[Diane H]

Can anyone recommend a dental chew that is safe for a senior dog with pancreatitis? He is on prescription food but I’ve learned recently that the brand name chews that he loves are not appropriate for pancreatitis. Thank you.

[dogsforever123]

I don’t know much about senior specific dog foods so imho if all the dogs are happy and healthy with the current food you usually feed them then there’s no problem feeding them all the same thing. However, senior dogs do need extra care and that’s where supplements can come in. These days, there are so many types of oils like CBD and fish oils that have a variety of health benefits. There’s also flax seed oil which when combined with cottage cheese has actually helped dogs suffering from diseases like arthritis and even cancer. It can help keep senior dogs thriving and happy for longer. There’s a company in Florida that specializes in this wellness protocol. Switching to senior food is probably a good option, but you should also do some research into supplements to see if they might be a good idea to add to your dog’s diet.

[Jack or Carolyn B]

We have a seven pound Maltese mix and two almost 15 month old Chiweenies, 13 & 14 pounds. I’m having great difficulty trying to find healthiest, safest foods for them. We are currently feeding all three Click to open expanded view
Blue Buffalo Wilderness Small Breed Chicken Recipe Grain-Free Dry Dog Food, Blue Buffalo Wilderness Small Breed Chicken Recipe Grain-Free Dry Dog Food By Blue Buffalo but I don’t think they should all be eating the same thing. What do you advise? It’s very difficult trying to figure it out on your web site. Thanks

[Howard M]

First many thanks for all your work on this site. As our beloved Luck (a King Charles mix) approaches 10 years old we wanted to find the very best Senior Dog Food using unbiased ratings. So thank you for helping us with this. However I noted that the first three or four senior foods were “Grain Free” and I was amazed to see many Grain Free foods recommended or given four or five stars. Our Vet has pretty much “outlawed” grain free (full disclosure she markets Hills SD foods). And in 2019 the FDA issued warnings about the risk of a grain free diet.
Please see this article in the Atlantic- or google the FDA website regarding this. The Pet Food industry has worked hard to down play the risks- but they are there and real. Please reconsider recommending grain free. They should be avoided by breeds like out Lucy’s who are at risk of heart problems.

https://www.theatlantic.com/health/archive/2019/07/grain-free-dog-food-fda-warning/593167/

• This topic was modified 4 years ago by Mike Sagman.
• This topic was modified 4 years ago by Mike Sagman. Reason: Fix Duplicate Topic

[Susan]

Hi,
have you asked vet about “Cartrophen vet” weekly injection given for 1 month, Cartrophen vet is all natural, injection is given under thick section of dogs skin near neck & it finds the dogs pain.
My boy suffers with IBD he cant take steroids, high omega oils, medications etc they cause diarrhea, acid reflux stomach ulcers so vet said NO to any meds, Patch is 11yrs old after his 2nd Cartrophen injection Patch was running around like a young pup, I have to tell him to slow down & stop jumping up your going to hurt your back, I couldn’t believe the results.
Cartrophen vet caused no side effects, I’m feeding Royal Canine Intestinal Low fat vet diet at the moment with Canidae Pure Senior kibble, I feed 1/2 & 1/2 mixed together, in Australia our R/C comes from Europe, France they use dried meats, no meat meals & ingredients seem to be heaps better then the American R/C.
I also feed Tin Salmon with boiled Sweet potato for lunch & his vet diet= Canidae is high omega 3 oils, he also eats Canidae Pure Senior, Wellness Core Senior or the Wellness Core Large breed its high in Glucosamine & Chondroitin, start adding Glucosamine & Chondroitin with diet it helps rebuild joints. If you’re going to give a fish oil buy Krill Oil Capsules instead, Krill Oil Capsules are better then Fish or Salmon oil, I also buy Freeze Dried Green Lipped Mussels & give 1-2 Mussels a day as a treat, Patch seems to handle foods that are high in Omega oils but not the supplements, just be careful as Supplements & Meds (NSAID) can cause acid reflux, diarrhea, stomach problems..

What is Cartrophen Vet?

[Empire F]

I had a cat that lived to 17 that died 3 years ago
i have another cat that turned 19 years old this month. STill running around the house having fun
I believe carefully selecting excellent cat food and spring water is the key

My senior citizen dog, i need help what dog food to be giving him. I will look into the supplements but for right now, i need food that, even just a little bit, will help with his joints,cartridge.

[Shelby L]

So my dog began having these issues after his lipase levels spiked (causing severe vomiting, diarrhea, and loss of appetite) when he was about 1.5 years old. The vet said he was close to having pancreatitis and he was immediately put on low fat food. Then a few months later, the acid reflux arrived. Major gulping episodes where he just swallows frantically and runs to me for comfort would begin, and all he would want to do was be let outside to eat grass. The vet told me to let him eat the grass but not too much or it could cause a blockage. After a year of battling this, he’s a dry food that has 6% fat (currently Solid Gold Holistic food for seniors, but I am switching him to Diamond Care Weight Management), soaked in warm water, with 2 probiotics and some Hills Prescription I/D wet food mixed in. I usually only feed twice a day but I’m thinking I’ll start doing 3 as he is still having episodes once a week or so. I also always have Pepcid and omerprazole on hand (Pepcid 10mg with dinner if I think an episode might happen at night, omerprazole if an episode happens in the morning because it’s 24 hour and stronger. Goodluck everyone, it’s such a tricky condition and from my experience, vets always think it’s something else. I’ve had to do all the research and trial and error on my own.

[Carmyn D]

I have fed this to my dog for about 6 months. But I give it to him as a topper essentially. My dog eats Victor senior formula or Iams Proactive. I mix 3 spoon fulls of pure being into the dry kibble and he likes it just fine. I only started doing this because back then I had to get my dog treated for heart worms and he had lost his appetite. My vet suggested giving him wet food. I chose Pure Being as it claims to not have artificial colors which can cause cancer.

So far in almost 6 months he has had no diarrhea. The one time he did get diarrhea is when I gave him a cheaper brand of canned food.

[Raymond L]

Hello, I would like some advice. I purchased 40 bags of wellness core senior dog food off an Amazon auction website. The best by date is Nov. 9th 2019. I went and checked the bags before bidding, all were sealed and in good condition. Upon getting them home and opening the bag after bag, I found bugs in them. Being an auction site all sales are final and a no return policy is enforced. So I emailed Wellness Core and explained the situation to them and got a reply that was more then discouraging. I was basically told that it was not their problem and that after it leaves their warehouse they have no control over the bags. I just asked if they might replace them seeing how it’s way before the best by date, and silence. Here is what the reply was (

 Dear Raymond,

Thank you for taking the time to write WellPet regarding Wellness® CORE® Senior Formula Dry Dog Food.  At WellPet we are committed to providing the highest quality pet foods and treats available.  Our expert staff of engineers is continuously improving our products to ensure that they are tasty and nutritious for your pet.  We regret that the product you received did not meet our high standards.

Our manufacturing facilities follow a very strict insect and pest control program that is constantly monitored. However, if pet food, treats and snacks are not stored properly at the distributor or retailer level, insects can be a problem. They can travel inside the packaging and can be seen in multiple stages including eggs, larvae, webbing, moths etc. Insect infestation can come from many places along the distribution channel and occurs prior to the consumer purchasing the product. While these insects are a nuisance and pet food industry does its best to store its food properly, they are non-toxic and non-parasitic.  

