Extremely Excessive Crapping

Talk about diets, exercise, and disease.
jrs87
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Extremely Excessive Crapping

Postby jrs87 » Sun Aug 17, 2008 3:02 pm

Max (8 month old APBT) has crapped in his crate ever since I've had him, divider or not. Lately it's been really bad (twice a day)

The thing is, he craps outside every single time I take him out (at least 4x a day).

The other thing is, HE DOESN'T EAT. He eats -maybe- a cup per day. I try to force him to eat and that's all I can get him to do.

Our 6 month old eats way more and has no problems whatsoever.

What could possibly be making him chocolate so much?

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eashanna
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Postby eashanna » Sun Aug 17, 2008 4:03 pm

what dog food do u give him? sometimes when the dog food quality isnt good (like ol roy, pedigree etc) its basically like feeding your dog cardboard. practically none of it is digested and therefore he poops it all out.

jrs87
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Postby jrs87 » Sun Aug 17, 2008 6:41 pm

he's actually on a very high quality food called nutri source. i got it after he developed food allergies. chicken and rice formula and those are the main ingredients. omega acids, multiple vitamins, etc

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spammie
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Postby spammie » Sun Aug 17, 2008 7:39 pm

It may be the food is too rich for him. My dogs had constant poo issues with a premium food I tried.
If it were me, I'd put him on boiled chicken/rice for a few days, and gradually add a different food.

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spammie
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Postby spammie » Sun Aug 17, 2008 7:40 pm

Also, another thought.
Maybe a vet visit is in order to rule out any other problems.

jrs87
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Postby jrs87 » Wed Aug 27, 2008 3:36 am

Today he ate a half a bowl. Once. He poop 4-5x. Unbelievable. He has now crapped in his crate at least once per day for the last 2 weeks. At eight months old. And he is trained. He barely ever pees in his crate.

What's the deal?

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spammie
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Postby spammie » Wed Aug 27, 2008 5:46 am

how much are you feeding? (how many cups)
Are you feeding him all his food at once?
Did you change foods recently?

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Maryellen
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Postby Maryellen » Wed Aug 27, 2008 8:41 am

how did you find out he has a food allergy? i would get a new vet, a dog that is pooping that much is not retaining ANY nutrition at all, and it could either be EPI or SIBO or something else..

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Maryellen
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Postby Maryellen » Wed Aug 27, 2008 8:41 am

here is some info on SIBO and EPI, which i have noticed alot of dogs have.. symptoms include ravenous appetite, LARGE poops numerous times during the day, vomiting, and diarrhea, and excessive weight loss..

DOGS THAT TAKE THE PANCREATIC ENZYMES WILL DRINK MORE WATER, AND SOME DOGS WILL BECOME INCONTINENCE FROM THE ENZYMES.

there is one test that can determine if its EPI, that is the TLI test, which the dog must fast for 12 hours prior to the test..

Epi can strike at any time but the dog is usually very young when symptoms occur, indeed puppies can be born with this condition but not show any signs until they reach the juvenile stage. Epi is also beginning to show up in the middle aged dog.
Symptoms include loss of weight/failure to gain weight, constant hunger, loose rancid stools, frequent visits to the toilet, watery diarrhoea, excessive flatulence (wind), noisy tummy and in some cases vomiting.
They can develop a nervous, highly-strung character as well as being hyper active as these dogs have never ending energy and don't know when to stop!

As you can see, most of these symptoms can also be put down to normal doggie ailments so if in doubt, please contact your vet for further investigations i.e. a clinical examination which may include blood and faeces tests in order to establish if there is indeed anything to worry about.

Treatment

Along with the relevant medication, a good quality low fat, low protein, low fibre easily digestible diet is a must i.e. chicken & rice, lamb & rice kibble. It is essential that you stick to the diet rigidly especially in the early days until your dog is stabilized. Understandably, this is a bland diet but hopefully you'll be able to find something appetising to sprinkle in with the food that's low fat/protein etc.
We sprinkle liver cake in Freya's food as both the smell of the liver and garlic add that extra *taste* factor.
If your dog is used to treats, why not give him bits of his dried food or small bits of carrot as he'll be none the wiser.

It is important to try and cut down on the amount of air he swallows whilst eating his food in order to combat the flatulence (wind).
If your dog is greedy and rushes his food why not put clean, scrubbed stones in his dish so he has to move them about in order to eat his meal, thus slowing him down and minimizing gulping.

