The term allergy is commonly used within the pet nutrition realm. Whilst allergies to cleaning products or compounds in the environment do occur, the true incidence of food allergy in dogs is quite low. Whilst allergies do exist, we tend to see a higher number of intolerances, so what’s the difference and do we need to approach them differently? Let’s take a look at allergies and intolerances in dogs. What is a food allergy? A food allergy or other allergic response is caused by an IgE antibody reacting towards that allergen. IgE binds to mast cells to promote histamine release. In short, the immune system has sensed the particle and wants to get rid of it at all costs. You’ll know the hallmark signs of an allergy if you are unfortunate to suffer with hay fever, but the common symptoms of an allergy include: Itching Hives Swelling Coughing Sneezing/wheezing Watery eyes Anaphylaxis What is a food intolerance? In the case of a food intolerance, we tend to discuss it in terms of IgG. IgG is the work horse antibody; it is the soldier, the memory antibody. This is what gets drafted when your dog is exposed to something they have already figured out a response to. Symptoms usually begin within a few hours of eating the food that your dog is intolerant to but it’s important to note that symptoms can be delayed by up to 48 hours and last for hours or even days, making the offending food especially difficult to pinpoint. IgG’s are mostly raised from the barrier mucosa in the digestive system. After a meal, there are both antibodies and complexes of food antigens bound to specific IgG’s. These complexes are quickly cleared by the reticuloendothelial system. Clinical observations suggest that due to gut inflammation and permeability (leaky gut), the digestive system is unable to digest the proteins effectively which subsequently raises IgG response to certain foods. Chronic intestinal inflammations and permeability are related to and possibly responsible for food IgG sensitivity. A point to note is that 90% of food reactivity comes from IgG’s. Intolerances can be changeable, but allergies tend to be for life and only account for around 10% of food reactivity. The common signs of an intolerance include, and are not limited to: Poor growth in young pets Itching Vomiting Diarrhoea Flatulence Recurring ear issues Acid reflux SIBO Pain or discomfort Loss of appetite As you have gathered there is a glitch in immune function in both allergies and intolerances, but we must also consider the function of the digestive system when we are tackling intolerances. It’s important to note that IgG’s come in different categories but to keep it simple, they are generally defined as cyclic or fixed. A common IgG reaction is cyclic and can take around 3 months to disappear/change. A fixed Intolerance tends to linger for longer and can take around 6 months to disappear/change, what this means is there is no quick fix to support your dog who suffers with intolerances, we’re in it for the long haul. How to Support the Intolerant Dog First of all, we prime and reset the digestive system, and this includes starting with an elimination diet, but also includes gut healing and immune balancing protocols. We follow the 4 R’s. – Remove – carry out an elimination diet. Raw or lightly cooked is the best way to do this. Cooked foods can take pressure off the digestive system, which in these cases is beneficial. Start with novel proteins (proteins your dog’s immune system has not seen before) for example, horse, ostrich, kangaroo and hare are generally well tolerated. Horse is lean too, so a great option if digestive function isn’t where it needs to be, yet. Feed this novel protein for 4-12 weeks. Ideally if you land on a novel protein that helps the itch/digestive discomfort or doesn’t make it any worse, we recommend remaining on this protein for 12 weeks. As we noted this is the time it takes for an intolerance to change. We then introduce other novel proteins – but at no more than one per week and sticking to single source. Treats need to match too! If there are signs of intolerance, then remove that protein and go back to a protein you believe is best tolerated. Notice that it’s called an elimination diet, and not an elimination lifestyle. The overall aim is to eventually maintain a strong diversity in the diet as we know this supports optimal gut health. We would be looking to reintroduce more common proteins as time went on – but this takes time. We also practice the same process when reintroducing any fruit or vegetables – one at a time, over time. It can also be worthwhile opting for a low-histamine approach when reintroducing too. – Repair – support immunity and gut healing. Include ingredients like slippery elm, de-glycerised liquorice, glutamine, and N-acetyl-glucosamine. It is also important to consider how existing medications are affecting gut healing for example, steroid use impairs intestinal absorption which is linked to several gastrointestinal dysfunctions. But, because of their anti-inflammatory and immunosuppressive activities, they are often prescribed in cases of allergies or intolerance. Findings here – Restore – optimise microbiome health As the microbiome is key in the development of the immune system, supporting this is essential. However, the introduction of specific pre and probiotic foods or supplements is sometimes best left for a few weeks into your plan, especially when carrying out an elimination diet. There may be probiotics on the market that contain protein sources not indicated on the label – always check with the manufacturer what is contained in their product and indicate that you are carrying out an elimination diet, so you need accurate information. – Replenish Indigestibility of food proteins can also contribute to their antigenic nature, so consider any long-term medication use including proton pump inhibitors which affect gastric acid secretion. Ensuring HCL, pepsin and digestive enzymes are in good
For some dogs, their sensitivities can be year-round. In this instance we are considering their exposure to environmental toxins, the food they eat and how their immune system matured and subsequently functions. For other dogs there is a direct correlation with the time of year. Whilst the sun is shining and anything feels possible for us humans, it can be a miserable time for our seasonally itchy dogs. Many dogs have a sensitivity to grass sap and keeping them off the freshly mown lawn for a couple of days can help keep pesky irritation at bay, but some allergies are a little more complicated. As always, we are available to help you manage any chronic irritation suffered by your dog, but we thought we would give you some of our top tips that can come in handy when managing your seasonally itchy dog. If you would like to understand more of the mechanism of an allergy or sensitivity, then check out the wealth of information in our other blogs: Why Do Allergies in Dogs Develop? Does My Dog Need an Allergy Test? Your Pet’s Immune System Why Allergies and Itching Have Become Such an Epidemic Now, on to our top tips: 1) Support the Gut! As you will know if you read our articles on the immune system and the lymphatic system, in the gut you will find GALT, or gut-associated lymphoid tissue. The digestive tract is heavily laden with lymphocytes, macrophages and other cells that participate in immune responses. An allergy, in essence is an immune response gone bad, so we need to support immune function and that includes the part of the immune system found in the gut. In addition, in a poor functioning digestive system, rogue particles can end up leaking through the barriers. This can be in cases of periodontal disease (bacteria getting into the blood stream from plaque formation) and damage in the tight junctions in the intestinal tract. When this happens, the immune response is called to the area of the rogue particle to get rid of it. These systemic responses can lead to hypersensitivity, leaving the immune system a little too eager to do its job on a body wide level. It is therefore essential to support the barriers in the mouth; ensuring good dental hygiene but also to support the barrier of the gut. Look to lovely gut healing ingredients such as Slippery Elm, De-Glycerised Licorice, Glutamine and N-Acetyl Glucosamine. 7 Steps to Optimal Gut Health for Pets Gut Guardian 2) Consider the overuse of pharmaceutical flea and worm treatments! Whilst there is sometimes a place for the use of pharmaceutical products in high burdens of parasites, we would always advocate the use of wormcount kits to establish any burden of worms before treatment and also the use of flea repellent products over any spot-on or tablet flea treatment. The overuse of certain pharmaceutical products can place an unusual burden on many pathways in the dog’s body, compromising optimal function. It also pays to consider how often you vaccinate your pet. Vaccinosis: Damage Vaccinations Can Cause Your Pet Does My Pet Need to Detox? Natural Flea and Worming Treatments Supporting the liver and lymphatic system is essential during these times, Liver Guard can be great in this instance. Liver Guard 3) Limit Stress! Mast cells have a key role in allergic response; when they detect a substance that isn’t liked by the body, they release histamine and other chemicals into the bloodstream. Histamine makes the blood vessels expand and the surrounding skin itchy and swollen. This is known as degranulation and what’s super interesting is that stress can result in degranulation too! This may explain the red face you feel as you are getting stressed, or if you break out in hives when you’re facing a particularly stressful time in work. If you are working to tackle allergies in your dog, then it is important to remove as many stress triggers as possible, for your dog, but also you. There is this idea of co-regulation of species, that dogs can pick up when we are stressed and we’ll admit, there is nothing more stressful than seeing our dogs suffer and feeling that we aren’t getting anywhere with fixing it! It can pay to establish our own levels of stress when we are managing a poorly pooch. Check out our perceived stress scale in the following blog to help you understand your own stress levels. 5 Tips For Dealing with a Fussy Eater Calm Complex br] 4) Rinse your dog, but not wash! If you suspect your dog may have sensitivities to certain grasses or pollen, rinse their paws, undercarriage, and chest after walks. You can also wipe their muzzle, ears, and face with a damp microfibre cloth when you get home too. But avoid over-shampooing your dog. Whilst you may opt for non-toxic products, washing can skew the microbiome found on the skin of your dog and this provides a first line of defence for the immune response. The skin has its own community of microbes that can engulf and destroy pesky ones before they have chance to cause problems; frequent bathing can alter this community. So, rinse your dog to remove potential irritants, but keep the shampoo for special occasions, like fox poo events. Your Puppy’s Microbiome 5) Essential Fatty Acids Are Just That! Allergies and sensitivities are an immune response and inflammation is the hallmark of an immune response. Inflammation is a necessary process in the body, but we need just enough to solve the problem at hand. We have compounds necessary to kick start the inflammatory response, and we have compounds that reign it back in again. What we often find is that there are more compounds around to perpetuate inflammation, and not enough to reign it back in! Therefore, it can help to fill up on foods to regulate the inflammatory response. Omega-3 is a fatty acid that has regularly been linked inflammation regulation.
