Overview of Feline Constipation
Constipation is infrequent, incomplete, or difficult defecation with passage of hard or dry feces. Constipation is sometimes used interchangeably with obstipation, which is intractable constipation where defecation becomes impossible. It may cause great distress and pain in cats.
IMPORTANT: If your cat is straining in the litter box, it is critical to know for sure if your cat is straining due to constipation or due to the inability to urinate. A urinary obstruction is life-threatening and often mistaken for constipation in cats.
Causes of Constipation in Cats
Mechanical obstruction (physical blockage)
Metabolic and Endocrine diseases
What to Watch For
Straining to defecate and passing a small amount of feces or none at all
Hard, dry feces
Small amount of liquid feces produced after prolonged straining
Lack of appetite
Diagnosis of Constipation in Cats
The diagnosis is usually made by a supportive history and physical examination findings. However, there are many tests that may also help. The following is a list of the most common tests that your veterinarian may recommend:
Baseline blood tests to include a complete blood count (CBC), biochemical profile, and urinalysis
Abdominal radiographs (X-rays)
Treatment of Constipation in Cats
There are several things your veterinarian might recommend to treat your cat with constipation symptomatically, prior to instituting a full diagnostic work up.
If an underlying cause has been identified, remove it if possible.
Discontinue any medications that may cause constipation. Your veterinarian will advise.
Alter the diet to include bulking agents such as methylcellulose, bran, or pumpkin.
Promote frequent exercise.
If a cat is severely impacted and/or dehydrated, it may be necessary to hospitalize for fluids, enemas, and possible manual removal of feces, which often necessitates general anesthesia.
Home Care and Prevention
Your veterinarian may recommend some treatments at home. These may include:
The use of lubricants, suppositories or laxatives.
Warm, soapy water enemas. Do not use over the counter enemas unless directed by your veterinarian. Some may be toxic to your cat.
Abdominal palpation. Owners of chronically constipated cats may be taught to palpate their cat’s colon abdominally to detect constipation before it progresses to obstipation.
In-depth Information on Constipation in Cats
Causes of Feline Constipation
There are many causes of constipation. Although it is not unusual for a normal cat to have a bout or two of constipation over the course of her life, it is not normal or acceptable for recurring problems, hence, establishing an underlying cause should be attempted in these cases.
Dietary related factors are the most common cause for constipation in veterinary medicine. Foreign material, especially hair, bones, sticks, and sand can form hard masses that the cat has difficulty eliminating. In some cases, this material is retained, causing an inability to defecate and eventual obstipation. In addition, diets low in fiber may predispose to constipation.
Certain environmental factors may contribute to constipation. Limited exercise, limited access to water, and failure to provide the appropriate time and place for defecation may cause fecal retention and constipation.
Certain drugs, including antacids, Kaopectate, iron supplements, antihistamines, barium, and diuretics may cause constipation.
Painful defecation associated with anorectal disease (anal sacculitis or abscess, stricture, rectal foreign body or tumor, or rectal prolapse) or trauma (fractured pelvis, limb, or back, laceration, bite wound).
Mechanical obstruction (something physically blocking the path of stool elimination) can be caused by extraluminal (from outside the colon wall) or intraluminal (from inside the colon wall) causes. Extraluminal disorders causing constipation include narrowed pelvic canal from a previous fracture, sublumbar lymphadenopathy (enlarged lymph nodes above the colon) and rectal tumors. Intraluminal disorders include colonic or rectal tumors or polyps, rectal foreign bodies, strictures, diverticulum (outpouching of the colonic wall) and rectal prolapse.
Neurologic disorders including paralysis, spinal cord disease, disc disease, rabies, lead toxicosis, dysautonomia (a hereditary condition), and idiopathic megacolon can all cause constipation.
Metabolic and endocrine disorders can cause constipation as they may impair normal transit through the colon. These include hyperparathyroidism (a disorder causing elevated calcium levels), hypokalemia (decreased potassium) and kidney disease.
Constipation is relatively common in cats. However, it must be differentiated from obstipation and megacolon. Obstipation is intractable (resistant to control) constipation, and megacolon is a condition of extreme dilation of the colon. Obstipated cats or those with megacolon are always constipated; however, constipated animals are not always obstipated or have megacolon.
Constipation can occur in association with any disorder that impairs the passage of fecal material through the colon, slowing its transit time. This delay in transit allows the removal of additional salt and water from the feces, producing harder and drier stools.
Systemic signs of constipation vary. Feces can be retained for days before any deleterious effects are observed. Some animals may display mild signs, such as a slightly prolonged posture while defecating, and then produce a dry, firm stool. Others will have frequent or painful attempts to defecate with little or no fecal passage. Severely constipated patients often exhibit depression, weakness, lack of appetite and vomiting. These animals are quite ill and may require hospitalization. It is important to establish a definitive diagnosis and cause, especially in the cat with recurrent constipation.