GI lutd liver spring 08

Therapeutic Nutrition III : Lower Urinary Tract Disease Gastrointestinal Disease Liver Disease “ Fella” 9 yrs old M(I) Beagle

[object Object],[object Object],[object Object],[object Object],© Hill’s Pet Nutrition, Inc.

Source: University of California – San Diego Struvite Calcium Oxalate Usually associated with bacterial urinary tract infection High sodium, calcium and oxalate correlation

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

Source: University of California – San Diego Struvite Calcium Oxalate Persistent alkaline urine pH Persistent acidic urine pH

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

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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DIETARY MANAGEMENT IS MOST EFFECTIVE!!!!

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 

Samantha, 9-years old, Standard Poodle

“ Gracie Whitesox” 2 yrs ©GBS 2006

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Going to California” 2yrs F(n) Miniature Pinscher

[object Object],[object Object],[object Object],[object Object],[object Object],Source: Long Beach Animal Hospital; Long Beach, CA

[object Object],[object Object],[object Object],Mink, 14 yrs © G. Santiago 2002

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

[object Object],[object Object],[object Object],[object Object],Inflammatory GI Disease: Goals Examples: “Bloat”, Gastritis, Inflammatory Bowel Disease, Exocrine Pancreatic Insufficiency, GI Surgery

[object Object],[object Object],[object Object],Inflammatory GI Disease: KNF

[object Object],[object Object],[object Object],[object Object],Examples: Obstipation, Constipation, Mega Colon, Fiber Responsive Diarrhea

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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

Needs decreased levels of fiber Needs increased levels of fiber

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 

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EN Gastroenteric ® NF Kidney Function® Prescription Diet ® l/d Prescription Diet ® k/d Hepatic LS 14 Formula 

GI lutd liver spring 08

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GI lutd liver spring 08