Here at My Pet Nutritionist, we help customers tackle a host of different health conditions and concerns. Some diseases our customers’ dogs come to us with are common, and simple, others are not so common, and more complex. Exocrine Pancreatic Insufficiency is one of the not-so-common examples of health concerns we have helped customers with. While it is rare, and not tested for as standard, we are beginning to see more and more cases of EPI, so this blog post will be a great educational tool for those who want to learn more about EPI, as well as those who’s pet has been diagnosed with it. What is EPI? EPI, as its commonly called, is shortened from Exocrine Pancreatic Insufficiency. ‘Exocrine’ is the system to do with the body’s enzymes. The pancreas is an important part of the digestive system, and also an important part of the exocrine and endocrine systems. The pancreas is an organ, located in the right side of the abdomen, close to your dog’s stomach. There are two parts to the pancreas – the exocrine pancreas and the endocrine pancreas. The endocrine pancreas releases the hormone, Insulin, which controls blood sugar levels. The exocrine pancreas releases enzymes responsible for food digestion, particularly the macronutrient, protein. In those suffering with EPI, the pancreas is unable to produce enough of these enzymes, which leads to major malnutrition, unless treated daily. EPI is an incurable disease, and requires daily management to keep symptoms at bay. Findings Here Symptoms of EPI There are a number of symptoms associated with Exocrine Pancreatic Insufficiency. Many of these symptoms are common symptoms of other health conditions, which makes diagnosis of EPI quite tricky, but the symptoms can be severe, and in some cases life threatening. Here’s some of the main symptoms you could expect from a dog suffering with EPI include: Rapid weight loss Lack of ability to put weight on Insatiable appetite Chronic diarrhoea Mucus in the stool Vomiting Lethargy/fatigue If your dog has a number of these symptoms, it is extremely important you have your dog assessed by a veterinarian, as EPI dogs can go downhill very quickly. Findings Here Diagnosis of EPI Exocrine Pancreatic Insufficiency is rarely routinely tested for upon first signs of symptoms, and is regularly misdiagnosed. As the disease is quite rare, and little is taught about it in initial veterinary qualifications, dog owners who suspect this disease often have to specifically request for testing for EPI in their initial consultations. So how is EPI diagnosed? There are two tests carried out in those with suspected EPI. A fasted blood test, and a faecal test. Once the sample has been taken, the test used is called a Canine Trypsinogen-like Immunoassay (or cTLI for short!). For this test, pets must be starved for a minimum of 6 hours – this is usually best done overnight. Trypsinogen is a non-activated enzyme; known as a proenzyme. The pancreas of healthy individuals secretes Trypsinogen into the small intestine with other enzymes in the mix, where it converts to Trypsin – the activated form, which is used to digest proteins. It is very much normal for Trypsinogen to be detected in blood tests of healthy animals, because a little Trypsinogen leaks into the blood stream where it is circulated around the body. How do cTLI results differ for those with EPI? The results from a cTLI of a dog with EPI will show as low to no Trypsinogen when analysed. This is because those suffering with EPI have a reduced functionality of the pancreatic tissues, resulting in less Trypsinogen being secreted into the intestine, and therefore less leaking into the bloodstream, if any. Findings Here Another blood test is usually carried out in cases where EPI is suspected, to test for levels of Vitamin B9 (Folate) and Vitamin B12 (Cobalamin). While these vitamins aren’t directly related to the pancreas, they can easily be affected by a poorly functioning pancreas due to the affect EPI has on the microbiome of the gut. Blood serum analysis for Vitamin B12 will be low, as EPI can lead to B12 deficiency, whereas serum analyses for Folate will usually come back in excess. You can read more about high Folate and it’s relationship with low Vitamin B12, and how these are affected by the pancreas in our blog here. Findings Here Let’s move onto the faecal testing side of EPI diagnosis. The test carried out is called a Faecal Elastase Test. This test is for another of the pancreatic enzymes used during digestion, called Elastase. As with all enzymes, Elastase performs a specific job – it’s role in digestion is to help break down fats, carbohydrates and proteins, for use by the body for energy, growth, and cell maintenance. Healthy individuals with a well functioning pancreas will have elastase in their stools, however those with EPI will not produce as much elastase due to damaged pancreatic tissues, so elastase would be lacking in faecal samples. Findings Here Causes of EPI There are various reasons a dog may have EPI – it can be congenital (present from birth), hereditary (genetically inherited), or acquired (through trauma or disease). Congenital and hereditary causes are self-explanatory – it’s important to source puppies from health tested breeding pairs, with no history of EPI in their immediate or extended genetic lines. If you are opening up your heart and home to a rescue dog, there is a small chance of congenital or hereditary EPI, as you don’t know the history of the dog’s genetic lineage, however it is a rare disease, so it wouldn’t be on the forefront of our minds when considering a rescue dog. Should you experience the symptoms listed in this blog post, hopefully our guide will help you and your rescue dog should the need arise. As with many diseases we write about here at My Pet Nutritionist, there are some breeds which are genetically predisposed to EPI, including: West Highland White Terriers German Shepherds Akitas Border
Malabsorption is something we see fairly frequently in dogs here at My Pet Nutritionist. It can be quite scary for pet owners to witness, but there may be some things we can recommend to help these pets. This blog post will explain what malabsorption is, what causes it, and how you can support the body through diet and supplements. What is Malabsorption? Malabsorption is a condition that affects the patient’s ability to efficiently absorb nutrients from food sources. The dog may be consuming a perfectly balanced diet, but still unable to benefit from the nutrition it provides. This is down to underlying problems between the small intestine, and the pancreas; these underlying problems can be a multitude of ailments, so further investigation into potential underlying issues is paramount and working with your veterinarian to discover these, is important. Regular visitors to our blog, may notice we often list breeds who are commonly predisposed to each condition we talk about, however when it comes to malabsorption, there is no specific breed predisposed. This is down to the fact that different breeds will be predisposed to different underlying conditions, and it very much depends on the condition diagnosed, which is causing the malabsorption. Symptoms of Malabsorption There are a variety of symptoms you may notice if your dog has malabsorption. Here are some of them: Pica (consumption of unusual/inedible items) Weight loss, often rapid Lethargy and fatigue Insatiable appetite/extreme hunger Loose stools and gurgling stomach Flactulance Nausea and vomiting Reduced coat condition If these symptoms are present in your dog, please seek veterinary advice as soon as possible as investigations are the important first step in helping your dog with malabsorption. Findings Here Causes of Malabsorption There are many underlying conditions which could lead to malabsorption. We will go through some of these, and give a brief description of each one. You may wish to take this article with you to your veterinary appointment as some of the conditions are not routinely tested for. Inflammatory Bowel Disease (IBD) Inflammatory Bowel Disease is something we talk about, and see a lot here at My Pet Nutritionist. It seems to be very common in lots of dogs who have poor gut health. Those with IBD have inflamed bowels due to the penetration of cytokines and inflammatory cells to the gut and stomach, causing an abnormal immune response. This then has an effect on the lymphatic system, which in severe cases causes Lymphoplasmacytic Gastritis. When the digestive system is