(make sure the stones are too big for him to swallow)

Raising his food and water dish may also help.
What we do is feed Freya some of her dried food in an activity ball, that way she has to manipulate the ball in order to tease the food out. The rest we put in a dish, sprinkle her medication in to it, add water and let it soak.
Doing this cuts down on the flatulence to a great extent.
You may find that your vet may want you to give twice the amounts of food in order to get the weight on the dog depending how under-weight he is. The best way to do this is to feed him 4 feeds a day in order to avoid overloading his stomach.
The dog, indeed any dog must not be exercised for at least two hours after any feed.

Through time, once the dog is stabilized, you'll be able to slip in the odd treat here and there so long as it's low in fat/protein and fibre. Should the dog take a downward turn you just up the medication for a couple of days and remember not to feed him that particular treat again.

Exercise

Your vet may advice you to cut back on the exercise to begin with in order to keep the calories in and get the weight on but it doesn't mean you can't have fun with your dog.
When out play mind games, hide a favourite toy in the grass and get him to search for it or do some training as both these activities stimulate the mind leaving your dog exhausted and ready for a good sleep when he gets in. You can also play these games indoors.
You can still let your dog run about and play but just limit the amount as these dogs could run all day, and night.

Prognosis

Well your vets the best person to answer this but with the right diet, medication and exercise there is no reason why your dog can't live a long, healthy, incident free life span.
Epi/Ped or Pi is not the end of the world, even with complications that doesn't mean your dog is doomed because he's not, he's just a dog with a medical condition although I have to stress yet again that some dogs do not respond to treatment as well as they should.
Looking after such a dog is very easy once you get into a routine, it's second nature believe me and within weeks your dog could be like any other dog in the street, toilet and all so it's not the end of the world although the treatment is life long.

Observations

Through time you'll just "know" when your dogs feeling a bit off colour, it doesn't mean there's anything to worry about, just limit his exercise and give him a little peace and quiet, just like you'd want if you were having an off day.

Epi dogs are no different to "normal" dogs as they can still pick up stomach bugs etc, in some cases they may be more susceptible so do be prepared for the odd relapse as it would be fool-hardy to think they'll always be perfect.
Should this happen please do consult your vet in order to get the infection treated as the Epi dog can drastically loose weight virtually overnight!


The main thing to remember is do keep communicating with your vet as it is all too easy for the relationship to break down (I should know as ours was tested to the limit). Always remember that your vet is on your side and there's a good chance that they too feel very despondent when things aren't going to plan, there's an even bigger chance that once they
get home they'll be reading up on all the latest information available regarding the treatment of these dogs so please do be patient and be guided by your vet.

The "ill Dog" Syndrome

Another thing to remember is don't fall into this trap
(especially with a young dog) of either cutting back or stopping your training, the ill dog syndrome, as you'll have a whole load of catching up to do when your dog is stabilized as well as him being a totally unruly dog (I should know as that's exactly what I did).

Advice

As an Auto Immune Disorder, it is advised that an Epi dog should not be re-vaccinated due to the risks involved. What more enlightened vets are now offering is what they call a Titres test.
This is a simple blood test that measures the antibody levels of each disease covered by vaccinations. Should your dog need any boosters, you can opt for a single vaccine dedicated to that particular disease.
It is also advisable to have your dogs Vitamin B12 levels checked at the same time, that way should they be low on B12, they can receive a B12 injection.

Please do enjoy your dog as the quicker you start to enjoy him again, the quicker everything will fall into place.

Articles discussing EPI and the genetic inheritance of this (or general) diseases:

http://www.upei.ca/~cidd/howare.htm#Top���� This article explains how genetic diseases are passed along from generation to generation. �

http://www.upei.ca/~cidd/Diseases/GI%20 ... m��� This article provides an easily read explanation on EPI, it's diagnosis and treatment recommendations.� It does not address diet specifically, however. �

http://www.gsdhelpline.com/genetic2.htm��� This article is just one of many on this websight.� It is based in the UK and is available for anyone to read.� This is another article that talks about autosomal recessive genetics and how two apparently normal parents can produce offspring with a debilitating or deadly disease.� It does not talk about EPI specifically, however. �

http://www.gsdhelpline.com/boweldis.htm��� This article discusses EPI in general terms and recommends an easily digestible, moderately fat restricted diet.� No references are given for the dietary recommendation.� It also talks about SIBO and other common Pancreatic and Intestinal diseases in the GSD.

(Thanks to Penny, fn117@aol.com for these references.)

Research article: Am J Vet Res. 2002 Oct;63(10):1429-34.

Inheritance of pancreatic acinar atrophy in German Shepherd Dogs.
Moeller EM, Steiner JM, Clark LA, Murphy KE, Famula TR, Williams DA, Stankovics ME, Vose AS.