In order to better address your concerns we would like to get some additional information about the product for our Quality Assurance Department. If possible, please provide us with the flavor and package size of the product in question, as well as the Best if Used By/Please Enjoy By date and any additional manufacturing information stamped on the package.

We do recommend working with the Amazon auction vendor for a refund.

Sincerely)

Had they not had good dates I would understand. So basically I am out? Thank you for listening. Raymond

[GSDsForever]

Hi Melissa.

You do have some options among veterinary therapeutic/prescription diets for your dog’s medical needs. Hills, Purina, and Royal Canin all offer options for pancreatitis and digestive issues, and they differ from one another.

When you mention Hills prescription diets, encountering all chicken based formulas, did you happen to try this one:

https://www.chewy.com/hills-prescription-diet-id-digestive/dp/54523

THIS lowfat formula for pancreatitis is primarily turkey and pork organ meat + egg, along with highly digestible (easy on the GI system) white rice. I can see that there is a bit of “chicken flavor”. . . but honestly, it’s pretty far down the ingredient list at #14, AFTER even the start of minerals & vitamins.

The protein is about 22-23% dry matter minimum, but remember that it’s the overall amino acids complete profile, high quality ingredients, and high digestibility that’s important vs a crude protein minimum. Those ingredients genuinely do look high quality, and like they could really help your dog, and taste pretty good to him too!

But if that doesn’t work for you, Royal Canin’s can formula does NOT contain chicken and is 25% protein, lower fat at 4% Min to 10% Max than Hill’s. (Purina’s is 32% Min protein dry matter in the canned, but has chicken.) See below, for therapeutic diet examples:

https://www.petmd.com/dog/what-you-need-know-about-dog-food-pancreatitis-0

As far as OTC diets go, when you start adding multiple specific medical condition needs — lowfat pancreatitis suitable, limited ingredient, good for colitis and sensitive GI system, no chicken — along with additional preferences such as high protein for senior life stage, or let’s say you want only a dry food (vs can), it becomes pretty difficult to impossible to find that “unicorn” OTC food. OTC foods are primarily made for healthy, average dogs without particular medical conditions, let alone multiple.

But if you want to expand your options to OTC formulas, try asking your vet to give you the fat level he is recommending for pancreatitis, ask him whether he thinks you need to avoid chicken in formulas (and why or why not) and discuss what issues you believe your dog has with eating chicken, and review a product you pick with him.

For example, the fat minimum and maximum of the Hill’s Lowfat I/D has a pretty big range listed, just under 8% Min. to about 16% Max. Ask about recommended fiber level too. Discuss what your vet thinks you should look for in protein level for your senior and why.

For example, brands make lowfat foods including higher protein ones, and you may find some that don’t contain chicken. Solid Gold, just for one example, makes a “Fit & Fabulous” very lowfat formula (6%), with ~29% minimum protein on a dry matter basis. Fiber is 9% max. The formula may not be as digestible as the Hills & your vet’s recommendations, or have the right nutrient profile features. Then again, your vet may think it’s worth trying this one or another.

[Robbie M]

Hello everyone and thank you ahead of time for taking the time to read through this. Again I know that nobody is a veterinary nutritionist but it seems to be a good pool of fairly knowledgeable people who love their dogs, but I have a question none the less. My dog is a rescue dog we believe (and Our vet also thinks so) to be a 9-10 year old boxer crossed with either sttafordshire or pit bull) we drove down from Vancouver, British Columbia to San Bernardino in Southern California once we saw he was going to be put down if he doesn’t get adopted in the next few days.😭😭😭☺️he is getting much much slower now and walks very slow, we know that he has bad hips and we were actually told that they are not even in a place where they should be but that it was held in place by muscle built around it. I’m getting concerned that I should be doing everything I can logically do to help him. He gets sore and I can tell. So with that in mind i was given a about 30 packets of Lickz it has fish oil and glucosamine. But I recently find out his food doesn’t have enough meat content. Since we Feed him veggies like carrots, brocolli, as treats veggies are not as important to be in his food. Also if you have any suggestions for treats and or supplements. Sorry for such a huge message but for those who took the time to read through this and give their feedback as my dog is very very important to me.

[Sara M]

Your vet, almost any vet for that matter….is the absolute worst place to get advice on pet nutrition. Vets learn nutrition from the pet food manufacturer Hill’s. They are totally unfamiliar with concepts such as bioavailability or the difference quality protein makes on organs. My vevet actually told me a $5 bag of corn Kibbles N Bits is the same as my Easy Raw Or Farmina N & D. Unfortunately this is very untrue and wis what Hill’s is teaching. Corn, potato and pea protein is hard for dogs to digest and it is very hard on their organs. It is actually how low protein dog food for seniors got started. Old dogs actually need more protein. But if it is low quality protein, it is hard on their organs and they do actually need less of it. But if it is high quality protein from meat and organs, they need more of it. On to bioavailability. Cheap dog foods rely on synthetic vitamins and minerals, instead of high quality fruits and vegetables for nutrition. But these synthetic vitamins and minerals are not as bioavailable as real fruits and veggies. They cannot make use of it as well. Chelation helps, but it is still no substitute for the real thing. Bottom line, do not listen to your local Hill’s spokesperson, aka your vet.

[Melissa S]

I was wondering if anyone had suggestions for a high protein (because my baby is a senior dog), but is low in fat (because he has had pancreatitis), AND limited ingredient or for sensitive GI systems (because he gets colitis). I’ve been struggling with him for a few months now trying everything the vet recommends, which is just different Hill’s prescription diets that they sell. I do believe he has issues with chicken, which all the Hill’s diets seem to have- he did not do well with the i/d one- which is supposed to be for sensitive digestive systems. Any suggestions would be so appreciated. Bo’s belly will appreciate it too!

[anonymous]

“I’ve taken him to the vet because he doesn’t seem interested in his food although he will eat it when he gets hungry enough. I don’t think it is an appetite issue because he will gobble down chicken and rice I feed him after a vomit occurrence (which is not frequent). The vet recommends allergy testing.”.

Yes, there is your answer. Continue to work closely with your vet. There is no magical food that will make your dog better.
Regarding allergy testing, I would consult a veterinary dermatologist.

PS: Did you have lab work done? CBC, Lytes, etc.
That would be a good place to start. Seniors are vulnerable to all kinds of ailments. First step is to rule out medical issues.
Instead of changing the food. After all the dog may have a medical condition that will respond to the appropriate treatment such as prescription meds. Please talk to the vet that examined your dog. There are no veterinary healthcare professionals here.

[KENNETH O]

I’m here as I’m having a lot of trouble finding solutions to many problems I’m having with a recently acquired dog. I have went to 3 different vets, spent countless hours researching online and tried several different strategies and continue having trouble.

Short backstory on the dog.. He is an 11 or 12 year old boston terrier who I gave to my father before I left for the Army. My father recently passed away and I was the only one willing or able to take him in. When I first saw him again in a long time, two months ago, he was in very bad shape. He was completely covered in hundreds of fleas, due to my father being unable to take care of him during his struggle with cancer in his final week or two. His skin was in bad shape and he was missing a lot of hair. He has, for at least several years, had an unusually bad time with allergies, inability to drink normal amounts of water without regurgitating it short after, and refuses to eat on a schedule. My 3 areas where I’m in need of help are those. I hope I’m not writing too much, but I want to be thorough, and it seems like most responses in here are very thought out and helpful in return.

