Here at My Pet Nutritionist, acid reflux is one of the most common issues we come across in our consultations. Dogs with acid reflux may have it for a variety of reasons, from allergies to BOAS, and many other reasons in between. These dogs are often less tolerable of some generally preferred diets, so require a specific diet and supplement regime, which we will discuss here! A Bit About Acid Reflux Acid reflux is formally known as gastroesophageal reflux disease (GERD). When a dog eats, a mixture is formed in the stomach, comprising of stomach acid, salts and bile; this is called chime. Those with acid reflux suffer from the chime mixture entering the oesophagus. Acid reflux is a symptom of many underlying health conditions, and can be very uncomfortable. While acid reflux itself is not life threatening, it can lead to oesophageal ulcers due to repeated inflammation of the lining of the oesophagus, as well as the potential risk of aspiration pneumonia. Symptoms of Acid Reflux include: Bad breath Regular burping and regurgitation Tenderness of the stomach (bowing is the main sign of this) Constipation or diarrhoea Lack of appetite Lethargy Wheezing and dry coughs Weight loss Acid reflux is often caused by low stomach acid, contrary to what many may assume. Proton pump inhibitors are often prescribed under the assumption that the dog has too much stomach acid, however it’s often the exact opposite issue. This may seem an odd concept, however it becomes clear that when the stomach is lacking acid, it is unable to fully digest food at a high enough rate, so the food tends to sit in the stomach, which is then regurgitated. For more information on acid reflux, read our blog here! Diet When is comes to feeding a dog with acid reflux, it’s important not to feed processed foods. Processed foods such as kibble, are very inflammatory, which ultimately reduces stomach acid. A reduction in stomach acid can be a major trigger for acid reflux, as there’s less acid to digest foods. Fresh feeding for acid reflux dogs can be raw, or lightly cooked. Many dogs with acid reflux find it difficult to tolerate raw food, as the food sits in the stomach for a long time; when it sits in the stomach in chime, gasses are released, and the chance of reflux increases. Cooked food is often the best option. When feeding a cooked food, it is incredibly important to follow a balanced recipe, such as our recipes! Sticking to the leaner protein options such as the white fish recipe may be the best option, as feeding fattier proteins may cause more issue for dogs who are unable to digest efficiently. Acid reflux is often a symptom of allergies, so it’s important to get to the bottom of the dog’s allergies, and eliminate trigger proteins from the diet. To achieve this, an elimination diet should be carried out. Why not book in with one of our team for guidance through an elimination diet? Ensure there is plenty of fibre in the diet. Insoluble fibre increases gut and stomach motility, which is essential for those suffering from acid reflux. Some great sources of insoluble dietary fibre are: Broccoli Leafy greens Cauliflower Carrots Berries Findings Here Feeding a good variety of proteins (if allergy constraints allow), and a variety of plant matter can help ensure there are no vitamin deficiencies, which could contribute to acid reflux. In the human world, bariatric surgery patients often suffer with GERD, due to the inability to consume sufficient amounts of vitamins and minerals – nutritional deficiencies can impact our dogs too! Zinc deficiencies are common among acid reflux patients as it is thought that zinc helps protect the lining of the stomach. Findings Here Findings Here Working on getting to the bottom of any allergies and intolerances is important in helping relieve your dog of symptoms too! Allergies and intolerances are largely down to gut health, which causes a knock on effect on acid reflux. It’s also very important to choose the correct supplements to give your dog when suffering with acid reflux. Supplements The first, and most important supplement, or group of supplements we will be looking at, is those that aid gut health. Mucilage Herbs Mucilage herbs include Slippery Elm, Marshmallow Root, and Declycyrrhizinated Liquorice Root. These herbs are excellent for healing the gut, as they coat the digestive system. They not only help heal the gut, but they also soothe the oesophageal tract which is great for those suffering with acid reflux. Our probiotic and mucilage herb blend, Gut Guardian, may be perfect for your dog! Probiotics Probiotics are essential for a healthy gut. They help the gut microbiome flourish, which in turn aids digestion of foods, reducing the risk of chime sitting in the gut. Our aforementioned Gut Guardian supplement contains a great variety of clean probiotics, so may be a great choice for your dog! Findings Here Digestive Enzymes Some dogs, especially our acid reflux dogs, often suffer from poor digestion, due to insufficient amounts of the required digestive enzymes. When lacking such enzymes, food sits in the stomach in the chime mixture, which is them repeatedly regurgitated. Giving a good digestive enzyme may be pivotal to your dog’s recovery, or management of acid reflux. The two enzymes as play in this situation are Pepsin and Trypsin. Findings Here Rhodiola This is a herb, less commonly known in general, which contributes to responding to physical and mental stressors. As well as aiding those with diabetes, cancer, and anxiety, Rhodiola is great at helping the body cope with the physical stressors acid reflux brings. Findings Here Theanine Theanine is a non-protien amino acid which occurs naturally in tea. It plays a role in the prevention of acid refluc flare ups by increasing GABA activity, and reduce oesophageal sphincter relaxations. Together these reduce the symptoms of acid reflux. Findings Here If your dog has acid reflux, and you are unsure what to feed
At My Pet Nutritionist we are all about feeding your dogs the freshest, most natural diets, whether that’s raw feeding, or cooked food; this article explains how to balance a raw diet properly. We will also discuss the nutrients which are commonly lacking in a raw diet. Feed a Variety of Proteins Feeding a variety of proteins (meats) is a huge part of balancing your dog’s raw diet. Of course, if your dog is suffering with allergies, and is either on an elimination diet, or limited to a few proteins, this is fine as it’s the best you can do! If your dog is not known to suffer with itchiness or allergies, then feeding as many proteins as possible in your dog’s rotation, is very beneficial. This can be over the course of a week to a month. Different proteins offer different nutrient profiles, which means feeding a variety gives a broader intake of micronutrients, including vitamins and minerals. Let’s take a look at what some of the popular options provide! Chicken: provides high amounts of Vitamin B3 and B12, Selenium, Zinc, Magnesium, Phosphorus, and Biotin. Turkey: rich in Vitamin B6 and B12, Choline, Selenium, Magnesium, and Phosphorus. Beef: great source of Iron, Vitamins B2, B3,B6 and B12, Magnesium, Calcium, Copper, and Zinc. Lamb: Source of Iron, Vitamins B3 and B12, Selenium, and Phosphorus. Duck: Great source of Iron, Selenium and Vitamins B3, B12 and C. Pork: High in various B Vitamins, Zinc, Iron and Phosphorus. Venison: provides Zinc, Phosphorus, Iron, Selenium, a variety of B Vitamins, as well as a small amount of Vitamin E. Rabbit: high in Sodium, Calcium, Phosphorus, and Magnesium. Goat: source of Calcium, Sodium, Phosphorus, Potassium and Magnesium. Salmon: high in Vitamins A, B6, B12 and D, Iodine, Copper, Calcium, Magnesium, and Sodium. There are other options also available, including a variety of other fish products. We will touch on some fish products in the next section! Add in Some Omegas Omegas are essential fatty acids – omega 3 and 6 are the important ones! Omega 3 is anti-inflammatory, whereas omega 6 is inflammatory. Our pets’ meat based diets are naturally high in omega 6, so its important to get plenty of omega 3 into the diet! Cell membranes are partly formed by omegas, and heart and brain health are largely down to omega content in the diet, as well as puppy development, joint and skin health, and weight management. Let’s discuss the different types of omega! Here’s where the words get long… thankfully we abbreviate them! Omega-3 Fatty Acids CANNOT be produced by the body as they are polyunsaturated. There are three