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is your dog suffering liver issues (unknown)
#1
Is Your Dog Suffering From Liver Issues, Gall Bladder Issues, Biliary Issues
Having handled a few dogs and provided frequent consultation, I have recognized a number of common diagnostic or therapeutic errors made in the management of gastrointestinal diseases. The purpose of this article is to review these common errors, and suggest ways to avoid these mistakes. A major error in the diagnostic approach to this problem is the failure to differentiate vomiting from regurgitation.  Regurgitation is usually related to oesophageal disorders, while vomiting is due to either systemic disease or gastrointestinal-disorder. The best way to distinguish between these two problems is based on a description of the act. Vomiting is a centrally mediated reflex associated with nausea (salivation, frequent swallowing, licking of the lips, vocalization in cats), retching and abdominal contractions, and finally expulsion of the ingesta. The presence of bile in the expulsed ingesta usually indicates vomiting. Regurgitation is a passive process where retained ingesta moves from the oesophagus into the pharynx, where it initiates a gag reflex, and is expelled from the mouth.   With gastric issues your dog is likely to have a distended abdomen, look sluggish, be lethargic and at times lay down more frequently due to gall bladder , liver, pancreas duodenum tenderness and pain. Which needs investigation. Another common diagnostic error is to proceed with aggressive diagnostic procedures before eliminating a dietary or environmental cause of acute or chronic vomiting. Dietary indiscretion, intolerances, and allergies are all potential causes of these problems. Indiscretion may be obvious (table scraps, garbage ingestion, free roaming behaviour, etc.) or may require a thorough history with an observant owner (ingestion of dog or cat faeces, young children in the household, exposure to plants or chemicals, etc.). In some cases when indiscretion cannot be identified, feeding a highly digestible diet for 4-6 weeks may resolve the vomiting. Many vets dive in when they really should be treading water carefully when it comes to diagnostics in our pets. If Fido has a gastro issue then It is exceptionally important to place Fido on a diet that is suitable to :
1)     Regenerate liver cells
2)     Promote bile movement
3)     Prevent cognitive Impairment due to ammonia and toxins in blood reaching brain
4)     Break down sludge, stones in gall bladder
5)     Prevent suffering and pain episodes
6)     Reduce swelling and abdomen distension
7)     Provide relief from anorexia, cachexia vomiting
8)     Prevent surgery were possible
9)     Prevent deterioration
10)  Prevent death
Your veterinary surgeon is likely to promote a dry diet by Hills (A VET SCHOOL NUTRITION COMPANY). They receive very little education on diet nutrition and natural food therapy. My advice is to STAY WELL AWAY from those vet diets- they are more likely to add to the problem and lower life expectancy.
Cholecystitis may be much more common than many people realize. It is as common in dogs as it is in humans and I am just one of those, whose surgeon failed to listen and removed a gall bladder when the disease was in the bile duct, so this is a subject very close to my heart. Dogs that have evidence of antibiotic responsive hepatobiliary tract disease may have a bacterial cholecystitis. Typically, both the ALT and SAP are increased, and icterus is common. Most dogs with cholecystitis do not have discernable gall stones. Many (maybe most) gall stones found in dogs and cats are clinically insignificant and only serve to confuse veterinarians. Ultrasound findings in dogs with bacterial cholecystitis are non-specific: finding "sludge" in the gall bladder can also occur in clinically normal dogs. If your vet is recommending surgery please wait and try the diet below and the reason being if they remove the entire gall bladder and submit it for histopathology and microbiology they should ensure that they do not ligate or transect the common bile duct, or they may kill the dog.
Gall stones, as mentioned are usually there simply to distract the veterinarian. Pancreatitis is the most important cause of extrahepatic biliary tract obstruction (EHBO) in the dog. If EHBO is present in a sick dog and appears to be idiopathic, it should generally be assumed to probably be due to pancreatitis until there is evidence to the contrary. Schnauzers and Yorkies are famous for pancreatitis, but these breeds get a lot of other diseases that cause vomiting, and pancreatitis can be found in any breed of dog. Most cases of canine pancreatitis are related to either ingestion of fat or lipemia associated with diabetic ketoacidosis. Trauma and drugs can also cause canine pancreatitis. Drugs that are suspected of causing pancreatitis in people and animals include azathioprine, sulfonamides, tetracycline, and potassium bromide
 