Division of Small Animal Surgery and Orthopedics, Faculty of Veterinary Medicine, University of Bern, Switzerland.

OBJECTIVE: To assess the heritability of pancreatic acinar atrophy (PAA) in German Shepherd Dogs (GSDs) in the United States. ANIMALS: 135 GSDs belonging to 2 multigenerational pedigrees. PROCEDURE: Two multigenerational pedigrees of GSDs with family members with PAA were identified. The clinical history of each GSD enrolled in the study was recorded, and serum samples for canine trypsin-like immunoreactivity (cTLI) analysis were collected from 102 dogs. Dogs with a serum cTLI concentration < or = 2.0 microg/L were considered to have exocrine pancreatic insufficiency (EPI) and were assumed to have PAA. RESULTS: Pedigree I consisted of 59 dogs and pedigree II of 76 dogs. Serum cTLI concentrations were measured in 48 dogs from pedigree I and 54 dogs from pedigree II. A total of 19 dogs (14.1%) were determined to have EPI, 9 in pedigree I (15.3%) and 10 in pedigree II (13.6%). Of the 19 dogs with EPI, 8 were male and 11 were female. CONCLUSIONS AND CLINICAL RELEVANCE: Evaluation of data by complex segregation analysis is strongly suggestive of an autosomal recessive mode of inheritance for EPI in GSDs in the United States.

PMID: 12371772 [PubMed - indexed for MEDLINE]



If you have additions for this document, please contact Nancy Roberts at nancyr @ cc.usu.edu.

What is EPI?
Info from UPEI (University of Prince Edward Island)

Info from Vetcentric

Info from Regalwise

Info from Provet

Info from the White Shepherd Genetics page, ignore the part on testing with corn oil.


The Canine Gastrointestinal Tract: Exocrine Pancreas This article has diet information in it (towards the end) and discusses the need for a low fat diet and the role of fiber. This is from Waltham (a feed manufacturer) and discusses both pancreatitis and EPI.

How the Pancreas SHOULD work
Exocrine Secretions of the Pancreas
SIBO, Small intestine bacterial overgrowth:
Info from Provet

WSAVA Conference proceedings

Info from UPEI

Info from Purina research

Article on Clostridium Perfringens Enterotoxin another cause of GI upset in dogs.
Info on TLI testing:
Info from Texas A&M

info from DPC

Info from Antech Labs covers TLI, Cobalamin, Folate. NOTE THAT THIS ARTICLE INCORRECTLY STATES THAT ENZYMES NEED TO BE WITHDRAWN BEFORE TESTING!
Info on Cobalamin/Folate testing:
Info from Texas A&M


Vitamin B-12 (cobalamin) supplementation:
Info from Texas A&M

Vitamin B-12 minimum daily requirements chart: (found in files section of epi list).
Study on EPI from Helsinki, Finland:
Dissertation results


