Well in Rascal's case...he was not paralyzed in his back end but had FCE (similar to a stroke) the blockage affected his nerves that effected his bladder and pooping abilities. Pooping just happened as his intestines fill up. Perhaps this dog still has some control but Rascal had none. So it came out when it came out...not to be too graphic. It was very important to keep his bowel movements firm but not too much. He ate a lot of pumpkin.