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Sorry for my late response. The past week or so has been very difficult due to not only his issues, but my health isn't that great either. I'm trying to get caught up with this thread.I would suggest dissolving the Miralax in water, add it to a little bit (maybe one Tablespoon) of wet food, crush some of either kibble or greenies and put that on top of the Miralax/wet food and give it to him. He should eat that no problem. Do this twice a day if the Vet said to give Miralax twice per day, and then let him eat his kibble the rest of the time if it will relieve both of your stress (yours and his). Try a different flavor or brand of Laxatone (hairball gel) and see if he'll take to it.
Pumpkin is a very picky eater. What he will like one day he might hate the next. For a long time he loved Friskies turkey gravy but he now turns his nose up at it at least 75% of the time if the store has it in stock, which it usually doesn't.
I thought about giving him wet food only but he threw a fit the other day when I tried that.
Yesterday I was able to give him his medicine w/o Pumpkin having one of his strange spells. However, about a half hour after his second dose he threw up (mostly water, he had a long drink after I gave him his meds) and a few treats that were partially digested. I called his vet asking if should try to give him more medicine because he probably threw it up. She told me to wait until today. She did suggest about a teaspoon of Metamucil to add to his food twice daily on top of his meds but that wouldn't work for him long term because it could make him worse.
Not only that, I am having a very hard time finding unsweetened and unflavored Metamucil. I don't want to give him anything that isn't safe.
When I got up the is morning there was no poop in his box. For the past few days he's cranked out small and firm poops about an inch or so in length. One day I found a poop that was nearly 2 inches long on one of his blankets in our bedroom window. A few days before that I found one about the same size in front of our apartment door and it was parked in front of the old blanket I keep on the floor to keep out the draft from the main hallway.
Sometimes he uses his alternate box with the crushed pine pellets and regular clay litter (non clumping). He strained and his butt looked a little sore.
Sometimes if his anus looks swollen I will hold a warm wash cloth to it and rub him gently. That seemed to help him poop before. His anus has been swollen in the past and the vet saw it and didn't say anything.
All I want to do is cry, I am horribly sleep deprived and just can't take anymore. At least he's eating and peeing good,
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