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Max, Diet, Oxalate Uroliths, "Gall Bladder Attacks"
"Marshall Dermer" wrote in message ... Althought this is about health, I am posting to two dog groups because this is where I had discussed these topics before. Max is about 6 years old and because he had calcium oxalate uroliths he was placed on Hills Canine U/D kibble which we hydrated before serving. After about four months on the diet, Max started developing symptoms much like gall-bladder attacks. This would involve vomiting in the morning and his progressively either "shutting down," or moving from place to place as if he could not find a comfortable position. Other behavior included an elevated body temperature, panting, and shivering. These behaviors suggest that Max was in pain. The symptoms would resolve on their own within 12 hrs and he would have these attacks about once every four weeks. His latest attack, however, was one week after a previous attack. Max's vet ran numerous tests including a sonogram, put Max on Pepcid AC for a month, but the attacks continued. Eventually, the vet reluctantly suggested exploratory surgery though he thought bringing Max to the University of Wisconsin Veterinary School to be checked by internists was a good idea. We decided to first try one medication and alter Max's diet. The medication is Actigal which is supposed to clean out Max's gall bladder as well as liver and ducts. He has been on this medication for one week. We also discontinued the Hills U/D because it is a high fat diet: at least 17.5% fat. Amy Dahl brought Strombeck's _Home-Prepared Dog & Cat Diets: The Healthful Alternative_ to our attention. http://shop.store.yahoo.com/isupress/0813821495.html The book presents two diets for dogs who have had calcium uroliths. It took me a while: to find bone meal without much lead (see KAL Bone Meal Powder), to learn to put the food in a processor and whip it up well for otherwise Max's bowel movements are loose, and to serve the food in little balls for otherwise Max's Havanese beard becomes all gummed up. The effort at the home diet appears worthwhile. Max clearly prefers the black-eyed pea/brown rice diet to Hill's U/D. Moreover, the PH of his urine is 7 which is about the same PH on the U/D but is far more basic than when he developed stones. The home-made diet is also low on added sodium chloride and surely lower in fat than U/D. Also, the diet is low in oxalate. Finally, perhaps because the food contains so much water, his urine looks more dilute than on the U/D. I have copied the recipes from Strombeck's book and modified them for the KAL Bone Meal Powder, but if you are thinking about putting your dog on one of these diets then you really should read much, though not all, of the book because the information you will need is scattered throughout the book. For example, Max is also given about 1/10 of a human multi-vitamin per day and once a month some vitamin B-12. We'll just have to see how things work out. Will the attacks disappear or will have to take Max to the university hospital? --Marshall Congratulations Marshall, on giving a home prepared diet a try! I hope everything works out for your Max. Keep us posted! René |
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In article "Rene"
writes: Congratulations Marshall, on giving a home prepared diet a try! I hope everything works out for your Max. Keep us posted! René Thanks for the good wishes Rene. Amy Dahl made this point to me. Hills Canine U/D is made for various urninary tract problems and may not be ideal for every problem. Also, just for the record, the veterinarian does not believe that the food has anything to do with Max's problem. There certainly was a long delay, about 4 months, between introducing the U/D and Max having his first attack. Again, thanks for the good wishes Rene. --Marshall |
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"Rene" said:
Congratulations Marshall, on giving a home prepared diet a try! I hope everything works out for your Max. Keep us posted! Ditto Rene's comments Marshall =) I'm glad you've found something that's working for Max. Pennie Let Food Be Our Medicine. -Hippocrates |
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Thanks Pennie. Max had some gas when we started this black-eyed pea/brown rice diet but he no longer has gas. The real issue for us right now is whether his "attacks" will continue. If they abate we won't know if it is due to the Actigal or the diet. We'll, of course, discontiune the Acitgal at a cost of about $1.35/pill/day. :-) As for the diet, cooking the food takes some time but he really likes it. To put this another way, with the Canine U/D he would take a piece of kibble out of the bowel and move it several feet away. He would do this with many pieces until he would begin eating. I never thought much of this until I remembered that rats scatter their food when the smell of a newly introduced food has been correlated with delayed poisoning. Of course, I am not saying the canine u/d is poison. :-) --Marshall In article writes: Ditto Rene's comments Marshall =) I'm glad you've found something that's working for Max. Pennie Let Food Be Our Medicine. -Hippocrates |
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"Marshall Dermer" wrote in message ... In article "Rene" writes: Congratulations Marshall, on giving a home prepared diet a try! I hope everything works out for your Max. Keep us posted! René Thanks for the good wishes Rene. Amy Dahl made this point to me. Hills Canine U/D is made for various urninary tract problems and may not be ideal for every problem. Also, just for the record, the veterinarian does not believe that the food has anything to do with Max's problem. There certainly was a long delay, about 4 months, between introducing the U/D and Max having his first attack. Again, thanks for the good wishes Rene. --Marshall Since you are taking more "natural" steps to finding relief for Max, I thought I would put a bug in your ear. I have a book "Four Paws, Five Directions" by Cheryl Schwartz which is a guide to Chinese Medicine for dogs and cats. In the liver/gall bladder section, there is a description that is fairly close to what's going on with Max. If you have a vet near you that practices Chinese Medicine, it may be worth a try? From reading your posts, I suspect you don't believe in alternative treatments but are sometimes willing to try something different. This book is the only reading I have done on TCM and it is quite interesting. My holistic vet (who sold me the book), uses TCM above all other modalities. Since, I think, this all started with urinary tract infections, here is some info on UTI from the book above (some of it will not make sense, such as meridians, yin/yang and heat/fire, unless you know about the Five Element theory): "Western medicine sees bladder infections