I know he has always had trouble keeping water down, but I don’t know why. We have it counted out to literally 30 licks of water about every 1-3 hours without him throwing up. However, he is extremely driven to continue drinking. He will literally drink a gallon of water if its sitting in front if him, throw up, and still want more. I’ve tried using a rabbit bottle that he very slowly can drink from, but he will stand there for 30 minutes until he has drank too much. It’s usually just a clear or foamy liquid that comes up, which from what I gather online is “regurgitating” not “vomit.” It may be an esophagus problem, but the vets have offered me nothing other than “dont let him drink too much,” which feels like a copout answer. I’ve recently changed his diet to a limited ingredient, grain free diet (Nulo Senior) in Hope’s that his whole health would be better. Not sure if that could help at all.

His diet with my father was terrible. My dad would buy cheap dog food and mix it with some other cheap bag of treats and he would only pick the treats out and leave the rest, with the bowl left out all day. I’ve never seen him eat a whole bowl before. I’m trying to avoid doing wet food, due to his teeth not being great, however I spent the first month primarily putting water in his food to moisten it and motivate him to eat a whole serving since he really just wants the small amount if water. Since removing the water, he turns his nose up to the food usually once out of the two times hes fed daily. We tried picking up the bowl and just waiting until the next meal, which he will usually eat, but it isnt fixing the problem of not eating enough. Has clearly losing weight quickly as he went from 23-24 pounds a few months ago to about 20 pounds today. My only ideas now are to simply try a different food in Hope’s he likes it more, but I dont think he will.

His skin is continuing to be an issue, although it is significantly better than before. My father was having him get steroid shots roughly every month for years, which I think was just a bandaid for the awful food he ate. I’ve included coconut oil n most of his meals for about 2 months which may or may not be helping, but he doesn’t mind it usually. I’ve also put a lot (probably too much) coconut oil on his skin and recently reduced that to once a week. He constantly is gnawing at his paws and scratching. Again, hes visibly improved, which i think is do to the food change, but he clearly has serious allergy issues or something.

I’ve always been told to go the vet for these answers, but literally all of them seem to think my concerns are silly. I’m just looking for any help I can get to make his life better. Thanks!

[snowtigga]

Thanks, everyone!

We don’t free freed. However, if we don’t remember to pick up their bowls when they’re done (3 areas, 3 separate bowls), *someone* who shall remain nameless but is formally called Reggie, will occasionally go over and finish it for them.

I put these foods in my cart at chewy as possibilities. Didn’t Wellness have recalls?
I’m taking into consideration that because it’s labeled “senior” doesn’t mean it’s the best choice. I’m trying to keep with a 23%/11%/5% guideline that DFA (or somewhere) deemed as being good for a senior ratio.

I’ve also got my little dog to consider, too, and I’d rather not buy her different food than the boys if I can help it.

Health Extension Lite Chicken & Brown Rice Recipe Dry Dog Food, 30-lb bag
VICTOR Senior Healthy Weight Dry Dog Food, 40-lb bag
Wellness Complete Health Senior Deboned Chicken & Barley Recipe Dry Dog Food, 30-lb bag
Royal Canin Golden Retriever Adult Dry Dog Food, 30-lb bag
Holistic Select Adult Health Chicken Meal & Brown Rice Recipe Dry Dog Food, 30-lb bag
American Natural Premium Original Recipe Dry Dog Food, 40-lb bag
Dr. Gary’s Best Breed Holistic Senior Reduced Calorie Dry Dog Food, 30-lb bag

I think for today we’re going to get a small bag of the Health Extension (Vet’s Choice). I like that they don’t have any recalls and that they’re a small family business. There’s not a lot of fruit/veggies but I’ve got to compromise on something since I don’t think there’s a dog food out there that has it all.

I also appreciate the personal recommendations as that goes a long way over the impersonal articles.

[snowtigga]

I wish I could answer that but, frankly, I’m not sure. My oldest (lab/shar-pei) is 7 and I had one vet tell me he was overweight and the other said he was fine. He’s about 69 pounds at the moment but he’s been having some joint issues lately so he’s moved around even less than he normally does. To say he’s energetic would be an absolute lie.

My middle dog is supposed to be around 4-5 (lab/aussie mostly) and he’s 85 lbs – he’s the one that could stand to lose weight and as gray as his face is, I often wonder if he’s not older than we were told.

The youngest is 5 years old, about 17 lbs. (chi/spaniel) and has more energy than the boys. She doesn’t have a weight problem nor is she considered a senior. I’m not sure how to handle her food needs if I switch to a senior food for the oldest.

None of my dogs go crazy for their food. They are accustomed to being fed three meals a day equal to the suggested servings on the food. The middle dog, Reggie, is the only one who will regularly eat his food but even lately he’s not been eating as he has in the past. The oldest dog, ShyGuy, and the youngest, Yoshi, will often leave meals and eat when they feel like it.

This may be more information than needed, I know. Ideally, I need Reggie to lose about 15 pounds and ShyGuy to lose 5 at most, I think, but I’m concerned that what they’re getting in the Whole Earth Farms may be too much for their lazier days. The HS food I was referring to is called “Holistic Select Senior Health Chicken Meal & Lentils Recipe Dry Dog Food”

The top senior dog foods listed on DFA all have the peas/potatoes listed and, yes, I’m trying to avoid those because of the most recent information about them.

The information out there is just so overwhelming.

I appreciate you taking the time to ask for clarification. Not sure if what I’ve provided helps or not.

/K

[GSDsForever]

Hi Kimberley. It might be helpful in enabling others to respond better if you could tell us what about a formulation you are looking for, in terms of it being for seniors/reduced activity.

Among senior dogs, there can be different needs between them for fat, protein, calories, etc. I never fed my last senior dog a specifically labelled “senior” or “reduced activity” formula; neither did my vets direct me to do so. I fed a variety of diets and supplemented based on my dog’s individual needs.

Since you mentioned reduced activity, are you looking for a food with lower calories per cup so that you can provide more volume? Lowfat? What else?

Also . . . some formulas that might be a good fit for your senior dogs, in whatever you’re looking for in nutrients, may not necessarily be labelled for senior dogs.

Re HS, there are grain inclusive & no legumes/potatoes formulas. They make various formulas. Are you referring to one specifically labelled for seniors? For now, I think the most cautious approach does include avoiding GF & legume or potato heavy formulas.

[snowtigga]

Hi folks,

I’ve surfed and read and surfed and read and I’m pretty sure if I look in the mirror, my face would be blue.

My three dogs currently eat Whole Earth Farms grain-free food and I rotate between the flavors except for chicken. I had thought maybe my oldest Shar-Pei/Lab mix (7) would do better without it. There’s no real way for me to tell, though, so now I’m thinking of re-introducing chicken due to them.

It’s just incredibly difficult, it seems, to find a dog food that’s affordable, made for seniors and/or reduced activity dogs, that doesn’t have peas/potatoes/legumes/fillers but does have a good selection of fruits/vegetables which also provides joint health (bonus since I can always continue with supplements).

