Ugh....from what I've seen, both are right. Generally, you pick one treatment and try it... if it doesn't work, switch to the other. The problem is you usually don't know what the imbalance is that's causing the problem until you try a feeding regime. Did your vet give you ANY indication as to which one to try first?
My male DSH cat, Nicko, was diagnosed with megacolon in 2007. He was prescribed Lactulose with only mild improvement. After a couple of years, the sugars in the Lactulose caused the "bad" bacteria in his intestines to flourish and take over. Nicko began the licking the hair off his belly, hind legs and forearms to try to ease the discomfort he felt in his skin. After three more clueless vets, we found one that understood this side effect of the Lactulose and he periodically treated Nicko with probiotics, but it would always come back because the vet kept him on Lactulose. Fed up and certain there was a better and more natural way to give Nicko his life and dignity back, I experimented with many of the ideas I found on-line and have found the perfect all natural solution for Nicko that completely has the megacolon and intestinal health managed.
First, I feed him a wet food with a good level of moisture in it – .75oz per meal. Right now, it's Blue Wilderness Salmon. To the wet food, breakfast and dinner, I add a heaping teaspoon of Fruitables pumpkin & Oatmeal SuperBlend and about a teaspoon of Barlean's Pet Essentials Flax Oil for Animals. In addition, I add 1/4 teaspoon of Nature's Way Primadophilus Children once a day. (I also feed him 1/3 cup of high-quality, grain free kibble a day.)
Nick hasn't had an "accident" since I began this regimen about 6 months ago. His stools are now normal sized for a cat (no longer Great Dane sized), they are a perfect consistency, and the frequency is normal. His fur has completely grown back on his belly and legs. He has even lost a pound or two, which is a very good thing. His stool is still on the stinkier side, but nothing like before. He has his confidence and dignity back.
If you're like me, and you'll go to the ends of the earth to give your pets a healthy happy life, this little bit of extra effort at feedings is worth it. The cost of these products is FAR less than what we used to spend on Vet visits. Because the Fruitables cans are large and would go bad in the fridge before it gets used, I spoon it into ice cube trays at the right serving size and freeze it. Then I just defrost a cube for a few seconds in the microwave for each meal.
I hope our experience helps others find a solution to helping their pet. I understand what a difficult condition this is for both pets and guardians.
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