as being caused by either bacteria or diets that create crystals in the urine which inflame the bladder lining. The condition is almost always treated with antibiotics, and if the inflammation is severe, cortisone is also used. The diet is usually changed to a prescription type diet, creating thirst and promoting urine formations. Many animals respond favorable to this course of treatment, with only occasional bouts of urinary flare-ups, which are once again treated with medications. In Traditional Chinese Medicine, problems with the urinary bladder usually fall under the categories of heat or damp heat. Whether pathogens are present or not, it is the underlying constitution of the individual which has made the animal vulnerable to bladder weakness. Heat, or inflammatory conditions, usually arise from a dryness of lack of moisture stemming from a kidney yin deficiency previously discussed. Kidney yin deficiency leads to a lack of urine production, because not enough fluid is being manufactured within the body. Since the kidney and bladder are supposed to control the heart and small intestine in the Five Element Control Cycle, when the kidney is weak, these fire organs create more heat in the body. The scanty urine that is formed is highly concentrated and hot, causing burning on the inside of the bladder wall or in the lining of the urethra as it leaves the bladder. This can make the animal wince or cry out either when passing the urine or just afterwards. Cats may run to try to get away from the pain, or scratch furiously in the litter box in an attempt to distract themselves. Due to their extreme discomfort, they may be irritable and intolerant of their housemates. If the yin is sufficiently low, some blood may be present in the urine. Traditional Chinese Medicine treats these conditions by changing the diet to cooling or yin nurturing foods as well as with herbs that clear fire, restore the yin and restore the calming quality of the heart. Damp heat situations are more severe than heat situations. In addition to the kidney and heart meridians, when dampness enters the picture, the spleen and the liver are also involved. A heat condition results from a fluid or yin deficiency. Damp heat conditions usually arise from a kidney yang deficiency that affects the spleen. As a result, the spleen cannot process the moisture from food and the tissues become water-logged, causing a feeling of heaviness and bloating. Moisture tends to sink to the lower part of the body, creating stagnation in the bladder area. When there is stagnation, the liver becomes involved and pockets of cold and heat can develop because the movement of the fluid is blocked. Pain and the frequent urge to urinate usually results. If the heat becomes severe, there will be blood in the urine and it will be foul smelling or turbid. When the urine is retained for long periods of time because of the stagnation or because the animal doesn't want to experience the pain of passing it, crystals can develop. Crystal, stone and sand formation are considered stagnant damp heat situations by TCM. Gravel and stones cause further inflammation, and if they block the urethra, the urine becomes backed up. In situations of damp heat, there is usually diarrhea, possibly with mucous or blood. The tongue is very moist, almost swollen, with teeth imprints along its side edges." I hope you did not find the above too boring. To me, it is very interesting. According to this, your dog needs cooling foods. (Proteins: clam, duck, egg, pork. Grains: millet, barley, wheat. Vegetables: lettuce, celery, broccoli, spinach, tomato, napa cabbage). Treatments usually involve accupuncture as well. René |
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In article "Rene"
writes: Since you are taking more "natural" steps to finding relief for Max, I thought I would put a bug in your ear. I have a book "Four Paws, Five Directions" by Cheryl Schwartz which is a guide to Chinese Medicine for dogs and cats. In the liver/gall bladder section, there is a description that is fairly close to what's going on with Max. If you have a vet near you that practices Chinese Medicine, it may be worth a try? From reading your posts, I suspect you don't believe in alternative treatments but are sometimes willing to try something different. I hope you did not find the above too boring. To me, it is very interesting. According to this, your dog needs cooling foods. (Proteins: clam, duck, egg, pork. Grains: millet, barley, wheat. Vegetables: lettuce, celery, broccoli, spinach, tomato, napa cabbage). Treatments usually involve accupuncture as well. René Dear Reni, Thanks so much for taking the time to type in all that text. When given a choice between Eastern and Western medicine I will go with the Western Medicine. Max has had calcium oxalte uroliths. The diets that are associated with the lowest reoccurrence of these uroliths is low in protein, low in sodium chloride, and low in oxalates. http://www.ccjm.org/pdffiles/HALL1102.PDF The list which you kindly entered contains many protein sources and foods like wheat and celery that are high in oxalates. Thanks again for your concern and efforts, --Marshall |
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Marshall Dermer wrote: Max has had calcium oxalte uroliths. The diets that are associated with the lowest reoccurrence of these uroliths is low in protein, low in sodium chloride, and low in oxalates. http://www.ccjm.org/pdffiles/HALL1102.PDF The list which you kindly entered contains many protein sources and foods like wheat and celery that are high in oxalates. Thanks again for your concern and efforts, --Marshall Marshall I am glad you have found a diet that is helping Max. I hope he continues to show much improvement. Gwen |
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In article Gwen Watson
writes: Marshall I am glad you have found a diet that is helping Max. I hope he continues to show much improvement. Gwen Hi Gwen, Thanks for the good wishes. As for the diet we don't know that it is helping him although it apparently has lots of positives. From the standpoint of calcium oxalate uroliths the number one feature is that it is highly hydrated also it is low in protein and sodium chloride. There seems to be some debate, though, about whether low calcium or normal calcium diets best control calcum oxalate uroliths. Max's diet apparently is low in calcium. Finally, his urine PH on this diet is at about 7. The urine PH of the diet correlated with his uroliths was, as I recall, something like 5.7--acidic. Then, of course, we have no idea of whether the diet will affect the "gall-bladder like attacks" that he has been experiencing. We implemented the new diet and Actigal at the same time. We'll just have to wait and see but thanks again for the good wishes. --Marshall |
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