Maybe I’m being too selective. Holistic Select seems to come up a lot in various articles and reviews I’ve read – peas are the third ingredient. potatoes are the fifth.

Fromm Gold reduced activity doesn’t have much for fruits/vegetables in it and potatoes are the 6th ingredient.

Canidae Platinum Senior — potatoes/peas as well as Canidae Reduced Energy – same thing.

Should I not be as concerned about these ingredients if my dogs are older? I would think it’d be the opposite. I’m so lost.
I would welcome suggestions and information, please.

Thanks.

[anonymous]

https://www.gofromm.com/fromm-family-small-breed-adult-gold-food-for-dogs
Fromm has several grain inclusive formulas.

Kibble does nothing to clean teeth. If the dog needs a professional dental cleaning I would get it done then just brush the teeth once a day, ask the vet tech to demonstrate if you don’t know how. Or check youtube.

You can presoak dry food in water in the fridg for a few hours, or just add a generous amount of water to the kibble prior to serving the dog will lap up the water to get to the food.
Don’t free feed (leave food down all day)
Or you could mix the kibble with a little canned food and add water.
Serve 2 or 3 small meals per day.
I would not rotate foods, that may cause GI upset in a senior dog.

[Mia F]

We’re trying to balance a bunch of different concerns with my 14/15 year old shih tzu/jack russell’s food. We’re worried about her teeth and for this reason one vet recommended we stick with kibble. But we’re also concerned about the possibility that she could developed kidney issues, for this reason we want to make sure her food isn’t dehydrating her. (I’ve heard some troubling stuff about kibble, but I’m not an expert at all.) After the recent FDA report we switched from Earthborn to Hollistic Select’s chicken and rice kibble. That’s what she’s eating as of now.

I’m wondering if we should consider rotating foods. If so, should we do wet or dry? Are there ways to supplement kibble to fix any dehydration issues?

[Robert B]

I own a 9-1/2 year old Australian Shepherd. I do not use “senior” dog food formulations mostly because many of them reduce their kcal/cup for older, more sedentary dogs by reducing the crude protein and fat content. I just use good all stage dog foods but consider a reduced kcal/day requirement. When my dog was younger an 1,100 kcal/day was required to maintain his weight. Today about 900 kcal/day is all that is required.

Regarding supplements, I do use two types because while the foods that I use are balanced, I am uncertain of the amounts actually remaining based on his daily weight based feeding in his kibble post processing even though some are listed as ingredients.

VetriScience Laboratories Glycoflex Everyday – My dog shows no symptoms yet of joint pain, but this is given as a joint pain preventative before joint degeneration occurs. It contains a combination of the active of green lipped mussels, glucosamine hci and N ,N-Dimethylglycine HCl.

VetriScience Laboratories Derma Strength – this is a skin an coat supplement with omega 3, 6 and 9. These are also systemic anti inflammatories.

Good Luck….

[Susan]

Hi Sandy,
Here’s Dog Food Adviser 20 Best Dry Dog Foods list, he emailed to all DFA people who have subscribe to get mail, I got this last week after FDA release the 16 brands that “MIGHT” be associated with DCM..
/best-dog-foods/best-dry-dog-foods/?fbclid=IwAR1wJpUuDSSibm42V_A9GMalYW4_z1E91NFy1q01NAzf_GItd81nZBTwB1Q

Have a look at “Canidae Pure Formula’s” the Pure formula’s have limited ingredients & DFA has the Canidae Pure Sea on his best 20 foods list…… I rotate & feed Pure Meadow Senior & Pure Wild Pork when on special, Canidae has jumped in price in Australia..
https://www.canidae.com/dog-food/products

[Robert B]

In light of the most recent update issued regarding FDA CVM’s Investigation between the relationship between diet and canine heart disease (DVM), I decided to review the 500+ case reports from the 5-year period studied. The published incidence rate including breeds with a genetic propensity for DCM is estimated to be between 0.1-0.2%.

We own a 9-1/2 year old, neutered Australian Shepherd who we have been feeding Orijen dry foods all of his life. When I look at Orijen (we feed Adult, Regional Red & Senior) I see lugumes and pulses, but well down the ingredient list by weight. That said, there a dozen cases of DCM associated with the brand. I do realize that the incidence rate is influenced on how widely a food is selling.

There were 10 case reports of Australian Shepherds (the summary shows n=13 but I could not find them) and DCM out of the 515 canine cases reported (or about 2%). The observed rate out of the dog’s within the cases is > 10x the general population rate for ALL dogs. This struck me as not happening by “chance”.

I reviewed the listed dog foods fed to the Australian Shepherds and then looked into what their current top 10 ingredients for legumes, pulses and tubers:

Case 1) Nature’s Recipe Easy to Digest Fish meal and Potato recipe dry dog food: Potatoes
Case 2) Zignature Kangaroo and Lentil: Peas, Chickpeas, Pear Flower, Red Lentils, Green Lentils
Case 3) Fromm Pork and Pea: Peas, Chickpeas, Pea Flower, Pea Protein, Sweet Potatoes
Case 4) Blue Buffalo wilderness natures evolutionary diet with chicken and lifsource bits: Pea Protein, Peas, Pea Starch, Pea Fiber, Potatoes
Case 5a) Farmina N&D Pumpkin Formula Medium and Maxi: Pea Starch, Dried Pumpkin, Pea Fiber
Case 5b) Kirkland Natures Domain Salmon and Sweet Potato: Sweet Potatoes, Peas, Potatoes, Pea Protein, Potato Fibre
Case 5c) Kirkland Organic Chicken and Pea: Organic Peas, Organic Lentils, Organic Garbanzo Beans, Organic Sweet Potatoes, Organic Potatoes
Cases 6 & 7) Pine Forest Canine Recipe with Venison & Legumes – Taste of the Wild Pet Food: Garbanzo Beans, Peas, Lentils, Pea Protein, Pea Flour, Fava Beans
Case 8) Earthborn grain free (specific variety not declared): Peas, Pea Protein, Pea Starch, Chickpeas
Case 9) Hill’s Ideal Balance Grain Free Chicken and Potato: Potatoes, Yellow Peas, Pea Protein, Potato Starch
Case 10) Acana (all flavors except Chicken or Lamb): Whole Red Lentils, Whole Pinto Beans, Whole Green Peas, Whole Green Lentils, Whole Chickpeas

I see a consistent use of legumes or tubers as ingredients among these foods (including Hills!). I work in R&D and while I agree the root cause may not be fully understood and the rates shown in the pareto chart are biased by how widely used a food is I can see why the Agency sent out the notification. Given the > 90% rate in the reported cases of grain free, legume formulated foods, I have made the decision to move our Australian Shepherd to a new dry food. So I have been trying to identify high quality grain inclusive dry foods to replace Orijen. So far I have identified:

Farmina:
N&D Ancestral Grain Chicken & Pomegranate Senior Mini & Medium
N&D Ancestral Grains Grains Chicken & Pomegranate Senior Medium & Maxi

Fromm:
Adult Gold
Reduced Activity Senior Gold

Nature’s Logic:
Canine Beef Meal Feasts
Canine Chicken Meal Feasts
Canine Lamb Meal Feasts
Canine Turkey Meal Feasts

NutriSource
Performance
Adult
Lamb Meal & Rice
Beef & Rice

We will begin to titrate him off Orijen onto some of these foods. We will first buy small bags to see how he a) likes them and b) his stool quality and general energy/health.

