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Messages - Liz47

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Thank you. To update, Jack has had an ultrasound today and his bladder is looking good (no stones), his gallbladder also has no sludge and is looking normal, that's the first time in years! His pancreas is quite damaged, and doesn't look like it can be producing insulin well. He isn't losing glucose in his urine at the moment, he's having this rechecked and a glucose curve done next Wednesday as it's looking like he will need insulin treatment now.

The vet has ok'd his Symply diet and he is doing very well in himself which is good news

Feeding dogs with health problems / Re: Arthritis
« on: Oct 05, 2020, 15:37 »
My (now 14 year old) small mixed breed started Hydrotherapy in September 2019, it's really helped him. He moves so well on his walks no one can tell he's elderly. We built this up going weekly to begin with then dropped down, in the summer he only needed 1 session a month. Over winter he goes every other week generally. His hydrotherapy centre also sell and recommend Golden Paste, I couldn't try it for Jack as in was contraindicated in the case of his Calcium Oxalate and Struvite bladder stones unfortunately.

They also sell Joint Aid, which Jack was also on alongside his veterinary prescribed Synoquin. We haven't built his supplements back up yet after an acute pancreatitis episode (as you may know from his other thread) and haven't noticed him struggling yet since he's been swimming recently.

Thank you, no if he was just on the wet food (Senior Feast version) he wouldn't need much at all. I think I am going to feed a combination of the wet and senior dry version if I decide to stick with this and not try Gentle out. I'm terrible at making decisions and despite working in a vets we really don't delve much intro nutrition, aside from knowing all the prescription diets but this has been an eye opener for me looking at the actual ingredients etc.

Thank you, ordering online in the future won't be a problem :) I just wanted something quick since he wasn't getting on with his prescription diet. Already I'm seeing the difference in the Symply wet food, it actually smells nice and you can see the veg in it. The Hills I/D wet was really solid and didn't smell good and he would gag/be uncomfortable after eating. So far so good with the change

Thank you, yeah I did notice the grams of cold pressed food he needs to eat daily is much less than dry extruded options (which is about 120g for his weight). The options that keep coming up do seem to be mostly cold pressed, I keep getting Guru, Gentle or Symply (the only dry extruded). Symply has the lowest calcium and phosphorus levels which would be beneficial for his bladder but cold pressed seem to be better for digestion. The vets can't comment on cold pressed, as they have no experience.

I want to start the change as soon as possible to move away from the prescription diet but couldn't find any Guru or Gentle stockists but did find Symply Senior wet food so for ease I got some and started the change yesterday. His graces haven't been as orange (which was the colour of his prescription diet) and slightly more firm.

I got further test results, he's not clinically diabetic yet which is good. With a good diet and regular checks he hopefully won't need treatment, is likely to have been all the previous damage to his pancreas. I forgot to mention before I got him for 10 years he was fed human food, whatever his elderly owner was eating, so that's likely led to all his problems sadly and he was very overweight.

ETA: I am also going to start feeding him from his treat toys and snuffle mat as he does eat very fast and gobble his food down, he already has a slow feeding bowl but I notice he still tries to gulp.

Thank you very much. Luckily Jack does not act his age at all, and after he recovered from the acute pancreatitis episode he is back to being very playful, enjoying longer walks etc. He is very keen to eat and barks at us to get his food, spins around in excitement etc and clears the bowl. I do use a slow feeder for him as otherwise he would rush his food down, and at the moment he's getting 4 small meals across 24 hours. Shortly afterwards he is uncomfortable though, but after a short time he's back to normal and relaxed again. Thankfully I work at his vets so have lots of support. The vets aren't very familiar with diets though so haven't been able to advise. We spent all afternoon researching, I know he needs a low fat diet (5-10% ideally can go up to 15%), high protein (20-30%) and moderate to high carbs (no more than 60% NFE). We looked at the prescription diabetic food and there wasn't actually anything specific about it.

I do need to find out more from the rest of his investigations, but was confused about what to feed him for now. Since he didn't get on well with the I/D but he needs a more easily digestible low fat food rather than his C/D atm. I did come across Guru and Gentle in my research tonight, and was almost set on Gentle but read a fair amount of peoples dogs passed urine a lot more frequently/had accidents overnight etc?? I just thought as we need to monitor his urine output during the testing/early phases of diabetes management this might not be ideal. I did come across Symply Light and Senior, this fits most of his requirements (I think!) and has the lowest calcium and phosphorus levels I've found so far.

I wonder if anyone can help me. I have a just turned 14 year old neutered dog called Jack. He is a miniature x toy poodle crossed with a German Spitz. Not long after I adopted him 4 years ago he was diagnosed with Struvite and Calcium Oxalate stones, so he was put onto Hills C/D Multicare dry food. We monitored these through regular urine exams and ultrasounds, until it got to a point where he had 2 stones on the brink of merging into one very stone that would cause a blockage so we opted for a Cystotomy. This went well and since he was been regularly scanned/urine tested and it's shown he generally has minimal 'grit'/crystals in the bladder and none visible from the urine exams, although his pH has a tendency to be slightly too alkaline around 7-7.5 mark. I've had no concerns though really and he did well on the diet. At the same time his stones were discovered incidentally we found he also has sludge in his gallbladder (has had a gallbladder mucolele in the past but there was no sign of that in the past year or so on his scans) and his liver has a lesion on it. He is on Destolit daily for these problems, alongside very high ALKP levels on his bloods. He has full bloods, urine exam and ultrasounds every 6 months and for the past few years these have all come back very similar/nothing concerning.

Beginning of last month he became acutely unwell after a suspected fall, he had neck pain but was refusing to eat and vomited as I took him to the vets. The vets suspected pancreatitis (either was building up or caused by the fall ie in pain/a shock/not eating). His bloods showed off the scale Amylase levels, very high Lipase and Pancreatic Enzyme. He was put on treatment for this and pain relief/strict rest for his neck, for the first week I fed him Hills I/D Low Fat Tins and he was only sick twice at home and improved very quickly. I prefer him to have a dry food (he drinks plenty of water from his water fountain) so I moved him onto the dry biscuit version of Hills I/D Low Fat. However, his tummy then began gurgling after he eats, his faeces became loose/wet and he looks uncomfortable after eating and did vomit once. He is very keen to eat, eats all the food and is otherwise moving really well know and back to normal. I decided the Hills I/D might not be right for him so made the change slowly back to his Hills C/D and he has improved.

He was back at the vets yesterday for a recheck and to have his bloods rechecked. His glucose was quite high, and in hindsight had been getting gradually higher for a while. He has also been drinking more so I am handing a urine sample in tomorrow as he may now be diabetic. His PSL and Amylase levels were back down to normal, however his Lipase was still high. His bloods also point to inflammation somewhere and we are suspicious of his gallbladder having gotten worse/a possible tumour somewhere. He is having an ultrasound to further investigate.

In the meantime I am doing lots of research into his diet, he needs a low fat, easily digestible, bladder friendly (low phosphorus, magnesium & calcium), diabetic (possibly!) friendly senior dog food? I have looked at Hills and Royal Canin and they  have a few options.

Hills W/D
Or if we prioritise the other issues over the bladder, Royal Canin Gastrointestinal Low  Fat or Diabetic.

I know these brands aren't actually supposed to be that good, but I think with his health problems I'm scared to chose a different brand but if anyone has any suggestions they would be greatly received.

Thank you

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