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Reply To: Short Bowel Syndrome

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STEFANIE
Member

Hello everyone! My name is Stefanie, and I am from Brazil, so for starters, let me apologize for my not-so-good English, but I’ll try my best! My dog, Maui, a 7th month old Border Collie, just went through three surgeries (yeah! amazing survivor!). On Jan 4th, 2018, he ate a HDMI cable and had it removed by undergoing a 3 and 1/2 hour surgery which ended up removing about 9cm of his jejunum. One week later, his internal stitches from the anastomosis had problems, and he ended up with about 800ml of fecal liquid on his stomach cava. With this severe peritonitis diagnosed and confirmed with an ultra, he had his 2nd surgery, which then removed about 10cm of the jejunum again. Less than 72hrs later, the same problems occurred with the internal stitches, and Maui had to undergo his third surgery. On the last surgery, the vets are not sure of the length they removed from his jejunum, and unfortunately, they had to remove his iliac valve. His duodenume and colom are still 100% intact! It has now been 20 days since his last surgery, and he has been home for the last 8 days (blessed!). As predicted by all vets, we are really struggling to help him out since he now has all the signs of SBS. He started all this nightmare with 15.200kgs, and now weights only 10.700kgs. He is currently on a restricted diet, which includes, only 600ml of water a day, served in small portions of 100ml, and now eats 4x times a day the following meal: 2 spoons of mashed potatoes (home cooked) + 2 spoons of a high-caloric meal (canned), which includes turkey, carrots, beet, olive oil, pumpkin and some other ingredients. 3x times a day, I give 1/2 smashed banana with a scoop of whey protein (for dogs, in Brazil named Caninus Protein). With all his 4 main meals, I give him a teaspoon of Pancreatin (mix and wait 15minutes before serving). And 2x a day I give him Omega 3 (1000ml), L-Glutamine (1 teasp), Taurina, a probiotic (in Brazil named Lactofos), and a medicine to help him hold his stool (in Brazil named Duspatalin).
By now I havent really seen any major improvement with his diarrhea, and my MAIN concern is that it is obvious that he cant really digest the food. We can observe the pieces of his meal on his stools. On the poop chart (http://www.epi4dogs.com/poopchart.htm) he has never scored more than 6! and often has an 7.. He varies from 5-9 diarrheas a day.
We have a nutritionist and exchange facts and info on a daily basis! Next week I am considering changing his meals for dry nibble ROYAL CANIN VETERINARY GASTRO INTESTIONAL FIBRE RESPONSE, since the canned options are very wet and it is clear that whenever he drinks water his stools get worst, since the canned meals include 70-80% of water, I am really considering giving him PROCESSED dry nibble and only adding some small spoons of water (so I can control the amount of water taken).
I would really appreciate ANY ideas, suggestions, feedbacks, information on this subject! I am reading a lot about SBS, and am totally committed on helping him as much as I can. Maui is an amazing dog and deserves to live for as long as he wants – and it seems he wants to outlive us all!  He is a little FIGHTER and I love him with all my heart.
For now, I would really like to know how all of you guys managed to help them better DIGEST the food, and also what helped with the stool problems. Did you guys give them Metamucil (Psyllium)? If so, how much? Any feedbacks about the ROYAL CANIN VETERINARY GASTRO INTESTIONAL FIBRE RESPONSE? What seemed to work best as a probiotic?
Thank you all for the help and attention! Its very warm to know that there are so many people out there willing to help.
Best Regards, Stef and Maui