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Reply To: Acid reflux or GERD

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losul
Member

Hi Red. I do think it’s important to use caution with these things. Even if a vet were to give instructions to give antacids/inhibitors to my dog (or even a Doctor to me) on any kind of regular basis, I would be asking questions and investigating, is it acid reflux? what is causing it, how do I get to he root of the problem, and not just treat symptoms, what could/would be the consequences, could it actually be caused by low stomach acid, etc..
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Hi Sue, I’m sorry couldn’t respond sooner, my time is limited lately, and having internet troubles on top of that.. I don’t find much about lymphocytic gastritis in dogs, or at least searching those 2 particular words alone. In humans, “Lymphocytic gastritis is a rare gastritis primarily diagnosed by the surgical pathologist. There is a peculiar infiltration of benign lymphocytes into the glands and surface mucosa. It may be associated with celiac disease and Helicobacter infection of the stomach. There are case reports of clearing of the disease by treatment for Helicobacter infection in the stomach.”

http://www.thedoctorsdoctor.com/diseases/stomach_lymphocytic_gastritis.htm

In dogs, most of the hits I came up as canine lymphocytic-plasmacytic gastroenteritis and is still of unknown causes(idiopathic). “Canine lymphocytic-plasmacytic gastroenteritis(LP) is one disease in a group of idiopathic, chronic intestinal diseases collectively termed inflammatory bowel disease (IBD), and is considered to be the most common cause of chronic vomiting and diarrhea in dogs. LP gastroenteritis is characterized by a diffuse infiltration of lymnphocytes and plasma cells into the lamina propria of the stomach and/or the small intestine resulting in diffuse mucosal inflammation. Lymphocytic-plasmacytic is the most prevalent form of IBD.”

https://www.addl.purdue.edu/newsletters/2007/Fall/clpg.html

Kind of a side note, and really just a curiosity, I found this study to be of interest, specially the apparent surprising resolution of the disease state, after all the numerous testing and therapies failed, and when the client was finally discouraged by no improvements, stopped all of it.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1082873/

The “fundic region” would be the upper main portion of the stomach and should generally be much less acidic, especially at the beginninh process of digestion than the the lower portions. I think that would likely be why Patch’s diagnosis comments read that Helicobacter was usually more prominent in the fundic (less acidic) region.

“•The fundus, which is the main upper portion of the stomach. Fundus means
“enlargement” and refers to the rounded enlarged area at the top of the stomach.
Food gets ground, mixed, and held in the fundus. It is in the fundus that enzymatic
digestion takes place, assuming there are live enzymes present with your meals (or
if you are using digestive enzyme supplements). Although stomach acid will be
released into the fundus, IT IS ONLY AT ABOUT 30% CONCENTRATION and will not affect
enzymatic digestion. After about 40-60 minutes in the fundus, the chyme will move
on into the body of the stomach.”

“•The body, which is the large middle section of the stomach. It is a primary area
of digestion, and it is here that hydrochloric acid and pepsin begin to work full
bore, and at levels sufficient to stop most enzymatic digestion.

•The antrum, which is the last part of the stomach before the pylorus, the gate
which prevents food from entering the intestine before its time. Actually, the
major portion of digestion takes place in the antrum as food is held a long time
and parceled out to the duodenum in a very slow, methodical manner. Incidentally,
antrum means cave and pylorus means gatekeeper.”

Your Stomach, Part 1

I think there’s some REALLY good articles/summaries on that site, especially
pertaining to human digestive/gastric systems, but most of it would be relevant to dogs
also. He does deal with alternatives/naturapathic/holistic, and does also sell
supplements, I don’t necessarily agree with all he says, but I think it’s one of
the most comprehensive, complete, and easiest to understand articles/primers on
digestion I’ve seen.here is the article “your stomach, part 3” , which may most
pertain, especially to the significant importance of acid in digestion/health, but
be sure to read all parts 1,2,3. and the overview on digestion also. In fact most of the whole digestion series is a good read.

Your Stomach, Part 3


http://jonbarron.org/article/overview-digestive-system#.Va1zwGd0w5s

Digestive System

I’m not sure where the “water” would be coming from after Patch ate his raw. Not
excessive saliva? Did you add water to the raw food? Adding water would dilute his
acid production. I’m not sure if you are saying that he threw up the raw or just
water? The enzymes i think should be even more important/purposeful on cooked
foods more so than raw. What kind of enzymes are they? Just go very slow on them at first. I would think Patch’s bio-fauna is much out of whack, and needs to be re-established with good bacteria. He may have mineral/vitamin deficiencies also. I was a little surprised that tha naturpath wanted to immediately switch Patch to raw. I would be a little hesitant to go full force raw right away, knowing Patch’s condition, which is why it’s important to be upfront with the
naturopath as much as possible. Has the naturpath seen Patch, or was it just a
consult? Is it Lew Olson?

If it were me, I would take just baby steps, but I’d give the Naturpath’s advice a
fair shot, and keep her/him informed. Not make too many changes all at once, or
expect too much all at once. Build up very slowly on everything, the probiotics,
the enzymes, the cooked or raw foods.Has Patch been weaned off antacids since the
Helicobacter treatment and fairly stable most of the time with what he’s eating
now? Can you try to introduce just a snack size meal of cooked along with
appropriate small portion enzymes or maybe later raw in between those regular
meals, and just very gradually increasing while decreasing the regular? I’m not
familiar with Roo meat, how easy to digest, how much fat, saurated fats, etc. I
think in the U.S. it’s thought that lean chicken is one of the easiest proteins to
digest, along with well cooked white rice. Vets often advise this temporarily for
gastric distress (provided they don’t have a sensitivity to chicken) and it works
for many dogs. I’ve heard you say that Patch and grounded rice don’t get along? I
don’t understand what you mmean by grounded. In the U.S. white rice is milled and
has the husk, bran and germ removed, leaving virtually only the starchy interior,
it’s usually then “enriched” with some vitamins/minerals. Should be fairly easy to
digest by most dogs. Eventually though I would want to get him off all that starch,
and get him on a more balanced diet. Are you giving him any vitamins/minerals at
all?

On another note, there are a couple of U.S. vets now using fecal matter transplants
for dogs, from only verified healthy donor dogs of course. For humans, it’s
catching on a bit more now, even in a few hospitals, with very promising results from persistent or recurrent IBD, SIBO, colitis, that is usually caused by
persistent, pathogenic, and resistant overgrowths/infections.

Sue, Maybe Patch can’t be completely cured, but I believe with the determination
you’ve shown and continue to show, he WILL get better. There’s alot of people
rooting for you and Patch, I know that I’m one of those!

P.S. I might not be able to write back for a while again.

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Hi weezerweeks, y/w.

I understand your concerns with Bailey. Best wishes for his best health!

Let us know how the vet visit goes.