inflamed, nutrient absorption becomes very difficult, causing malabsorption. You can read more about severe IBD here. Findings Here Small Intestinal Bacterial Overgrowth (SIBO) We see a lot of patients with SIBO. Those suffering with bacterial overgrowth in the small intestine will often suffer with malabsorption. This major imbalance in the microbiome means that some bad bacteria out-competes the good bacteria required as part of a health microbiome. The bad bacteria, of which there are too many in those with SIBO, often release toxins, and massively interfere with the absorption of nutrients. Findings Here Findings Here Intestinal Blockage Blockages of the intestine are a very common cause of malabsorption. These often go unnoticed, especially if owners don’t realise their dog has swallowed something undigestible, or if the dog is unable to tolerate bone as part of their raw diet. When the bowel is obstructed, food is unable to pass through the intestine, and therefore nutrients are not absorbed from the food, leading to severe weight loss, as part of malabsorption. Blockages causing malabsorption require surgery for removal. Findings Here Exocrine Pancreatic Insufficiency (EPI) This disease is a severe one, and is often not checked for routinely by veterinarians. It may be something to bring up with your vet during your appointment, as though its relatively rare, we are starting to see a few more cases here and there. Your vet may need to do some reading up on it before advising. EPI is occurs due to the pancreas producing less digestive enzymes than needed. Because there is a deficiency in digestive enzymes, foods consumed are not appropriately digested, and therefore nutrients are not absorbed, causing rapid weight loss, large volumes of poor stools, pica, and a variety of other symptoms of malabsorption. This condition is not curable, and dogs diagnosed with it will require regular veterinary check ups, and daily enzyme supplements. Findings Here Findings Here Parasitic Burdens Parasites are another fairly common cause of malabsorption because the parasites compromise the health of the gut, and also syphon nutrients for themselves. Severe infestations of intestinal parasites, or severe cases of giardiasis (where cysts form on the gut following infection from the protozoan parasite Giardia) can lead to malabsorption and severe malnutrition, causing many of the symptoms listed above. It is important to send a faecal sample to a faecal testing laboratory on a regular basis, preferably every 12 weeks, to catch any worm eggs or juvenile worms before large infestations are able to occur. Regular natural worm prevention is also essential for those who tolerate it. You can learn more about natural pest control in our blog here. Findings Here Food Sensitivities Food sensitivities are probably the most common ailments in our customer’s dogs. We deal with a huge number of dogs with food sensitivities, many of which have weight loss as a symptom. Food intolerances are generally coupled with poor gut health, especially cases linked to Leaky Gut Syndrome, whereby the integrity of the gut wall is compromised. When the gut is in bad condition, the microbiome becomes unbalanced, making nutrient absorption tricky. Findings Here Intestinal Growths and Tumours Much like those with an intestinal blockage due to consumption of inedible items, growths and tumours in the intestinal tract are a blockage risk. When these growths or tumours develop and grow, they can create a total blockage of the intestine, which stops nutrients from being absorbed efficiently. While these can be removed by surgery in many cases, some require part of the bowel to removed
Here at My Pet Nutritionist, Liver Disease is something we help pet parents with quite often. The prospect of living with a dog with liver disease can be a daunting one. But we are here to help put your mind at ease, with this handy blog post packed full of useful hints and tips to supporting your pet’s liver, naturally. The Role of the Liver The liver is an extremely important organ in the body. It plays many roles in the overall health of the pet, including digestion, nutrient absorption, metabolism, detoxification, immunity, and endocrinologically. These roles, all link with one another, much like a large ‘loop’ of bodily functions dependent on the liver. Metabolically, the liver detoxifies fats from the body, and is also involved in the conversion of thyroid hormone 3 to thyroid hormone 4, which we can also look at from an endocrinology point of view. When looking deeper into the liver’s role in detoxification, we see that not only does it detoxify the body of excess fatty acids, but also of drugs, steroidal hormones, environmental toxins, and ammonia (as it helps the formation of urea). In terms of nutrients absorption and storage, the liver is involved in the storage of glycogen, which controls blood sugar levels, and also plays a role in the storage and absorption of Vitamins A, B12, D, E and K, as well as minerals such as iron, magnesium, zinc, and copper. If we look at what the liver produces, we see is produces cholesterol, which is an important precursor to vitamin D synthesis, and production of sex hormones, and it also produces bile, which is used for digestion of food, and also helps keep the gut free from unwanted microbes. Looking at hormone production, the liver produces and secretes four main hormones, or precursors for production of other important hormones. These are: Somatomedin (insulin-like growth factor, essential for regulation of growth of bones and tissues in the body) Angiotensinogen (involved in the regulation of blood pressure and balance of fluid) Thrombopoietin (used by the body to stimulate blood platelet development) Hepcidin (used to block the ability of cells releasing iron, which in turn regulates iron homeostasis in the body) Findings Here Findings Here Findings Here Findings Here Finally, the liver is largely involved in the synthesis of some of the body’s most important proteins, such as: Prothrombin (used in blood clotting) Albumin (plasma protein responsible for controlling the flow of fluids through the capillaries, known as Oncotic Pressure) Globulins (used in immune function) Ceruloplasmin (enables healthy absorption of dietary copper) Lipoproteins (used to transport cholesterol in the body) Findings Here Findings Here Findings Here Findings Here Findings Here What is Liver Disease? Liver disease can be any form of problem with your dog’s liver. Generally speaking, most liver problems in dogs start with an enlarged or swollen liver. Due to the strain on the liver when it is inflamed, liver cells begin to die off, while being replaced by scar tissues – tissues that form after trauma, and can be obstructive if they become too thick. The presence of scar tissues in the liver, cause the structure, texture and appearance of the liver to change. It tends to become firmer – the scientific name for this, is cirrhosis. Cirrhosis is not reversible, and can be a death sentence for the dog, as the liver fails. There can be many triggers and causes of liver disease in pets, including use of some drugs such as selected pest treatments, onset of hepatitis (chronic swelling of the liver), cancer, environmental toxins, infection or sepsis, congenital issues, and even autoimmune disease. Symptoms of liver disease include: Lack of appetite Blood in vomit due to stomach ulceration Jaundice (yellowing of skin, eyes and mucous membranes) Fluid build-up in the abdomen/bloat Excessive urination (polyuria) Excessive water consumption (polydipsia) Diarrhoea Fever Neurologic symptoms Issues with blood clotting There are some changes to diet and lifestyle we can make to help those with liver disease – let’s find out about these! Liver Guard Supporting the Liver Gut Health Gut health may seem like an odd connection to liver disease, however the two can certainly be linked! There’s a group of systems, or axes, which link the gut with the rest of the body, acting as a sort of ‘roundabout’ for the microbiome. You may have heard us mentioning the HPA Axis, the Gut-Brain Axis, and the Gut-Skin Axis; well, the Gut-Liver Axis is another! The main vein involved in the interactions between the gut and the liver, is called the Portal Vein. This is a two way path, through which products derived from the gut are transported directly the liver, and bile, and other liver secretions are transported directly back to the gut to be used in digestion. As the gut microbiome is so incredibly important for prevention, and management of nearly all health conditions, a healthy gut is ever so important. Healthy microbial communities in the gut, make for healthy gut-liver axis homeostasis. Having an unhealthy or unbalanced gut microbiome can lead to exposure to microbes which are pro-inflammatory, causing liver inflammation, and consequently, liver disease. Findings Here To keep the gut healthy, we can tweak the diet, and add supplements – which we will discuss next! Diet As ever, when the body is under inflammatory stress, or has any disease, we need to look at tweaking the diet, to ensure the pet is being fed the most biologically appropriate diet, with the correct nutrition to nurture the body depending on the specific health condition(s) the pet may be facing. A fresh diet would be most suitable, whether that’s raw or cooked. Many dogs suffering with liver problems, may do better on a cooked food instead of raw, but many do just as well on raw! Now, when it comes to different liver conditions, there is no one-recipe-fits-all. Those with liver shunts for example, we would recommend sought advice from one of our team, so we can provide
