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Diseases and Conditions: Diagnosing & Treating Rectal Prolapse in Cats

Today, we delve into a topic that might make some squeamish but is crucial for every pet parent to understand: rectal prolapse in our furry companions. Imagine the rectum, the final part of the intestines, getting turned inside out and protruding from your pet's backside – that's a rectal prolapse.

Why the Twist?

This peculiar condition occurs after prolonged straining during bowel movements. Various factors can trigger this straining, including intestinal worms, dehydration, constipation, diarrhea, or even an obstruction like a tumor or ingested foreign object. Continuous straining weakens the structures holding the rectum in place, causing it to protrude.

Spotting the Signs

If your pet experiences a rectal prolapse, you might notice changes in their bathroom habits. They could be straining excessively or having altered stool patterns. Keep an eye out for signs like a small and dry stool, unusually loose stool, or the presence of worms. If you're not the type to closely monitor your pet's bathroom activities, don't worry – your vigilant veterinarian will handle it with expertise.

Diagnosis Journey

When you suspect a rectal prolapse, your veterinarian will conduct a thorough examination. This includes a rectal exam to assess the prolapsed tissue. A fecal sample analysis helps identify worms and other intestinal issues. In case of suspected blockage, X-rays or an abdominal ultrasound might be necessary for a closer look.

The Road to Recovery

Treating a rectal prolapse involves delicate maneuvers. The area needs careful cleaning before the tissue can be gently repositioned. Swelling might necessitate additional medications to reduce the prolapse. In certain cases, sedation or anesthesia ensures your pet's comfort, especially if there's pain or infection involved.

A temporary solution involves tying a "purse-string" suture around the anus, keeping the opening small to prevent further prolapse. This suture, although temporary, demands your pet's gentle care to avoid chewing and breaking it. Home care typically includes antibiotics, pain relief, and an e-collar to ensure proper healing.

When Surgery Beckons

In severe cases where the tissue is irreparable, surgery becomes the only option. The damaged tissue might be removed (a resection and anastomosis) or the rectum secured to the body wall from inside the abdomen (a colopexy).

Additionally, addressing the root cause, like treating intestinal worms, is crucial. Stool softeners might be prescribed temporarily to prevent straining.

The Bright Side

The good news? Most pets recover fully and don't face recurring issues once the prolapse heals. However, if you have any concerns or questions about your pet's diagnosis and treatment, your veterinary team is just a call away. They'll guide you through the process, ensuring your pet's tail wags happily again.

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