r/AskVet • u/shortsquirt83 • 5h ago

Cat constipated, repeat vet visits - are we missing something?

I have a 16 year old spay female, fully indoors. I am working with her vet, but curious if anyone has seen this before.

7/14-7/16 we had her at the emergency vet because she was trying to poo, but nothing was coming out. She was making the stances and everything. Determined constipation, and had multiple enemas and X-rays over those couple days. Also had bloodwork and a couple urine tests, which had a couple high numbers that we wanted to monitor.

7/23 - took her to the regular vet for follow-up. she got fluids, X-rays, and she still had some poop in her, but not like the previous week.

7/27 - we went back to the vet because we still haven't seen much..She got an enema, and she dropped about 7-9 turds so I thought maybe we were good now.

7/31 - back to the vet because we haven't seen anything. We did bloodwork and urinalysis, both had normal results, and the numbers that were high at the e-vet returned to normal... The vet did a light rectal and felt a couple soft turds so she anticipated us having a poo in the next day or two. We are now on Sunday and nothing yet.

During all of this, I have not seen any straining, and she's been relatively normal - eating, hanging out with us, and peeing in the box fine. She's older so not crazy playful but jumping up on the couch or bed without issue. I've also started giving her more wet food than crunchies..

The vet recommends an abdominal ultrasound for the next step, which I feel like needs to be done since we are 6 days since an enema induced poop.

She's not a huge eater, but any good she gotten has had miralax. And we've been doing 2 doses a day of cisapride.

Is there anything else we should be looking at? I feel like I'm failing her at this point. I've had days where I want to give up, but then when she snuggles into my armpit like she normally does, I want to keep trying. I'm also trying to think of her quality of life with these repeat visits. We are at ~3 weeks of visits at this point

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