he still wanted water, I could let him rest, do physical therapy, pursue acupuncture, etc….and just give him time. He said it could be 50/50 but gave no guarantees. What mattered was he didn’t take away our hope. We were told he wasn’t necessarily in pain, so it wasn’t inhumane to give him a fighting chance. So that’s what we did. The biggest problem was the paralysis meant he couldn’t use his box, so he had to be manually expressed for all his bathroom needs. I could NOT get the hang of it and was incredibly worried about a rupture or blockage. But he had developed incontinence, so even though I wasn’t able to remove his waste myself, it would come out on its own over time. I had to clean a lot of messes as well as clean his backside often, but at least it was coming out one way or another.

Still, he wasn’t examined to my satisfaction, and I wanted to find a vet who took his case more seriously and could actually provide some sort of treatment. After a little research I found one, and they did a FULL neurological exam, asked for his whole story, listened, didn’t rush, and told me how to proceed and what to expect. The did a complimentary ultrasound, two full x-ray sessions and only charged me for one because they did the second just to rule something out, and all in all were angels on earth. They said red light / laser therapy might help, but again couldn’t offer any guarantees. They unit they had on hand was a “Class IV” which is apparently really powerful and efficient, so we began treatment with that immediately, twice weekly.

That was two weeks ago, and as of today it’s now the start of week four. It’s been three full weeks since this all started. Over the last couple weeks, he started showing signs of movement in his right leg. Then his left. Bit by bit. As of today, HE CAN WALK, but only on his “hocks”. His front paws / legs are still fine, and he’s capable of making his way around the house on his own. However he’s still incontinent, and he still isn’t using his box. I’ve been doing my best to clean up after him with warm water and wet wipes (for cats), but he’s starting to develop sores by his anus due to constant over grooming. Apparently I haven’t been doing a well enough job keeping him clean.

We were prescribed a medication called Amoxicillin and Clavulanate Potassium on 12/11 which we were told to give twice daily, 12 hours apart. So we gave him his first dose that night, and twice the next day. He didn’t take well to it and developed horrible diarrhea and vomited a few times as well. Despite this, he still has his appetite and he’s still drinking water. He’s not hiding or showing signs of pain or distress. He still purrs and wants attention, and even wants to play. He just walks on his hocks and can’t use his box. He was also prescribed another medication for nerve pain which was mixed with (I believe) Almond Oil? But he immediately began drooling profusely and had an incredibly adverse reaction to it, and he hated me for the next two days and even became fearful, which was difficult to deal with. Apparently there’s a similar option available in pill / powder form, but our vet won’t prescribe it because apparently it’s too strong for his size.

What all can we do from here on out to help him regain his independence on the bathroom front? What treatments / medications / additional measures would you recommend?

We were told if he were to make a recovery it would take anywhere from 4, 8, or even 12 weeks or more. It’s been three full weeks and he IS walking again (on his hocks), but the bathroom issue is our biggest concern. We’ve laid towels down everywhere but we can’t live like this forever….but at the same time we don’t consider this issue alone to be sufficient reason to end his life. We love him, and he’s family. We’re in it for the long haul.

We were told an MRI to pinpoint the exact spot of his injury would be upwards of 4k and corrective surgery, if it’s a slipped disc, would be 8k – 11k.

We can’t fucking afford any of that, and its safe to say MOST people can’t. What an absolutely predatory situation to be in.

Any advice on how best to proceed from here would be sincerely appreciated. We’re open to anything which has ever shown proven results. Thank you for taking the time to read this. Being concise isn’t among my strong suites.

Our cat has what we believed to be an abscess on his cheek. Initially he was struggling with scabs and itching under the skin, some sort of a skin condition, so we switched him to prescription food. Hasn’t changed anything. He had a scab on his cheek and kept scratching it, until it started to bleed. A lot. We took him to the vet, he was put on steroids and antibiotics to see if it would help…it did slightly, but the wound from picking at his scab started to get bigger. He is relentless with trying to scratch it. So now he’s been wearing a cone..the wound site has turned into a ball. It’s a bald spot and it slowly got bigger over time. It’s warm to the touch. We took him to a different vet. Says it’s too hard to determine what it could be and referred us to a dermatologist. Derm says likely could be cancer and it’s a mass…..even though we have explained how it all started. He is quoting us $5k to remove the mass and test for cancer. We are thinking it’s just an infection that is stuck under the skin….last vet tried poking it and draining it, but there was no puss, only blood. What could this be? We are worried but stil have a feeling it could just be an infection. Maybe he wasn’t on antibiotics long enough? Do we just proceed with this surgery?