DIET
You MUST always start by using an elimination diet, many vets will suggest food allergy rather than food intolerance and a food restriction is enacted inaccurately. If a dog has been eating food ABCD for many months without problem and thriving on it then to suggest ABCD is causing some allergic reaction which was previously unseen would imply veterinary ineptness and possible owner misinterpretation of canine inflammatory responses.
1)     Start by removal of all foods treats etc
2)     Pick just 1 new protein (animal not plant) that Fido has not yet tried like horsemeat, Kangaroo, Ostrich etc
3)     Pick 1 new complex carbohydrate again one that Fido has not eaten a lot of such as quinoa, sweet potato etc
4)     Give just plain water to drink it does NOT require to be bottled water
5)     Start by making a diary from day 1 write food down and reaction next to it
6)     Maintain the diary for the next 12 weeks
7)     Give food for 1 week
8)     Then add just 1 other protein and 1 carb to the food for the following week and again complete diary
9)     If NO reaction keep these foods in the diet and add another 1 protein 1 carbohydrate
10)  This MUST be kept up for 12 weeks , If Fido reacts to a food REMOVE it and replace it and then do the new food for a week etc
11)  The diet in simple terms will take a minimum of 12 weeks however if Fido reacts to any added new food either carb or protein then this will be extended for each week a new food is replaced by another due to reactions seen .
12)  Reactions can be constant skin itching, ear scratching, red skin, licking toes feet etc
REMEMBER : Dogs do occasionally have an itch , It doesn’t mean a total change of diet it means OBSERVATION and reading your diary !
 
 
 
Diet Foods They Should Have
Low fat cottage cheese
Turkey mince
Mashed sweet potato/ potato (no dairy in this at all )
Boiled chicken (I shall talk about this in next paragraph)
Cauli Rice or Sweet Potato Rice (This is NOT RICE it is a vegetable )
Bone Broth (I shall talk about this in following paragraph)
Beetroot and apple juice frozen in ice cube trays to avoid waste
White fish steamed
Eggs
Supplements – These are IMPORTANT and must be taken daily
Vitamin C
Vitamin E
Adenosylmethionine (SAMe), which may reduce liver injury and also has antioxidant properties
Vitamin K
Milk Thistle
Lactulose (if dog is disorientated confused with Liver Disease )
I’Arginine, Lysine, Carnatine Lecithin
If eyes look cloudy due to cholesterol then give :
Eyebright and Lutein Daily 6mg
 
SAM e . Vit C ,Vit E , Milk Thistle, L’arginine Carnatine, Lysine should all be given at breakfast  to avoid dogs becoming disorientated
 
If the dog has enlarged liver then I suggest Lactulose daily dose depends on severity and size of animal
 
Lutein and Eyebright can be given at anytime during the day.
 
Lecithin if in powder can be sprinkled on food
 
Beetroot and apple in ice cube tray can be given mixed with food (recommended 25 ml per cube so I use the silicone trays)
 
Low fat diet is important
 
Boiled Chicken and Bone Broth
 
Boiled chicken reduces the fat content  also allows you to make bone broth, so once chicken in cooked via boiling and simmering remove and place the skin and carcass back in pot to boil and make some bone broth which can also be frozen.
 
Bone broth is great for hiding the taste of the beetroot and apple which should be fed daily in the mix of food above. It may once cooled smell and form a jelly.
 
Food list choose 1-2 protein not them all suggest mixing
Cottage cheese , cooked turkey mince, Cauli Rice Beetroot Apple Juice from cube, (lactulose if needed ) Shred some chicken on top and add bone broth
 
Meals should be increased to 4 per day so please be careful , Fido should only be consuming 170-200g per day using these foods and that includes treats.
 
Dried Treats –
Dehydrated (puffed ) Goats Ears, Rabbit Ears Ostrich and sweet potato nibbles
 
By sticking to the above your dog should start to feel better, lose any extra weight and also reduce swelling in Liver and Gall Bladder and the distended abdomen should start to reduce and rise again. This is a diet for life and you should always think low fat high quality protein. Rabbit is another food you can use but it is nutritionally poor but could be one to consider as a weight loss program but you must then increase proteins.
 
Your dog should not be on a low protein diet with gall bladder and liver issues.
 
Any questions feel free to ask.
 
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