What could be causing diarrhea and a swollen anus in a 4 week old kitten?

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Ohhh poor kitten :( The swelling of the peri-anal area is caused from the diarrhea. Washing it will sometimes cause even more irritation, so what you can do is apply some Preparation H (or any topical cortisone ointment) for some relief, and hopefully to reduce swelling and irritation. If you have Witch Hazel, you can also dab some on his little bum, too. I'd stop diluting the KMR, just use as directed BUT introduce (moistened slightly) solid foods now, no more wet food. More often than not, I see diarrhea caused by wet food. If you're worried about dehydration, give kitty some Pedialyte - unflavoured, of course :) If the kitten won't drink it on his own, you can drop little drops on the top of his paw so that he'll lap it up. You can do this if you don't want to syringe-feed it to him. Don't change the food too suddenly, either, half and half today and reduce from there. No matter what is causing the diarrhea, whether it be dietary, infection, bacterial or viral, you will still need ...
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