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Megacolon is an abnormal dilation of the colon (also called the large intestine). [ 1 ] [ 2 ] This leads to hypertrophy of the colon. [ 2 ] The dilation is often accompanied by a paralysis of the peristaltic movements of the bowel.
Cisapride is still available in the United States and Canada for use in animals, and is commonly prescribed by veterinarians to treat megacolon in cats. Cisapride is also commonly used to treat GI stasis in rabbits, sometimes in conjunction with metoclopramide (Reglan).
In cats, perineal hernias are seen most commonly following perineal urethrostomy surgery or secondary to megacolon. [11] Medical treatment consists of treatment of the underlying disease, enemas, and stool softeners. Because only about 20 percent of cases treated medically are free of symptoms, surgery is often necessary. [11]
Toxic megacolon is an acute form of colonic distension. [2] It is characterized by a very dilated colon ( megacolon ), accompanied by abdominal distension ( bloating ), and sometimes fever , abdominal pain , or shock .
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Total parenteral nutrition (TPN) is a form of long-term nutritional treatment reserved for patients that have severe pseudo-obstruction. TPN dependent patients require frequent checkups to monitor catheter function, check liver enzyme levels, and evaluate for signs of blood infections.
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