Oh Jen, sorry I'm late getting to this thread and sorry for the setback. I'm surprised that the cream is not helping and maybe the pills are the way to go. Poor you and poor Sterlling. You've certainly had your hands full lately and I wish there was something I could do to help.

And once again, I count my blessings because I've never had any peeing or pooping problems at all (**knock on wood, I mean, my head **)

Please keep us updated as to what the vet says.