Sarah’s- Patient Care Story

Everyone Meet Sarah!

Species: Feline

Breed: Domestic Short Hair

Age: 9 years

Little Sarah came into the clinic not eating and generally feeling unwell.

During her consultation the Veterinarian noticed that she had lost a little bit of weight from her last visit, was tucked up and was sore in her tummy. On palpation (feel) of her abdomen there are several hard masses, two in the mid/cranial abdomen approx. 2cm diameter and one larger mass in the pelvis, this was a real worry.

Sarah needed some more tests to further investigate what theses lumps were.

Sarah was admitted to hospital and booked in for a radiograph later that morning (See Photo) this confirmed where the large masses were in the body. Can you see them on the radiograph? Thankfully the radiograph helped to rule out very worrying intestinal carcinoma and intestinal lymphoma. Sarah was diagnosed with serve constipation.

Many things can cause a cat to become constipated such as an intestinal blockage, stress, not enough exercise, not enough water, arthritis, a tumour, or something else entirely. Constipated cats are often older and the intestinal tract seems to be slowing down with age. Often they have small, hard, large, clay-like or sticky stools. Any of these can make it difficult for anything to pass naturally. Affected cats are usually straining to pass stools, not eating well and often are drooling or vomiting. They usually come in to see us dehydrated, which makes constipation worse. Poor Sarah!

So how can we help Sarah? Treating constipation is a long road in severe cases it is not a quick fix. We had to administer multiple enemas over a series of days to help soften and clean out the colon lucky for us cats tolerate this quite well. Sarah also had some medications including pain relief and a laxative called lactulose twice daily (commonly used in people). It’s a syrupy liquid that attracts and pulls water into the colon and therefore helps to rehydrate the stool making it easier to pass. Sarah was fed Hills I/D moist food as it is a food that is easy to digest and can pass through the body gently.

Despite being in pain and feeling very uncomfortable Sarah settled into clinic life very well and she quickly trained the nurses when she needed some pats and especially at food time! Sarah quickly won over their hearts with her super talkative personality, cute face and gentle nature.

During the day the nurses checked her hourly physically (heart, breathing, mucus membranes etc), including pain and stress score, inputs (eating and drinking) and close monitoring of outputs, this means her littler tray.

Everyone was very excited for Sarah when she started to pass on her own. The treatments were working, she was looking bright, eating well and pain was subsiding. She was back to living her best life and would soon be able to go back home for home monitoring.

She was discharged the next day!