A question commonly asked by owners, here at My Pet Nutritionist, is ‘how can I boost my dog’s immunity?’, or ‘how do I strengthen my dog’s immune system?’. Well, we’re here to give you some helpful tips on how to strengthen your dog’s immune system – you may be surprised with some of the topics covered, but hopefully you will understand the concepts in this detailed blog post. A healthy immune system is the difference between overall health, and disease, and in many cases, the difference between life or death! We strive to keep our own immune systems strong, and our pets deserve just as much strength in their immune system – they are outside, low to the ground, sniffing public areas barefoot much of the time, after all! The Immune System There are various parts to the immune system as a whole. Generally speaking, when an owner wants to ‘boost the immune system’, it’s the Adaptive (or Acquired) Immune System in question – the immunity gained following seroconversion of vaccinations. Here’s a bit about the Adaptive Immune System, which can be split into two mechanisms: Humoral (antibody mediated) immunity primarily involves B-Lymphocytes. During a humoral immune response, when an antigen is detected, with the help of T Helper Lymphocytes, the B Cells go through a differentiation process, which produces Memory B Cells and Effector B Cells, which are both specific to the B Cell they were differentiated from, and therefore are specifically shaped to combat a specific antigen/pathogen. This is the most common immune response, especially following successful vaccination. Titre Tests pick up these antibodies. Cellular, or cell-mediated immunity involves another type of cell – T-Cells. When T-Cells differentiate, they become T-Killer Cells which attach to and engulf antigens. Allergic responses and autoimmune conditions are part of the cell-mediated adaptive immune system. There are other parts to the overall immune system of a dog, or any other mammal, too. Let’s take a brief look at what these are, and how they differ from the Adaptive Immune System. Active Immunity: this is what is happening when the dog is exposed to a pathogen. The active immune system is the fastest acting system and is the body’s first response to the presence of a pathogen. In the presence of a pathogen, the B-Lymphocytes create and release antibodies. Passive Immunity: this is the immunity passed on to an individual instead of being created by their body. In dogs we call this Maternally Derived Antibodies (MDA). MDA is passed onto the puppies from the mother and is vital to health in the early weeks. It usually wanes between 10 and 16 weeks of age, unless interrupted by vaccination. MDA is passed onto the puppies through the placenta, and through the mothers milk. If a puppy is hand reared, he/she may require extra caution than those who drink mothers milk. Innate (also called non-specific) Immunity: this includes the immunity and defence systems your dog is born with. Barriers like skin, the gastro-intestinal tract, eyelashes etc all help keep pathogens out of the body which is why gut health is so very important – at least 70% of your immune system is in the gut! Defence systems like mucosal layers, saliva, stomach acid etc are also part of the innate immune system. Another immune response included as part of the innate immune system is inflammation – this often acts as a marker to pathogens so they can be destroyed. There are various day-to-day aspects of life, including diet and lifestyle which can affect your dog’s immune capabilities, so let’s dig deeper into these. How Gut Health Affects the Immune System It is becoming more widely known, that 70-80% of the immune system lays in the gut – quite a staggering figure! The all important gut microbiome is naturally perfectly balanced – there are ‘good guys’ and ‘bad guys’ that all make up a healthy gut microbiome, but there’s enough of the ‘good guys’ to keep the ‘bad guys’ under control. When the gut is not healthy, the microbiome is knocked out of balance, and the ‘bad guys’ are able to take over, causing disease within the body. There are various substances, and other triggers such as stress, which cause damage to the gut wall, too. When the gut wall is damaged, the gut microbiome is again, knocked out of balance as it is leaked from the gut (known as Leaky Gut). When the gut is leaking, the immune system is left very vulnerable, so it’s imperative to keep the gut healthy at all times – and if it’s not healthy, focus on getting it healthy! The vast majority of systems in the body are connected to the gut very much like a roundabout. These connections are called axis and there are many, for example, the gut-brain axis, the gut-musculoskeletal axis, the gut-liver axis, and the gut-skin axis. The microbiome communicates with this organ systems by creating messengers and metabolites such as probiotics in order to help support function. This is an emerging area of immunity that science is newly delving into. We will delve into some gut health supplements later on in this blog post. Findings Here Findings Here Gut Guardian How Diet Affects the Immune System The diet plays a large role in gut and immune health. Commercial dry food diets being overly processed do not have the live capacity to nourish the gut microbiome like fresh foods do. Moisture in food is incredibly important for all mammalian species, and dogs are no different. Dry food generally has 6-10% moisture; making it dehydrating to the intestinal tract. We know there are some wondrous foods to feed our dogs to support immunity. Fresh in raw or cooked form is always advisable but there are certain ingredients that we favour as they hold great healing and supportive capabilities. We have a fantastic blog explaining the ingredients we tend to favour, which can be found here. When we look at ingredients, both in kibble and in
Graves Disease is an autoimmune disease involving the endocrine (hormone) system, specifically the thyroid, which we see from time to time here at My Pet Nutritionist. It can be a worrisome diagnosis for any pet owner, and it’s important that owners of pets with Graves Disease understand what it is, and how they can tailor their pet’s diet and lifestyle to keep on top of symptoms; which ultimately extends their pet’s comfort. That’s where we come in, to provide you our Ultimate Guide to Graves Disease in Pets. What is Graves Disease? Graves Disease is the non-clinical, or common, name for autoimmune Hyperthyroidism. You may have heard about Hypothyroidism quite regularly on social media and other platforms where pet owners connect, particularly on dog based platforms; but you may not have seen much discussion on Hyperthyroidism. Graves Disease is rare, but possible, in dogs but tends to be more of a frequent trouble for our feline companions. It can be found in us humans, too! So what exactly is Graves Disease? What happens when your pet has it? If you want the short answer, the thyroid gland in your pet is overactive – it’s working over time! We feel it’s important to understand more about it though, so read on! Graves Disease is an autoimmune condition. Autoimmunity tends to occur due to a damaged immune system, or in individuals with a genetically compromised immune system. The body essentially attacks itself, as it recognises various proteins and other substances in the