During the summer my cat Higgins (Higgy) was lying at the top of the stairs and I noticed that she was lethargic, she’d lost a little bit of weight. After monitoring her for a day or two I noticed that she was unable to poop and she winced when I touched her stomach. To cut a long story short, she ended up being hospitalized for two days for an impacted colon. She’s been doing very well until a few days ago. We’ve been giving her lactulose, as prescribed by our vet and we’ve also given her a little Catlax. Her appetite is the same, I’ve been giving her only wet food, she’s drinking water like she normally would and, she is urinating plus, her weight is the same. Her behavior is normal, she’s playing and she’s already attacked the Christmas tree, but she hasn’t been to the bathroom for 5 days. Any advice would be appreciated.

My little dog Angel (14 yo shin tzu/ Lhasa Apso mix) went to the vet on November 28 due to stumbling , possible blood in stool, and weight loss. The vet said she had no blood in her stool and was diagnosed with intestinal parasites. She was prescribed metronidazole, Regan, and Pepcid. Prior to her starting the medication she was walking but slipping on her hind legs. Also prior to the medication she was eating and drinking water. As the days went by she started dragging her hind legs. I did research and found your videos on the beagel with IVDD. So yesterday December 3rd we took her to a second vet and explained everything that was going on with Angel as well as showing the vet the medications Angel was taking. According to the vet from yesterday the dose was too large for her 7.4 lb frame that she could have developed some neurotoxicity. However the vet said since she was having some difficulty walking prior to the medication then it was more likely IVDD. We were told she was too far along and would require surgery. I ask about oral medications to treat her IVDD and then we were told she was in renal failure. So due to her renal insufficiency and possible upper GI bleed they are unable to give prednisone to help with the inflammation. Angel’s lab work showed an elevated BUN/Creat and she is acidotic. I ask about IV fluids to resolve the renal insufficiency and the vet said we could do IV fluids for 24-48 hours which may only give her a 50/50 chance of renal improvement. The vet then went on to say even if we corrected her renal function she would still have the issue of IVDD and with her dark stools Angel would still not be able to take the prednisone. The final option the vet suggested was euthanasia.

She said we could take Angel home with gabapentin, sucralfate, mirtazapine, and cerenia. Just spend time with her and love on her with an life expectancy of about 2 days.

At this point I’m at a loss because it seemed everything snowballed very quickly.

Today December 4 my adult kids are coming to see her and my husband said we need to take her in for euthanasia on Tuesday December 5th. I feel like I’m giving up on her. The vet said her prognosis is poor and even with surgery she may never have a good quality of life.

Any advice would be appreciated.

Thank you

Dog vomiting mucus and blood

I have a 10 year old female cat. I found her outside two years ago. The past few days she has been running and jumping. Today I fed her and now I noticed her colon is inlarged. She has poo trying to come out but cant. How can I help her? What home remedies can I do? Feed wet food? Or give her a laxative?? She won’t let me rub her tummy or back.

Our cat was recently paralyzed following a stupid preventable accident at home where he got spooked, jumped off a couch and landed wrong. Now he’s largely immobile. He can get around in short spurts using his front legs, but his hind legs and tail are limp. This has all occurred within the span of a week. Last Monday, 11/20, he was fine. He developed a slight limp on Tuesday, was clearly worse on Wednesday, and fully paralyzed by Thursday, which was Thanksgiving. Friday was when I returned to the initial vet we saw Wednesday for a follow up who recommended putting him down due to the time and potential cost for care, and we got the second opinion elsewhere within an hour that same day.

So the first vet immediately suggesting putting him down, and the second opinion vet offered more hope and said he might be able to bounce back and recover, but it would take a while. Anywhere from 4-12 weeks before showing any improvement. I’m going to do all I can within our means to save him if it’s possible. But I have concerns surrounding his bathroom needs, and potential pain I may be unaware of. Both offices ruled out “FATE” and neither feel it’s heart disease, heart failure, or a clot. Both feel it’s a slipped disc in his spine.

