[Karen G]

Gosh Hi Everyone! I didn’t get an alert from the last 3 posts so I had no idea that Cara and Laurence had joined and Susan had updated.
Firstly Abby is doing great. She was up to 17lbs at Christmas, so we have had to cut back on her daily food intake….what a glorious thing for me to write! She is now down to 16.4lbs and I think we will keep her at this weight over the Winter (it’s pretty cold outside now and she can use the extra fat). We will probably limit her food intake a little more in the Spring as her ideal weight is actually 15.2lbs.

Abby remains on our home made prescription diet. She gets 75mg metronidazole daily and 1ml B12 injection weekly. Our nutritionist Vet did a presentation about her at the OVC and asked me to write up how I prepared her meals, the cost and the time. If anyone is interested I can post that here. I have learned a lot about making a home made diet, I think it helps to be a little obsessive compulsive….keeping to the recipe exactly and weighing each item after cooking and draining is very important.

Because Abby lost 70% of her small bowel she can’t absorb fats. She only gets 1tsp of canola oil daily, and whatever fat is left over after meticulously draining the lean ground beef (I obsess about draining it very thoroughly because the prescription recipe called for extra lean ground beef but it’s expensive to buy 2kg of extra lean ground beef at a time and extra lean generally doesn’t come in large packaged amounts).

Another very important addition to Abby’s diet is a vitamin/mineral supplement. Abby was prescribed Balance IT by the OVC Vet. We have to order it on line from the U.S. which is a bit of an annoyance but The OCV trusts that the product is properly monitored in production and the ingredients are of good quality. I believe the standards for medications for animals are not as stringent as they are for humans so the OVC is careful about what they choose when prescribing an OTC product. (over the counter)

Laurence, the trick for us in decreasing poops and firming them up is the homemade diet. When Abby was on the Purina H/A her poop was still pretty watery. Thickest in the morning and then like water by evening. Looking back at my notes from a year ago Abby was pooping 4-10x a day. Currently she poops 2-3x day. Her first poop of the day looks like a normal dog poop and we are now back to carrying poop bags with us when we go for walks. in the evening her poop is the loosest and I’d say it is the consistency of pudding. (On the fecal score chart she is a 3 in the morning and a 5-6 in the evening) What a change in a year!

I think there are 3 main factors in Abby’s improvement: 1) time – time to heal 2) home made prescription diet & 3) a regular daily dose of metronidazole – I hate that we have to rely on an antibiotic to keep her gut flora under control but that is our reality. Currently she is on half the daily dose she was originally prescribed but if I try to wean her down to a lower dose she starts pooping more so I guess this is where we will stay for now.

Finally I want to say a couple of words about probiotics. Abby was started on Fortiflora almost immediately after her surgery. We didn’t know if it was helping but we hoped it was. Later our nutritionist Vet suggested we try Visbiome. Visbiome is a high quality probiotic for humans with ulcerative colitis and I.B.S. You order it on line and it is delivered in a styrofoam cooler with a cold pack inside (obviously great care is taken to keep the bacterium alive). It was kept in the fridge and we gave it to Abby everyday. However, when I was researching fecal transplants in humans (yes, Abby had a fecal transplant – it didn’t really help) I came across a journal article that stated in humans:
“SBS patients, with colon in continuity, harbor a specific fecal microbiota that we called “lactobiota” because it is enriched in the Lactobacillus/Leuconostoc group and depleted in anaerobic micro-organisms (especially Clostridium and Bacteroides )”
The ingredient list of Visbiome states that over half the bacillus species in the probiotic supplement were in the Lactobacillus group! So essentially we were giving Abby more of the same bacteria that she already had an overabundance of!
Fortiflora has a lot of filler ingredients but only the Enterococcus faecium is the active one. Which is a strain of gram + streptococcus (which is naturally occurring in the gut of animals and humans)
Needless to say, we stopped the probiotics and she hasn’t had any since. I’m not saying this is the case for every person and every dog, but I believe the probiotic was not helpful for Abby. As an addendum I would just say that dogs and people, being both mammals there isn’t a heck of a lot of difference between them when it comes to the GI system.

Okay, I’ve written a lot here so I better stop. If anyone wants my recipe notes or even the link to the journal article about lactobacillus let me know
Cheers for now….Karen