body, as foreign. The thyroid is a gland which produces various hormones, essential for a healthy life. The hormones produced and secreted by the thyroid are called triiodothyronine (T3), and thyroxine (T4) – these help regulate the body’s metabolic rate. When there is a deficiency in these hormones, important bodily processes slow down, which causes a host of health issues. Now, when these hormones are too abundant, effects on the body can be equally as disruptive. We will discuss symptoms next. Symptoms of Graves Disease There are various symptoms of Graves Disease which you may notice in your cat or dog. Let’s take a look at some of the main symptoms: Weight loss, often rapid Diarrhoea Nausea/vomiting Swelling of the neck and face Increased urination Increased drinking Increased appetite Difficulty swallowing Shortness of breath and increases heart rate Change in pitch of bark Reduced eyesight capabilities Behavioural changes, including anxiety depression, and/or hyperactivity. Causes of Graves Disease The cause of Graves Disease is very much unknown. There is very little research into the causes of Graves Disease. It is often describes as ‘idiopathic’, meaning there’s no known cause. Some studies suggest that one known cause of Graves Disease in dogs (though rare) is as a result of a rapidly spreading cancer, called thyroid carcinoma. In cats, some cases of Graves Disease are secondary to a non-cancerous tumour forming on the thyroid gland called Adenomas. Like in dogs, in rare occasions, malignant tumours known as adenocarcinomas can cause the development of Graves Disease by causing the over production of hormones. It is possible that deficiencies in the diet may contribute to onset of Hyperthyroidism, as well as exposure to chemicals and toxins absorbed by the body, including flea and tick products which are toxins, and end up in the bloodstream, which disrupts the normal functioning of the thyroid. Diagnosing Graves Disease The first step in a diagnosis of Graves Disease, is a physical examination of the neck area of your pet. The purpose of this, is to feel for an enlarged thyroid gland. Secondly, the vet will take a blood sample to test for hormone levels in the blood. If the reading comes back with a value higher than the ideal’ threshold for each hormone, it’s very likely your pet has Graves Disease. If the T3 readings are high, but the T4 readings are ideal, more tests may be required, which would be discussed with the vet. These tests may include further bloodwork, and a urinalysis, which will show potential secondary defects to the heart and kidneys. As the thyroid is involved hormonally with the vast majority of the body’s organs, imperfect bloodwork in relation to other organs, could help show a problem with the thyroid. Conventional Treatments As always, here at My Pet Nutritionist, we like owners to be able to make an informed choice with their dog’s health, and encourage the use of conventional treatments where necessary in life potentially endangering situations, and situations where quality of life becomes the biggest importance. This is of course, alongside as much natural support as possible, and feeding a fresh, therapeutic diet. More on this later – let’s take a look at the conventional treatments your veterinarian may offer. There are various approaches which may be taken. As carcinomas are one of the most common, treatable reasons a dog or cat may have Hyperthyroidism, most are based around treating the cancer. Radioactive Iodine Therapy Radioactive Iodine Therapy is fairly common in practices which offer it as a treatment. The radioactive iodine is injected into the bloodstream, which makes its way to the thyroid gland. The thyroid gland takes the iodine up, causing radiation to be emitted. The emitted radiation then destroys any cancerous tissues around the thyroid, but does not cause any damage further afield. This treatment often results in normal levels of hormone production within mere weeks of the injection, making it extremely effective in curing hyperthyroidism. This treatment option has to be undertaken in a specialist veterinary hospital with licencing to carry and use radioactive substances. The pet must also be kept in the surgery until their levels of radiation are safe for handling. Findings Here Findings Here Medication Some drugs may be offered, to inhibit the production and release of hormones from the thyroid. As the thyroid is overactive, slowing it down is imperative to managing Graves Disease. This method will not cure, but can support the pet in reducing flare ups and secondary health implications. Being the
Here at My Pet Nutritionist, we deal with a huge amount of dogs with skin complaints. One of the skin complaints we see fairly often is Furunculosis. As a recurring skin infection, there are things we can do to support the body; read on to find out how we can help. What is Furunculosis? Furunculosis is a deeply embedded infection of the skin, or deep rooted inflammation of the skin. it is a bacterial infection of the skin and soft tissues, and emanates from the around, and inside the base of hair follicles, reaching through the dermis, and into the subcutaneous layers of the skin (the layers just beneath the skin’s surface). Findings Here Furunculosis clinically presents as small, often pus-filled boils on, or just under the skin. There are a few types of furunculosis you may have seen mentioned in your time as a dog owner, so let’s take a look at the common ones! Anal Furunculosis What is it? Probably one of the most common types of furunculosis mentioned by dog owners, is Anal Furunculosis. As per it’s name, this is where hair follicles around the anus become infected, and chronically inflamed. Another name for Anal Furunculosis is Perianal Fistula. This is an extremely painful type of furunculosis, as well as being one of the most difficult to treat, and stop from recurring. Findings Here Causes Evidence suggests it’s an immune mediated disease, as there is a strong genetic association with one specific allele, and tests show upregulated cytokine expression causing T-cell infiltration. It also tends to mostly affect middle aged dogs. Findings Here Findings Here A zinc deficiency could contribute to the onset of furunculosis too; zinc deficiencies usually present clinically in the form of a variety of skin issues. Findings Here Genetic predisposition is a common cause of anal furunclulosis, including the following breeds: German Shepherd (most common predisposition) Beagle Labrador Various Bulldog breeds Old English Sheepdog Australian Shepherd Staffordshire Bull Terrier Findings Here Symptoms There are various symptoms of anal furunculosis, but many are similar to general anal gland troubles, and not obvious until the infected boils begin to show. Some signs and symptoms include: Scooting Licking/nibbling around the anus and base of the tail Change in posture Difficulty passing faeces Bloodied stool (bright red) Lethargy Potential weight loss Interdigital Furunculosis What is it? Many of our readers will likely have seen ‘interdigital cysts’ mentioned by other dog owners – these are incredibly common in our domestic dogs. ‘Interdigital cyst’ is the somewhat shorter, almost self-explanatory term for Interdigital Furunculosis. Interdigital means ‘between the digits’ – no, not number in this sense; but the toes. Inflamed and infected boils/cysts appear between the toes, causing pain and annoyance to the dog, due to infection showing outwardly, from the hair follicles in the area. Findings Here Causes Most causes of Interdigital Furunculosis are down to trauma to hair follicles present between the toes. A variety of things can cause this, which we will discuss below, but first, we will take a look at some other potential causes of interdigital cysts. Endocrine diseases such as Cushing’s Disease and hypothyroidism can contribute to problems internally with the hair follicles around the toes. Bacterial and fungal infections in the foot areas, including yeast (for which you can read more about in our blog here), and various strains of Staphylococcus infection, can cause the onset of furunculosis in between the toes. Now on to the trauma related causes! Paw licking is a huge risk factor for hair follicle trauma between the toes. Paw licking can be caused by food sensitivities, anxiety, pain in the area, or even due to compulsive neurological disorders. Foreign bodies like the dreaded grass seed may also cause both paw licking, and generalised inflammation of the