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Hi. My name is***** Thank you for your question about Loki. The chances of a cat having diarrhea and being constipated is very, very unlikely. I have seen the very rare case at my ER where this is happening, but almost always there isn't constipation when there is diarrhea. They are typically straining with the diarrhea and they act like they still have material to get out, but it is just the diarrhea.
Sorry for my delay as a case pulled me away.
I didn't say it was impossible to have diarrhea leaking around an area of impaction in the colon, but it isn't common by any means. I would have to be very suspicious that the stools could be like this due to the diet he's on. I'll be honest and say that I'm not the biggest fan of the RAW / homemade diets as there are so many good diets on the market now. Could the diarrhea be due to Giardia, coccidian or other intestinal parasites? These also have to be considered. Having a stool sample evaluated by your vet would be the way to screen for these.
If both are having the diarrhea, the diet or the possible other things I mentioned are in play.
That is good that they don't go outside as that is where trouble can be found. Could they have picked something up from mom or harboring it prior to your getting them? Diet is going to be a huge suspicion here.
I would go to the plain Orijen as my vote. As far as the raw food, option there is to use it with the dogs as treats / supplement for their meals.
I would cook it. The RAW is just where there is that chance for salmonella, campylobacter, E.coli,k etc..
The theory behind the wet versus the dry is trying to get more hydration into them to help with flushing the kidneys. It would be ok to supplement the cats with the wet as that is what I do with mine. The cats could have the RAW cooked as it would be less likely to have the bacterial issues with it. If the stools are getting better with the dietary changes and they are doing well, then it wouldn't seem that the antibiotics are needed.
It sounds like you're putting in a lot of care with the diet preparation that you're doing for them. Your previous cat that had the hyperthyroidism and the chronic renal disease at that age of 17 - that isn't due to you're feeding a poor diet. I would consider doing what you did for that one for these two.
That extra fat in the diet could cause steatorrhea. Cooking off the fat and draining it will reduce that in the rest of the meat. Getting that previous one to 17 is doing pretty darn good. Unfortunately, some just have kidneys that aren't going to hold up long, long term.
I would love to see these two handsome guys! Time may be the needed factor with the diet change for firming up the diet. I like to use metronidazole in these cases to help expedite the firming of the stools.
Unfortunately I can't prescribe anything as I haven't physically seen them / done an exam on them / established a client / pet / vet relationship. In the drug formulary, it lists kaolin / pectin in dogs / cats for loose stools as 1 - 2 mls per kg orally every 8 hours.