Digestive disorders in dogs:
Info from siriusdog

http://www.upei.ca/~cidd/Diseases/GI%20 ... ciency.htm

http://www.vetcentric.com/reference/enc ... &MODE=full

http://www.provet.co.uk/health/diseases/git-epi.htm

http://www.wsgenetics.org/articles/epi.html

http://www.walthamusa.com/articles/cgiexopanc.pdf

http://arbl.cvmbs.colostate.edu/hbooks/ ... crine.html

SIBO info

http://www.provet.co.uk/health/diseases/git-bo.htm

http://www.vin.com/proceedings/Proceedi ... tegory=414

http://www.upei.ca/~cidd/Diseases/GI%20 ... growth.htm

http://www.purina.com/images/articles/p ... growth.pdf

http://www.cah.com/dr_library/clost.html

info on TLI testing
http://www.cvm.tamu.edu/gilab/TLI.shtml

http://www.dpcweb.com/documents/news&vi ... ypsin.html

http://www.antechdiagnostics.com/client ... 9/5-99.htm

http://siriusdog.com/digestive-tract-disorders.htm

What is small intestinal bacterial overgrowth?
In this condition, there is a dramatic increase in the number of bacteria in the small intestine, and this interferes with normal absorption of nutrients. The result is chronic intermittent diarrhea, and weight loss or failure to gain weight.
In the German shepherd, this condition is thought to be related to a deficiency of immunoglobulin A (IgA) , the primary immune defense in the small intestine.
Small intestinal bacterial overgrowth (SIBO) may develop in association with exocrine pancreatic insufficiency. It may also be seen with inflammatory bowel disease, although it can't always be determined which came first.
How is small intestinal bacterial overgrowthinherited?
unknown
What breeds are affected by small intestinal bacterial overgrowth?
German shepherd; the condition is seen in other breeds as well.
For many breeds and many disorders, the studies to determine the mode of inheritance or the frequency in the breed have not been carried out, or are inconclusive. We have listed breeds for which there is a consensus among those investigating in this field and among veterinary practitioners, that the condition is significant in this breed.
What does small intestinal bacterial overgrowthmean to your dog & you?
The condition is usually seen in young dogs, who develop chronic intermittent diarrhea which gradually gets worse, and lose weight or fail to gain weight normally. Some dogs may only show weight loss and in others there may be vomiting.
How is small intestinal bacterial overgrowthdiagnosed?
There is no straightforward test to diagnose SIBO. Because the condition may develop as a complication of many intestinal diseases, it is important to search for any possible underlying cause. Your veterinarian will do tests for parasites, bacterial infections, partial obstruction, and other causes of diarrhea such as exocrine pancreatic insufficiency. Besides these baseline blood and fecal tests, there are several other tests that can be done to support the diagnosis of SIBO.
For the veterinarian: Bacterial overgrowth in the proximal small bowel is increasingly recognized as an important cause of chronic intermittent small bowel diarrhea +/- weight loss in many breeds. There is overgrowth of anaerobic bacteria, which have a greater potential for damaging the intestinal mucosa and causing malabsorption. Anaerobes are also the major cause of bile salt deconjugation, the results of which are fat malabsorption and steatorrhea.
There is no straightforward test to diagnose SIBO. Increased serum folate or reduced cobalamin provide indirect support for the diagnosis, once pancreatic insufficiency has been ruled out. Other helpful tests include absorption and permeability tests and hydrogen breath testing (available in some specialty centres). The diagnosis can be confirmed by microbiologic culture of duodenal juices (obtained endoscopically or by laparotomy) although this is expensive and technically complicated, and may miss some cases of SIBO.

How is small intestinal bacterial overgrowthtreated?
Antibiotics are used at the same time as any underlying cause is treated. Often, no underlying cause can be found and it becomes a question of long term management. The disorder can usually be controlled with long courses of antibiotics, repeated occasionally if there is a relapse, and dietary management using a therapeutic diet low in carbohydrates and fats.
For the veterinarian: Four weeks of treatment with oxytetracyline is usually successful. Some dogs with SIBO relapse soon after antibiotics are discontinued. This may mean there is an unidentified underlying cause, or there has been permanent functional mucosal damage. Antibiotics, gradually reduced to the lowest dose that will control the diarrhea, may need to be continued for extended periods.

Breeding advice
Affected dogs should not be bred, and until more is known about inheritance of this disorder, it is prudent to avoid breeding their parents and siblings as well.
FOR MORE INFORMATION ABOUT THIS DISORDER, PLEASE SEE YOUR VETERINARIAN.
Resources
Rutgers, H.C. 1998. Diagnosis and long-term management of bacterial overgrowth in the dog. ACVIM-Proceedings of the 16th Annual Vet. Med. Forum. pp. 482-484.
Burrows, C.F., Batt, R.M., Sherding, R.G. 1995. Diseases of the small intestine. In E.J. Ettinger and E.C. Feldman (eds.) Textbook of Veterinary Internal Medicine, pp. 1169-1232. W.B. Saunders Co., Toronto.

Copyright © 1998 Canine Inherited Disorders Database. All rights reserved.
Revised: April 27, 2001.
This database is a joint initiative of the Sir James Dunn Animal Welfare Centre at the Atlantic Veterinary College, University of Prince Edward Island, and the Canadian Veterinary Medical Association.

__________________

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Maryellen
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Postby Maryellen » Wed Aug 27, 2008 8:42 am

here is some info on SIBO and EPI, which i have noticed alot of dogs have.. symptoms include ravenous appetite, LARGE poops numerous times during the day, vomiting, and diarrhea, and excessive weight loss..

DOGS THAT TAKE THE PANCREATIC ENZYMES WILL DRINK MORE WATER, AND SOME DOGS WILL BECOME INCONTINENCE FROM THE ENZYMES.

there is one test that can determine if its EPI, that is the TLI test, which the dog must fast for 12 hours prior to the test..

Epi can strike at any time but the dog is usually very young when symptoms occur, indeed puppies can be born with this condition but not show any signs until they reach the juvenile stage. Epi is also beginning to show up in the middle aged dog.
Symptoms include loss of weight/failure to gain weight, constant hunger, loose rancid stools, frequent visits to the toilet, watery diarrhoea, excessive flatulence (wind), noisy tummy and in some cases vomiting.
They can develop a nervous, highly-strung character as well as being hyper active as these dogs have never ending energy and don't know when to stop!