Omega-3 fats: Eicosapentaenoic Acid (EPA): found in fatty fish and fish oils, as well as many algal oils. Helps reduce inflammation. Alpha-linolenic Acid (ALA): found in flaxseed oil and chia seeds. For a non-plant based form, oysters can be added in. Aids heart and immune health. Docosahexaenoic Acid (DHA): found in fatty fish , fish oils and algae oils, and eggs. Aids brain health and development. Omega-3 is ANTI-INFLAMMATORY. Omega-6 Fatty Acids are polyunsaturated and also include three different acids – the body can only produce 2 of these. Linolenic Acid (LA): found in sunflower oil and corn. Cannot be produced by the body. Gamma-linolenic Acid (GLA): found in Hempseed oil, borage oil, and Evening Primrose oil. This is the only Omega-6 which is not inflammatory – its great for control of hormones. Arachidonic Acid (ARA): found in meat and poultry, particularly farmed. Omega-6 is INFLAMMATORY (apart from GLA). Sources of omega 3 include: Fatty fish: raw sprats, sardines, salmon, mackerel, herring and trout, tinned sardines or mackerel. Fish oils: Krill Oil, sardine oil, mackerel oil, herring oil. Raw eggs: (EPA and DHA) Green Lipped Mussels and Oil (EPA and DHA) Phytoplankton (EPA and DHA) Algae Oil (DHA HEAVY with a little EPA) Flaxseed Oil (ALA – also contains LA, and conversion to EPA is poor, so perhaps not the best choice) It’s very important to ensure there’s plenty of omega in the diet! Findings Here Findings Here Add in Some Plant Matter Adding some plant matter to your dog’s diet brings great benefits! Not only does plant matter provide fibre (which helps gut motility), polyphenols, phytonutrients and antioxidants are also introduced into the diet. Polyphenols help regulate metabolism, help maintain a healthy weight, help regulate and reduce the risk of chronic disease, and also aids the replication of cells within the body. Keeping the body free from chronic disease, at a healthy weight, and with a good metabolic rate may aid longevity! Findings Here Phytonutrients are essential for immune system modulation which helps keep various diseases at bay. Phytonutrients are thought to help prevent chronic disease such as cancer and diabetes, as well as supporting joints, digestive health, circadian rhythms (sleep patterns), and brain development. Findings Here Findings Here Findings Here Antioxidants also aid longevity by destroying free radicals in the body. Free radicals form during oxidisation, and are unstable atoms which damage cells in the body and lead to ageing. Destroying the free radicals slows the process of ageing due to lack of damage to the cells in the body. Findings Here Fruits and Vegetables are also full of vitamins and minerals so can really boost an 80:10:10 meal! Some examples of suitable plant matter include: Kale Spring greens Asparagus Broccoli Brussels Sprouts Cabbage Cauliflower Courgette Green beans Strawberries Mango Pear Apple Up to 10% of the weight of the portion of raw meat can be added! It’s a good idea to lightly steam and/or blend vegetables before feeding, to make them more bioavailable, by breaking down the cellulose cell wall. What is often Lacking from the Raw Diet? When feeding a raw diet, while it’s the best, most natural diet available (though not all tolerate it – that’s what we’re here for!), there are 6 nutrients which are often lacking in most raw diets. Try to include a variety of these sources! Zinc (essential for cell growth, DNA
Here at My Pet Nutritionist, we often help pet owners battle with oxalate crystals/stones in their pets. A diagnosis of any urinary stone can seem daunting, but that’s where we can step in to help! This is a handy guide to the ins-and-outs of Calcium Oxalate stones! What are Oxalate Stones? Oxalate stones, formally known as Calcium Oxalate stones, are formed of microscopic crystals of calcium oxalate. They’re the second most common type of urinary stone found in dogs, second to Struvite stones. If left untreated, oxalate crystals are one of the leading causes of kidneys stones. Males tend to get diagnosed with oxalate stones more often than females, and they’re more common in older dogs than they are in younger dogs. Some breeds are predisposed to Oxalate Stones. These include: Miniature schnauzer Yorkshire terrier Lhasa apso Bichon frise Shih Tzu Miniature poodle Chihuahua Jack Russel Findings Here Findings Here Symptoms of Oxalate Stones There are a number of symptoms caused by oxalate stones, including: Difficulty urinating Bloody or cloudy urine Smelly urine Frequent urination Distended abdomen Lack of appetite Changes in behaviour Lethargy Vomiting If your dog has such symptoms, it’s important to seek veterinary assistance. How Do They Form? Studies show that feeding a diet that causes high levels of urine acidity can contribute to the formation of oxalate stones. Research suggests that urine high in calcium, citrates and oxalates (these changes to urine are largely controlled by diet) can increase the risk of the dog having oxalate stones. Breed, and sex predisposition are huge factors in the formation of oxalate stones, alongside the aforementioned dietary factors. Findings Here Findings Here Diagnosis, and Getting Rid of Oxalate Stones When taken to the vet, the dog will have a blood sample taken, and a full blood panel will be run. A urinalysis will also be performed to check for increased levels of acidity, calcium, citrates and oxalates. If bladder stones are not able to be felt through palpation of the bladder, an x-ray may be performed to work out exactly what we are dealing with. Unfortunately, oxalate stones usually require surgical intervention, as they cannot be dissolved once formed. Like with Cysteine stones, smaller crystals may be able to be flushed out using urohydropropulsion, however as these crystals, untreated, can grow rapidly and cause urine infections, most veterinary surgeons would prefer to operate and remove all crystals as a first port of call. Findings Here Supporting the Body, and Preventing Oxalate Stones There are many ways we can support the body to prevent recurring formation of oxalate stones. Let’s discuss these! Probiotics Studies show that probiotics are effective at breaking down oxalates in the digestive system, so it’s wise to give a good, broad spectrum probiotic every day. Avoid high calcium, acidic, and high oxalate foods It’s incredibly important to keep the pH of the urine as alkaline as possible. There are certain foods we recommend to avoid feeding your dog if they have history of oxalate stone development. These include: Spinach (high in oxalates) Leafy Greens (the darker they are, the more oxalates they contain) Beets (high in oxalates) Citrus fruits (high in citrates and oxalates) Legumes (high in lectin, and oxalates) Beans (high in lectin and oxalates) Nuts and seeds (high in oxalates) Berries (high in oxalates) Increase moisture intake Always insure your dog is drinking plenty of water! A high moisture diet is also incredibly important, be it raw, or freshly cooked. You can also ‘float’ the food, by adding extra water to it. Check out our low oxalate recipe here! Limit sodium intake Another reason to avoid dry foods, is that they’re often high in salt. Salt is very dehydrating on the body, so it’s important to limit sodium intake. Findings Here Findings Here Findings Here Has your dog been diagnosed with Oxalate, of any other type of urinary tones? If the answer is YES, don’t hesitate to book a consultation with one of our team! Team MPN x