Possibly one of the most common ailments that we find in the dog world – some dogs just seem to react to everything! But, if we know how allergies and sensitivities develop, is it something we can tackle? Let’s take a look and consider some top tips to support your dog’s health. What is a dog allergy? An allergy is an unnecessary immune response to an innocuous substance. True allergies are often fatal. More often than not we are faced with sensitivities – which are still an immune response. What is the immune system? The purpose of the immune system is to defend itself and keep microorganisms like bacteria, viruses, and fungi out of the body and then destroy any if they happen to get in. It has three lines of defence. The innate immune system provides the first line of defence; broadly divided into physical/chemical barriers. The physical barriers include the skin and the lining of the digestive and respiratory tract. You can think of the body like a sausage; the skin, keeps everything in, but also things out. Chemical barriers include tears and saliva along with gastric acid. But also, the microbiome – which is the community of microbes found in the mouth, lungs, gut and on the skin. We then have the innate immune system – which is for want of a better phrase a row of white blood cells (and other participants) that engulf and destroy invaders. The third defence is acquired or adaptive immunity – this is the memory bank. The cells involved in this response help the body remember antigens that it has encountered before – so it can mount a quicker response before the harmful pathogen causes any damage. The immune system is trained to recognise its own cells as self and leave them to do their jobs. It is trained to recognise anything that isn’t self and attack it. When it works, it works brilliantly and, well, us and our dogs survive. But, it can get a little too enthusiastic and start responding to things it doesn’t really need to. This is what we see as autoimmunity, but also allergies and sensitivities and there are a number of reasons for this. Allergies and Sensitivities First of all, we may be dealing with an immature immune system, and this all starts back in puppyhood. When we talk about immune responses, we tend to reference Th1 and Th2. They are both necessary responses, but a Th2 response is more commonly associated with allergy. During pregnancy, a strong Th2 response is present to reduce the risk of miscarriage. What this means is that puppies are born with a Th2 dominance. This then needs to be balanced and the way in which this occurs is through microbial exposure. This is what we know as immune tolerance – the immune systems develop through exposure to controlled challenge. The immune system is like a computer; it has software, but it needs data. The microbial ecosystem in various mucosal sites is important for the development of the immune system. The young gastrointestinal tract is colonised soon after birth by a variety of commensal bacteria that influence the development of the immune response both in the gut and systemically. The mucosal immune system in the gut must avoid adverse immune responses to dietary antigens and commensals in the new microbial ecosystem while remaining able to mount an effective response to pathogenic organisms. In an ideal world, our pets will develop a heathy immune system, and they will have sufficient immune tolerance but also eliminate threats when necessary. But we don’t always live in an ideal world. Gut Guardian br] So what else can cause issues with immune responses? Often allergies and sensitivities are associated with poor barrier function; so there may be damaged or broken skin, a poor microbiome, or damage to the integrity of the gut. Think of it like an army. If you have a row of soldiers who are standing shoulder to shoulder, you stand a good chance against the enemy. Once soldiers start falling, opportunities arise for the enemy to get through. When skin is damaged, antigens spot their opportunity and sneak in through the gaps. The same occurs in the gut. Cells sit tightly together, but when cell integrity fails, under digested food particles and pathogens see their opportunity and sneak out into circulation. The immune system spots these particles – realises they shouldn’t be there, so mounts a response. Inflammation is a key part of this response. The issue is when the barrier remains compromised, more particles sneak through and so you end up in a chronic state of inflammation. Barrier dysfunction can occur for a number of reasons: Genetic glitches Microbiome dysbiosis Long-term use of medication Toxins Environmental exposure Detoxification Pathways The more inflammatory compounds you have in the presence of a response, the more anti-inflammatory compounds you will need to counter this response. There will also be a heightened need for compounds that break down inflammatory molecules like histamine. Those suffering with allergic disease often have a higher baseline of histamine, and so clearance of this is important too. What this means is that detoxification pathways need to be running as smoothly as possible. Liver Guard Detoxification of dietary histamine normally occurs in intestinal epithelial cells via the enzyme diamine oxidase (DAO) as well as histamine-N-methyltransferase (HNMT) in the liver. What’s interesting is that there are polymorphisms in the genes that code for the DAO enzyme, but certain medications, including over the counter products are seen to inhibit the activity of DAO enzyme too. They include: Analgesics – morphine, NSAIDs Antiarrhythmics Antibiotics Antifungals Antimalarial Diuretics Motility agents Muscle relaxants Vitamins – ascorbic acid, thiamine In addition, detoxification pathways in general are nutrient demanding and they also produce a high number of free radicals. Sufficient levels of key vitamins and minerals like vitamin A, C, E, B1, B2, B3 and iron, along with cysteine are essential. Does My Pet Need To
Irritable bowel syndrome or IBS is defined as a disturbance in bowel habits along with abdominal pain, in the absence of known organic pathology. What this means is that on paper, there is no apparent reason for the symptoms. There is no bacterial or viral agent present, and biopsies of the intestine generally show no inflammation or cancer. So, what on earth is going on? Let’s look at IBS in dogs in a little more detail. IBS and IBD Irritable bowel syndrome is different to inflammatory bowel disease, but both manifest similar symptoms. Both cause diarrhoea, constipation, and abdominal pain. But in cases of IBD you may also notice vomiting. The difference is when biopsies of the intestine are carried out in cases of IBD, there are inflammatory cells present. IBS tends to occur in episodes, where IBD is chronic. As gastro symptoms tend to overlap between conditions, it’s essential to get to the bottom of what your dog may be suffering with. IBS in Dogs IBS is a multi-factorial disorder with various contributing factors including: Motility issues Visceral hypersensitivity Altered intestinal microbiota It is considered that diet and stress exposure play the largest role in this disorder. Stress and IBS Study after study indicate that patients with IBS have been noted to exhibit disturbances in the brain-gut axis (GBA). The GBA is a bidirectional neurohumoral communication system that integrates brain and gastrointestinal functions, such as gut motility, appetite, and weight, and not surprisingly the microbiota plays a critical role. Disruption of the physiologic symbiotic relationship between the host and the microbiota is called dysbiosis and is regarded a basic factor for initiating and maintaining IBS in many patients. In a human study, subjects with IBS and who experienced pain had over 5-fold less Bifidobacterium compared to those without pain. The general school of thought currently, is that in cases of IBS there is an increase in pathogenic bacterial species together with a decrease in probiotic species. This dysbiotic microbiota is thought to influence the function of the GBA, and subsequently contribute to IBS symptoms. Diet and IBS Many symptoms can appear to be triggered by certain foods, but here we need to take an overarching look at the inflammatory state in the body. If we have an over-zealous, or under-mature immune system, certain foods will be problematic. A Guide to Inflammation in Pets Elimination Diets For Dogs IBS and Stress IBS is a stress-sensitive disorder and again we can look at the role of the microbiota here. The gut microbiota appears to influence the development of emotional behaviour, stress and pain modulation systems along with brain neurotransmitter