toe area, and therefore increase the risk of interdigital furunculosis. The root cause of any paw licking must be found and treated as a matter of importance! The length of a dog’s paw hair can also cause trauma to the hair follicles. When the dog walks on his or her feet, the hair between the toes may rub, which causes skin inflammation, and leaves the hair follicles vulnerable to infection. Those with longer fur between the toes, may be at a much lower risk of hair follicle damage, as the fur helps protect the follicles. Dog breeds at a greater risk of interdigital irritation due to their shorter coat length include: Various Bulldog breeds Basset Hound Staffordshire Bull Terrier Pug Great Dane Boxer Boston Terrier Beagle The shape of the dog’s foot can also have bearing on it’s potential for the onset of Interdigital Furunculosis. Those with wider gaps between their toes leave the skin in between their toes open to irritation by the environment. Those who are overweight are also more likely to have poor paw conformation whereby their toes spread, causing potential for irritation of the interdigital hair follicles. Findings Here Symptoms Early signs of Interdigital Furunculosis are a little easier to spot than Anal Furunculosis. Generally, the area will become red to start with, and slight swelling may become apparent. In cases where a foreign body is present, oozing of the area may occur. This needs veterinary treatment right away. The dog will usually lick, nibble and or favour the paw(s) affected, which is a very strong sign of a paw ailment. Once fully established, the Interdigital Furunculosis will present as a large swelling between the toes, usually warm or hot to touch, and very red in colour. It can be a shiny texture on it’s surface too, due to the swelling of a specific hair follicle, and lack of fur on it. Findings Here General Furunculosis After Grooming What is it? While there’s generally no single reason for the onset of both Anal and Interdigital Furunculosis, generalized post-grooming Furunculosis has a clear trigger, and usually crops up 24-48 hours after a dog has been groomed. It can establish in any part of the body, particularly in
Here at My Pet Nutritionist, we see many dogs with severe gastritis. There are so many types of gastritis, and Lymphoplasmacytic, or Lymphocytic-plasmacytic, Gastritis is one of the common types of gastritis we see. It’s quite a mouthful of a word, so hopefully this blog should simplify it, and give our readers a deeper understanding of the condition, and how we can help through food, lifestyle changes, and supplementation. What Is Lymphoplasmacytic Gastritis? Don’t let the length of the word scare you – you may not have heard of Lymphoplasmacytic Gastritis before, but it’s likely you have heard of IBD; Inflammatory Bowel Disease. Lymphoplasmacytic Gastritis is a chronic form of IBD, whereby inflammatory cells and cytokines (the substance which stimulates inflammation of cells) penetrate the stomach and intestinal lining. As you can imagine, when inflammatory cells enter the digestive system, it causes havoc! The inflammatory cells invade the stomach and intestinal lining due to having been subject to an abnormal immune response. There is a huge link to the lymphatic system in the gut too; which means a knock on effect to the rest of the body is very likely. This is where the name ‘Lymphoplasmacytic’ comes from – the link with the lymphatic system. Lymphoplasmacytic Gastritis happens most commonly in older dogs, but has been known in dogs as young as 8 months old. There are a number of conditions which have very similar symptoms to Lymphoplasmacytic Gastritis, including Giardia, a protozoan parasite we see regularly, Salmonella poisoning, Pancreatitis, and Small Intestinal Bacterial Overgrowth (SIBO) which we also see frequently. A more severe health condition with similar symptoms is Lymphocytic Gastritis-Like T Cell Lymphoma. These similarities make diagnosis a little tricky. Findings Here Findings Here Findings Here Symptoms of Lymphoplasmacytic Gastritis This leads us nicely on to spotting the signs and symptoms of Lymphoplasmacytic Gastritis. There are a variety of symptoms of Lymphoplasmacytic Gastritis, which are as follows: Infrequent flares to start, gradually becoming more frequent as time goes on Chronic diarrhoea Nausea and Vomiting Bloody vomit Loss of appetite Weight loss Abdominal swelling Dark, bloody stool Coughing up blood Lethargy Some dogs may struggle to breathe Diagnosing Lymphoplasmacytic Gastritis As with any symptomatic patient, it’s incredibly important to visit your veterinary surgery, and have a consultation with your veterinarian in order to properly diagnose the condition and work out your next plan of action. Your vet will take a sample of blood in order to run a full blood panel to look for potential issues with your dog’s blood values. The blood values are commonly within normal ranges for dogs suffering with this condition, but some are slightly anaemic, or have lower than normal levels of proteins in the blood. A test for pancreatic function may be carried out to rule out the possibility of pancreatitis, and Vitamin B12 and Folate levels may be tested; this checks the intestines ability to absorb efficiently. You can read more on folate and B12 levels in our blog here! The final, and possibly most helpful step in diagnosis of Lymphoplasmacytic Gastritis, is scanning. While standard x-rays tend to look ‘normal’, ultrasounds will show inflammation in the bowel area, and are often the key to diagnosis. Some vets may carry out a Barium radiograph, which is more useful than a standard x-ray, but not preferable to an ultrasound. For definite confirmation of Lymphoplasmacytic Gastritis, a biopsy will be taken. Findings Here What Causes Lymphoplasmacytic Gastritis? There are various causes of Lymphoplasmacytic Gastritis. Let’s take a look at them! Breed predisposition: some breeds are genetically predisposed to the condition. These include the cocker spaniel, basenji, shar pei, German shepherd, Yorkshire terrier and wheaton terrier. Food sensitivities: always a big topic here at MPN, food intolerances and allergies can be a huge factor for the development of Lymphoplasmacytic gastritis. SIBO (Small Intestinal Bacterial Overgrowth): bacterial overgrowth damages the gut, which in turn leads to inflammation Parasites: parasitic infection can lead to major inflammation in the gut and bowel. Bacterial infection: having a bacterial infection causes an imbalance in the gut microbiome, which has a huge knock on effect within the body. Inflammation is a major issue caused by this. Findings Here Findings Here Conventional Treatments Of course, there will be pharmaceutical approaches your vet may offer. Once independently researching these, you may wish to proceed, but you may wish to support the body naturally. We cannot sway your opinion either way, so it’s important to listen to your veterinarian, and fully research recommendations, particularly longer term recommendations. It’s likely your vet will prescribe a binding medication, which helps bind the contents of the bowel – these pastes usually contain a beneficial clay called Kaolin, and a probiotic to help repopulate the gut. Anti-nausea medication may be essential in the initial recovery of your dog, to enable the dog to stop vomiting, and hopefully encourage eating. As your dog will likely be dehydrated due to the chronic diarrhoea and vomiting they will likely suffer, it will be important to rehydrate through intravenous fluids. IV fluids will be carried out at the veterinary practise. To help the initial recovery, your vet may also prescribe antibiotics in case of infection, steroids to help reduce inflammation in an effective and timely manner, and diuretic medication to reduce the amount of excess fluids in the body. After the first round of medication, your dog will be reassessed, and further treatment decided upon, if necessary. Your vet may offer an antiparasitic medication at this point, however we would advice a full faecal panel first, as there’s no point treating something that is not there! Your vet may discuss dietary changes to help reduce the risk of reoccurrence, and this is where we can help! Findings Here Findings Here Supporting the Body Naturally So how can we support the body naturally, to keep on top of Lymphoplasmacytic Gastritis? Diet Diet plays a large role in supporting the body. As always, fresh food is most suitable for those with Lymphoplasmacytic Gastritis.