Has your dog had, or been recently diagnosed with gallstones? While they’re not a massively common condition, we do help many dogs with gallstones, here at My Pet Nutritionist. Understandably, owners may be concerned upon news of this diagnosis, so we hope this article helps you understand the condition, and puts your mind more at ease. What Are Gallstones? Gallstones can be found in the gallbladder; a pear shaped organ, located just beneath the liver. The gallbladder is a very important part of the digestive system. It stores bile, which is produced by the liver, and is responsible for digesting fat in the diet. Gallstones are balls of matter, usually made of cholesterol, and hardened bile that form in the gallbladder, blocking it’s ability to secrete bile. Gallstones can be any size from the size of a dust particle, to the size of a ping pong ball! Findings Here Symptoms of Gallstones There are a multitude of symptoms that may present when your dog has gallstones. Let’s take a look at these! ‘downward dog’ yoga pose; this shows a painful abdomen Nausea and vomiting Rapid weight loss Lack of appetite Diarrhoea; can be bloody Jaundice (a yellow tinge to the skin) High body temperature If your dog has any of, or a number of these symptoms, raise this with your veterinarian. How Do They Happen? Poor Digestion Pets with digestive issues may be at risk of gallstone formatsion. Poor digestion can lead to low stomach acid, which can massively affect gallbladder health. In order for the gallbladder to release bile, the stomach needs to be acidic. Lack of stomach acid causes a decrease in bile production. Findings Here Poor Diet Those eating a high fat diet may be at a higher risk of developing gallstones, as the high fat content puts pressure on the gallbladder. When the gallbladder is under the pressure of high levels of fat, it becomes inflamed, and production of the necessary amounts of bile becomes difficult, leading to the formation of gallstones. Feeding a dry food may also contribute to the formation of gallstones, as the fat content of may dry foods, on a dry matter basis, is often high/concentrated. Most kibbles are sprayed with fats and oils at the end of the production line to enhance flavour and palatability. Findings Here Stress Stress hormones have a huge impact on the development of gallstones. When stressed, the liver releases higher amounts of cholesterol, due to the higher production of energy during periods of stress or anger. This increased amount of cholesterol can easily lead to gallstones, as the gallbladder is unable to produce sufficient amounts of bile to digest the excess cholesterol. Findings Here How Are They Diagnosed? If gallstones are suspected in your dog, your veterinarian will want to carry out various tests. An X-Ray will be obtained of your dog’s stomach area, to visually detect any potential masses in the gallbladder, and potential cirrhosis of the liver. A urinalysis will be performed; this is when the vet takes a urine sample and analyses it to look for excess fats in the urine. These results may flag an issue with the gallbladder. Finally, bloodwork will be carried out to look for any abnormal values which may point toward the reduced function of one of the body’s organs. What Negative Effects Can Gallstones Cause? Cholestasis occurs as a result of gallstones blocking the bile duct entirely. This blockage requires surgical removal. When the gallbladder is blocked, absorption of vitamin D and Calcium becomes poor, as well as the aforementioned symptoms. Acute Pancreatitis is also a risk posed to those with gallstones. Gallstones can exit the gallbladder and cause blockages in the bile duct, which ultimately blocks pancreatic enzymes from entering the small intestine. These enzymes are forced back into the pancreas, which creates immense inflammation to the organ, leading to the onset of acute pancreatitis. Findings Here Findings Here What Treatments Are Available? Generally speaking, surgery is usually the main option when treating a dog with gallstones. Some mild cases may get away with having IV Therapy, whereby the dog is hooked up to an Intravenous drip, designed to flush the gallstones from the gallbladder. The patients will usually be prescribed a high protein, low fat diet moving forward… this is where supporting the body naturally comes in! Read on! How Can We Support the Body Naturally? Feed Fresh As with any condition, we always recommend feeding fresh food, here at My Pet Nutritionist; whether that’s raw, or cooked. Balancing the fat content in Fresh food is much than in dry food, and is not sprayed with fats and oils during production, adding to the overall fat content. Fresh food is also high in moisture, and generally better for digestion and gut motility than dry food, making it the ideal option for those with gallstones in their medical history. Feed Low Fat Feeding low fat is also essential for those suffering from gallstones, due to gallstones being solidified lumps of cholesterol. As the gallbladder is unable to produce enough bile to digest the fats consumed in the diet, fatty deposits will begin to build up, which is especially dangerous for the body’s organs. Find our low fat recipes below! Low Fat Fish Low Fat Venison Low Fat Horse Low Fat Kangaroo Dandelion Dandelion has many health benefits for your dog! One benefit being that it’s a fantastic digestive aid. When suffering from gallstones, digestive support is crucial. Dandelion stimulates the production of digestive juices, which are ever so important when it comes to gallbladder health, and gallstone prevention. Dandelion is also a great natural anti-inflammatory. This is beneficial for those suffering from gallstones or poor gallbladder health in general, to reduce the risk of acute pancreatitis occurring. The root of the dandelion plant is also a diuretic, bringing benefits to the liver, which includes increasing circulation in the liver, resulting in an increase in bile production. Findings Here Burdock Root A more unusual vegetable, burdock,
A diagnosis of Diabetes in your pet can feel quite daunting. We decided to put together this guide on diabetes in pets, to bring all you may need to know about diabetes, and caring for a diabetic pet, into a handy, bitesize guide! What is Diabetes? Diabetes is a condition causing blood sugar levels to become too high. There are three types of diabetes; Type 1, type 2, and Diabetes Insipidus. Type 1 is found in around 0.2 to 1% of dogs, but type 2 diabetes is not found in dogs; it is however, found in cats. Diabetes Type 1, is most commonly found in adult dogs between the ages of 6 and 9. Diabetes Insipidus is another type of diabetes, unrelated to type 1 or 2, but with similar symptoms. Findings Here Symptoms of Diabetes Symptoms of diabetes in pets include: Polydipsia (excessive water consumption; read more here!) Polyuria (excessive urination; read more here!) Increased appetite Weight loss (often rapid) Recurring skin and urinary infections Clouded eyes A dog with diabetes may present with any number of these symptoms, so if your dog is displaying one or more of these, it’s best to have a full vet check. Findings Here What Causes Diabetes? A huge part of the cause of diabetes in dogs, is down to genetic predisposition. Breeds predisposed to the potential to develop diabetes include: Miniature schnauzer Dachshund Beagle Poodle Samoyed Keeshond German Shepherd Golden Retriever Labrador Retriever Bichon Frise Pug Cocker Spaniel Diabetes can also be caused by other ongoing medical problems. It can be a secondary condition to Cushing’s Disease, Pancreatitis and obesity. Those suffering with pancreatitis flare ups are at risk of diabetes due to the damage on the organ, caused by regular periods of intense inflammation. The pancreas secretes insulin which regulates blood sugar levels. When insulin is not able to be produced due to damage to the pancreas, blood sugar spikes occur, which leaves dogs at a high risk of diabetes. 30 to 40% of dogs with diabetes, also have pancreatitis. Obesity, like in humans, is a common predecessor for diabetes as it contributes to insulin resistance. Resistance to insulin, means less control of blood sugar levels. Findings Here Diagnosis of Diabetes To test for Diabetes, your veterinarian will take bloods and urine samples. In the urine sample, they will test levels of glucose and ketones. If there is a significant abnormality in these results, the blood glucose level will be tested. If glucose levels are very high in the blood sample, and found in the urine sample, a diagnosis of diabetes can be made. During testing for diabetes mellitus (Type 1), other significant markers for other conditions may be found, so your veterinarian may start treatment for other conditions as well as diabetes. If your dog’s urine is extremely dilute, diabetes insipidus may be a diagnosis your vet may consider. Findings Here Monitoring, and Medical Intervention Insulin Therapy After diagnosis, the first thing your vet will work out, and prescribe, is the right insulin dose for your dog. The vet will teach you how to give an insulin injection, either by syringe, or VetPen. These will need to be given regularly alongside monitoring, to ensure your dog’s blood sugar levels stay consistent and within a normal range. Findings Here Monitoring Glucose Levels Traditionally, your vet will teach you how to monitor urine glucose levels at home. Urine can be tested using urine strips, just as you would in the human world. The vet may also teach you to test your dog’s blood glucose levels. They will