systems. Additionally, microbial alterations by probiotics and antibiotics exert modulatory effects on some of these functions. A healthy microbiota plays a critical role in the development of appropriate stress responses. In early life, colonisation with beneficial microorganisms needs to occur to ensure a normal development of the core stress axis. On the other side of the scale, stress can also influence the composition of the microbiota, increasing pathogenic load significantly. What’s interesting is that in human studies, adults with IBS report having an insecure emotional attachment style and recall higher rates of recurrent abdominal pain and symptoms of separation anxiety in childhood. This early life stress could be a contributing factor to their IBS symptoms. Findings Here So, how can we support our dog with IBS? 1) Stress Support Is your dog stressed? Or have they had early life experiences that were particularly stressful? It can be helpful to sit down and create a timeline of your dog’s life and identify major events. Alongside this you can identify when any new symptoms started. Using Nutrition to Support the Stressed Dog Can Stress Affect My Dog’s Digestive System 2) Support Your Dog’s GBA Axis It seems the GBA plays a larger role in IBS symptoms than we originally thought, so take a look at the role it plays. Thankfully, there are a number of things that we can do to optimise gut health and support our dog’s GBA. Does My Dog Have a Gut-Brain-Axis? 3) Support Liver Health There are links between IBS and liver health due to the disruption of the entero-hepatic circulation of bile acids (which is also influenced by the microbiota). To support liver health we need to reduce exposure to toxins and support detoxification systems as much as possible. Does My Pet Need To Detox? 4 Superfoods for Liver Health in Dogs 4) Support a Healthy Microbiome We don’t yet know what the perfect microbiome consists of, but we do know that in cases of IBS we seem to see higher numbers of pathogenic bacteria compared to beneficial. For this reason it’s important to promote a healthy microbiome. What Can Cause Gut Dysbiosis? What Can Help Gut Dysbiosis? Prebiotics Vs. Probiotics Sadly, the symptoms of IBS overlap with many other gastro symptoms, so it’s important to establish what is truly going on for your dog. That said, these 4 tips are great to support digestive health in dogs, no matter what you are facing. If your dog is suffering with their digestive health and you would like some support, then please check out our services to see how we can help. Thanks for reading, MPN Team
We can think of the gut like a roundabout; it has links to every system in the body. We have already explored the link between the gut and skin health, now we want to take a closer look at what we know as the gut-brain axis or GBA. This concept has gained traction over the last few decades and for good reason, but the question on everyone’s tongue… Does my dog have a gut-brain axis and what does this mean? Let’s see if we can answer that question. What is the Gut-Brain Axis? The gut-brain axis (GBA) consists of bidirectional communication between the nervous system, linking emotional and cognitive centres of the brain with intestinal functions. But research is indicating the importance of gut microbiota in influencing these interactions. The interaction between microbiota and the GBA appears to be bidirectional, through signalling from gut-microbiota to brain and vice versa. It is thought that this occurs in many ways, including neural, endocrine, immune, and humoral links. Neural Links Increasing evidence has found that the vagus nerve, a major neural connection between the gut and brain, plays a key role in facilitating signalling along the microbiota-gut-brain axis. The vagus nerve is the tenth of twelve pairs of cranial nerves found in the peripheral nervous system. Cranial nerves mainly innervate anatomical structures of the head and neck, but the vagus nerve is the exception to this rule; it extends from the brainstem through the neck and the thorax down to the abdomen. Because of its long reach throughout the body, it is often described as the “wandering nerve.” In the neck, the vagus nerve innervates the pharynx and larynx which are responsible for swallowing and vocalisation. In the thorax, it is the chief parasympathetic supply to the heart – this is what reduces our heart rate when we are recovering from a stressful stimulus. In the intestine, the vagus nerve regulates smooth muscle contraction and many secretory functions. The vagus nerve provides a critical link between the central nervous system and the enteric nervous system; the enteric nervous system is like the digestive system’s own nervous system – one that us or our dogs have little conscious control over. The vagus nerve link was largely established through studies utilising a surgical procedure known as a vagotomy which cuts or removes the vagus nerve to identify any resulting implications. Surgical vagotomy has been used to investigate the physiological role of the vagus nerve since the early 19th century. Surgical vagotomy has historically been carried out in humans to treat peptic ulcers. The procedure reduces stomach acid through its denervation of the cells that produce it. In more recent years, these procedures are less common, with patients opting for pharmaceutical alternatives. But what is interesting are the common side effects of vagotomy in humans which include interference with gastric emptying, increased and dysfunctional bowel movements and nutrient malabsorption resulting in deficiency. We almost found out about the role of the vagus nerve in digestive function by accident. The vagus nerve provides a link between the internal organs, including the gastrointestinal tract, and the central nervous system, with 80-90% of fibres being afferent (transmitting to the central nervous system) and 10-20% transmitting signals in the other direction, being efferent. The vagotomy procedure has implicated the gut-brain axis in cases of depression, stress resilience and anxiety. Vagus Nerve Signalling Within the small and large intestine you will find vagal afferents (nerve endings). These afferents can detect stretch and tension (how much food is in the gut), but they can also detect chemicals being absorbed across the epithelial layer. But what’s super interesting is that bacteria in the gut produce metabolites and neurotransmitters which can act directly on vagus nerve endings too! These nerve endings notice the metabolites and neurotransmitters and relay to the brain. We have found this through bacterial supplementation – for example, when certain bacteria are infused directly into the large intestine, vagal firing alters. So we know we can alter vagal firing through the population of bacteria found in the gut, but in our dogs, massage is gaining great traction at modulating vagus nerve function. Endocrine Links There is increasing evidence that suggests the gut as an endocrine organ, largely through its ability to produce and regulate multiple compounds that reach systemic circulation and subsequently act to influence the function of distal organs and systems. The biochemical complexity of the gut microbiota exceeds that of the brain, and many of the hormones produced by the microbiota are also neurotransmitters within the central nervous system. For example, γ-aminobutyric acid (GABA), the most important inhibitory transmitter in the brain is produced by several lactobacilli bacteria and monoamines such as noradrenaline, dopamine, and serotonin are also produced by certain strains of bacteria. We must also consider the role of the HPA axis. The hypothalamic-pituitary-adrenal axis (HPA) is the main stress response system. It is the neuroendocrine link between perceived stress and physiological reactions to stress. The use of germ-free animals has provided one of the most significant insights into the role of the microbiota in regulating the development of the HPA axis. It has been found that germ-free animals suffer aberrant responses to stress, but when they are then colonised with specific pathogen free faecal matter, their stress response becomes more balanced. Researchers have concluded that the microbial content of the gut is critical to the development of an appropriate stress response later in life and that there is a narrow window in early life where colonisation must occur to ensure normal development of the HPA axis. Immune Links Numerous studies in recent years investigating the gut-brain axis have demonstrated an important role for the gut microbiota in modulating brain development and function, with the immune system serving as an important coordinator of these interactions. Germ-free animals have regularly demonstrated that role of the microbiota in proper maturation of the immune system and immune regulation within the central nervous system is mediated by microglia, astrocytes, and
