Cat Constipation: A Vet’s 2025 Guide to Causes, Treatment & Comfort 🐱💩
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Cat Constipation: A Vet’s 2025 Guide to Causes, Treatment & Comfort 🐱💩
By Dr Duncan Houston, BVSc
🔍 What Is Cat Constipation?
Constipation in cats means infrequent, difficult or painful defecation. Affected cats may strain in the litter box, produce hard, dry stools, vocalize, or avoid the box entirely :contentReference[oaicite:3]{index=3}.
🐾 Who’s Most Affected?
It’s common in older cats, especially males, obese or dehydrated felines, or those on a dry food diet. Any age or breed can be affected :contentReference[oaicite:4]{index=4}.
⚠️ Common Causes
- Dehydration—lack of water or wet food :contentReference[oaicite:5]{index=5}
- Low dietary fiber :contentReference[oaicite:6]{index=6}
- Hair ingestion & hairballs :contentReference[oaicite:7]{index=7}
- Obesity and inactivity :contentReference[oaicite:8]{index=8}
- Stress, litter box aversion :contentReference[oaicite:9]{index=9}
- Spinal/pelvic issues, tumors, strictures, anal sac disease :contentReference[oaicite:10]{index=10}
- Chronic disease (kidney, thyroid, GI, megacolon) :contentReference[oaicite:11]{index=11}
🚩 Signs & Symptoms
- Straining, crying in or near litter box
- Small, hard, dry stools—or none :contentReference[oaicite:12]{index=12}
- Frequent attempts to defecate
- Vomiting, decreased appetite, lethargy :contentReference[oaicite:13]{index=13}
- Abdominal pain or swelling :contentReference[oaicite:14]{index=14}
- Possible blood from straining :contentReference[oaicite:15]{index=15}
🔬 Diagnosis
- History and physical exam—abdominal palpation of hard stool :contentReference[oaicite:16]{index=16}
- Abdominal X-rays to identify colon size, impaction, foreign bodies :contentReference[oaicite:17]{index=17}
- Bloodwork/urinalysis to assess hydration and underlying conditions :contentReference[oaicite:18]{index=18}
- Ultrasound for masses, strictures if needed :contentReference[oaicite:19]{index=19}
🩺 Veterinary Treatment
- Rehydration: IV or subcutaneous fluids for dehydration :contentReference[oaicite:20]{index=20}
- Disimpaction: Vet-administered enemas or manual removal under sedation :contentReference[oaicite:21]{index=21}
- Prokinetic agents: e.g., cisapride or lactulose :contentReference[oaicite:22]{index=22}
- Laxatives: Veterinarian-prescribed—never use human laxatives :contentReference[oaicite:23]{index=23}
- Fiber therapy: Prescription high-fiber diets or supplements :contentReference[oaicite:24]{index=24}
- Surgery: For megacolon—subtotal colectomy in refractory cases :contentReference[oaicite:25]{index=25}
🏡 Home Care & Recovery
- Increase wet food intake and water availability :contentReference[oaicite:26]{index=26}
- Encourage play and exercise to aid motility :contentReference[oaicite:27]{index=27}
- Use pumpkin puree (~1 tsp/day) or ginger after discussing with vet :contentReference[oaicite:28]{index=28}
- Ensure litter box cleanliness and multiple boxes :contentReference[oaicite:29]{index=29}
- Provide probiotics and stress-reducing environment with Woopf & Purrz
- Monitor bowel habits and stool consistency regularly
📅 Long-Term Management & Prevention
- Maintain hydration and fiber-rich diet long-term
- Schedule regular vet check-ups—monitor chronic illnesses
- Promptly treat early signs to prevent megacolon :contentReference[oaicite:30]{index=30}
- Use Ask A Vet app for ongoing nutritional and symptom support
📝 Summary Table
| Aspect | Details |
|---|---|
| Definition | Infrequent/hard stool, straining, discomfort |
| Causes | Dehydration, fiber deficit, hair, disease, stress |
| Diagnosis | Exam, X-ray, blood/urine tests |
| Treatment | Fluids, enemas, laxatives, diet, surgery if needed |
| Home Care | Hydration, exercise, clean litter, diet tweaks |
| Prevention | Consistent diet, water, vet checks, monitor habits |