Do any of you have any experience with these foods or have any other suggestions for me to consider?

[Robert B]

In light of the most recent update issued regarding FDA CVM’s Investigation between the relationship between diet and canine heart disease (DVM), I decided to review the 500+ case reports from the 5-year period studied. The published incidence rate including breeds with a genetic propensity for DCM is estimated to be between 0.1-0.2%.

We own a 9-1/2 year old, neutered Australian Shepherd who we have been feeding Orijen dry foods all of his life. When I look at Orijen (we feed Adult, Regional Red & Senior) I see lugumes and pulses, but well down the ingredient list by weight. That said, there a dozen cases of DCM associated with the brand. I do realize that the incidence rate is influenced on how widely a food is selling.

There were 10 case reports of Australian Shepherds (the summary shows n=13 but I could not find them) and DCM out of the 515 canine cases reported (or about 2%). The observed rate out of the dog’s within the cases is > 10x the general population rate for ALL dogs. This struck me as not happening by “chance”.
I reviewed the listed dog foods fed to the Australian Shepherds and then looked into what their current top 10 ingredients for legumes, pulses and tubers:

Case 1) Nature’s Recipe Easy to Digest Fish meal and Potato recipe dry dog food: Potatoes
Case 2) Zignature Kangaroo and Lentil: Peas, Chickpeas, Pear Flower, Red Lentils, Green Lentils
Case 3) Fromm Pork and Pea: Peas, Chickpeas, Pea Flower, Pea Protein, Sweet Potatoes
Case 4) Blue Buffalo wilderness natures evolutionary diet with chicken and lifsource bits: Pea Protein, Peas, Pea Starch, Pea Fiber, Potatoes
Case 5a) Farmina N&D Pumpkin Formula Medium and Maxi: Pea Starch, Dried Pumpkin, Pea Fiber
Case 5b) Kirkland Natures Domain Salmon and Sweet Potato: Sweet Potatoes, Peas, Potatoes, Pea Protein, Potato Fibre
Case 5c) Kirkland Organic Chicken and Pea: Organic Peas, Organic Lentils, Organic Garbanzo Beans, Organic Sweet Potatoes, Organic Potatoes
Cases 6 & 7) Pine Forest Canine Recipe with Venison & Legumes – Taste of the Wild Pet Food: Garbanzo Beans, Peas, Lentils, Pea Protein, Pea Flour, Fava Beans
Case 8) Earthborn grain free (specific variety not declared): Peas, Pea Protein, Pea Starch, Chickpeas
Case 9) Hill’s Ideal Balance Grain Free Chicken and Potato: Potatoes, Yellow Peas, Pea Protein, Potato Starch
Case 10) Acana (all flavors except Chicken or Lamb): Whole Red Lentils, Whole Pinto Beans, Whole Green Peas, Whole Green Lentils, Whole Chickpeas

I see a consistent use of legumes or tubers as ingredients among these foods (including Hills!). I work in R&D and while I agree the root cause may not be fully understood and the rates shown in the pareto chart are biased by how widely used a food is I can see why the Agency sent out the notification. Given the > 90% rate in the reported cases of grain free, legume formulated foods, I have made the decision to move our Australian Shepherd to a new dry food.

So I have been trying to identify high quality grain inclusive dry foods to replace Orijen. So far I have identified:

Farmina:
N&D Ancestral Grain Chicken & Pomegranate Senior Mini & Medium
N&D Ancestral Grains Grains Chicken & Pomegranate Senior Medium & Maxi

Fromm:
Adult Gold
Reduced Activity Senior Gold

Nature’s Logic:
Canine Beef Meal Feasts
Canine Chicken Meal Feasts
Canine Lamb Meal Feasts
Canine Turkey Meal Feasts

NutriSource:
Performance
Adult
Lamb Meal & Rice
Beef & Rice

We will begin to titrate him off Orijen onto some of these foods. We will first buy small bags to see how he a) likes them and b) his stool quality and general energy/health before settling on a new rotation of foods.

Do any of you have any experience with these foods or have any other suggestions for me to consider?

• This reply was modified 6 years, 5 months ago by Robert B.

[Dennis M]

Hello. We are on our third Shih Tzu, Dory a female now 9 years old. None of our previous girls made it past 10 years old. We previously fed our dogs Nutro brand dog food. We’ve been feeding Dory Blue Buffalo Life Protection Formula since she was a puppy, and hoping she’ll be with us way past the age of ten. She’s now on Chicken & Brown Rice Recipe Senior for Small Breeds. She has always tolerated Blue Buffalo foods and treats very well. Our concern now is the FDA report on possible dangers of feeding grain-free diets. We realize the Blue Buffalo formula Dory is eating is NOT entirely grain-free, just doesn’t have any corn or wheat included. But the FDA warned of dog foods containing large amounts of legumes such as peas or lentils, other legume seeds, potatoes (including sweet potatoes), pea protein, pea starch, pea fiber, chickpeas, or beans. The ingredients of the Life Protection Formula Dory is now eating has several of these questionably high up in the ingredient list. We’re really at a quandary here. We’ve had great luck feeding Blue Buffalo products for nearly ten years, but concerned we might possibly be damaging our dog’s heart (DCM). Could you provide us a little guidance here? With the FDA concerns, is the Life Protection Formula we’re feeding the safest product line Blue Buffalo provides for this situation, or should we be considering another brand completely? I’m concerned and my wife is more than concerned. Please provide us with some sort of insight and direction to help us decide what may be best for Dory.

[K K]

Hi. Sorry this is a later post. But my sheltie had surgery last Thanksgiving for bladder stones – biopsy showed struvite – they said her bladder felt like a bean bag. But, no infection! They wanted me to switch her to one of Hill’s prescription diets but I don’t think much of the quality of their foods and they’ve had several recent recalls. The vet also suggested adding “wet food.” Since then, I’ve been soaking her kibble in water before feeding. Her last urinalysis did show crystal formation but again no infection.

My problem now is that the food I’ve been feeding has changed. Ancestry (formerly Sammy Snacks) has been taken over — now “Ancestry Pet Food” and the food has changed. I had been feeding the grain-free Lamb and Sweet Potato which Dog Food Advisory gave 5 stars. I want to switch.

In the past I used Acana when it was still made in Canada, which is no longer the case. I am also wondering if a higher protein diet in grain-free formulas like the Ancestry and in Acana and Orijen may be the cause of the increase in urinary crystals and the formation of struvite stones. Is anyone familiar with this issue.

My pup is only 4 years old, so not a senior dog issue.

Thanks.

K

[Sanne]

Hmm sorry if this double posts… my post disappeared after submitting

Senior foods really do not have anything special about them compared to adult foods. In fact, the label will usually state something along the lines of “complete and balanced for maintenance of adult dogs” even on senior foods.