Sadly, anal gland issues are quite prevalent in the general dog population and this can end up with owners asking groomers or vets to express them on a regular basis. The issue here is that anal gland expression has become the norm rather than the exception; and it really shouldn’t be. So, let’s take a look at the function of the anal glands and some of our top tips to promote anal gland health in the dog. What are the anal glands? The anal gland’s function is to release pheromones, enabling the communication between dogs and other mammals, including cats. The anal glands located on the lower sides of the anus, produce a fluid with a scent that identifies him or her, communicating sex, health, and approximate age to other animals. Healthy dogs display a huge variation in the appearance of their anal sac fluid; it can vary from yellow to brown and the consistency from watery to mucous to doughy. The secretion contains mucin rich in sialic acid and other anti-microbial proteins, namely lysozyme, immunoglobulin A and lactoferrin. As faeces is passed, the anal glands are expressed and so the fluid is secreted. But like all things in the body, sometimes this process goes a little wrong. The three main issues that arise with anal gland function include: impaction inflammation, and abscessation An anal sac impaction is characterized as an enlargement of the sacs due to retention of anal sac content, without showing any signs of inflammation except for pain and discomfort. Anal sac impaction can occur unilaterally, but most often it presents itself as bilateral. Anal sac inflammation, also called anal sacculitis, is defined as an enlargement combined with inflammation of the anal sac. The anal sac and perianal region often become red, swollen, and painful. In the case of an anal sac abscess, pyrexia (raised body temperature) is often present; however, pyrexia can also occur in the case of severe anal sac inflammation. An inflamed and often alopecic area of the anal sacs can be observed in the case of an anal sac abscess, again accompanied with swelling and pain. Discharge contaminated with blood can also occur. If your dog is suffering with their anal glands, you may notice the following: Scooting (dragging bottom on the floor) Licking or biting at the anus, Difficulty sitting or standing On rare occasion, chasing the tail. Predisposing Factors Anal sac disease is reported to occur more often in adult dogs and cats compared to puppies and kittens, Obesity may be a predisposing factor. Perianal fat can lead to compression of the anal sac ducts, resulting in retention of anal sac content. Anal sac disease in dogs seems to be more prevalent in spring/summer, Adverse food reactions or food allergies and atopic dermatitis are conditions mentioned as being associated with anal sac disease, There appears to be a relationship between the presence of diarrhoea and the occurrence of anal sac disease in dogs. 5 Reasons Why Your Dog May have Diarrhoea Sadly, there also appears to be around a 40% relapse rate for those dogs who suffer with anal gland disease. In dogs, recurrence of anal sac impaction and inflammation occurs on average after 4–5 months; for abscessation, the mean recurrence time is reported to be 10 months on average. Findings Here So, how can we avoid these issues, and certainly, if your dog has suffered anal gland issues, how can we avoid a relapse? 1) Support Healthy Immune Function The correlation between anal gland disease and food sensitivities and atopic dermatitis may suggest dysfunctional immune responses. It’s important to modulate inflammatory responses in the body and support a healthy immune system. It would be wise to embark on an elimination diet to establish any food sensitivities and optimise gut health. Elimination Diets For Dogs 7 Steps to Optimal Gut Health for Pets 2) Create a Healthy Gut Environment As the gut influences every function in the body, it makes sense to support its ecosystem as much as possible. Things that can contribute to a less than happy gut: Antibiotics Overuse of certain medications like proton pump inhibitors and antihistamines Poor liver function Poor motility Digestive disorders Poor pancreatic function Inflammation in the gut Stress Environmental toxins Dietary choices If you’d like to learn more about managing these for your dog, check out our blog here: What Can Help Gut Dysbiosis? 3) Feed a Wholefood Fresh Diet But you knew this one, didn’t you? When we feed foods that the digestive system can digest and utilise, everything moves as it should. Wholefoods offer roughage to the diet, helping elimination processes. Stools are better formed and so, as they pass, they express the anal glands. There has been data which indicated a meat only diet exacerbated anal gland issues, so remember if you do feed fresh, add some raw bones to the mix. If this is something you are unsure of, then please get in touch with us and we can help. Dietary fibre is also excellent at ‘moderating’ the transit time of food in the digestive tract. When this transit time is too fast (diarrhoea), fibre can slow digestion down and where it is too slow (constipation), it can help speed it up. Fibre can adapt beautifully and for this, a variation of vegetables and slippery elm is great. Slippery elm is a wonderful addition to your cat or dog’s diet, if they are having consistent anal gland problems. Slippery elm, also known as the red elm, is a native tree to North America. People use the inner bark for many different health concerns. It is a mucilage and as such, creates a layer around the mucous membrane of the digestive tract, soothing and healing the gut mucosa. If you would like some more pointers on supporting healthy anal gland function, check out our blog here: 4 Cornerstones for Healthy Anal Glands and if you would like some support with your dog’s health, then check out our services to see
As our pets eat their food, it passes from the stomach and into the small intestine. Whilst some of the digestive processes have already started, most of the chemical digestion that occurs in the small intestine relies on the activities of the pancreas, liver, and gallbladder. Let’s take a closer look at the function of the pancreas and its role in our pet’s digestion. What is the Pancreas? The pancreas is a gland found in the digestive system of our pet. It is made up of a head, a body and a pointy tail-like end. It is in the upper abdomen behind the stomach and carries out two main roles in the body: The pancreas produces: Enzymes that break down foods in the intestine Hormones that regulate blood sugar levels The pancreas is made up of small clusters of glandular epithelial cells. About 99% of these clusters constitute the exocrine portion of the organ. These cells secrete a mixture of fluid and digestive enzymes known as pancreatic juice. Pancreatic juice consists mostly of water, but it also contains some salts, sodium bicarbonate and several enzymes. The sodium bicarbonate gives the pancreatic juice a slight alkalinity that buffers the stomach acid in the chyme that has just arrived in the small intestine. It also stops the action of pepsin and creates the correct pH for the action of the digestive enzymes to function. The digestive juices that are made in the pancreas flow into the small intestine through a tube known as the pancreatic duct. In most bodies, this duct is joined by a similar duct coming from the gallbladder (the bile duct) before it reaches the small intestine. There is a circular muscle (sphincter) at the shared opening of the two ducts. This muscle controls the release of the digestive juices into the small intestine. The digestive juices usually only start working once they enter the small intestine. But if the pancreas is inflamed (pancreatitis), they already become active in the pancreas. This can start causing a range of issues. Digestive Enzymes Enzymes are biological molecules (typically proteins) that significantly speed up the rate of virtually all of the chemical reactions that take place within cells. When discussing the pancreas, there are three main types of enzymes: Lipases to break down fats Proteases to break down proteins Amylases to break down starch The remaining 1% of the clusters called pancreatic islets (islets of Langerhans) form the endocrine portion of the pancreas. These cells secrete the hormones glucagon, insulin and more. These hormones usually help to regulate blood glucose levels, stopping them