provide you with a portable glucose meter, which you will use in tandem with blood test strips. Bloods may be taken, and analysed regularly by the vet to keep an eye on blood glucose levels and ensure the insulin dosage is correct. More recently, some veterinary practices have been offering the Freestyle Libre device worn by many human diabetics. This is a device inserted into and attached to the skin, which reads blood glucose levels. When the owner needs to check glucose levels, they simply use their accompanying mobile phone application which connects to the device. This is an expensive option, but very fail safe, and easy. Findings Here Findings Here Spaying Females Your veterinarian will recommend you spay your female dog if they are diagnosed with diabetes. One of the female sex hormones, called progesterone, can sadly interfere with insulin usage in the body, which could cause a blood sugar spike. Findings Here Supporting the Body Naturally Diet As with anything, we always recommend feeding a fresh diet. Why is this so important for diabetes sufferers? The carb content in dry foods causes a spike in blood sugar levels. Forcing a raised blood sugar level on a diabetic dog will put a huge amount of pressure on the organs, and can cause hospitalization. When looking at the ingredients list of dry foods, there may be very few ingredients which appear to be carbohydrates; however, these do add up! The carb content of dry foods isn’t specifically listed, only protein, fat, moisture and ash. If you add those up, and deduct from 100, you will get the percentage of carbs in the food. Most dry foods are between 20 and 70% carbs! Three very important components of a diabetic dog’s diet, are fibre, fat, and protein. Fibre, fat and protein help to stabilise blood sugar levels as the consumption of these macronutrients causes the digestion of carbs to slow down, ultimately slowing down their absorption into the blood. Because the absorption of the sugars from carbohydrates is slowed, blood sugar levels stay more controlled, and are more unlikely to spike. Findings Here The moisture level of fresh food, also helps keep the urine suitably dilute, and not concentrated in glucose or ketones. You will need to keep the amount fed each day the same, as this is what your dog’s insulin dose is based upon. If the dog is fed more than normal, the
At My Pet Nutritionist, we often get enquiries about dogs suffering with urinary crystals or bladder stones. One of the types of crystal often diagnosed, is the Cysteine crystal. What are Cysteine Stones? There are 4 main types of bladder stone/crystal; Struvite, Calcium Oxalate, Urate, and Cysteine. Cysteine stones are uroliths (solidified lumps of crystalloids) which can form in the bladder, urinary tract, or kidneys. Of the four stones, Cysteine stones are incredibly rare, with only around 1% of diagnoses being Cysteine. While these stones can happen in female dogs, they are most common in males. Learn more about the different types of stone in our blog here! How are Cysteine Stones Formed? The amino acid, Cystine, is made by the body after synthesis of methionine. Cysteine can also be found in some higher protein foods. It is reabsorbed by the kidneys, but when the kidneys are unable to absorb it, a condition called cystinuria occurs. When this happens, the cystine becomes very concentrated in the urine, which causes the formation of Cysteine bladder or kidney stones. As with each type of urinary stone, there are some unique characteristics associated with it; these stones only form in acidic urine. Dogs with more alkaline urine will not form this stone. The risk of cysteine stones forming, may also be down to genetic abnormalities. Findings Here Findings Here Symptoms of Cysteine Stones Though similar for other stone types, some symptoms your pet may show are: Frequent, sometimes bloody urine Painful urination Excessive drinking Nausea and vomiting Breed Predisposition Some breeds of dog are genetically predisposed to Cysteine stones, and may require regular treatment, as this type of stone is often a recurrent issue. Breeds predisposed to Cysteine stones include: Basset Hounds Dachshunds Newfoundlands (unusual female cases have been recorded in this breed) Bullmastiffs English Bulldogs Irish Terriers Findings Here What Can the Vet Do? Surgery Often required for those with larger stones, surgery is a very common path to take when battling Cysteine stones. The surgical procedure is called a Ureteroscopy, during which a very small instrument is passed through the bladder and up the Ureter, pushing the stone out in the process. Alternatively, the pet may be opened up, and large stones causing blockages will be removed by hand. Findings Here Non-Surgical Removal There is a non-surgical option available for those with very small cysteine stones; this procedure is known as urohyrdopropulsion. This procedure is usually most successful on medium to large dogs, and involves two catheters being placed in the dog; one up the urethra, and the other in the urethral lumen. A finger is inserted into the rectum to push against the urethra, causing a build up of pressure and a tight seal. Once a tight seal is made, saline water is flushed through the catheters, and the bladder is palpated, flushing the small stones out. Although this method requires anaesthesia, it is preferred for smaller stones as it is much less invasive than surgery. Findings Here How Can we Support the Body? Diet Diet plays a huge role in the prevention of Cysteine stones. With these stones, its advisable to feed a normal amount of calcium, but slightly lower protein, and also low salt (to avoid water retention/dehydration). As well as these specific nutrient requirements, it is imperative that your dog’s diet includes as much moisture as possible! Moisture in the diet will help flush the bladder; feeding a dry food would dehydrate the dog, and could worsen the issue. Feeding a fresh food is very much recommended for any bladder stone, including Cysteine! Findings Here Find our recipe suitable for dogs suffering from cysteine stones here! Supplements Omega 3 in the form of Alpha Linoleic Acid (ALA) is thought to inhibit cysteine crystal formation, due to it’s anti-inflammatory, and antioxidant properties. ALA can be found in leafy greens, nuts (avoid peanuts, and macadamia nuts), and animal fat. Findings Here Selenium has been proven to reduce the volume of cysteine crystal formation. When looking for a supplement, ensure it is as pure as possible. Findings Here Bonus Factoid: Cystinuria Type 3 Cystinuria Type 3 is a cysteine based, androgen dependent disease which means it only affects entire males. Bulldog breeds are particularly prone to this condition. The veterinary treatment is the same as standard cysteine stones, regarding urohyrdopropulsion, however in order to stop this painful condition from recurring regularly, the only method of prevention is castration. Neutering should be discussed with your veterinarian, and performed at the right time if your dog is a frequent sufferer of Cystinuria Type 3 flare ups. Findings Here If your dog has been suffering with recurring cysteine stones or crystals, consider booking in with one of our team! Team MPN x
Megaoesophagus is a challenging condition to care for, and a commonly discussed topic in the dog care world. Here at My Pet Nutritionist, we are often asked about how is best to care for a dog with Megaoesophagus, so here is our guide to megaoesophagus, and how to support those with it. What is Megaoesophagus? Often shortened to ME, Megaoesophagus is a condition which affects the oesophagus. The oesophagus is part of the digestive system, and one of the first body parts to be used in digestion. It can be found behind the trachea (windpipe), running down through the chest cavity between the heart and the spine. The oesophagus pushes food from the throat, to the stomach, where it is digested, by a process called peristalsis. Peristalsis is a wave-like series of contractions which squeezes food through the tube. When a dog has megaoesophagus, the oesophagus is dilated, which ultimately causes a lack of motility due to poor conformation and the inability to carry out peristalsis, so food is unable to reach the stomach, and the dog is unable to benefit from nutrients in the food. Megaoesophagus can occur in any breed of dog, and at any age, however some breeds are more at risk than others due to predisposition. These include: German Shepherd Shar Pei Newfoundland Great Dane