Yeast is a problem we see very often here at My Pet Nutritionist. Owners often feel they have run out of options with regards to treating the yeast, so this guide has been made with the goal of helping you overcome yeast; you may just see something missing from your routine which could be the missing piece for success! What Is Yeast? Yeast, as we commonly call it, comes in two forms – Candida; a fungal pathogen, and Malassezia; a skin based hydrophobic yeast. Candida makes up a small portion of a healthy gut microbiome, and is naturally found in the gut, and genital tract. While candida is a very normal part of a healthy gut, if the gut is not kept in tip top condition, it can cause problems. In the healthy gut microbiome, there are good bacteria, and there are bad bacteria. The good bacteria keep the levels of bad bacteria in check, which means the bad bacteria aren’t able to wreak havoc! When the gut is impaired the opportunistic fungal pathogen, candida will take hold, and grow. Now we have too much of the ‘bad guys’ and not enough of the good bacteria to fight it off, and so candida takes over! Once candida has taken over, and the gut is not healed, we start to see the typical yeast symptoms in our pets. Malassezia often happens as a result of environmental allergies, as the skin barrier is damaged, allowing for the formation of yeast on the skin. Much like inside the gut, the skin has it’s own microbiome, in which the bad pathogens are kept in check by the good. When the good pathogens diminish, the bad ones are able to take over! This is something we see in a vast amount of customers who come to us with a dog with environmental allergies. Symptoms include: Rusty colour, mainly between toes and paw pads, ears, under the tail, and around the groin and armpit areas. It can occur in other places too, but these moister areas are prime location for it! Repetitive paw licking Licking under the tail area Ear scratching and head shaking Excessively rubbing face and body on walls and furniture Hair loss An unmistakable odour; much like a damp, cheesy smell, or popcorn-like smell Sometimes discharge is apparent in yeast cases More Information on yeast can be found here. Let’s take a look at how we can help our dogs battle Candida and Malassezia! Battling Yeast When dealing with yeast, there are many contributing lifestyle and nutrition factors, which may need to be tweaked a little, or added to combat the pathogens, and repair both the gut barrier, and the skin barrier. Diet As always, here at My Pet Nutritionist, we are very fresh food forward. Feeding a dog with yeast is no different – one of the main steps to battling yeast, is cutting out dry food as much as possible. A fresh, balanced diet would be your best option whether it’s raw, or homecooked using one of our balanced recipes. Why does diet matter for those suffering from yeast? Let’s take a look at the composition and manufacturing process of dry foods, first and foremost. Kibble is high in carbohydrates: generally speaking, most kibbles are between a whopping 30 and 70% carbohydrates! Carbohydrates are sugars – a fantastic food source for yeast! The canine body struggles to digest carbohydrates often found dry foods, which causes gut inflammation. Kibble is ultra processed: excessive processing causes the food to become inflammatory. When the gut becomes inflamed, damage occurs, which leaves the microbiome vulnerable, and causes imbalances as the bad microbes out compete the good microbes. Advanced Glycation End Products (AGEs) are produced during high heat manufacturing and extrusion of dry foods. AGEs not only speed up the ageing process, but they have many other health disadvantages too, one being that they expand the life of yeast. We need to cut out products which produce AGEs when we are battling yeast! Findings Here Why can fresh feeding help combat yeast? You can tweak the diet to ensure there’s no starchy carbohydrates. Less ‘food’ for the yeast! It’s much easier on the gut, as it’s highly digestible! This means less gut damage and less inflammation. There’s no high temperatures or vigorous processing involved, meaning no AGEs form! What do we need to include in a fresh diet for yeast sufferers? Our recipes for cooked foods are already balanced for you! However if you are raw feeding, you will want to feed 80% muscle meat, 10% bone, 10% secreting offal (half liver, half other secreting offal, preferably!) with the addition of omega 3 sources like raw eggs, fish oils and oily fish, and algal oils. Some vegetables may be suitable to be added to the diet of a yeasty beastie, but we need to be very selective, and very careful which ones we pick! High fibre, low starch veggies are ideal, if tolerated – it’s wise to start off by giving a miniscule amount of plant matter, and gradually building up to 10% plant matter. Some options are broccoli, kale, and cabbage. Try to avoid starchy carbohydrate plants such as sweet potato, carrot and squash. Supplements There are so many supplements on the market these days – it can feel quite daunting selecting the most suitable ones for your pet. Some are better than others when it comes to battling yeast. Gut healing: gut healing supplements are very important – in order to regain balance in the gut microbiome, we want the gut to be in a good, healthy, and strong state. Mucilage herbs are our friend here! Slippery Elm, Marshmallow Root and Deglycyrrhizinated Liquorice are all great for this purpose! Gut Guardian Probiotics: probiotics are essential for yeast sufferers, as they help to rebalance the gut microbiome, by out competing the bad bacteria, which in turn will aid the recovery of the skin barrier. Once there are sufficient levels of good bacteria, the ratio
Pancreatitis flare ups are often a concerning time for pet owners. With so many associated triggers, tailoring the individual dog’s routine to their needs is very important. One of the triggers we see a lot here at My Pet Nutritionist, is food sensitivities. Read on to learn more about how food sensitivities can be linked to pancreatic flares. A bit about the pancreas The pancreas is a very important organ in the body; it is part of the digestive, and endocrine systems. It’s role in the digestive system is to produce digestive enzymes to aid the breakdown of foods, with fat and protein being the main targets. Within the endocrine system, the pancreas produces insulin; a hormone which controls blood sugar levels. The pancreas is located in the abdominal region, on the right hand side, near the stomach, and above the intestines. The pancreatic duct attaches the pancreas to the small intestine, and transports the digestive juices made by the pancreas, into the small intestine, to be able to begin breaking food down. Before reaching the intestine, however, another duct from the gallbladder joins the pancreatic duct, and transports bile to the intestine. Findings Here When the pancreas becomes inflamed it releases the digestive enzymes it produces too early, which can result in the body starting to digest the pancreas itself, as well as the abdominal cavity; this is a pancreatic flare. Acute pancreatitis happens suddenly whether it is a mild flare, or a severe flare which hospitalises the pet. Chronic pancreatitis on the other hand, tends to happen for longer periods of time, and intermittently – symptoms are generally milder, but more constant than acute pancreatitis cases. Dogs with enzyme deficiencies, nutritional imbalances or intolerances, or other endocrine conditions tend to get chronic pancreatitis as opposed to acute pancreatitis. Dogs suffering with chronic pancreatitis are often found to be deficient in Vitamins C and E, as well as selenium. The main health condition associated with pancreatic flares, is Pancreatitis. Symptoms of a pancreatic flare are as follows: Vomiting Diarrhoea, sometimes bloody Fever/high temperature Increased heartrate Dehydration Digestive difficulties Abdominal pain (the ‘downward dog’ position, are hunched over back are classic signs of this) Low appetite Pressures on the pancreas For those suffering with pancreatic flares, or pancreatitis in general, it is extremely important to recognise, and understand the triggers of a flare. Let’s discuss the major trigger of a pancreatic flare. Fats More specifically, excess fats, and the wrong type of fats! Fat reduction in the diet is one of the most common things we hear pet owners panic about when their dog has pancreatitis, or a pancreatic flare. While excess fats can be very hard on the already inflamed pancreas, some fats such as fish oils and olive oils have been shown to block cellular mechanisms involved in the development of acute pancreatitis. Massively restricting fat may not be completely necessary long term for pancreatitis patients, but short term during a flare, may be worth reducing. We tend to advise 15% dry matter fat content in the diet of a pancreatitis patient, which is around 5% crude fat. In non-severe cases, the fat content can be gradually increased. Feeding a high fat diet, where the dog is unable to fully digest the fat consumed, can put pressure on the pancreas due to high blood fat content. More digestive enzymes are required for digestion of excessive fats, which causes the pancreas to overwork in order to produce those enzymes. Overworking an organ causes inflammation, which leads to health problems associated with that organ; in this case, a pancreatic flare. Carbs A less well known approach among dog owners, carbohydrates should be kept to a minimum in all dogs, but especially in those with pancreatitis. There is a huge link between high-carbohydrate diets, and an increase in excess blood fat. This is why it is important to steer away from dry food/kibble based diets – these are high in carbs, and the high carb content leads to high blood fat content, which as