from getting too high or too low. Glucose Regulation Glucose is a 6-carbon structure with the chemical formula C6H12O6. It is a source of energy for every organism in the world and is essential to fuel both aerobic and anaerobic cellular respiration. Glucose often enters the body in isometric forms such as galactose and fructose (monosaccharides), lactose and sucrose (disaccharides), or starch (polysaccharide). The body stores excess glucose as glycogen, which becomes liberated in times of fasting. Glucose is also derivable from products of fat and protein break-down through the process of gluconeogenesis. Once glucose is in the body, it travels through the blood and to energy-requiring tissues. There, glucose is broken down in a series of biochemical reactions releasing energy in the form of ATP. The ATP derived from these processes is used to fuel virtually every energy-requiring process in the body. As glucose is so important to life, it stands to reason that regulation of it is incredibly tight. And as we have noted, there are a number of hormones involved in this process. Hormones involved in Glucose Regulation Hormones Involved: Insulin is a peptide hormone. Insulin plays an important role to keep plasma glucose value within a relatively narrow range throughout the day. Insulin’s main actions are: (1) In the liver, insulin promotes glycolysis and storage of glucose as glycogen (glycogenesis), as well as conversion of glucose to triglycerides (2) In muscle, insulin promotes the uptake of glucose and its storage as glycogen (3) in adipose tissue, insulin promotes uptake of glucose and its conversion to triglycerides for storage Insulin lowers glucose levels. Glucagon: Glucagon acts exclusively on the liver to antagonise insulin effects on hepatocytes. It enhances glycogenolysis and gluconeogenesis. It also promotes oxidation of fat, which can lead to the formation of ketone bodies. Glucagon increases glucose levels. Levels of both insulin and glucagon vary depending on nutrient intake. The Fed State: The fed state occurs after a meal and is also known as the absorptive state. It is characterised by a high insulin to glucagon ratio. Anabolic metabolism dominates in the fed state largely to replenish fuel stores, this is achieved by glycogen synthesis, fatty acid synthesis and protein and amino acid metabolism. The Fasting State: The fasting state occurs between meals and ensures a maintenance of blood glucose level. This state is characterised by a low insulin to glucagon ratio. This low insulin to glucagon ratio overall promotes catabolism in comparison to the fed state. In this state the major pathways include gluconeogenesis, glycogenolysis, protein catabolism, lipolysis, and ketone body metabolism Endocrine cells secrete these respective hormones in response to external signals, such as nutrient intake or stress, via humoral, neural or hormonal signalling pathways. The Brain-Islet Axis The pancreas is highly innervated with both parasympathetic and sympathetic nerve fibres from the autonomic nervous system. At the same time, insulin receptors are widely distributed within the brain. In rat studies, lesions in various brain regions were shown to affect pancreatic hormone secretion. Norepinephrine also inhibits insulin secretion, which is an important aspect of the fight-or-flight response. Insulin release is stimulated by the cephalic phase, which is the period of anticipating a meal, to prepare the body to adequately respond to incoming nutrients. The Liver-Islet Axis The liver has a key role in glucose homeostasis by storing (glycogenesis) or releasing (glycogenolysis/gluconeogenesis) glucose. Liver Guard The Gut-Islet Axis The gut releases various
When we talk about nutrition we tend to focus on the protein and fat requirements of our pets (the carbohydrate requirement gets us all a little hot under the collar) and it stands to reason because they are macronutrients. What this means is that they are required in larger quantities for optimal bodily function. But we also have micronutrients, and despite them being required in lower quantities, they are still critical to health. Under the umbrella of micronutrients, we have vitamins and minerals. We have some helpful blogs on minerals here: Why Does My Dog Need Minerals – Part One Why Does My Dog Need Minerals – Part Two But, as vitamins are just as important, here at My Pet Nutritionist we thought we’d pop together a blog on why our dogs need them too! What Are Vitamins? Vitamins are defined by their physical and physiological characteristics. Vitamins are needed in minute quantities to function as essential enzymes, enzyme precursors of coenzymes in many of the body’s metabolic processes. Generally, vitamins are not synthesised by the body and must therefore be provided by food (but our canine companions have a trick up their sleeve with vitamin C for example). Fat vs. Water Soluble Vitamins Vitamins are split into fat soluble and water-soluble vitamins. In this blog, we will focus on the water-soluble vitamins. If you would like to learn more about the fat-soluble vitamins, then check out our blog here: Why Does My Dog Need Vitamins? Part One – The Fat-Soluble Vitamins The Water-Soluble Vitamins Water soluble vitamins are depleted at a faster rate because of limited storage and are less likely to cause toxicity but more likely to become deficient. Water soluble vitamins are absorbed by way of active transport, some vitamins require a carrier protein, like with B12 cobalamin (intrinsic factor), where others require a sodium dependent, carrier-mediated absorption pump. The B Vitamins The B complex vitamins are all water-soluble vitamins that were originally grouped together because of similar metabolic functions and occurrence in foods. These nine vitamins act as coenzymes for specific cellular enzymes that are involved in energy metabolism and tissue synthesis. Coenzymes are small organic molecules that must be present with an enzyme for a specific reaction to occur, like a key being required for a lock to engage. The following vitamins are all involved in the conversion of food to energy: thiamine riboflavin niacin pyridoxine pantothenic acid biotin The following are all important for cell growth and maintenance and/or blood cell synthesis: folate B12 cobalamin choline (it’s not actually a vitamin, but its often grouped with the B vitamins due to their similarities) Spotlight On… Biotin: Known as Vitamin H, for Haar and Haut (hair and skin), we know it more commonly as vitamin B7, or Biotin. One of the B vitamins, Biotin, helps the body convert food into energy. Specifically, biotin is involved in gluconeogenesis, which as we know is the synthesis of glucose from non-carbohydrate sources. Biotin is involved in fatty acid synthesis, which as we know, is key in skin health. Biotin is also involved in amino acid breakdown. Deficiency of biotin has been associated with immune depression and reduced collagen synthesis, another key consideration in structural health. Biotin deficiency is rare in those who ingest a varied diet, but symptoms in the dog include alopecia, dull coat, brittle hair and scaly skin. The use of antibiotics in the dog decreases the bacterial population of the large intestine which increases the dietary requirement for biotin. Rancid fats also inactive biotin, along with feed rancidity (storage conditions and length). Chlorine inactivates biotin, so this is of concern if dogs are offered chlorinated drinking water. Findings Here Many foods contain biotin, so opt for organ meats, eggs, fish, meat, seeds, and nuts. Fruits like raspberries also contain biotin, and vegetables like sweet potato. There are however some concerns that egg whites contain avidin which binds to biotin, making it unavailable for intestinal absorption. Deficiency has only occurred when over 30% of the diet consists of raw eggs. So, like all things, moderation is key. Vitamin B12 Vitamin B12, also known as cobalamin, is critical for a range of functions in the body. A common deficiency in human vegetarians, disorders of cobalamin metabolism are seemingly increasing in small animal medicine. The causes of deficiency range from chronic gastrointestinal disease to hereditary disease, but what is clear is the health impact of low levels. Vitamin B12 is essential for DNA and RNA synthesis and for cellular energy production. All cells in all bodies need to know what they are doing, and they need energy to do them! There are no known naturally occurring bioactive forms of B12 in plant sources. This is because B12 is synthesised by the bacteria in the gastrointestinal tract of animals, and then absorbed by the host animals. B12 is concentrated in their tissues, which is then eaten by other animals. Sources of B12 include red meat, fish, dairy and eggs. B12 can be depleted in times of stress. This occurs from a range of mechanisms. Stress is a physiological response; in the presence of a threat, the sympathetic nervous system kicks in for fight or flight. Energy is diverted to the brain and muscles as these are the parts of the body needed to escape. Once the threat has been resolved, the parasympathetic nervous system kicks in, returning energy to other bodily functions, which is why it is known as the rest and digest phase. In times of chronic stress, digestive functions can be significantly altered, which can result in malabsorption of nutrients, in this case B12. There are also suggestions that gastric acid can vary during times of stress, increasing or decreasing depending on the personality of the host. Changes in stomach acid secretion can also affect the digestion and absorption of nutrients. Can Stress Affect My Dog’s Digestive System? The last mechanism by which B12 levels are affected during times of stress is due to its role
