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Showing posts with label constipation. Show all posts
Showing posts with label constipation. Show all posts

Tuesday, April 10, 2012

Dietary therapy for feline constipation

Freiche V, Houston D, Weese H, et al. Uncontrolled study assessing the impact of a psyllium-enriched extruded dry diet on faecal consistency in cats with constipation. J Feline Med Surg. 2011; 13: 903-11.
Feline Fiber Response Constipation is a common clinical complaint in cats and can result from a number of different causes. Treatment includes determining and eliminating the cause, if possible, together with medical or, in some cases, surgical management. Medical therapy frequently involves the use of laxatives, enemas, and prokinetic agents such as cisapride. Psyllium is a soluble fibre that exudes a mucilaginous gel that increases fecal bulk. It also adds to stool bulk by additional, water-holding properties. Psyllium has been found to increase stool frequency and consistency in humans with idiopathic constipation. This study involved assessing the use of a highly digestible dry food formula, with added psyllium, in two field trials involving 66 cats with constipation. The main conclusions the authors made from both trials were that the test diet was palatable and well-tolerated, that clinical remission was noted in the majority of the study patients, and that other symptomatic therapy was either not needed in clinical management or could often be discontinued or reduced without recurrence of clinical signs. The authors also noted that both surgical management and euthanasia were being considered in a small number of cats, but were subsequently not required due to the success of dietary therapy. [VT]

Related articles: Trevail TIM, Gunn-Moore D, Carrera I, Courcier E and Sullivan M. Radiographic diameter of the colon in normal and constipated cats and in cats with megacolon. Vet Radiol Ultrasound. 2011; 52: 516-20.

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Freiche V, Houston D, Weese H, et al. Uncontrolled study assessing the impact of a psyllium-enriched extruded dry diet on faecal consistency in cats with constipation. J Feline Med Surg. 2011; 13: 903-11.
Feline Fiber Response Constipation is a common clinical complaint in cats and can result from a number of different causes. Treatment includes determining and eliminating the cause, if possible, together with medical or, in some cases, surgical management. Medical therapy frequently involves the use of laxatives, enemas, and prokinetic agents such as cisapride. Psyllium is a soluble fibre that exudes a mucilaginous gel that increases fecal bulk. It also adds to stool bulk by additional, water-holding properties. Psyllium has been found to increase stool frequency and consistency in humans with idiopathic constipation. This study involved assessing the use of a highly digestible dry food formula, with added psyllium, in two field trials involving 66 cats with constipation. The main conclusions the authors made from both trials were that the test diet was palatable and well-tolerated, that clinical remission was noted in the majority of the study patients, and that other symptomatic therapy was either not needed in clinical management or could often be discontinued or reduced without recurrence of clinical signs. The authors also noted that both surgical management and euthanasia were being considered in a small number of cats, but were subsequently not required due to the success of dietary therapy. [VT]

Related articles: Trevail TIM, Gunn-Moore D, Carrera I, Courcier E and Sullivan M. Radiographic diameter of the colon in normal and constipated cats and in cats with megacolon. Vet Radiol Ultrasound. 2011; 52: 516-20.

More on cat health:
Winn Feline Foundation Library

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Thursday, March 1, 2012

Oral laxatives for feline constipation

Tam FM, Carr AP and Myers SL. Safety and palatability of polyethylene glycol 3350 as an oral laxative in cats. J Feline Med Surg. 2011; 13: 694-7.
Miralax 
Recurrent constipation is a common problem in cats. A cornerstone for the management of recurrent constipation is the use of laxatives, but there is little research into the use of laxatives in cats. In this study, the authors looked at the safety and palatability of polyethylene glycol (PEG3350) in normal cats. PEG3350 is readily available in a powdered form that can be mixed with cat food. PEG 3350 with electrolytes (Colyte oral solution; Schwarz Pharma) was administered to 6 cats for 4 weeks by mixing the powder with the food. All the cats achieved soft stools while given the laxative. Effective doses varied widely so individualizing the dose is very important. As an alternative, PEG3350 without electrolytes (Miralax, Restoralax) has been approved as an over-the-counter laxative in the United States and Canada and should be readily accessible to owners. One side effect noted was mild non-clinical hyperkalemia though the cause is unknown. PEG3350 has a potential role in the medical management of chronically constipated cats. [VT]

Related articles: Trevail TIM, Gunn-Moore D, Carrera I, Courcier E and Sullivan M. Radiographic diameter of the colon in normal and constipated cats and in cats with megacolon. Vet Radiol Ultrasound. 2011; 52: 516-20.

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News Weekly
Join us on Google+ 
 
Tam FM, Carr AP and Myers SL. Safety and palatability of polyethylene glycol 3350 as an oral laxative in cats. J Feline Med Surg. 2011; 13: 694-7.
Miralax 
Recurrent constipation is a common problem in cats. A cornerstone for the management of recurrent constipation is the use of laxatives, but there is little research into the use of laxatives in cats. In this study, the authors looked at the safety and palatability of polyethylene glycol (PEG3350) in normal cats. PEG3350 is readily available in a powdered form that can be mixed with cat food. PEG 3350 with electrolytes (Colyte oral solution; Schwarz Pharma) was administered to 6 cats for 4 weeks by mixing the powder with the food. All the cats achieved soft stools while given the laxative. Effective doses varied widely so individualizing the dose is very important. As an alternative, PEG3350 without electrolytes (Miralax, Restoralax) has been approved as an over-the-counter laxative in the United States and Canada and should be readily accessible to owners. One side effect noted was mild non-clinical hyperkalemia though the cause is unknown. PEG3350 has a potential role in the medical management of chronically constipated cats. [VT]

Related articles: Trevail TIM, Gunn-Moore D, Carrera I, Courcier E and Sullivan M. Radiographic diameter of the colon in normal and constipated cats and in cats with megacolon. Vet Radiol Ultrasound. 2011; 52: 516-20.

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News Weekly
Join us on Google+ 
 
Read More