GI lutd liver spring 08
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VTS150--Alden

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GI lutd liver spring 08 Presentation Transcript

  • 1. Therapeutic Nutrition III : Lower Urinary Tract Disease Gastrointestinal Disease Liver Disease “ Fella” 9 yrs old M(I) Beagle
  • 2.  
  • 3.
    • Inflammation
    • Infection
    • Blockages
    • Formation of Uroliths
    © Hill’s Pet Nutrition, Inc.
  • 4. Source: University of California – San Diego Struvite Calcium Oxalate Usually associated with bacterial urinary tract infection High sodium, calcium and oxalate correlation
  • 5. Canine Profile Average Age Gender Breeds Calcium Oxalate 8 years Males > Female Min. Schnauzers, Min. Poodles, Yorkies, Bichons, Shih Tzus Struvite 6 years Female> Male Min. Schnauzers, Min. Poodles, Cocker Spaniels, Bichons
  • 6. Source: University of California – San Diego Struvite Calcium Oxalate Persistent alkaline urine pH Persistent acidic urine pH
  • 7. Feline Profile Avg. Age Gender & Neuter Status BCS & Environment Breeds Calcium Oxalate Older cats Neutered Males Obese, indoor, multiple cats Himalayan,Burmese, Persian Struvite Younger Cats Non-specific Neutered Obese, indoor, multiple cats Non-specific
  • 8.
    • Identify urolith type
    • Dissolve – struvite only
    • Treat infection if present
    • Target appropriate pH
    • Increase water intake in order to promote diluted urine
  • 9.
    • Water, water, water!
      •  Increases urine volume
      •  More dilute urine
      •  Decreased mineral concentration in urine
      •  Increased frequency of urinating
      •  Decreased urine retention
      •  Less time for crystals to form
    DIETARY MANAGEMENT IS MOST EFFECTIVE!!!!
  • 10.  
  • 11. UR Urinary ® St/Ox Urinary S - Low pH/S  Feline dry & canned Urinary O - Moderate pH/O  Feline dry & canned Prescription Diet ® c/d Multicare (for cats) Prescription Diet ® s/d Prescription Diet ® u/d Prescription Diet ® x/d Prescription Diet ® r/d Prescription Diet® w/d Urinary SO 30  Urinary SO 13  Dissolution Formula  Vegetarian Formula 
  • 12. Samantha, 9-years old, Standard Poodle
  • 13.
    • Normal GI Function
    • Digestion of ingredients
    • Absorption of nutrients
    • Move food through GI tract
    • Eliminate waste (undigested) or by-products (bile acids, nitrogen)
  • 14. “ Gracie Whitesox” 2 yrs ©GBS 2006
  • 15.
    • Gastritis & Enteritis
    • Vomiting
    • Diarrhea
      • Volume
      • Consistency
      • Frequency
    “ Going to California” 2yrs F(n) Miniature Pinscher
  • 16.
    • Gastric Dilatation & Volvulus
    • “ Bloat”
    • Secondary damage to GI mucosa
    • Tissue necrosis
    • Impaired digestion, absorption
    Source: Long Beach Animal Hospital; Long Beach, CA
  • 17.
    • Maldigestion/Malabsorption
    • Inability to absorb nutrients
    • Inability to digest/metabolize
    Mink, 14 yrs © G. Santiago 2002
  • 18. Soluble vs. Insoluble Slowly Fermentable Rapidly Fermentable Fiber pectin guar gum soy fiber bran beet pulp soybean hulls peanut hulls cellulose Small Animal Clinical Nutrition, 4 th ed. Hand, Thatcher, Remillard, Roudebush
  • 19.
    • Restore fluid and electrolyte losses via oral or IV fluid therapy
    • Initially NPO to “rest” the entire GI tract
    • Gradual introduction of highly digestible
    • nutrients in small, controlled quantities
    Inflammatory GI Disease: Goals Examples: “Bloat”, Gastritis, Inflammatory Bowel Disease, Exocrine Pancreatic Insufficiency, GI Surgery
  • 20.
    • Provide low residue (low fiber) to reduce the work of the GI tract.
    • High digestibility to increase absorption
    • High fiber in colitis & constipation
    Inflammatory GI Disease: KNF
  • 21.
    • Reduce contributing causes
    • Provide “bulk” to stool
    • Highly digestible ingredients
    • Provide water absorption in colon
    Examples: Obstipation, Constipation, Mega Colon, Fiber Responsive Diarrhea
  • 22.
    • Increase water consumption
    • Increase insoluble fiber
      • Start low, then increase slowly each week
      • Moderate fiber 10 – 15%; high fiber >15%
    • Highly digestible fat & carbohydrates
    • Highly digestible protein
  • 23. Would You Recommend an Increase or Decrease in Fiber? X X X X X X Parvo Virus Constipation Bloat Surgery Dietary Indiscretion or or or or
  • 24.  
  • 25. Needs decreased levels of fiber Needs increased levels of fiber
  • 26. EN Gastroenteric ® DCO Dual Fiber Control® FortiFlora® Canine Nutritional Supplement Low-Residue  Feline & Canine formulas Prescription Diet ® d/d Prescription Diet ® z/d Prescription Diet ® i/d Prescription Diet® w/d Hypoallergenic HP 19  Sensitivity RC, LR, RD 30, VR  Diabetic HF 18 
  • 27. www.greatdogsite.com
  • 28.
    • Drug and Toxin Metabolism
    • Ammonia detoxification
    • Protein catabolism
    • Fat synthesis and fat-soluble vitamin storage
    • Glucose mobilization storage
  • 29.  
  • 30.
    • Acute
      • Toxins
      • Feline Hepatic Lipidosis
    • Chronic
      • Portosystemic Shunt
      • Cirrhosis
      • Glucocorticoid Induced
      • Copper Storage Problems
  • 31.
    • Highly digestible energy from carbohydrates and fat, to spare protein catabolism
    • Moderate levels of high quality protein Milk, egg or vegetable proteins are best
    • High vitamin level (Vitamins K, E, and C)
    • Reduced selected minerals (especially copper in some dog breeds)
  • 32.
    • High energy density
    • High fat
    • Controlled, high quality protein
    • High vitamin content, including antioxidants
    • Carnitine
  • 33. EN Gastroenteric ® NF Kidney Function® Prescription Diet ® l/d Prescription Diet ® k/d Hepatic LS 14 Formula 