When we talk about nutrition we tend to focus on the protein and fat requirements of our pets (the carbohydrate requirement gets us all a little hot under the collar) and it stands to reason because they are macronutrients. What this means is that they are required in larger quantities for optimal bodily function. But we also have micronutrients, and despite them being required in lower quantities, they are still critical to health. Under the umbrella of micronutrients, we have vitamins and minerals. We have some helpful blogs on minerals here: Why Does My Dog Need Minerals – Part One Why Does My Dog Need Minerals – Part Two But, as vitamins are just as important, here at My Pet Nutritionist we thought we’d pop together a blog on why our dogs need them too! What Are Vitamins? Vitamins are defined by their physical and physiological characteristics. Vitamins are needed in minute quantities to function as essential enzymes, enzyme precursors or coenzymes in many of the bodies metabolic processes. Generally, vitamins are not synthesised by the body and must therefore be provided by food (but our canine companions have a trick up their sleeve with vitamin C for example). Fat vs. Water Soluble Vitamins Vitamins are split into fat soluble and water-soluble vitamins. In this blog, we will focus on the fat-soluble vitamins, with the water-soluble vitamins to follow. Fat soluble vitamins can be stored in the body’s lipid deposits, making them more resistant to deficiency but also more likely to result in toxicity. Fat soluble vitamins require bile salts and fat to form micelles for absorption. They are then passively absorbed through the lacteals (the lymphatic vessels of the small intestine which absorb digested fats), usually in the duodenum and ileum and transported with chylomicrons to the liver via the lymphatic system. Synthetic and naturally made vitamins are used in the body in the same way but they do have different availabilities. The Fat-Soluble Vitamins Vitamin A Vitamin A is the term which describes several compounds which biologically, have the activity of the parent compound retinol. This form of the vitamin and its derivatives are found only in animal tissues, whereas plants contain precursors in the form of the carotenoids. These are the yellow/orange pigments found in carrots and many other vegetables. The most widely abundant precursor of vitamin A is carotene, and most animals can convert this into the vitamin itself. The well-known function of vitamin A is its role in vision. Vitamin A is a precursor of rhodopsin, the photopigment found in rods within the retina of the eye that helps us and our pets to see at night. One manifestation of vitamin A deficiency is slow, dark adaptation progressing to night blindness. Vitamin A is also part of the bone formation and bone resorption equation. It influences both osteoblast and osteoclast function. Much data is now suggesting higher vitamin A levels are associated with lower bone density so balancing levels is essential. Vitamin A plays a role in maintaining healthy endothelial cells which are those lining the body’s interior surfaces. As we know, in the gut, they play a role controlling the passage of antigens and commensal gut microbiota from the intestine into the bloodstream. Another key role of Vitamin A is supporting immune function. It helps make white blood cells which circulate in the body, searching for foreign invaders and cell irregularities. Sources of Vitamin A: Carotenoids: sweet potatoes, dark leafy greens, yellow/orange/red fruits/vegetables. Retinoids: animal meat; liver, fish oil. Vitamin D Vitamin D is actually a hormone that promotes calcium absorption. In human health, you will have heard it referenced as the sunshine vitamin as it is produced in the skin in response to sunlight (UV) exposure. Unlike herbivores and omnivores, cats and dogs are unable to synthesize Vitamin D adequately in the skin. There is no seasonal change in concentrations and studies have shown that when fed a diet deficient in Vitamin D, puppies develop rickets which could not be prevented by exposure to UVB light. Findings Here This means that cats and dogs are dependent on dietary sources of Vitamin D. There are two forms of Vitamin D. Vitamin D2 is also known as ergocalciferol which occurs in plants and Vitamin D3, known as cholecalciferol, is created in the skin during exposure to UV light and occurs in animals. Cholecalciferol (D3) is of greatest nutritional importance to both cats and dogs and luckily it can be obtained from the consumption of animal products that contain it. Once vitamin D3 is formed in the skin (of animals who can do so), it binds and is then either stored or transported to the liver. Both D2 and D3 are biologically inactive and must undergo two more steps to be activated. This involves both the liver and the kidneys. Vitamin D plays an indirect role in bone health by managing calcium levels in the body. It controls absorption of calcium in the intestine and the amount of calcium excreted by the kidneys. If Vitamin D levels are low, then the intestines struggle to absorb calcium. Vitamin D is also vital in immune function. We find vitamin D receptors on a range of immune cells, meaning there needs to be sufficient levels of it in the body for the cells to do their job. Vitamin D can help modulate inflammatory responses and is also required to produce natural killer cells which are known for killing virally infective cells. Findings Here The Importance of Vitamin D for Cats and Dogs Vitamin E Vitamin E includes several compounds, of which the most biologically active and widely distributed is alpha tocopherol. Vitamin E functions as an important antioxidant within cells, protecting lipids, particularly the polyunsaturated fatty acids in cell membranes against oxidative damage caused by free radicals and active forms of oxygen that may be generated during metabolic processes. The dietary requirement for vitamin E is influenced by the intake of selenium because of its role in glutathione
Being Global Prebiotic Week and something we are asked about regularly here at My Pet Nutritionist, we thought we’d explore the key differences between all those biotics! When we’re presented with prebiotics, probiotics and postbiotics, it’s hard to know where to start and if they even do a thing! So let’s get cracking. Prebiotics and probiotics are often thought of as one and the same, but their commonalities end with their role in the intestine. Prebiotics are fibre that feed the beneficial microorganisms residing in the intestine. Probiotics are live microorganisms that when ingested, can enhance intestinal microbial balance. Why is this important? The microbiome is an important modifier of disease and an essential component of immunity. Dysbiosis of the many microbiomes have been associated with a range of disorders. Your Puppy’s Microbiome What Can Cause Gut Dysbiosis Your Pet’s Immune System So, caring for the ecosystem found in the gut is of paramount importance. Prebiotics and Gut Health The most commonly considered prebiotics are classified as soluble fibres. They were first introduced as a functional food in 1995 by Marcel Roberfroid, but in 2007 Roberfroid clarified that only two classes of fructooligosaccharides (FOS) meet the full definition of a prebiotic. These are oligofructose and inulin. Oligofructose is a 2-8–chain fructose-based saccharide molecule that undergoes fermentation in the colon, providing nourishment to the bacteria found there. Inulin is a longer 9-64–chain fructose-based saccharide that is fermented more slowly, benefiting bacteria