Miniature Schnauzer Greyhound Labrador Findings Here Findings Here Symptoms of Megaoasophagus Regurgitation: probably the first symptom owners recognise. Because peristalsis is unable to occur, food sits in the oesophagus in the chest cavity, which results in it being ejected through the throat, and mouth, undigested. Aspiration pneumonia: a major health complication, and can be a sign that the dog has a dilated oesophagus. The dog may aspirate during regurgitation, causing major breathing difficulties and lung infections like Pneumonia. Lack of appetite: common in ME cases, dogs will often decide they’d rather not eat due to the discomfort caused by the food they’ve eaten sitting in the chest cavity. Extreme hunger: on the other end of the scale, the dog may seem constantly very hungry, because they are not receiving any nutritional benefits from the food being consumed. Frequent swallowing or air licking: dogs will often show these signs as they are unable to move food from the chest cavity, making them feel nauseous. Coughing: can occur as the dog attempts to move food from the chest cavity. Raspy breathing: this often occurs due to inflammation in the chest area, caused by the stuck food. Weight loss and stunted growth: as the dog is unable to make use of the nutrients from the food (as the food cannot get to the stomach to be digested), weight loss is very common, and growth in puppies is stunted. Smelly breath: the gasses from food stuck in the oesophagus can cause severely smelly breath. Drooling: often a sign of nausea, drooling is common in dogs with ME. Findings Here Causes of Megaoesophagus It is unclear as to how the majority of cases are caused. ME can be congenital (present from birth), hereditary (passed genetically from parents), or acquired (developing during life, but not genetically inherited). One potential cause of ME, is as a secondary effect of Persistent Right Aortic Arch; which is one of the most common vascular diseases in dogs, and causes the tightening of a ring around the oesophagus. Tumours in the oesophagus can be a cause of ME, as the tumour causes an obstruction, and changes the structure of the muscles in the tube, which then dilates it. Trauma to the oesophagus, spinal cord, or brain is often a trigger, as soft tissue damage heals with scar tissue, which effects the motility of the oesophagus. Parasitic infections are thought to be able to cause ME too, as the parasites latch onto the walls of the oesophagus, causing damage to the muscular structure. Myasthenia Gravis is a neuromuscular condition whereby generalised muscular weakness occurs in the body. This can also affect the muscles involved in peristalsis. Toxin exposure is a large potential, too. Toxins have so many poor effects on various parts of the body, and bodily processes. Its always best to keep toxins to a minimum by minimally vaccinating, using natural pest preventions, using natural household products, and feeding a fresh diet. There are also various studies to suggest that hormonal disorders regarding the thyroid can be a contributing factor to ME cases, including Hypothyroidism, Hyperthyroidism, and Hyperadrenocorticism (Cushing’s Disease). Findings Here Findings Here Findings Here Findings Here How is Megaoesophagus Diagnosed? If your dog is experiencing any of the symptoms listed above, it is imperative that you get them checked out by a veterinarian. The typical veterinary test for diagnosis of ME, is the Videofluoroscopic Swallow Study (VFSS), whereby the vet is able to see a live view of the scan being performed, so they are able to watch the path taken by food and liquid given before the study is carried out. They can see how efficiently it moves from the throat to the stomach. Findings Here What Conventional Treatments are Available? The vet may offer surgery to help improve your dog’s quality of life, however it is unlikely that surgery will completely cure the problem. The surgery will reduce the risk of aspiration pneumonia, which is a life threatening disease in itself, and may help to improve motility of food to the stomach. A gastric feeding tube may also be offered to your dog – this is a tube implanted directly into the stomach, through which food can be given, in order to completely skip use of the oesophagus. Food will not be regurgitated, however regurgitation of saliva will still occur. The final treatment your vet may suggest, is medication – there are a few medications which may be trialled, or even a botox injection into the lower part of the oesophagus, to help stabilise it. Findings Here What Can we do to Support the Body? There are many ways in which we can support those with ME.
At My Pet Nutritionist, Cushing’s Disease is a big topic. We help a lot of dogs with Cushing’s Disease, and so we have created this essential guide to supporting the body with Cushing’s Disease. What is Cushing’s Disease? Cushing’s Disease, formally known as hyperadrenocorticism, was first diagnosed in 1912, by an American neurosurgeon named Harvey Cushing; hence it was informally named Cushing’s Disease. Cushing’s Disease is caused by too much of the hormone, cortisol being produced by the adrenal glands in the kidneys. Cortisol is a steroid hormone, and is responsible for regulation of various important bodily functions, such as immune response, and metabolism, as well as stress responses. Cortisol floods the body during stressful situations, in response to the stressor, which reduces risk of negative impacts during a flight or flight situation. Findings Here How Does Cushing’s Disease Happen? It is thought that predisposition for Cushing’s could be inherited genetically, and there are various breeds that are predisposed to Cushing’s, including: Poodles (and crosses) Yorkshire Terriers German Shepherds Boxers Maltese Labradors Cocker Spaniels Dachshunds Boston Terriers Staffordshire Bull Terrier There are three different medically underlying causes for Cushing’s Disease. Let’s take a look at these! Prolonged Use of Steroids Both topical and oral steroids used excessively, can lead to Cushing’s Disease. This type of Cushing’s is called Iatrogenic Cushing’s. Steroids contain a synthetic variation of cortisol, which on top of the body’s natural production of cortisol, leads to an overwhelming amount of cortisol, causing Cushing’s. Findings Here Findings Here Adrenal Gland Tumour There are two types of tumour which could form on the adrenal gland, causing excessive cortisol production. Adenomas are benign tumours, which could be surgically removed, are the better of the prognoses; removal is usually successful. Carcinomas are malignant tumours, which can have surgical interventions, but the prognosis is much more negative, and aggressive treatment may be required. Findings Here Findings Here Pituitary Gland Tumour A huge proportion of Cushing’s cases are caused by tumours on the Pituitary Gland. The Pituitary Gland is located at the base of the brain, and secretes a hormone called ACTH, which stimulated the adrenal glands to produce Cortisol. When there is a tumour present on the Pituitary, more ACTH is secreted, which results in overproduction of Cortisol. These tumours may be benign or malignant, and may be microscopic, or large. The larger the tumour, the more neurological signs there will be. Findings Here Findings Here Symptoms of Cushing’s Disease There are a variety of symptoms of Cushing’s Disease, which include: Lethargy Increased appetite Weight gain Excessive thirst Excessive urination Poor skin/baldness Bloated appearance Calcinosis Cutis Difficulty healing from minor wounds Hyperpigmentation (dark spots) Recurring bladder infections How is Cushing’s Disease Diagnosed? There are a number of tests used when veterinarians test for Cushing’s Disease. The most common test is the ACTH Stimulation Test, during which a blood draw is taken from the dog, before ACTH is injected into the dog, and a second blood draw is taken some hours later. The two blood samples are compared for levels of cortisol. This is a very effective method, and cost effective. A Low Dose Dexamethasone Suppression Test can pinpoint exactly what is causing the Cushing’s Disease, if Cushing’s is present. In this test, a small amount of Dexamethasone (synthetic cortisol) is injected into the dog. In a healthy dog, ACTH production slows down to regulate the amount of cortisol produced by the adrenal gland; in a dog with Cushing’s, ACTH production would continue, causing raised levels of cortisol in a follow-up blood sample. To check the adrenal