As a result of all this, he can’t use his litter box himself, and I need to learn how to “express” his urine and other end myself while searching for how we’ll be proceeding with his future care.

He’s been having urine incontinence the last few days, regularly leaking a bit when laying down (he’s always laying down now, but you get the point). I need to know if this is only possible or a thing when his bladder is uncomfortably full, or if it can happen regardless of the contents of his bladder, because I’ve found contrasting opinions. Some sources say it’s only leaking because it’s about to rupture and emergency care is needed, and other sources claim it can leak regardless of how much urine is in his bladder at any given time. It can leak when there’s a little or a lot. I don’t know what to put any stock in. I do know that shortly after expressing urine yesterday, we got a lot out….enough to make us think he must be empty or nearly empty, but shortly after he was still leaking a bit, which makes me think this is just something that we will have to deal with in general even if his bladder isn’t full.

The last thing I want is for it to rupture, and I’m finding removing / expressing his urine to be incredibly difficult. I’ve watched a dozen videos demonstrating it on youtube and read guides with photos featuring hand placement, and it’s just not coming easy or naturally at all. He’s a big boi….a little over 18lbs, so he’s a chonk. That’s making finding his bladder especially difficult.

I was able to successfully get a lot out yesterday, and he hasn’t had any water since. But he has had one of those treats that’s kind of like paste in a push up tube, and a small bowl of wet food. I know cats also develop urine from the liquid from their food.

I’m going to be “expressing” him at least once a day. I’ve been told it should be done up to three times a day, but I’m just not there yet, and he’s so uncomfortable I don’t want to put him through that more than necessary. When he drinks water it’s not all that much, maybe half an inch from a small bowl.

Lastly, I’m curious to know if he’s in more pain than I know or realize. We all know cats are great at hiding and masking pain, but at the same time they still do vocalize when they’re uncomfortable, or in distress. I can pick him up without him yowling or making noise, but he tends to complain the most when picking him up just to move him back onto a towel I’ve been keeping under him due to the incontinence.

I’ve read that when cats are in a fair amount of pain, they lose their appetite and stop drinking. Our guy is still doing both, and seems to enjoy both. He doesn’t randomly vocalize or cry or yowl. He’ll protest a bit when I shift him from spot to spot when changing towels, but that’s all.

Any help / thoughts / guidance / advice would be very much appreciate. And if anyone here can recommend a neurology clinic or hospital or other facility that treats cats without RAPING US FINANCIALLY that would be wonderful, because my God has this been frustrating. These people want upwards of 4k for an MRI. It’s positively unreal.

Thank you.

My 10 week beagle pup Kiwi was diagnosed with strangles. She was put on Clavamox and prednisone. I saw a lot of improvement fairly quickly with the swelling and now she is drinking again and is playful and no longer lethargic. My question is regarding the length of the prednisone treatment. She is on 5mg twice a day for 3 days and then 2.5 twice a day for 3 days and then 2.5 once a day for 4 days. I had never heard of this before she became sick and so I have been doing a lot of reading. Everything I have seen so far suggests a much longer course of steroid therapy. I am somewhat uncomfortable about beginning the taper so soon as she still has some swelling on the face and lymph nodes. Should the dosage remain the same until symptoms resolve and then begin to taper?

Hello! I just got back from the vet with Maizy, by baby ginger kitten who is three months old. I got her as a stray from a feral colony of cats. The vet is concerned about her left ear. He can’t see down her left ear canal. He said it’s jammed packed with black sludge. He gave her medicine for an ear infection, but he isn’t convinced it’s that. He thinks it may be a polyp that grows off her eardrum and will eventually grow all they way up her canal. He said if she was a year or older he would be sure it was that but he has never seen one in a three month old kitten. If that were the case, the options would be euthanasia or complex surgery that goes into her jaw to get to the ear canal to remove it. It would require a specialist vet who would not be around my home town. He said it would cost roughly $4,000-$5,000 (he had a patient go that route a few years ago). I need more information about this. He didn’t give me a name and I was too shocked to ask. Can you help clarify this for me? I was super shocked and didn’t ask many questions.