Some differences in senior foods can include added glucosamine and chondroitin but you are already using a joint supplement anyway. Some lower the fat and calories because some dogs become less active as they age so may gain weight on higher fat/calorie foods. Some will also have lower phosphorus levels so the food is easier on their aging kidneys. None of Purina’s foods are particularly high in phosphorus though so you would not need to worry about an even lower amount unless your dog has current kidney issues. Some will also lower the sodium level for aging hearts, but again Purina’s foods typically are not that high anyway. If your dog had a heart or kidney issue due to old age that needed these nutrients lowered, you would be best off with a prescription food than a senior food. Because NONE of these things are actually a requirement to label a food as “Senior” so feeding a senior food would not even guarantee any of these benefits.

Most healthy seniors can stay on their original adult food for the rest of their life

The only supplements are personally use for my oldies are CBD oil for joint pain and CoQ10 for heart health. I do not bother with supplements much unless my dogs have a specific issue that needs to be addressed.

[Christie B]

My 2 dogs: 4 year old 45 pound Catahoula Leopard Dog Mix (no food issues), 10 year old 120 pound American Bulldog mix (sensitivities to chicken, possibly lamb)

After feeding both dogs for years on various grain free food and dealing with gastrointestinal issues with one of the dogs, I took my vets advice and tried Purina Pro Plan Sensitive Skin and Stomach. I’m actually surprised that my dogs stools are smaller and firmer and my one dog hasn’t had any stomach related incidents (there was one like the 2nd day of transitioning when both dogs literally picked out and only ate the PPP and left their old Merrick food in the bowl, but I chalked it up to a transitioning headache).

I’m the first person who would cringe at just the thought of buying anything Purina related. But I told my vet I would at least try 2 bags of the food to see if my dog’s stomach issues resolved. So far so good, but I’m only halfway through first bag so we’ll see…

My question though is related to what senior dogs require as far as nutrient profiles and supplements. He’s always had a bowed front leg and it doesn’t bother him when he stands or walks. But I know it can become arthritic, especially since he’s a large breed. So he’s been on Dasuquin for a while (both dogs are).

Since the PPP is for Adults and there isn’t a PPP sensitive stomach formula for seniors, is there anything that I should be adding to his diet to meet his senior needs?

[anonymous]

When Should I Switch My Pet To A Senior Diet?

“Although it is a common belief, reduced dietary protein is not beneficial for the healthy older dog or cat. In fact, lower protein diets for older dogs and cats may have negative effects by contributing to muscle loss. Therefore, dogs and cats should not be fed a reduced protein diet just because they are aging. The “optimal” protein level for older dogs and cats, however, is still controversial. Some companies make senior diets with lower protein while others actually make their senior diets with increased protein. Just like there’s no evidence for benefits of a low protein diet, it also is not clear that high protein diets are beneficial or even optimal for seniors.”
Cornell Vet. 1985 Apr;75(2):324-47.
Nutrition and metabolism of the geriatric dog.
Sheffy BE, Williams AJ, Zimmer JF, Ryan GD.
Abstract
Sixteen 10-12-year-old and eight 1-year-old dogs were studied over a two year period to determine comparative differences in physiological response to 4 diets varying in protein content and percentages of energy contributed by protein. The ability of old dogs to utilize nutrients as supplied by these foods was not significantly different from that of young adult dogs. Except for indices of mitogenic stimulation and serum urea nitrogen (SUN) other physiological parameters studied were not affected by the diet fed. Regardless of diet, old dogs had significantly higher serum levels of cholesterol, phosphorus and alkaline phosphatase and had lower indices of mitogenic stimulation than did young dogs.

[Christie B]

Joanne – right now they eat Merrick Classic Beef Recipe Kibble with Merrick Big Texas Steak Tips Canned as a topper (I split the can between the two of them).

I usually buy the biggest bag and then if there haven’t been any issues, then I buy another and then rotate afterwards.

The previous rotation was Canidae Multi-Protein All Life Stages Kibble. Both dogs hated it…I had to sprinkle a bit of cheese on it just to get them to eat. It was a total waste.

Before that it was Instinct by Nature’s Variety Be Natural Chicken & Brown Rice

The rotation before that was Blue Buffalo Adult Lamb & Brown Rice Formula.

The rotation before that was ProPlan Large Breed Senior Bright Mind (I had my 4 year old dog finishing the bag of Blue Buffalo Lamb). Surprisingly, my big guy wasn’t a fan of the Purina ProPlan formula, so I only used the 1 bag before switching.

I started to keep a record of when his drooling episodes occurred, to see if there was a pattern.
3/2- Purina (chicken) , 3/9 Purina (chicken) , 4/11 (turkey), 5/15 Canidae (multi protein)/Be Natural (Chicken) during transitioning

I may have missed one or two in between, but they only seem to occur 1-2 times per month.

I’m pretty sure he had an episode while on the current Merrick Beef and Green Peas w/ Ancient Grains

I avoid chicken now (which is hard because it seems like so many formulas list chicken as a secondary protein ingredient).

I try to stick to beef or fish since they don’t generally add chicken. I also try to limit potatoes because my vet told me that they can be hard to digest and lead to stomach upset. I’m not quite sold on Merrick using Peas as their 3rd ingredient. I’d prefer it to be lower on the list.

I have a storage container with a lid to help keep the food fresh. I used to dump the food in directly, but I learned that it’s better to keep it in the original bag and put the bag inside the container in case any issues with recalls come up so you can check the bag for the manufacturing info. The only time I noticed ‘bad’ food was a bag of Purina Pro Plan from like 9 years ago when my dog was a pup. I didn’t notice until the container was almost empty, but it was infested with Pantry Moths and larvae/worms. Unsightly but harmless.

• This reply was modified 6 years, 6 months ago by Christie B.
• This reply was modified 6 years, 6 months ago by Christie B.

[haleycookie]

Just an FYI, no over the counter food has enough glucosamine in it to make any difference. It’s just a marketing thing but when u break down the amounts per serving size they usually contain almost no glucosamine and chondroitin. I would recommend cosaquin for those issues. Or if it is severe a prescription supplement from the vet. Beyer also has a new joint line that are prescription strength that u can get over the counter.
I would look at canidae senior formulas. They have two varieties that are excellent. They also have a vet on staff formulating their foods.
Fromm is good as well, just keep in mind “Senior” is just a nice way of saying less meat, more carbs. Which for a dog that is getting older and having muscle wasting is not ideal. So I would recommend maybe finding a high meat all life stage food. Or look at natures variety raw boost senior. Merrick also has a great senior meat based formula.
Higher meat foods will require less feedings so will be similar amount of money spent at the end of the day.

[anonymous]

Consider Fromm https://www.gofromm.com/fromm-family-reduced-activity-senior-gold-food-for-dogs

Never heard of the brand you mentioned. I avoid small companies. It’s not about the ingredients.

[Amber J]

Hi, everyone! I have three senior dogs (two are 13 years old, one is 9 years old), so it’s a bit tough to find reasonably priced senior dog food that works for all of them. Everyone is healthy but it’s hard to find dog food that works well for each dog’s bowels. They don’t have any grain or protein sensitivities that I’m aware of. Two of them have arthritis , but they are otherwise healthy. I use 6-8 cups of dog food a day, so super expensive food is not feasible for our household.

Since our two older dogs have arthritis, I like to see glocosamine, chondroitin, and omega’s in their food. I also like to see supplements that support muscle health, and plenty of fiber/digestive support ingredients. I was feeding them Victor Senior formula, but with Victor’s recent formula changes, all of the dogs are constipated and having a hard time pooping. I switched to Kirkland Senior formula, but their stools are a little too soft for my liking (especially as the person who has to scoop their poop out of the grass).