further down in the digestive system. It can also be broken down into FOS by intestinal bacteria to provide both FOS and inulin. These 2 fibres are considered minimally digestible because of the β bond–based connections of the fructose molecules. It is thought that dogs and cats lack the intestinal enzyme needed to break down the β bond and so they usually break down α saccharide bonds. The resident bacteria can break the β bond, producing short-chain fatty acids (SCFAs) known as acetate, propionate, and butyrate. SCFA’s have a range of roles for host health including: Energy source of intestinal cells Promote gut integrity Lower colonic pH Stimulate sodium and water absorption In addition, you may also find prebiotics containing the following: Mannan oligosaccharides (MOS) – from the yeast Saccharomyces cerevisiae Galactooligosaccharides (GOS) – found in dairy, beans and root vegetables Probiotics and Health Rather than encouraging the growth of beneficial bacteria and suppressing the growth of pathogenic bacteria, probiotics are thought to introduce beneficial bacteria into the environment. It is considered that the best use for these products is treatment of GI disease, such as diarrhoea and other GI abnormalities, including inflammatory bowel disease. The more we are learning about probiotic use, the more we are realising that the benefits associated are bacterial strain specific. What this means is the devil is in the detail. In addition, to function as a probiotic, the bacteria must: Survive the acid and bile in the GI tract Adhere to intestinal cells or colonise areas within the tract Exclude pathogenic adherence Produce acids, or other compounds which antagonise the growth of pathogens Be safe, non-invasive, non-carcinogenic and non-pathogenic The primary bacterial populations included in probiotics that have been seen to benefit both cats and dogs are lactic acid bacteria, especially lactobacilli, bifidobacteria, and enterococci. Postbiotics and Health Postbiotics are the bioactive compounds that probiotic bacteria produce when they consume prebiotic fibre. They are technically the waste products of probiotic bacteria and SCFA’s are one kind, along with: Enzymes Cell wall fragments Metabolites like vitamins and minerals Postbiotics are a relatively new concept, but they have been associated with a range of benefits: Postbiotics like butyrate (SCFA) can stimulate the production of regulatory T cells in the intestine, supporting immune function Cell wall fragments can increase the production of anti-inflammatory chemical messengers known as cytokines that help reduce inflammation and modulate immune responses Increased levels of butyrate have been associated with improved clinical outcomes in inflammatory bowel disease How Do We Get Them? It’s easy to reach for supplements, but certain foods already possess biotic properties. Sources of Prebiotics: Mushrooms Chicory Root Garlic Asparagus Dandelion Greens Bananas Sources of Probiotics: Fermented foods contain naturally occurring probiotics; but remember that prebiotics aren’t fussy about which bacteria they feed, so they could also feed harmful bacteria and yeast. Fermented foods can also be an issue for those dogs suffering SIBO or yeast infections. Bacterial Overgrowth Is Your Dog a Yeasty Beast Supplementation may be appropriate in certain cases, but as we have noted, benefits are often strain-specific and it’s essential to read the label fully if your dog suffers with sensitivities. Does My Dog Need a Prebiotic, Probiotic or Postbiotic? We would always advocate a food first approach, so offering a fresh whole-food diet, full of variety. But in tending to the ecosystem, which is a great modifier of disease, it’s important to not only include things of benefit, but avoid things of detriment too. The issue is when the bacteria populations in the gut get a little out of whack. We need to avoid those things that can cause imbalances between the good and bad guys in the gut: Overuse of antibiotics Proton pump inhibitors Antihistamines Poor motility Digestive disorders Poor pancreatic function Inflammation in the gut Stress Environmental toxins Dietary choices Poor liver function What Can Cause Gut Dysbiosis The inclusion of prebiotic foods is relatively easy to do, and either pre or probiotic supplementation may or may not be appropriate for your pet, but as you can see, it’s never as clear cut as we would like. Luckily, here at My Pet Nutritionist we look at everything that is going on for your pet and what may be compromising their health. Using this information, we develop a bespoke plan to get them on the right track. Check out our services if you would like to know more. Thanks for reading, Team MPN x
We sometimes talk about intolerances and allergies like this is the only thing that can cause your cat or dog’s itching. There can be so many reasons, layered reasons and some more serious than others. Here we explore some of the undetected and misdiagnosed reasons for your dog being itchy. Adrenal function The adrenal glands are located just in front of the kidneys. You will recognise them from when we discuss the stress response more often than not. The adrenal gland has 2 parts—the cortex and the medulla. The adrenal cortex is subdivided into 3 layers, and each layer produces a different set of steroid hormones. The outer layer produces the mineralocorticoids, which help regulate sodium and potassium salts. The middle layer produces glucocorticoids, which are involved in metabolising nutrients and reducing inflammation and immune responses. Finally, the inner layer produces sex hormones such as oestrogen, progesterone, and androgens. The adrenal medulla plays an important role in response to stress or low blood sugar levels in the body. It releases adrenaline and noradrenaline, both of which increase heart rate and blood pressure, increase blood sugar and slow digestion; the hallmark responses when us or our dogs are exposed to a stress trigger. The adrenal glands are part of the endocrine system – which is simply a system of glands that release chemical messengers called hormones. The endocrine system influences almost every cell, organ, and function in the body. So, if there is any issue in any part of it, things can start to go wrong. The two most common ways in which adrenal glands cause health issues are by producing too little or too much of certain hormones, which leads to hormonal imbalances. Hyperadrenocorticism (Cushing’s Disease) due to an excess of cortisol production frequently causes dogs to itch, lose hair, have thin skin with dark pigment, drink excessively and have recurring skin problems. But this raises another point, even if there are no physiological issues with the adrenal glands, high cortisol levels due to daily stress can also lead to itchy skin! Thyroid Function We’ll continue with the hormones for a minute and look at thyroid function. The thyroid is a butterfly shaped gland found in the neck. One of its main functions is to produce hormones to regulate the body’s metabolism, the process that turns food into energy. This too can produce too many hormones, or too few. These conditions are known as hyperthyroidism and hypothyroidism respectively. Hypothyroidism Hyperthyroidism Hyperthyroidism in Cats Skin issues are regularly noted in times of thyroid dysfunction, and this includes itchiness. Kidney Function Intense itchiness often accompanies late-stage kidney disease, and whilst the jury is out on the exact reasons behind it, it is thought that it’s relating to the build up of toxins in the body. This leads us nicely into the same itchy symptoms associated with early-stage liver disease, and this is considered for similar reasons. Detoxification Detoxification is carried out by a range of mechanisms, and this comes in particularly handy if one pathway is overwhelmed, another can pick up the slack. The Liver The liver neutralises a range of toxic chemicals, both those produced internally (waste from used hormones or neurotransmitters for example) and those from the environment, like air pollution, pesticides, and food additives. It does this by filtering the blood to remove large toxins, synthesising, and secreting bile and lastly enzymatically disassembling unwanted chemicals found in the body. Liver Guard Enzymatic Detoxification This enzymatical detoxification occurs in three phases. Phase I directly neutralises chemicals and changes them into new metabolites. These are then processed by phase II enzymes. This is known as the conjugation phase, which in short, liver enzymes attach small chemicals to the toxin. There are many ways in which this is done, it all depends on the type of chemical the liver