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My cat is constipated — what now?

Separate two things: straining and producing nothing, versus no urge at all. The first can be constipation, but it can also be a urinary problem, and those are handled differently.

First, how urgent is this?

Go now

  • Repeated trips to the litter box with effort and no urine at all.
  • Vomiting or a swollen belly after straining, or refusing food completely.
  • Open-mouth breathing, or obvious effort to breathe.
  • Sudden collapse, weak back legs, or unable to stand.

Contact your vet today

  • Several days with no stool, and straining the whole time.
  • Hard, dry, pellet-like stool.
  • Crying while passing stool, or blood or mucus in it.
  • Falling appetite, with weight down 5% or more within two weeks.

Record and observe

  • A short gap with no stool, then a normal-shaped stool.
  • Brief constipation after a food change, too little water or a change at home, now settled.
  • Already under vet care: record the date and shape of each stool, and bring the record to the next visit.

Before you set off

  • The date, shape and amount of each stool, with photos.
  • How much the cat drinks, and what it eats, including the dry-to-wet ratio.
  • Any vomiting, falling appetite or weight change.
  • Any swelling, sore or stuck stool around the anus.
  • A list of medicines and the time of the last dose.
  • Do not use human laxatives, suppositories or enemas.

What your vet may ask and do

  • Ask: how long since the last stool, and whether there is straining or no urge at all.
  • Ask: any vomiting, falling appetite or weight change.
  • Ask: drinking, food, and any recent food change.
  • Do: abdominal palpation for the amount of stool in the colon.
  • Do: X-rays for stool, a foreign object, the pelvis and the spine.
  • Do: blood tests (electrolytes, kidney values, thyroid, calcium).
  • Do: severe cases need hospital treatment, and repeats need a cause found.

Where to go in Hong Kong

Call the clinic before you drive over, to confirm tonight's arrangements and the location.