We have a wonderful local company who sells a senior dog food that seems like it might be okay, and is reasonably priced. I bought a 5-lb bag to test, and even my one picky boy loves it; he’s picking that kibble out and leaving the rest. Does anyone have thoughts on whether this food looks like it would be highly rated by Dogfood Advisor, or whether there are ingredients to avoid? Any other recommendations on reasonably priced senior/mature dog food that might work? I was looking at Fromm but it seems like they have some questionable history with their food.

Here’s the link to the local food: https://www.zamzows.store/products/grandma-zs-chicken-and-vegetable-senior-dog-food-35-lb

Any help would be most appreciated.

• This topic was modified 6 years, 6 months ago by Amber J.

[Patricia A]

Anon Whole Dog Journal’s article regarding DCM sounds pretty science based to me. There are also articles in Whole Dog Journal regarding the negative effects of yearly vaccinations for our pets . Holistic is not voodoo science anyway. Where some vets will push everything the drug salesman brings to their practice, holistic vets questions the need and the worth of giving certain medications when at times the side effects are worse then the problem . Example flea and tick medicines. Some have devastating effects on the health of our pets and the vets don’t find out till it’s too late. Below is full Whole Dog Journals article .
DCM in Dogs: Taurine’s Role in the Canine Diet
What is taurine-deficiency dilated cardiomyopathy (DCM), and how can dog owners prevent it? (Hint: It involves more than just grain-free foods.)

By Linda P. Case – August 15, 20180

TAURINE FOR DOGS: OVERVIEW

Taurine Is Needed For:

1. Healthy heart function
2. As a component of bile acids
3. Retinal function
4. Reproductive health

Dietary Risk Factors for Reduced Taurine Status:

– Low-protein diet (limited taurine precursors)
– Heat-damaged or poor-quality protein sources
– High dietary fiber (i.e., rice bran, beet pulp, cellulose)
– Lamb and rice diets (speculated)
– Plant-based protein sources (peas, lentils, legumes) (speculated)

Possible Risk Factors for Taurine-Deficiency DCM:

BREEDS
American Cocker Spaniel
English Setter
Golden Retriever
Labrador Retriever
Newfoundland
St. Bernard

SIZE
Large-breed dogs
Dogs with slower metabolic rates

DIET
Factors that reduce taurine production
Factors that increase taurine-degrading microbes in the intestine
Factors that reduce bile acid production

In mid-July 2018, the U.S. Food and Drug Administration (FDA) released an alert to veterinarians and pet owners regarding reports of increased incidence of a heart disease called canine dilated cardiomyopathy (DCM). This disorder is characterized by weakening of the heart muscle, which leads to a decreased ability of the heart to pump, and if untreated, to cardiac failure. The reported cases occurred in breeds that are not considered to be genetically predisposed to this disorder.

Further, a significant number of the dogs were found to have reduced levels of circulating taurine in their blood and have responded positively to taurine supplementation. It is speculated that these cases are related to the consumption of foods that negatively affect taurine status, leading to taurine-deficiency DCM. Foods containing high levels of peas, lentils, other legume seeds, and/or potatoes were identified by the FDA as potential risk factors. These ingredients are found commonly in foods that are formulated and promoted as “grain-free.”

As these things go, there followed a lot of hype and a fair bit of hysteria in response. Let us avoid this type of reaction and instead look at the evidence: What do we currently know about the role of diet and taurine in the development of DCM in dogs – and how is it that “grain-free” foods have been recently targeted as a possible dietary cause?

grain free dog food concerns
Signs of Dilated Cardiomyopathy (DCM) in Dogs

DCM is a disease of the heart, which causes the heart muscles themselves to weaken, which, in turn, reduces the ability of the heart to pump blood through the dog’s body as it should. The heart becomes enlarged and flabby, and fluid begins to accumulate in the dog’s lungs. As this condition progresses, it causes congestive heart failure.

Early signs of DCM may include:

– Lethargy, decreased energy
– A persistent cough
– Difficulty breathing, rapid or excessive breathing, or seeming shortness of breath
– Episodes of collapse
– Anorexia (chronic loss of appetite)

By the time these signs appear, the disease may already be fairly advanced. That’s why it’s important to make an appointment to see your veterinarian right away if your dog displays any of these signs, or more than one of these signs. Often, owners of middle-aged or senior dogs think that their dogs’ symptoms are “just old age,” but a quick diagnosis and treatment can restore an affected dog’s quality of life to nearly normal – and extend the dog’s life far past an untreated dog’s prognosis.

Treatment usually involves medications that help the dog’s heart to contract, slow his rapid pulse, help control the accumulation of fluid in his lungs, and dilate his blood vessels – all actions that will improve the heart’s performance.

What is Taurine? Why Do Dogs Need Taurine?

The nutrient taurine is a unique type of amino acid, called a beta-amino sulfonic acid. It is not incorporated into proteins but rather is found primarily as a free amino acid in body tissues and circulating in the blood. Taurine has many functions, but two that are important for this discussion involve its role in normal heart function and its presence as a component of bile acids, which are needed for fat digestion. Most animals obtain adequate taurine to meet their needs by producing it endogenously (in the body) from two other amino acids, methionine and cysteine.

This means that while most animals require taurine physiologically, most do not have a dietary requirement for taurine. The exception to this rule is the cat. Cats (but not dogs) always require a source of taurine in their food. If they do not have it, one of the diseases that they can develop (and possibly die from) is – you guessed it – DCM.

taurine structure
Taurine-deficiency DCM is well documented in cats. We also know quite a lot about the dietary factors that contribute to this disease in that species. In contrast, dogs (usually) do not require a source of dietary taurine. However, we know that some dogs still develop taurine-deficiency DCM. Why does this happen? The history of DCM in cats can help in untangling what may be occurring in dogs.

Taurine-Deficiency DCM in Cats

Looking back, I cannot avoid a sense of déjà vu. In the early 1980s, veterinarians began reporting increased incidences of DCM in pet cats. By 1987, a role for dietary taurine was suspected. In a seminal study, a veterinary researcher at UC Davis reported low plasma (blood) taurine levels in 21 cats with clinical signs of DCM. 1 When the cats were supplemented with taurine, all 21 recovered from the disease. This discovery led to a series of controlled studies that supported the existence of taurine-deficiency DCM in cats who were fed diets that contained sufficient concentrations of taurine.

What was going on?

It has to do with bile acids. Another role of taurine in the body is that it is necessary for normal bile acid function. Taurine is linked to bile acids in the liver to form bile salts. During digestion, these compounds are secreted into the small intestine, where they function to aid in fat digestion. Animals are very efficient at conserving the taurine that is secreted into the intestine by reabsorbing the bile salts back into the body further down the intestinal tract. This occurs through a process called “enterohepatic reutilization” and prevents a daily loss of taurine in the feces.

Herein lies the problem for cats with DCM: If anything happens during digestion that causes the degradation of the bile salt taurine or that inhibits its reabsorption into the body, more is lost in the feces. If this happens consistently, the cat will experience an increase in his or her daily need for dietary taurine. Simply put – if anything causes the cat to poop out more taurine-bile acid complexes (or their degraded by-products), the cat will be in danger of a taurine deficiency if a higher level is not provided in the diet.