As you can see, most of these symptoms can also be put down to normal doggie ailments so if in doubt, please contact your vet for further investigations i.e. a clinical examination which may include blood and faeces tests in order to establish if there is indeed anything to worry about.

Treatment

Along with the relevant medication, a good quality low fat, low protein, low fibre easily digestible diet is a must i.e. chicken & rice, lamb & rice kibble. It is essential that you stick to the diet rigidly especially in the early days until your dog is stabilized. Understandably, this is a bland diet but hopefully you'll be able to find something appetising to sprinkle in with the food that's low fat/protein etc.
We sprinkle liver cake in Freya's food as both the smell of the liver and garlic add that extra *taste* factor.
If your dog is used to treats, why not give him bits of his dried food or small bits of carrot as he'll be none the wiser.

It is important to try and cut down on the amount of air he swallows whilst eating his food in order to combat the flatulence (wind).
If your dog is greedy and rushes his food why not put clean, scrubbed stones in his dish so he has to move them about in order to eat his meal, thus slowing him down and minimizing gulping.

(make sure the stones are too big for him to swallow)

Raising his food and water dish may also help.
What we do is feed Freya some of her dried food in an activity ball, that way she has to manipulate the ball in order to tease the food out. The rest we put in a dish, sprinkle her medication in to it, add water and let it soak.
Doing this cuts down on the flatulence to a great extent.
You may find that your vet may want you to give twice the amounts of food in order to get the weight on the dog depending how under-weight he is. The best way to do this is to feed him 4 feeds a day in order to avoid overloading his stomach.
The dog, indeed any dog must not be exercised for at least two hours after any feed.

Through time, once the dog is stabilized, you'll be able to slip in the odd treat here and there so long as it's low in fat/protein and fibre. Should the dog take a downward turn you just up the medication for a couple of days and remember not to feed him that particular treat again.

Exercise

Your vet may advice you to cut back on the exercise to begin with in order to keep the calories in and get the weight on but it doesn't mean you can't have fun with your dog.
When out play mind games, hide a favourite toy in the grass and get him to search for it or do some training as both these activities stimulate the mind leaving your dog exhausted and ready for a good sleep when he gets in. You can also play these games indoors.
You can still let your dog run about and play but just limit the amount as these dogs could run all day, and night.

Prognosis

Well your vets the best person to answer this but with the right diet, medication and exercise there is no reason why your dog can't live a long, healthy, incident free life span.
Epi/Ped or Pi is not the end of the world, even with complications that doesn't mean your dog is doomed because he's not, he's just a dog with a medical condition although I have to stress yet again that some dogs do not respond to treatment as well as they should.
Looking after such a dog is very easy once you get into a routine, it's second nature believe me and within weeks your dog could be like any other dog in the street, toilet and all so it's not the end of the world although the treatment is life long.

Observations

Through time you'll just "know" when your dogs feeling a bit off colour, it doesn't mean there's anything to worry about, just limit his exercise and give him a little peace and quiet, just like you'd want if you were having an off day.

Epi dogs are no different to "normal" dogs as they can still pick up stomach bugs etc, in some cases they may be more susceptible so do be prepared for the odd relapse as it would be fool-hardy to think they'll always be perfect.
Should this happen please do consult your vet in order to get the infection treated as the Epi dog can drastically loose weight virtually overnight!


The main thing to remember is do keep communicating with your vet as it is all too easy for the relationship to break down (I should know as ours was tested to the limit). Always remember that your vet is on your side and there's a good chance that they too feel very despondent when things aren't going to plan, there's an even bigger chance that once they
get home they'll be reading up on all the latest information available regarding the treatment of these dogs so please do be patient and be guided by your vet.

The "ill Dog" Syndrome

Another thing to remember is don't fall into this trap
(especially with a young dog) of either cutting back or stopping your training, the ill dog syndrome, as you'll have a whole load of catching up to do when your dog is stabilized as well as him being a totally unruly dog (I should know as that's exactly what I did).

Advice

As an Auto Immune Disorder, it is advised that an Epi dog should not be re-vaccinated due to the risks involved. What more enlightened vets are now offering is what they call a Titres test.
This is a simple blood test that measures the antibody levels of each disease covered by vaccinations. Should your dog need any boosters, you can opt for a single vaccine dedicated to that particular disease.
It is also advisable to have your dogs Vitamin B12 levels checked at the same time, that way should they be low on B12, they can receive a B12 injection.

Please do enjoy your dog as the quicker you start to enjoy him again, the quicker everything will fall into place.

