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What is Constipation?

Along with being unable to defecate normally, constipated cats may also strain while trying to use their litter boxes or show other outward signs to indicate that they are unable to move their bowels normally. If you notice that your cat's litter box is unused for several days or if you observe harder than normal stools or stools with blood in them, you should have your cat examined by your veterinarian immediately. 

Many cases of constipation in cats are treatable and minor. However, other cases of feline constipation may belie more serious health conditions like anal gland disease or cancer. Your vet can conduct a thorough examination to determine the underlying cause of your cat's constipation.

Constipation in cats is a common illness from which cats routinely suffer. Cats typically defecate two to three times per day. When they are unable to move their bowels normally, they become constipated and may require special care to help them resume normal bowel function.

Symptoms of Constipation in Cats

Constipation in cats can be either mild with few noticeable symptoms to chronic, which typically comes with symptoms that are more severe. Acute constipation in cats has symptoms that include:

  • Harder than normal feces
  • Small, pellet-like feces
  • Repeated unproductive visits to the litter box
  • Temporary loss of appetite
  • Straining while trying to defecate

Alternatively, cats who are chronically constipated may show more outward signs of distress with symptoms that include:

  • Bloody or mucus-covered feces
  • Loud meowing or crying in pain
  • Lethargy
  • Weight loss
  • Disinterest in grooming

Cats that are constipated also may have hardened, distended bellies and be unwilling to lie down on their stomachs. They may also refuse to eat or drink even when offered their favorite treats. If you notice any of these symptoms in your cat, you should have your cat examined and treated as necessary for constipation by your veterinarian.

Causes of Constipation in Cats

A variety of factors can contribute to constipation in cats. Some of the more common causes for this feline condition include:

  • Dehydration
  • Low-fiber diets
  • Hairballs or excessive grooming
  • Obesity
  • Low metabolism
  • Medication side effect

However, constipation in cats can sometimes be caused by factors that are more serious and require specialized veterinary care. These contributors include:

  • Ingestion of a foreign object
  • Anal gland cancer
  • Intestinal or stomach infection
  • Neurological disorder
  • Enlarged or abscessed anal sacs
  • Intestinal or stomach tumors

Cats that are mildly constipated can often recover quickly and thoroughly by drinking more water or by eating food that is high in fiber. They also recover by losing weight or increasing their activity levels. 

Cats with underlying diseases like anal gland cancer, however, may require more intensive veterinary care before they experience relief from their constipation. A thorough veterinary examination can determine the best treatment plan for your cat.

Diagnosis of Constipation in Cats

Your veterinarian may diagnose the cause of your cat's constipation by conducting a variety of tests. Along with collecting a stool sample if possible from your cat, the vet may also palpate your cat's stomach to determine if there could be a foreign object in the stomach or intestines. He or she may also use an x-ray or ultrasound to determine if the blockage is caused by a tumor or a viral or bacterial infection. 

Additionally, the vet may also take your cat's temperature to discover if it suffers from a fever, which could indicate an underlying infection. The veterinarian also will check your cat's mouth and eyes for signs of dehydration. If your cat is severely dehydrated, it may require intravenous hydration, which could relieve its constipation.

Treatment of Constipation in Cats

Once your veterinarian has determined the underlying cause of your cat's constipation, he or she can determine the best course of treatment. For minor or acute cases of feline constipation, your vet may recommend treatments like:

  • Increased hydration: You may increase your cat's hydration by providing more water at home. Your vet may also use intravenous hydration to treat your cat's constipation.
  • Stool softeners: Stool softeners may be given orally to help your cat defecate normally.
  • Laxatives: Laxatives help your cat defecate normally and more often.
  • Increased fiber intake: Your vet may recommend switching your cat to a high-fiber cat food. You also can add high-fiber foods like canned pumpkin to your cat's diet.

Severe cases of feline constipation or cases caused by underlying diseases like cancer or tumors typically require surgical intervention. Surgery may be needed to manually evacuate the bowels or to remove obstructions in the intestines and stomach.

Recovery of Constipation in Cats

With proper treatment, most cats afflicted with minor cases of feline constipation recover quickly. They do not need prolonged veterinarian care to resume normal movement of their bowels. 

You can help your cat's bowel health by making sure it has plenty of fresh water to drink and by adding fiber to its diet. You should also ensure your cat remains a healthy weight and gets enough exercise each day.

If your cat's constipation is caused by cancer, bowel obstruction, or another illness, it may need regular veterinary care to keep the underlying illness in check. Your vet may wish to x-ray or examine your cat every few months to ensure its proper bowel function.