just discussed causes the pancreas to overwork. Findings Here Findings Here Findings Here Findings Here High carbohydrate dry food diets also lack suitable amounts of vitamin E, due to it being an unstable vitamin, and the long shelf life of dry foods causes the vitamin E content to diminish by around 30% just 6 months from manufacture. As previously mentioned, those with chronic pancreatitis tend to be deficient in vitamin E already, so feeding a high carb, processed diet low in suitable vitamin E may not be a great idea. Vitamin E plays an important role in the removal of excess fat from the body. Less Vitamin E = More excess fat = Pressure on the Pancreas Findings Here Food Sensitivities As the main topic of this blog; food sensitivities can put huge pressure on the pancreas, linking them with pancreatic flares. It is incredibly important to work on your dog’s food intolerances so many reasons, pancreatic pressure being one of them. More on this subject later. Genetic Predisposition As with many health complaints, genetic predispositions are very much a problem with pancreatic flares. Whereas all breeds can suffer with pancreatitis, some breeds are more prone than others, purely down to their breed, and genetics. These breeds include: Miniature Schnauzers Miniature Poodles (and crosses of!) Cocker Spaniels Cavalier King Charles Spaniels Boxers Collies To find out more about pancreatitis, and how dietary changes, lifestyle changes, and correct supplementation can help, have a read of our Natural Guide to Pancreatitis! How do food sensitivities affect the pancreas? So, how do food sensitivities affect the pancreas, resulting in pancreatic flares? Food sensitivities are largely down to gut health, and immune modulation. If you are a regular reader of our blogs, you will notice us mention Leaky Gut a lot as well as inflammation. 70-80% of the immune system lays in the gut, so gut health is always paramount! Leaky Gut As per the condition’s name, leaky gut sufferers
At My Pet Nutritionist, we understand the importance of both macro- and micronutrients, as well as what happens when our pets are both deficient in them, and what happens when our pets are consuming too much of a specific nutrient. In this blog, we will look at folate – aka Vitamin B9, and what happens when dogs have too much folate; a fairly common issue. Read on to learn more! What is Folate? Also known as Vitamin B9 or Folic Acid, Folate is an important water soluble vitamin. Folate can be found in a lot of foods, some of which can be found below. If a pet requires a supplement version, folic acid would be used, as it has a higher rate of absorption at 85%, than naturally occurring folate with a 50% absorption rate. Findings Here Some dietary sources of folate include: Dark leafy greens Sunflower seeds Fruits Liver Eggs So what does folate do in the body? Folate is important for the metabolism of protein, as it aids the formation of DNA and RNA. Folate is also important to break down homocysteine into methionine in the body, which is an amino acid that can cause harm if there are high amounts in the body. Red blood cell formation during growth periods, including young dogs, and pregnant dogs, is also largely down to folate being consumed in the correct quantities. Some studies also suggest that folate can reduce the risk of some cancers due to it’s role in RNA production, however… and that is a big however… in one human study, high-dose folic acid was given to patients with a history of polyps, to see if folate would reduce the risk of these. The results were not as the scientists hypothesized, and unfortunately the risk of new, and more serious polyps was increased. So this brings us to why high folate isn’t ideal! Findings Here The Problem with High Folate Although folate is an important nutrient, having high folate levels is not ideal, and can lead to other issues in the body. In one study, high folate levels indicated low vitamin B12. Vitamin B12 deficiencies can lead to anaemia, skin problems, muscle weakness, weight loss, sickness, and cardiovascular issues. Brain and nervous system damage are two of the more life threatening problems with a vitamin B12 deficiency being masked by high folate. Findings Here Moving back to the aforementioned cancer risk, studies suggest a link between high folate levels, and the increased risk of some cancers, and cardiovascular disease. This area of research is still evolving as more studies are being done to look into the issue, but research so far, does suggest a link. Findings Here When looking at the risk specifically of folic acid, found in fortified foods, and in supplement form, we can conclude that excess amounts in the bloodstream is bad news. The liver is the main organ involved in breaking down folic acid, however it can only process so much, meaning excess folic acid, now known as Unmetabolised Folic Acid (UMFA) accumulates in the blood. UMFA is linked with many health concerns including insulin resistance, poor cognitive development in the young, early cognitive degeneration in older dogs, and other health conditions. In pregnant females, these issues can also be passed on to their litter! Findings Here Findings Here Causes and Diagnosis of High Folate In order to diagnose high folate levels, your dog will have a blood sample taken. This sample is then spun in a centrifuge to separate the components of the blood, leaving the serum. The serum is then tested for vitamin B12 and B9 concentrations, since low B12 and high B9 usually come hand in hand. The test is called a Metabolic Function Test. Your vet will be able to carry this test out – you may need to have this test done prior to a consultation with one of the My Pet Nutritionist team, for us to be able to help you, and better understand your pet’s situation. Let’s take a look at the two major reasons why your dog may have high folate concentrations. Small Intestine Bacterial Overgrowth (SIBO) The most common reason for high folate levels that we see here at My Pet Nutritionist, is SIBO. In dogs with SIBO, there is excess bacterial growth in the small intestine, which leads to maldigestion and difficulty absorbing nutrients. Symptoms include diarrhoea, sickness, weight loss, bloating and constipation. Dogs with SIBO, have less of an ability to synthesize folate. The reduced ability to synthesize it, makes for an increase of excess folate in the bloodstream, which in turn leads to other health issues, if not treated. Findings Here Findings Here Exocrine Pancreatic Insufficiency (EPI) The second condition with similar effects on the folate and B12 levels, is much less common; and so rare, many veterinarians have little to no experience of the disease. Exocrine Pancreatic Insufficiency is another digestive issue, this time involving the lack of pancreatic enzymes. With the lack of enzymes from the pancreas, the small intestine becomes unable to sufficiently digest food, which leads to rapid weight loss, and inability to regain the weight without treatment. Due to the digestive imbalances caused by EPI, the body is unable to completely break down the folate consumed, which results in increased levels of unmetabolized folate in the bloodstream. EPI can be a secondary disease to those already suffering with SIBO, too! Findings Here Findings Here Stress This is a trigger which is very often overlooked. Stress has such an immense impact on dogs both behaviourally, and medically, as it causes disruption in the gut. You may have heard of the ‘fight or flight response’ whereby a dog in a stressful situation does one of two things – they either fight, or they leave the situation or shut down (flight); this isn’t where the ‘fight or flight’ response stops, however! Part of the response happens internally, as the blood supply is temporarily cut off from the gut, which in
Here at My Pet Nutritionist, we help a lot of dogs who present with regurgitation. It’s not a pleasant sensation for us humans, and it’s no different for our canine companions. Regurgitation can occur for various reasons, which we will take a brief look at in this blog. We will also discuss what is the best food to feed your dog, and what supplements could be considered for your dog suffering with regurgitation. What is Regurgitation? Regurgitation is the expulsion of undigested food via the mouth. Unlike when a dog vomits, when there are ‘warning signs’ such as licking of the lips, drool etc, when a dog regurgitates, it’s very much instantaneous with no pre-warning. One of the biggest risks of regurgitation, especially in brachycephalic breeds, is aspiration pneumonia. When regurgitation occurs, the larynx can struggle to close quickly enough. Being open at the time of regurgitation can cause particles of food to be breathed in, which causes the pneumonia. What Can Cause Regurgitation? There are various reasons a dog may regurgitate. It’s not necessarily a condition on it’s own, but it’s more a symptom of an underlaying illness. It can also be partly down to breed predisposition due to being congenital. Breeds with a predisposition include: Chinese shar pei Newfoundland Miniature schnauzer Great dane German shepherd Labrador Fox terrier Acquired causes (those which regurgitation is a symptom of) include: Acid reflux: the pressure of the chyme in the stomach due to digestive incapabilities, causes the dog to regurgitate. Read more about acid reflux here. Megaoesophagus: peristalsis is unable to occur, so food sits in the oesophagus in the chest. Read more on megaoesophagus here. Laryngeal Paralysis: the larynx is unable to function, so the windpipe and throat may be open at the same time. This causes coughing and gagging, which can lead to regurgitation. Read more on Laryngeal Paralysis here. Brachycephalic Obstructive Airways Syndrome (BOAS): some of the breathing and swallowing pathways which are affected