Articles discussing EPI and the genetic inheritance of this (or general) diseases:

http://www.upei.ca/~cidd/howare.htm#Top&#65533;��� This article explains how genetic diseases are passed along from generation to generation. �

http://www.upei.ca/~cidd/Diseases/GI%20 ... m&#65533;&#65533;� This article provides an easily read explanation on EPI, it's diagnosis and treatment recommendations.� It does not address diet specifically, however. �

http://www.gsdhelpline.com/genetic2.htm&#65533;&#65533;� This article is just one of many on this websight.� It is based in the UK and is available for anyone to read.� This is another article that talks about autosomal recessive genetics and how two apparently normal parents can produce offspring with a debilitating or deadly disease.� It does not talk about EPI specifically, however. �

http://www.gsdhelpline.com/boweldis.htm&#65533;&#65533;� This article discusses EPI in general terms and recommends an easily digestible, moderately fat restricted diet.� No references are given for the dietary recommendation.� It also talks about SIBO and other common Pancreatic and Intestinal diseases in the GSD.

(Thanks to Penny, fn117@aol.com for these references.)

Research article: Am J Vet Res. 2002 Oct;63(10):1429-34.

Inheritance of pancreatic acinar atrophy in German Shepherd Dogs.
Moeller EM, Steiner JM, Clark LA, Murphy KE, Famula TR, Williams DA, Stankovics ME, Vose AS.

Division of Small Animal Surgery and Orthopedics, Faculty of Veterinary Medicine, University of Bern, Switzerland.

OBJECTIVE: To assess the heritability of pancreatic acinar atrophy (PAA) in German Shepherd Dogs (GSDs) in the United States. ANIMALS: 135 GSDs belonging to 2 multigenerational pedigrees. PROCEDURE: Two multigenerational pedigrees of GSDs with family members with PAA were identified. The clinical history of each GSD enrolled in the study was recorded, and serum samples for canine trypsin-like immunoreactivity (cTLI) analysis were collected from 102 dogs. Dogs with a serum cTLI concentration < or = 2.0 microg/L were considered to have exocrine pancreatic insufficiency (EPI) and were assumed to have PAA. RESULTS: Pedigree I consisted of 59 dogs and pedigree II of 76 dogs. Serum cTLI concentrations were measured in 48 dogs from pedigree I and 54 dogs from pedigree II. A total of 19 dogs (14.1%) were determined to have EPI, 9 in pedigree I (15.3%) and 10 in pedigree II (13.6%). Of the 19 dogs with EPI, 8 were male and 11 were female. CONCLUSIONS AND CLINICAL RELEVANCE: Evaluation of data by complex segregation analysis is strongly suggestive of an autosomal recessive mode of inheritance for EPI in GSDs in the United States.

PMID: 12371772 [PubMed - indexed for MEDLINE]



If you have additions for this document, please contact Nancy Roberts at nancyr @ cc.usu.edu.

What is EPI?
Info from UPEI (University of Prince Edward Island)

Info from Vetcentric

Info from Regalwise

Info from Provet

Info from the White Shepherd Genetics page, ignore the part on testing with corn oil.


The Canine Gastrointestinal Tract: Exocrine Pancreas This article has diet information in it (towards the end) and discusses the need for a low fat diet and the role of fiber. This is from Waltham (a feed manufacturer) and discusses both pancreatitis and EPI.

How the Pancreas SHOULD work
Exocrine Secretions of the Pancreas
SIBO, Small intestine bacterial overgrowth:
Info from Provet

WSAVA Conference proceedings

Info from UPEI

Info from Purina research

Article on Clostridium Perfringens Enterotoxin another cause of GI upset in dogs.
Info on TLI testing:
Info from Texas A&M

info from DPC

Info from Antech Labs covers TLI, Cobalamin, Folate. NOTE THAT THIS ARTICLE INCORRECTLY STATES THAT ENZYMES NEED TO BE WITHDRAWN BEFORE TESTING!
Info on Cobalamin/Folate testing:
Info from Texas A&M


Vitamin B-12 (cobalamin) supplementation:
Info from Texas A&M

Vitamin B-12 minimum daily requirements chart: (found in files section of epi list).
Study on EPI from Helsinki, Finland:
Dissertation results