gland for swelling or visible tumours, your veterinarian may also run an ultrasound as the adrenal gland will be visible on this. Supporting the Body Diet Feeding a fresh food diet is very important, as with any condition! That could be raw, or cooked, balanced to one of our recipes. A low fat diet may be beneficial because fat and cholesterol levels in the body are increased when in the presence of excessive cortisol. When raw feeding, the organ being fed as part of your 10% offal, contributes to the support of that organ in the body; so feeding kidney may help support the dog’s kidneys. Supplements Omega 3 Omega 3 has an anti-inflammatory effect throughout the body, so is a very important addition to any dog’s diet, especially one suffering from disease, which could be worsened through inflammation. Not only are they anti-inflammatory, but Omega 3 also play a role in the brain’s production of neurotransmitters, which may be beneficial for Cushing’s sufferers. The effect omega 3 has on the brain is also shown to aid the reduction of mental stress. Findings Here Probiotics Cushing’s sufferers can suffer from poor gut health. Gut Dysbiosis is a concern among those diagnosed with Cushing’s, so giving probiotics is a great idea. These may ne teamed up with a mucilage herb such as slippery elm, or marshmallow root. our supplement below. Gut Guardian Findings Here Milk Thistle Particularly useful for patients with Cushing’s caused by a tumour, the active ingredient in Milk Thistle, Silibinin, has been proven to decrease tumour growth, and lower levels of cortisol. This supplement is also great for detoxing the liver; though that’s a topic for another day! You can read more on the liver here! Findings Here Liver Guard Melatonin and Lignans Melatonin and lignans are often used in combination with one another to help Cushing’s Disease patients. Melatonin is great for regulation of hormones. Regulation of cortisol is incredibly important in this situation, so melatonin may be a great option. Circadian rhythms are also maintained by melatonin. Lignans can be found in flax seed hulls, and mimic phytoestrogen. Phytoestrogen plays a large role in reduction of hormone-dependent tumours, as well as managing skin health. Adding lignans into the diet may aid Cushing’s sufferers, especially those suffering from a pituitary or adrenal tumour. Findings Here Findings Here Findings Here Complementary Therapies Acupuncture Acupuncture is great to reduce inflammation in the body, and
Vitamin D is an essential fat-soluble vitamin, which is important for regulation of absorption and retention of calcium and phosphorous, which ultimately keeps bones strong. Vitamin D has also been proven to reduce inflammation, help in infection control, and also reduce the growth of cancer cells. Here at My Pet Nutritionist, we see cases where Vitamin D deficiency may have an effect on the progress of the dog’s health. In this article, we look at the main signs your dog may be deficient! Around 75% of dogs are diagnosed with Vitamin D deficiency! Allergies/intolerances Probably the most common topic here at My Pet Nutritionist; Allergies and Intolerances can be a sign of Vitamin D deficiency. Vitamin D deficiency is predominantly associated with respiratory allergies, but can also be associated with dietary allergies and intolerances. The reason Vitamin D deficiency affects the lungs, which presents as respiratory allergies, is because Vitamin D is essential for lung development, and maintenance – take that away, and lung development is compromised. Vitamin D is also a contributor to immunomodulation. As we know, allergies and intolerances are massively down to a poor immune system, which often needs remodulation to overcome intolerances; this means that a lack of Vitamin D can cause issues with modulation of the immune system, which leads to allergies and intolerances. Findings Here Findings Here Findings Here Hair Loss Another health problem related to immunomodulation, hair loss is a symptom of Vitamin D deficiency. Another factor which contributes to hair loss, is inflammation. Inflammation of the skin can cause hair loss, and Vitamin D has anti-inflammatory properties, which helps control, and reduce hair loss. Vitamin D is essential for differentiation of Keratinocytes; part of the follicle cycle. If differentiation of these cells is poor, and their amounts cannot be rapidly increased due to low Vitamin D levels, hair growth will remain slow, or will stop all together. Several autoimmune disorders have been linked with low Vitamin D during testing, which can also lead to hair loss. Those with a lack of Vitamin D may suffer with a poorly modulated immune system, as well as excess inflammation within the body, so may suffer from mild, or excessive hair loss. Findings Here Findings Here Findings Here Skeletal Pain and weakness In the veterinary world, when there is skeletal pain and weakness, for no visible reason, it is deemed ‘nonspecific’ musculoskeletal pain. Pets suffering with nonspecific musculoskeletal pain may have a Vitamin D deficiency. The skeletal pain could be in any part of the dog, whether it’s spinal, on the leg, ribs, or other bones and joints in the body. Studies show that increasing the Vitamin D in the blood serum of individuals suffering from skeletal pain and weakness, significantly reduces the pain and weakness being experienced. As one of the main roles played by Vitamin D is regulation of calcium and phosphorus in the skeletal system, if this is suppressed, and the ratio between calcium and phosphorous is off balance, the bones will become weak, and easy to break, as well as causing pain. Vitamin D dependent Rickets is a risk associated with Vitamin D deficiencies too. This occurs congenitally, and is caused by the inability to metabolise Vitamin D sufficiently. Findings Here Findings Here Findings Here Restlessness/depression There are links between Vitamin D and the nervous system, the lack of Vitamin D in the body, and sleep deprivation as well as anxiety and depression. Links have been suggested in numerous studies, of Vitamin D playing a role in the circadian rhythm; the sleep-wake cycle. Both the inability to sleep, and also lack of sleep quality have been associated with low Vitamin D. Findings Here Findings Here When it comes to depression and anxiety, studies have shown that supplementing the diet of those showing depressed or anxious behaviours, with Vitamin D, has positive effects. This topic is still being explored in the animal sector. Findings Here Findings Here Muscular weakness Vitamin D deficiency has been linked on numerous occasions, with muscle weakness, which can lead to collapsing episodes, and issues using the legs. Severity can vary between individuals. In humans, muscle weakness has been proven to be reversed through the use of dietary Vitamin D supplementation. Muscular weakness can also be as a result of a congenital condition which affects Vitamin D metabolism. Findings Here Findings Here Findings Here Dietary Sources of Vitamin D Nominal amounts of Vitamin D may be absorbed by the body from environmental exposure to the sun, although diet is the most efficient and major source. Some dietary sources of Vitamin D include: Oily fish Egg yolk Liver Red meats If you feel your dog may be suffering from a lack of Vitamin D, or require general dietary advice, book in with one of our team! Team MPN x