is trying to manage. Phase I results in high levels of reactive oxygen species so antioxidant levels are key in modulating potential damage. Phase II is nutrient demanding and sufficient levels of key vitamins and minerals like vitamin A, C, E, B1, B2, B3 and iron are essential. Phase III is the elimination phase. For optimal excretion of toxins through the digestive system, gut health is vitally important. Maintaining the mucosal barrier is key for gut health along with supporting motility. The kidneys will also filter and process toxins from circulation, excreting them as urine. The skin also forms as an elimination pathway. This is why detoxification issues can result in skin issues. In cases of liver disease, it is considered that bile salt deposits under the skin, which results in itchiness. The most important thing to do to support detoxification is to avoid exposure in the first place, so consider how much you and your dog are exposed to: Pesticides Heavy smoke Phthalates Mould Medications like steroids, antibiotics, and painkillers Heavy metals Cleaning products Air fresheners Eating foods cooked at high temperatures (most commercial dry foods) This list is not exhaustive, but it is a place to start. This mechanism also applies to vaccines. There is increasing evidence that over-vaccination is associated with the development or aggravation of immune-mediated disorders and chronic diseases in individual pets that are genetically predisposed. The primary role of the immune system in dogs is to protect against foreign invaders, or abnormal cells that invade or attack. The immune system must distinguish between self and non-self. Substances that stimulate a response are antigens. These can be contained within bacteria, viruses or microorganisms or cancer cells. They may also exist on their own, like pollen or food particles. There are three lines of defence, physical barriers, nonspecific immunity, and specific immunity. But the immune system does not always function properly, it can be underactive and overactive. An underactive system puts the animal at risk of infection, but an overactive immune system can attack parts of its body that it misidentifies as being foreign. This is what happens in autoimmune conditions. The immune system can also overreact
If you’ve been following us here at My Pet Nutritionist for a while then you will likely have come across the concept of the gut barrier, and how when it gets compromised, things can start to go a little awry. Whilst leaky gut is being blamed for all sorts, we’re here to sort fact from fiction and we’ll start with the basics. What is the Gut Barrier? The gut barrier in effect, forms the lining of the gut and it has two main features: the physical barrier and the chemical barrier The physical barrier consists of tight junctions which form a selective permeable seal between adjacent epithelial cells. This “seal” is dynamically regulated by various extracellular stimuli and is closely associated with both health and disease. TJs contribute to the function of the physical intestinal barrier by regulating the paracellular movement of ions, solutes, and water across the intestinal epithelium. It also protects against pathogens and large, harmful molecules. The regulation of these TJs is therefore crucial to a healthy barrier and there are a number of things that can influence this. Immune mediated TJ function is well documented; cytokines play a key role in the integrity of the gut barrier. Tumor necrosis factor-α Tumor necrosis factor-α (TNF-α) is a proinflammatory cytokine that is produced mainly by activated T cells and macrophages (cells of the immune system). TNF-α is known to induce cell death and inflammatory response in intestinal epithelial cells and recent studies have also demonstrated that it impairs the intestinal TJ barrier. Findings Here Interleukin-1β Interleukin-1β (IL-1β), another inflammatory cytokine is markedly elevated in intestinal mucosa under inflammatory conditions. In addition, recent studies show that IL-1β causes increased intestinal TJ permeability. Findings Here On the other hand, Interleukin-10 (IL-10) is regarded as an anti-inflammatory cytokine. In vitro studies have demonstrated that IL-10 opposes the cellular functions induced by TNF-α and IFN-γ. It is suggested that IL-10 has a role in the protection of the intestinal barrier by regulation of TJ proteins. Findings Here Pathogenic Bacteria and Lipopolysaccharides It is well established that pathogenic bacteria also alter the intestinal epithelial TJ barrier. The most commonly referenced are Escherichia coli (E.coli) and Salmonella which lead to intestinal inflammation. In addition, lipopolysaccharides (LPS), also called endotoxins, a component of the outer walls of gram-negative bacteria also alter TJ protein assembly. In studies, LPS treatment is seen to increase TJ permeability and induce epithelial cell death. The other part of the barrier is the mucosal layer. Mucous Layer The mucus layer is the very first line of defence that external molecules encounter when they arrive in the gut, it prevents bacteria from directly contacting the epithelial cells, along with toxic substances and digestive enzymes. The main building blocks of the mucus layer are mucin proteins that form a gel-like sieve structure overlying the intestinal epithelium. In the small and large intestine, mucin 2 (MUC2) is the most abundant mucus protein secreted by goblet cells. MUC2 expression is critical in protection against disease, as Muc2 knock-out mice will often develop colitis. Findings Here The ability of mucins to bind water offers another protective element – they moisturise and lubricate, protecting the epithelial cells from dehydration and mechanical stress during the passage of food. Immune regulators are also found in the mucosal layer, which highlights its collaboration with the immune system. Mucous Turnover and Degradation The turnover of the intestinal mucous layer includes mucous synthesis, secretion, and degradation. It is a complex process that needs to be regulated and balanced to ensure optimal protective function. Mucin degradation has been recognized as a normal process of mucus turn-over in the GI tract, starting a few months after birth. Selective intestinal bacteria can degrade mucous glycans as an energy source, suggesting that there is a relationship between the microbiota and the mucosal layer. This is of concern in low fibre diets because in the absence of fibre as a fuel source, the microbiota will switch to mucosal glycans. It has been well established that low fibre diets are associated with a thinner colonic mucosa. Findings Here The rate of mucin turn-over can be modified by bacterial colonization, for example, the intestinal mucous requires the presence of bacteria to develop its full functionality; analysis has shown thin or even absent mucous layer in the colon of germ-free rats. Findings Here In addition, short chain fatty acids can stimulate mucous production. SCFA’s are the end products of microbial fermentation of undigestible carbohydrates with acetate, propionate and butyrate being the most common in the intestinal lumen. Starvation also influences mucin turnover. The mechanism during times of starvation is much the same as on low fibre diets, diverse bacterial species will switch to mucin as an energy source during nutrient deprivation. This poses food for thought in fasting. To Fast or Not To Fast? Finally, the consumption of a Western Style Diet (WSD) has been linked to the impairment of intestinal mucosal function. Animal studies have administered a WSD, high in fat, simple sugars and low in complex fibre and found that in just three days the mucosal layer was diminished. A reduction in MUC2 was found. However, when mice were transplanted with microbiota from a control diet, the mucosal dysfunction was prevented, despite being fed a WSD themselves. This suggests that in addition to dietary choices influencing the composition of the mucosal layer, so too does the microbiota. Your Puppy’s Microbiome What Can Cause Gut Dysbiosis What Can Help Dysbiosis Furthermore, there seems to be a bidirectional relationship between stress and mucosal barrier function. Animal studies have demonstrated that early life stress impairs development of mucosal barrier function, becoming a predisposing factor to intestinal disorders in adult life. Findings Here Can Stress Affect My Dog’s Digestive System 6 Tips for Your Anxious Dog Why Dogs Need To Chew Top Tips to Support Gut Barrier Health: Offer a species appropriate diet Limit toxic exposure Support beneficial microbiome formation and maintenance Limit stress exposure Address existing inflammation If you would