Digestive disorders in dogs:
Info from siriusdog

http://www.upei.ca/~cidd/Diseases/GI%20 ... ciency.htm

http://www.vetcentric.com/reference/enc ... &MODE=full

http://www.provet.co.uk/health/diseases/git-epi.htm

http://www.wsgenetics.org/articles/epi.html

http://www.walthamusa.com/articles/cgiexopanc.pdf

http://arbl.cvmbs.colostate.edu/hbooks/ ... crine.html

SIBO info

http://www.provet.co.uk/health/diseases/git-bo.htm

http://www.vin.com/proceedings/Proceedi ... tegory=414

http://www.upei.ca/~cidd/Diseases/GI%20 ... growth.htm

http://www.purina.com/images/articles/p ... growth.pdf

http://www.cah.com/dr_library/clost.html

info on TLI testing
http://www.cvm.tamu.edu/gilab/TLI.shtml

http://www.dpcweb.com/documents/news&vi ... ypsin.html

http://www.antechdiagnostics.com/client ... 9/5-99.htm

http://siriusdog.com/digestive-tract-disorders.htm

What is small intestinal bacterial overgrowth?
In this condition, there is a dramatic increase in the number of bacteria in the small intestine, and this interferes with normal absorption of nutrients. The result is chronic intermittent diarrhea, and weight loss or failure to gain weight.
In the German shepherd, this condition is thought to be related to a deficiency of immunoglobulin A (IgA) , the primary immune defense in the small intestine.
Small intestinal bacterial overgrowth (SIBO) may develop in association with exocrine pancreatic insufficiency. It may also be seen with inflammatory bowel disease, although it can't always be determined which came first.
How is small intestinal bacterial overgrowthinherited?
unknown
What breeds are affected by small intestinal bacterial overgrowth?
German shepherd; the condition is seen in other breeds as well.
For many breeds and many disorders, the studies to determine the mode of inheritance or the frequency in the breed have not been carried out, or are inconclusive. We have listed breeds for which there is a consensus among those investigating in this field and among veterinary practitioners, that the condition is significant in this breed.
What does small intestinal bacterial overgrowthmean to your dog & you?
The condition is usually seen in young dogs, who develop chronic intermittent diarrhea which gradually gets worse, and lose weight or fail to gain weight normally. Some dogs may only show weight loss and in others there may be vomiting.
How is small intestinal bacterial overgrowthdiagnosed?
There is no straightforward test to diagnose SIBO. Because the condition may develop as a complication of many intestinal diseases, it is important to search for any possible underlying cause. Your veterinarian will do tests for parasites, bacterial infections, partial obstruction, and other causes of diarrhea such as exocrine pancreatic insufficiency. Besides these baseline blood and fecal tests, there are several other tests that can be done to support the diagnosis of SIBO.
For the veterinarian: Bacterial overgrowth in the proximal small bowel is increasingly recognized as an important cause of chronic intermittent small bowel diarrhea +/- weight loss in many breeds. There is overgrowth of anaerobic bacteria, which have a greater potential for damaging the intestinal mucosa and causing malabsorption. Anaerobes are also the major cause of bile salt deconjugation, the results of which are fat malabsorption and steatorrhea.
There is no straightforward test to diagnose SIBO. Increased serum folate or reduced cobalamin provide indirect support for the diagnosis, once pancreatic insufficiency has been ruled out. Other helpful tests include absorption and permeability tests and hydrogen breath testing (available in some specialty centres). The diagnosis can be confirmed by microbiologic culture of duodenal juices (obtained endoscopically or by laparotomy) although this is expensive and technically complicated, and may miss some cases of SIBO.

How is small intestinal bacterial overgrowthtreated?
Antibiotics are used at the same time as any underlying cause is treated. Often, no underlying cause can be found and it becomes a question of long term management. The disorder can usually be controlled with long courses of antibiotics, repeated occasionally if there is a relapse, and dietary management using a therapeutic diet low in carbohydrates and fats.
For the veterinarian: Four weeks of treatment with oxytetracyline is usually successful. Some dogs with SIBO relapse soon after antibiotics are discontinued. This may mean there is an unidentified underlying cause, or there has been permanent functional mucosal damage. Antibiotics, gradually reduced to the lowest dose that will control the diarrhea, may need to be continued for extended periods.

Breeding advice
Affected dogs should not be bred, and until more is known about inheritance of this disorder, it is prudent to avoid breeding their parents and siblings as well.
FOR MORE INFORMATION ABOUT THIS DISORDER, PLEASE SEE YOUR VETERINARIAN.
Resources
Rutgers, H.C. 1998. Diagnosis and long-term management of bacterial overgrowth in the dog. ACVIM-Proceedings of the 16th Annual Vet. Med. Forum. pp. 482-484.
Burrows, C.F., Batt, R.M., Sherding, R.G. 1995. Diseases of the small intestine. In E.J. Ettinger and E.C. Feldman (eds.) Textbook of Veterinary Internal Medicine, pp. 1169-1232. W.B. Saunders Co., Toronto.