Ever been in the situation where your dog is struggling to poop? You’re certainly not alone – here at My Pet Nutritionist, we have put together this guide with information on how constipation happens, and solutions to help prevent further issues, and get the gut moving again! Diet Dry Food Dry food is incredibly low in moisture, which puts strain on many systems within the body, including the bowel. Kibble products are 8-10% moisture, which dehydrates the bowel. When the bowel dehydrates, gut motility becomes poor, which causes constipation. Raw food is 65-75% moisture, so is a much better choice! Dry food is also typically low in fibre compared to fresh diets. Lack of fibre is another contributing factor to poor gut motility. Raw food bone content Those who feed a raw diet to their pets, will know the basic guidelines for making up a raw diet are 80% muscle meat, 10% bone, and 10% offal, plus your plant matter (if suitable for your dog), omegas and other healthy extras. Some dogs don’t tolerate the 10% bone. This could be down to genetics, or simply because the gut needs some work after an abrupt transition from the previous diet. To improve gut health, you may need to add slippery elm or marshmallow root into the regime, alongside a probiotic. For those who just cannot tolerate the 10% bone, you may wish to dilute the bone in the food using boneless raw mince, or even switch to a boneless complete, of which there are a few brands on the market. Alternatively, you can use our recipes. The calcium rich substitute for bone in such products and recipes include Bone Meal, Egg Shell, Kale and calcium-rich seaweed. Specially formulated diets will include the correct amount of specific sources of calcium, whether it be plant material, or through the aforementioned supplements, dependent on the protein source used in the recipe. Some brands tend to have slightly higher bone contents than others despite being labelled as 80-10-10. It’s always worth trying other brands if your dog starts becoming constipated. Protein choices also make a difference regarding the bone content. As an example, a common protein we see dogs constipated on, is rabbit. Rabbits have soft bones (which contain low amounts of calcium), and hard bones (like other bones typical of mammals). Because the softer bones contain less calcium, more bone is often required to hit the minimum FEDIAF guidelines for calcium content, which can cause some dogs to become constipated. If you have this issue, either dilute the bone by substituting a small amount of the raw for boneless mince, looking at changing proteins, or feeding half rabbit 80-10-10, and half other 80-10-10. Those feeding DIY raw instead of premade raw foods, may need to give a day or two of boneless meals (just the muscle meat and offal) following a bone-heavy day. Watching the dogs’ bowel movements is a great way to keep track of what the dog needs in the next meal. Ideas to help get things moving again: Add leafy greens or green beans to the meal Replace a little of the premade diet with boneless mince Add Slippery Elm or Marshmallow Root to the meal Add cooked sweet potato or pumpkin to the meal. Fibre The fibre content and type, your dog is consuming can directly affect bowel movements. First, let’s take a look at the types of dietary fibre and what they contribute to bowel movements. Soluble Fibre: this type of fibre dissolves into water. When it dissolves, a gel substance is formed. Generally speaking, having too much soluble fibre in the diet can reduce movement in the bowel and lead to constipation. Sources include apple, carrots and psyllium husk. Psyllium husk is an exception to the rule of thumb that adding soluble fibres will contribute to constipation as it binds water excess water in the gut, which helps soften stools, as well as solidify them. Insoluble fibre: this type of fibre is found mostly in vegetables, especially in leafy greens. Insoluble fibre helps bulk out stools, and aid movement through the digestive tract. Adding insoluble fibre can also be very useful in the management of anal glands. Ideas to help get things moving again: Add leafy greens or green beans to the meal Add psyllium husk to the meal Add cooked sweet potato to the meal Foreign Object Blockages It is incredibly important to have blockages ruled out by the veterinarian, especially if your dog goes for a long period without defecating, has diarrhoea while straining, is vomiting as well as constipated, is lethargic and has a loss of appetite. All, or even just some, of these symptoms may point toward a blockage, also known as an obstruction in the veterinary world. Obstructions can be anything from impacted bone to parts of toys, cooked bones, and rawhide chews (which should both always be avoided!), or other indigestible items which are unable to pass through the digestive system. The vet, in most cases, will run scans before surgically removing the item. If the item is at the lower end of the intestine, they may try an enema to release it. Very occasionally they may prescribe a glucose treatment to try to get small blockages moving. Findings here Muzzle training may be a good idea for those prone to scavenging. All damaged toys must be removed once damaged, and all dogs should be supervised when playing with toys. Medications Some medications cause constipation. If your dog is on any medications and is constipated, it’s a good idea to ask your vet what the side effects include as this could be the reason, and the dog may need to have a prescription review at the surgery. Medications prone to causing constipation include: Antihistamines (designed to reduce allergy symptoms) Diuretics (such as furosemide and spironolactone, commonly used to treat congestive heart failure. Diuretics help remove pooled fluids) Proton Pump Inhibitors/Antacids (designed to neutralise stomach acid) Iron Supplements Findings here Inflammation and
Here at My Pet Nutritionist, we deal with a huge amount of dogs with a variety of allergy symptoms. Some of our clients dogs have been diagnosed with Mast Cell Activation Syndrome (MCAS), which is an incurable disease, presented as repeated anaphylactic symptoms. What are Mast Cells? Found in the epithelial and mucosal tissues throughout the body, Mast Cells help regulate the formation of new blood cells, eliminate bacteria and parasites, and vasodilation as well as bone growth, and mineral homeostasis. Mast Cells also regulate cell function in various cell types, including: Dendritic cells Macrophages T Cells B Cells Fibroblasts Eosinophils Endothelial Cells Epithelial Cells While they’re very important parts of the body’s tissues, Mast Cells do produce and release substances which can be harmful in large quantities, including: Histamine Leukotrienes Heparin Proteases Prostanoids Cytokines Chemokines Growth factors What Does Mast Cell Activation Syndrome look like? There are a variety of symptoms associated with MCAS, including: Swelling of the body, either localised to one area, or general swelling. Nausea and vomiting Acute diarrhoea Hives Reduced/low blood pressure Difficulty breathing Difficulty swallowing Inability to stand or walk properly (may seem ‘drunk’) If any of these symptoms shows, it is imperative to seek veterinary attention immediately. If these symptoms occur regularly, then your dog may need to undergo tests for Mast Cell Activation Syndrome. What Causes Mast Cell Activation Syndrome? It is unclear what causes MCAS to develop. It is often an idiopathic condition – meaning it happens without clinical reason. As it’s a condition related to allergies and intolerances, it’s important to discover, and eliminate these triggers from the diet, to reduce the risk reaction. One study suggests a possible link to the onset of MCAS, in patients with underlying immune disorders. Findings Here How Does the Vet Test for Mast Cell Activation Syndrome? Blood tests will be carried out on your pet, to check for any elevated levels of histamines (which are released in the presence of a foreign body), tryptase (the markers of degeneration of mast cells, often produced during anaphylaxis), and prostaglandins (fatty compounds with a hormone-like effect in animals, which regulated inflammation). If one, or all of these are present in abnormally elevated amounts, a diagnosis of MCAS may be given, particularly if these episodes are regular, and any prescribed antihistamines calm symptoms down. Findings Here The veterinarian may prescribe histamine 1 and 2 blockers, mast cell inhibitors, mast cell stabilisers, NSAIDs, immune suppressants, or other pharmaceuticals, which inhibit the production of histmaines and tyrosine. One note to remember; some pharmaceuticals block DAO (Diamine Oxidase), which is the enzyme which breaks histamine down. We need histamine removed from the body as soon as possible so this is something to discuss with your veterinarian. How Can we Support the Body? Diet At My Pet Nutritionist, we are all about feeding a fresh diet, whether it be raw, or lightly cooked. Your chosen diet MUST be low histamine. Avoid fermented foods like kefir, sauerkraut, and ACV as these are high histamine, and avoid high histamine plant matter such as spinach, pumpkin, strawberry, and avocado. If making bone broth for your dog, replace the ACV with lemon juice for a lower histamine option! Read more about Mast Cell conditions, and low histamine diets here! So, why is fresh food best for those diagnosed with MCAS? Fresh food doesn’t contain unnecessary bulking ingredients, such as rice, maize/corn, other grains, legumes or nightshades. These ingredients all cause gut damage and/or are biologically