in those with BOAS can cause regurgitation. Food particles can get stuck at various points in the digestive system in these dogs. Surgery is required to open the relevant pathways to reduce the risk of regurgitation. Foreign Body: when something is lodged in the throat or chest cavity, regurgitation can occur, as food particles are unable to bypass the blockage. Cancer: depending on where the tumour is, your dog may be unable to digest food, and/or food particles may get stuck somewhere along the digestive tract, leading to their expulsion through the mouth. Stress: digestive function is compromised when the body is under stress as the sympathetic nervous system kicks in. hypersensitivity occurs during stressful situations too, which heightens the risk of oesophageal irritation, and therefore regurgitation. Incorrect Diet: feeding your dog a diet that does not suit them is a major cause of regurgitation. The body reacts to unsuitable food because the Enteric Nervous System (ENS) causes the digestive tract to become hypersensitive, which leads to regurgitation. Allergies and intolerances can also cause this reaction, so it’s important to get on top of these. Read more on why a dog regurgitates here! Findings Here Findings Here What Should you Feed? Recurring regurgitation can be a huge sign that the diet you are feeding your dog is unsuitable, and needs tweaking. Changing the Type of Food It’s very likely that the type of food you are feeding your dog needs changing if your dog is regurgitating. Of course, we recommend feeding a diet as fresh as possible. Raw food, or cooked food (using one of our balanced recipes). If you are feeding raw food already, and your dog is regurgitating, it may be worth looking into feeding a balanced, cooked diet. Many dogs who regurgitate do better on a cooked diet. Feeding an easily digestible protein such as white fish using our balanced white fish cooked food recipe may be beneficial for a dog with regular episodes of regurgitation. In some cases, the dog requires a lower fat diet. Feeding leaner proteins may help. These tend to put less stress on the digestive tract, and are therefore much easier to digest, reducing the risk of regurgitation. It really is a case of finding what suits your individual dog best! Why would we recommend avoiding dry food? The lack of moisture, and vast amount of difficult-to-digest ingredients in dry foods can cause havoc with the digestive system, which can cause regurgitation. Findings Here Getting on Top of Allergies and Intolerances Working on eliminating foods the dog doesn’t tolerate is essential. The more gut inflammation caused by feeding intolerable foods, the higher the chance of regurgitation. A full elimination diet may be required – this entails feeding one single protein for a prolonged period of time (6-12 weeks), in order to see if it is well tolerated or not, before moving on to the next. Read our blog on Elimination Diets here! Our Transform package is ideal for those suffering from allergies and intolerances! Findings Here Changing the Frequency of Meals Many dogs who suffer from regurgitation require smaller, but more frequent meals. This is particularly useful in dogs with slow digestion, and those with weak peristalsis. Feeding smaller portions allows the body to digest food more thoroughly, causing less irritation in the digestive tract. Better digestion, means less chance of regurgitation. Supplementing your Dog’s Diet There are some supplements which may be beneficial to those suffering with recurring regurgitation. Of course, it’s important underlaying illness is ruled out first, with your veterinarian, but the following supplements may reduce the risk of regurgitation in your dog. Mucilage Herbs Mucilage herbs help heal and protect the gut as well as soothing the digestive tract. Those with regurgitation often have irritation throughout the digestive tract following a meal, so adding mucilage herbs into the regime, helps keep the digestive tract comfortable. Some examples of mucilage herbs include slippery elm, marshmallow root, and deglycyrrhizinated liquorice (DGL). Our product Gut Guardian contains all three, plus calming chamomile, and soil
Here at My Pet Nutritionist, we see lots of cases of Hotspots. Those seeing a hotspot for the first time can be worrying; those who deal with them regularly may feel overwhelmed, and frustrated at their regular reappearance. In this blog we will look at what hotspots are, how they happen, their link to gut health, and how we can support the body to heal them efficiently. What Are Hotspots? Hotspots are scientifically known as Pyotraumatic Dermatitis. Another common name for them is ‘Acute Moist Dermatitis’; this name gives more of a visual impression of what you can expect to see of a hotspot case. They present as red raw, moist areas of hairloss, and can happen on both dogs and cats. There is no specific place hotspots can happen on the body, and they tend to show up very quickly. Often confused with ringworm, hotspots are wet in appearance, and often more open/raw looking than ringworm. Ringworm also tends to occur in patches, as opposed to one single spot. Are they sore for your pet? Yes! Hotspots can be very sore for your pet, so it’s important not to leave them. You may notice increased itching and licking of the area, as well as potential behavioural changes due to pain. The sore my ooze liquid, particularly if the hotspot has become infected, which would also bring an unpleasant odour. The fur around the edge of the lesion may be matted. There is no correlation between age, sex or breed when it comes to the likelihood of s dog getting a hotspot. Findings Here What Causes Them? Hotspots are caused by bacterial overgrowth, or are secondary to another underlaying health issue. The biggest trigger for hotspots, is repeated itching of an area on the body. This can make hotspots a secondary health problem to allergies and intolerances, flea infestations and other insect bites, ear infections, grass seeds, stress and anxiety, and poor grooming husbandry when matts are close to the skin. The constant itching and licking of an area makes the perfect growth site for bacteria – moisture and warmth are bacteria’s favourite conditions! Findings Here Findings Here Hotspots and Gut Health As with most skin related problems, there is a huge link with poor gut health. We need to look closely at the Skin-Gut Axis. The skin and gut barrier share many qualities, as they’re both highly vascularised and innervated due to their role in both immune function, and neuro-endocrine function. When looking at the inside of the gut and the surface of the skin, to the naked eye they may seem worlds apart, but both are covered in epithelial cells which both make direct contact with the corresponding environment (the skin contacts particles in the air, things we touch etc, and the inside of the gut touches everything moving through the gut). The biggest similarity between the skin and the gut, is that they both possess their own microbiome. I’m sure you’ve heard us talking about the microbiome on many occasions; but that is because the microbiome is so incredibly important for health and proper functioning of various systems and organs. The microbiome is made up of all microbes the relevant organ uses, and makes contact with, including good (and bad!) bacteria, viruses, fungi, protozoa and other parasites. Gut Guardian There are many studies which prove positive links between probiotic supplementation and skin quality, which can be found in our blog about the gut-skin axis! Metabolites from the gut are shown to link directly to the skin’s ability to fight off ‘nasties’ which would in turn, reduce the risk of hotspots. An important neurotransmitter called Acetylcholine also plays a role in the functioning of the skin’s barrier, and how it deals with overgrowth of bacteria. Supporting the Body for Healing If your dog currently has a hotspot, it’s very important to treat it as soon as possible, as it won’t go away on it’s own. If the hotspot is oozing a yellow or creamy colour, you will need to seek veterinary attention, however it is important to work on the gut following use of antibiotics your vet may prescribe. Step 1: Shave the Fur Gently shave the fur around the hotspot – this enables you to see the full extent of the hotspot, and gives you a clean area to treat it, without the risk of fur getting into the wound. It also allows the hotspot to ‘breathe’, which is imperative in helping it dry up. Step 2: Clean the Area Using either boiled and cooled salt water, colloidal silver, Leucillin/Dew, or probiotic wound spray, gently clean the area to ensure there’s no bad bacteria on or around the hotspot. Pat it dry gently with a cotton pad. Step 3: Apply Green Clay With a clean, soft brush, such as a clean makeup brush, lightly dust some green clay on the hotspot – green clay is an excellent ‘staple’ for the dog cupboard (come on, everyone has a dog cupboard or drawer)! Green clay helps remove toxin from the skin, and helps dry the wound out. When purchasing your clay, ensure the product is 100% green clay, as some products contain added ingredients, including fragrances, which we definitely don’t want to use on our dogs! If you spot the hotspot getting wet through the clay, pop a little more on. Reapply the green clay once or twice per day, and keep the area dry at all times! Step 4: Prevent the Dog from Licking or Itching It’s important to not let the dog lick the wound, or get it wet. Itching the wound can aggravate it too, so don’t let them do this! You may need to resort to the cone of shame (Elizabethan collar, lampshade, or whatever you might call it!) for a few days to achieve this. Depending on where on the body the hotspot is, you may be able to use a clean t-shirt or sock to help cover it. Step 5: Wait! Hopefully