Copyright © 1998 Canine Inherited Disorders Database. All rights reserved.
Revised: April 27, 2001.
This database is a joint initiative of the Sir James Dunn Animal Welfare Centre at the Atlantic Veterinary College, University of Prince Edward Island, and the Canadian Veterinary Medical Association.

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damienApbt
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Postby damienApbt » Wed Aug 27, 2008 2:59 pm

holey long post batman! X 2

lol . I think the steamed rice and chix idea is a good one. I would try that for a couple days than gradually add another kibble. Also I agree with the vet visit. It could be a stomach issue.

jrs87
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Postby jrs87 » Wed Aug 27, 2008 7:49 pm

He doesn't show any other symptoms of either of those.

He has a TON of energy.. ALL the time.
He's been getting a lot bigger and gaining weight at a healthy rate.
He doesn't have diarrhea. It's solid.
He doesn't puke.

He is very obsessive compulsive over drinking water. He'll drink until he bloats and falls over. I have to be careful with how much he has access to.

Really the only problem is that he craps. A Shatload

If chicken and rice doesn't help after a few days I'll be taking him in to the vet.

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jlphilli
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Postby jlphilli » Wed Aug 27, 2008 8:57 pm

jrs87 wrote: He'll drink until he bloats and falls over.



Um...

First of all, it's coming across a little....how should I say it....annoying with your word choice and that you keep acting like your poor pup's excessive "crapping" is ruining your life.

A few questions:

1.) How long is your dog crated during the day?
2.) How long is your dog let out before being crated, and how long is your walk?
3.) Do you feed your dog before you walk, or before you crate? If so, how long before?
4.) What do you put in the crate when you leave?
5.) How much does your dog weigh?
6.) How many kcal/cup are in the food you are using?
7.) When is the last time your dog had a fecal test run at the vet?
8.) When was the last time your dog was at the vet?

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Maryellen
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Postby Maryellen » Wed Aug 27, 2008 9:38 pm

large breed adult food:

Chicken, chicken meal, brown rice, white rice, barley, oatmeal, whole grain wheat, fish meal (a source of fish oil), chicken fat (preserved with mixed tocopherols (a source of vitamin E) and citric acid), beet pulp, natural flavors, flax seeds, dried egg product, brewers yeast, potassium chloride, salt, proteinated minerals (zinc proteinate, iron proteinate, copper proteinate, manganese proteinate, cobalt proteinate), yeast culture (saccharomyces cerevisiae, enterococcus faecium, lactobacillus acidophilus, aspergillus niger, trichoderma longibrachiatum, bacillus subtillis), vitamins (vitamin A acetate, vitamin D3 supplement, vitamin E supplement, niacin, pantothenic acid, thiamine mononitrate, pyridoxine hydrochloride, riboflavin supplement, menadione sodium bisulfite complex (source of vitamin K activity), folic acid, biotin, vitamin B12 supplement), glucosamine hydrochloride, choline chloride, ascorbic acid (vitamin C), chondroitin sulfate, yucca schidigera extract, calcium iodate, sodium selenite, rosemary extract.



this right here is not a good ingredient,
menadione sodium bisulfite complex


and it has alot of rice and fillers..

the better quality food you feed the less the dog poops as the more nutrition the body retains. it sounds like this food is not good for your dog if he is pooping as much as you say he is..

the puppy chicken and rice has alot of fillers too


Chicken, chicken meal, white rice, brown rice, whole grain wheat, corn gluten meal, chicken fat (preserved with mixed tocopherols (a source of vitamin E) and citric acid), barley, oatmeal, beet pulp, fish meal (a source of fish oil), natural flavors, flax seeds, potassium chloride, dried egg product, brewers yeast, sunflower oil, salt, proteinated minerals (zinc proteinate, iron proteinate, copper proteinate, manganese proteinate, cobalt proteinate), yeast culture (saccharomyces cerevisiae, enterococcus faecium, lactobacillus acidophilus, aspergillus niger, trichoderma longibrachiatum, bacillus subtillis), DL Methionine, vitamins (vitamin A acetate, vitamin D3 supplement, vitamin E supplement, niacin, pantothenic acid, thiamine mononitrate, pyridoxine hydrochloride, riboflavin supplement, menadione sodium bisulfite complex (source of vitamin K activity), folic acid, biotin, vitamin B12 supplement), glucosamine hydrochloride, taurine, ascorbic acid (vitamin C), chondroitin sulfate, choline chloride, yucca schidigera extract, calcium iodate, sodium selenite, rosemary extract.

msvette2u

Postby msvette2u » Wed Aug 27, 2008 9:45 pm

Try Kirkland (if you have a Costco card) after the cooked rice/boiled chicken.
I bet you see a difference.


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