inappropriate, and can be a major histamine release trigger. Fresh food is minimally processed. Ultra processed ‘dog food’ is often contaminated with glyphosate, and Advanced Glycation End-Products (AGEs), which are both damaging to the gut. It’s much easier to work on allergies and intolerances, using fresh food. This is important as we need to keep intolerances under control. Keep the Gut Healthy As with all potential allergy related issues, we need to keep the gut healthy! The gut microbiome is incredibly important to keep immunity strong, and reduce the risk of foreign particles being detected in the blood stream, having leaked from a gut with poor integrity. Any leaked particles will be targeted by histamine responses, which will increase the risk of a MCAS flare up. Some gut health supplements include slippery elm, marshmallow root, Deglycyrrhizinated Liquorice Root. These should be paired with a good probiotic. The My Pet Nutritionist Gut Guardian supplement is perfect for dogs requiring gut work! Gut Guardian Work on allergies Ensuring any potential allergies or intolerances are under control is essential! Those suffering with any Mast Cell related conditions must have their histamine levels under control at all times, to reduce the risk of a flare up. As MCAS is heavily related to anaphylaxis, it is absolutely paramount that allergens are completely eradicated from the dog’s diet, and lifestyle. In order to eradicate the allergens, an elimination diet is to be carried out, whereby one single protein is fed for numerous weeks, and is eliminated from the diet if the dog continues to worsen. Once some safe proteins are established, it’s important to stick to feeding only these proteins. Read more on elimination diets here. Supplements As well as the aforementioned gut healing supplements, there are a number of other supplements which may help support the body. CBD: mast cells have cannabinoid receptors (like most cells in the mammalian body), which when inhibited, causes their production to be downregulated. Findings Here Findings Here Findings Here Quercetin: found in various fruits, green vegetables and stinging nettles, quercetin is a natural antihistamine as it downregulates the enzyme responsible for converting histidine to histamine. Quercetin also reduces production of prostaglandins and histamines as it inhibits the cells responsible for their release. The inflammatory cytokines which cause inflammation as a large part of MCAS, are also inhibited, which decreases their production. Findings Here Findings Here Findings Here Curcumin: this is the active component of turmeric; the main anti-inflammatory part. Another fantastic benefit of curcumin is that it inhibits
Those feeding a fresh diet, whether it’s raw, or lightly cooked, will notice their pet’s meals contain offal. Offal is one of the important elements to include in your carnivorous pet’s meals. Here at My Pet Nutritionist, we wanted to highlight this element of the diet, and explain it’s importance! Is My Pet A Carnivore? Dogs and cats are both carnivorous species; however they are different types of carnivore. Cats are obligate carnivores, meaning their diet should be made purely from meat, offal and bone. Dogs are facultative carnivores, which means they predominantly eat a meat based diet, but may benefit from the addition of plant matter. Offal is essential in the diet of both cats, and dogs. What is Offal? When we speak about offal, many people may think back to their biology lesson days, or the packet of giblets and organs that comes with their Christmas turkey! These organs are offal, to some extent; but in the raw/fresh pet food world, we need to be a little more specific! In the world of pet food, when we refer to ‘offal’, we actually mean ‘secreting offal’. ‘Secreting’ means ‘produces a useful substance’; so secreting offal, is organs which produce a substance used by the body. Secreting offal includes: Liver Kidney Spleen Pancreas Testicle Brain We, humans, may think of heart, lung, and tripe as ‘offal’ – which in human terms, it is; however these are classed as muscle meat when talking about a fresh diet for pets. The heart pumps blood through the body, the lungs bring oxygen into the body and rids the body of unwanted carbon dioxide, and tripe is the lining of the stomach. None of these organs produce their own useful substance, so are not classed as offal in the raw diet. How Much Offal Do I Feed? For healthy pets, they require 10% offal in their diet. No more than 5% of this should be liver, due to it being incredibly nutrient dense – it really is a powerhouse! The rest of the raw diet should be 80% muscle meat, and 10% bone. In a fresh cooked diet, it’s important to follow a recipe balanced to FEDIAF, like ours! What is the Role of Offal in the Diet? Offal provides numerous vitamins and minerals; we will discuss what each organ provides! All offal is high in moisture, which really helps keep the dog’s kidneys from being under stress, and reduces the risk of UTIs. Each organ fed, provides benefits to the same organ within the dog’s body too! Liver offers a huge amount of fat-soluble Vitamin A, which is essential for healthy vision, healthy growth and development, and support of the immune system. Liver contains large amounts of water-soluble Vitamin B2, which is responsible for metabolism of fats, proteins and carbohydrates. Vitamin B12 is found in abundance in liver, which keeps nerve and blood cells in good condition, as well as being involved in the body’s production of DNA. As liver contains so much of these vitamin, it’s important to include in the diet, but not to feed more than 5% of the entire diet. Liver is a great source of Copper; the mineral responsible for keeping the nervous system healthy, keeping blood cells healthy, and aiding the immune system. Findings Here Kidney is a great source of the mineral, Selenium. Selenium protects cells against damage and infection, and also aids the production of DNA. Kidney contains a wide range of B vitamins, including B1, B2, B6 and B12. B6 is very important for brain function, as it controls the level of homocysteine; an amino acid associated with cognitive decline when found in large amounts. Vitamin D is found more in kidney than any other organ, and is essential for regulation of calcium and phosphate in the body, which keep bones, muscles and teeth in good condition. Findings Here Spleen contains high concentrations of iron. Iron is essential for many bodily functions, including haemoglobin production, myoglobin production, as well as production of many hormones. Vitamin B12 can be found in relatively large amounts in spleen, and is also very high in tryptophan; the amino acid which aids the sleep cycle, through regulation of serotonin and melatonin. The liver uses this amino acid for production of Vitamin B3, which is essential for DNA production. Findings Here Pancreas is one of the higher fat offal options. It doesn’t contain any particularly notifiable amounts of vitamins or minerals, but it does offer a range of very useful digestive enzymes. It may be worth considering feeding pancreas as part of a balanced diet if your dog has a sensitive stomach, and requires a little extra digestive help. One study shows replacing ‘lecithin’ in the commercial diet of a dog with lack of pancreatic function, with raw pancreas, is massively beneficial! Findings Here Testicles (yes, we said testicles! Chuckle, if you wish – we do! Some readers may wish to cross their legs when reading this section!) are a great source of vitamin B12, and are also high in protein, and very low in fat. They contain a great amount of sodium too, which is essential for health contraction and relaxation of muscles throughout the body. Chloride is also in abundance in testicles, which along with sodium, regulates the mineral uptake and hydration of the body. Findings Here Brain is a great option for your pet, though contains the same amount of fat as it does protein. Unlike any other offal, brain is a fantastic source of essential fatty acids. The Omega-3 Fatty Acid, DHA, is a natural anti-inflammatory, which is usually found in fish and raw eggs. Brain contains huge amounts of DHA, which is excellent for brain health and cognitive development. A fantastic choice for all dogs, but especially growing puppies, and senior dogs who may be prone to cognitive decline. Findings Here When is a Low Offal Diet Required? Very occasionally, some dogs may require a diet lower in offal than others; namely those requiring