You can also safeguard your cat's bowel health by keeping foreign objects like string, bottle caps, and other small items out of your cat's reach. This precaution ensures that your cat cannot swallow foreign objects that can cause constipation.

Constipation Questions and Advice from Veterinary Professionals

Medium Hair Domesitic
6 Years
Moderate condition
1 found helpful
Moderate condition

Has Symptoms

lack of appetite

My cat was diagnosed with constipation. He spent about 3 days not eating or drinking. X-ray showed a little bit in the large intestine otherwise ok and blood work was ok. He was given 2 rounds of IV fluids and an enema. Then I took him home that night and gave him a prescribed amount of medicine that should lubricate his insides to help him go. It’s been 2 days since the enema and the last round of the IV fluids and other than a few licks here and there of food and water he still isn’t eating. Any recommendations on what I can try to get him to eat? I’ve put out his favorite wet food and dry, and even tuna but he’s not super interested in anything.

Dr. Michele King, DVM
Dr. Michele King, DVM
1076 Recommendations
Thank you for your email. I'm sorry that Joey is having these problems. He should be starting to eat and act normally if he isn't constipated anymore. It would be a good idea to have him rechecked, maybe take another x-ray to make sure that he isn't getting constipated again, and that he isn't dehydrated. He may need fluids or medication to stimulate his appetite to get him back on track, but your veterinarian will be able to give you a better idea as to what he needs. i hope that he is okay!

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Dont know
15 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Poor Appetite

Medication Used


My cat is almost 15 years old and she just had her second enema within a month but a month ago she was in the hospital with severe constipation and she develop sepsis. Since then she has not quite been herself she is not eating as much as she was and she's not going to the bathroom where she should be. So she just had another enema yesterday and luckily she wasn't septic. I had been giving her a quarter teaspoon of Miralax with her meals every day except for the first few days after the hospital I gave her lactulose but she's kept having diarrhea so I went back to mirilax. She has kidney disease but her lab tests were good so her kidney food is helping. Yesterday she went potty a ton, didnt really eat but did drink some. Today she ate a small meal i left her during the day but she's not interested in food at all right now for dinner and seems little lethargic. I started giving her lactolose again a few days ago before the enema and gave her 2 mg yesterday. I guess I wonder what the recuperation time is after an enema. I know it was a traumatic event she was very nauseous yesterday right afterwards in a little bit in the evening. She is 15 years old roughly. I also wonder if I should decrease the lactulose because she's not constipated anymore right now but I do not want to chance in any way her getting constipated again.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2492 Recommendations
The whole process is distressing for a cat when having an enema and it may take a few days for Zoe to return to normal afterwards; you should be cautious about changing the lactulose given (and I wouldn’t at this point) but do so in steps and monitor closely for any signs of constipation or distress. Your Veterinarian should have given you some guidance after the enema, if not give them a call to make sure you’re on the same page. Regards Dr Callum Turner DVM

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4 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

pain in stomach or lower back

hi. My cat is at the vet being observed. She's not sure what is wrong with him at this point. 2 days ago he became lethargic, walking very slowly & gingerly & doesn't want to eat. He urinated last night ok & I didn't see any blood. Vet is giving him subcutaneous fluids & doing an x-ray. She said she felt some hard stools in his stomach. My question is: if my cat has constipation, could it cause him to not be able to walk very well & does it cause pain in lower back?

Dr. Michele King, DVM
Dr. Michele King, DVM
1076 Recommendations
Thank you for your email. Constipation can cause fairly dramatic signs, depending on the degree of blockage. Some cats need to be in the hospital on IV fluids and laxatives until the feel better, and it can cause them to stop eating and feel terrible. I hope that your veterinarian is able to find the cause of his problems and get him feeling better soon.

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Domestic short hair (cat)
1 Year
Mild condition
0 found helpful
Mild condition

Has Symptoms

Straining To Defecate

My cat has not been using her litter box she has been pooping outside of it and her stool seems to be be in pebbles and is quite dry. She barely eats food but is drinking water. She also doesn’t seem ill she is very playful and acting normal except for the fact that she can’t poop in her litter box. This has been goin on for 4 days.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2492 Recommendations
If Luna has a little bit of constipation you could try giving her some plain canned pumpkin to ease the passage of stool or use a product from your local pet shop which would make defecation easier for her. If Luna continues to have difficulty passing stool with help, then you should visit your Veterinarian for an examination to determine if there is something more serious than a little constipation. Regards Dr Callum Turner DVM

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