For those of you who know me well, you are aware that #1) I cannot add; #2) Science BLOWS my mind, particularly velocity.
That noted, I do hold many scientists close and cozy to my heart. Here is a post contributed by Johnny O’, and though I’m not quite sure what this means, I am happy to bring it to you.
Chronic Constipation in an 8-month old Cat
Pre-clinical advisor: Dr. McDaniel
Clinical advisor: Dr. Simpson
An 8-month old male domestic long hair cat presented to Cornell’s Internal Medicine Service with a history of chronic constipation. One month previous to presentation the patient exhibited tenesmus and was taken to a local emergency clinic. From the time of that visit he needed an enema approximately every four days in order to defecate. The patient also has a history of symblepharon and secondary ankyloblepharon of the right eye since birth as sequelae of chronic herpesvirus infection. The eye was surgically opened by the rDVM when the patient was approximately 4 months of age.
On presentation to Cornell, the patient was mildly dehydrated, unkempt, underweight, bradycardic, had an inflamed, hyperemic anus and hard feces palpable in his distal colon. Ophthalmic exam revealed symblepharon, secondary partial ankyloblepharon, secondary entropion, and mild keratitis of the right eye. The owner reported he was anorexic and lethargic at home.
The patient was hospitalized and treated with intravenous fluids, enemas, cisapride, lactulose, and opiates for pain. Ancillary diagnostic revealed Toxocara cati eggs on fecal floatation and a low baseline T4. Colonic histopathology revealed signs consistent with chronic inflammation. Differential diagnoses included inflammatory bowel disease (IBD), obstruction associated with a high roundworm burden, congenital hypothyroidism, and congenital neuromuscular dysfunction.
Steroid therapy for IBD was not initiated due to the young age of the patient. Treatment with fenbendazole for T. cati was started during hospitalization. It was recommended to run a free T4 to rule out congenital hypothyroidism, however it has not been performed to date.
The patient continues to do well at home on a low-residue diet, lactulose and cisapride. He has not exhibited any signs of constipation and appears to be clinically healthy.
1. Crow A. Congenital hypothyroidism in a cat. Canadian Veterinary Journal 2004; 45:168-170.
2. Roe KA, Syme HM, Brooks HW. Congenital large intestinal hypoganglionosis in a domestic shorthair kitten. Journal of Feline Medicine and Surgery 2010; 12: 418-420.
3. Washabau RJ, Holt D. Pathogenesis, diagnosis and therapy of feline idiopathic megacolon. Vet Clin North Am Small Anim Pract. 1999; 29(2):589-603
RIVETING. I am just glad Senor Science Cat is a-okay. No one likes to be uncomfortable.
The both of you, NICE!