This is exactly what was happening in the cats with taurine-deficiency DCM – and is possibly what we are seeing today in dogs. The difference is that we know what diet factors caused taurine deficiency in cats during the late 1980s. These factors are not yet fully understood for dogs (but we can make a few guesses).

What We Know About Diet and Taurine Status

The studies with cats found that several dietary factors influenced taurine status. These were the level and type of dietary protein, the amount and type of dietary fiber, and the degree of heat that was used during food processing. These factors could affect taurine status in three ways:

1. Bile Acid Binding

Certain fibers and peptides (small protein chains) in the food can bind with bile salts in the small intestine and make them unavailable for reabsorption into the body. This results in an increased daily loss of taurine in the feces and a subsequent increase in daily taurine requirement to replace that loss.

2. Increased Microbial Degradation

Thermal processing of protein (extrusion or canning) can lead to the production of Maillard products – complexes of sugars and amino acids that are poorly digested in the small intestine. The undigested complexes travel to the large intestine and provide an intestinal environment that favors increased numbers of taurine-degrading bacteria. An increase in these bacterial populations reduces the proportion of taurine that is available for reabsorption and reuse by the body.

3. Reduced Taurine Availability

Taurine is found naturally in animal-based proteins but is not found in plant-based protein sources. Therefore, providing diets that include a sufficient level of high-quality animal proteins (that are not heat damaged) should ensure adequate taurine intake.

However, protein that is of low quality or that has been excessively heat-treated will be poorly digested, reducing the availability of taurine and of its precursor amino acids, cysteine and methionine.

In the early 1990s, in response to this new information regarding the interaction of dietary factors and taurine status in cats (and their relationship to DCM in cats), the Association of American Feed Control Officials (AAFCO) increased the recommendations for dietary taurine in extruded and canned cat foods.

Taurine Deficiency in Dogs

Unlike the cat, dogs who are fed diets containing adequate levels of protein should be capable of synthesizing enough taurine from cysteine and methionine to meet their needs. Therefore, a requirement for dietary taurine has not been generally recognized in dogs.

However, there is evidence – evidence that we have had for at least 15 years – that certain breeds of dogs, and possibly particular lines within breeds, exhibit a high prevalence of taurine-deficiency DCM. Genetically predisposed breeds include the American Cocker Spaniel, Golden Retriever, Labrador Retriever, Saint Bernard, Newfoundland, and English Setter.  Although the exact underlying cause is not known, it appears that some breeds have either a naturally occurring higher requirement for taurine or a metabolic abnormality that affects their taurine synthesis or utilization.

A second factor that affects taurine status in dogs is size. There is evidence that a large adult size and a relatively slow metabolic rate influences the rate of taurine production in the body and may subsequently lead to a dietary taurine requirement. It is theorized that increased body size in dogs is associated with an enhanced risk for developing taurine deficiency and that this risk may be exacerbated by a breed-specific genetic predisposition.

There is additional evidence that large and giant breed dogs have lower rates of taurine production compared with small dogs. Ultimately, studies suggest that certain dogs possess a genetic predisposition to taurine depletion and increased susceptibility to taurine-deficiency DCM and that this susceptibility may be related to the combined factors of breed, size, and metabolic rate.

Taurine in Dog Food Diets

The recent spate of cases and media attention to taurine-deficiency DCM in dogs suggests that this is a very new problem in dogs. However, it is not new. A connection between diet and DCM in dogs was first described in a paper published in the Journal of the American Veterinary Medical Association in 2001. What is new is the sudden focus on certain pet food ingredients and the target that appears to have been placed upon the backs of all “grain-free” pet food brands by some bloggers and veterinarians.

Not to put too fine a point on this, but the 12 cases of taurine-deficiency DCM described in the 2001 paper were collected between 1997 and 2001, years before grain-free dog foods had arrived on the pet food scene. Rather than disparage one class or type of dog food (or pet food company), it is more important to look at specific dietary factors that may be involved in DCM in dogs.

Generally speaking, these are expected to be the same as those identified for cats, including low protein levels, poorly processed or heat-damaged proteins (leading to Maillard products), and the inclusion of a high proportion of plant-based protein sources such as peas and legumes.

Over the past 15 years, reduced taurine status in dogs has been associated with feeding lamb meal and rice diets, soybean-based diets, rice bran, beet pulp, and high fiber diets. As with cats, there appear to be multiple dietary (and genetic) factors involved.

For example, it was theorized that the perceived (not proven) association between lamb meal and taurine status was due to low levels of available amino acids present in the lamb meal, or to excessive heat damage of the protein, or to the confounding factor of the inclusion of rice bran in many lamb meal-containing foods. To date, none of these factors have been conclusively proven or disproven. However, the most recent study showed that three types of fiber source – rice bran, cellulose, and beet pulp – all caused reduced plasma taurine levels in dogs when included in a marginally low protein diet, with beet pulp causing the most pronounced decrease.

Complicated? You bet. This is why it is important to avoid making unsupported claims about certain foods and brands. Taurine-deficiency DCM has been around for a while in dogs and continues to need study before making definitive conclusions about one or more specific dietary causes.

Current Considerations of Taurine in Dog Food

We know that any dietary factor that reduces the availability of taurine precursors, binds taurine bile salts in the intestine, or causes an increase in the bacteria populations that degrade taurine, can reduce a dog’s ability to synthesize taurine or will increase taurine degradation and/or loss in the feces. These changes could ultimately compromise a dog’s taurine status (especially if the dog was genetically predisposed) and affect heart health. In extreme cases, as we are seeing, this can lead to taurine-deficiency DCM (see “A Few Things to Know About Taurine” above).

The FDA report identified foods that contain high amounts of peas, lentils, legume seeds, or potatoes to be of potential concern. The FDA also stated that the underlying cause of DCM in the reported cases is not known and that at this time, the diet-DCM relationship is only correlative (not causative). However, this has not stopped various bloggers and even some veterinarians from targeting small pet food companies and/or grain-free brands of food, and implying that these foods, and these foods alone, are causing taurine-deficiency DCM in dogs. Their reasoning is that peas and legumes are present in high amounts in foods that are formulated and marketed as grain-free.

However, the truth is that many companies and brands of food include these ingredients. More importantly, there is no clear evidence showing that a particular dog food type, brand, or even ingredient is solely responsible for taurine-deficiency DCM in dogs.

Rather, it is more reasonable and responsible to speculate that one or more of these ingredients, their interactions, or the effects of ingredient quality, heat treatment, and food processing may play a role. Furthermore, the underlying cause could be the protein, starch, or fiber fractions of these ingredients. As plant-source proteins, peas, lentils, and legumes include varying amounts of starch (both digestible and resistant forms) and dietary fiber. These protein sources are also generally less nutritionally complete and less digestible than are high quality animal source proteins – additional factors that could influence a dog’s ability to both produce and use taurine. Potatoes, in contrast, provide a digestible source of starch in an extruded food but also contain varying levels of resistant starch, which is not digested and behaves much like dietary fiber in the intestinal tract.

Conclusions on Grain-Free Food and DCM

Because any or all of these dietary factors could be risk factors for taurine-deficiency DCM in dogs, and because peas, legumes, and other ingredients identified by the FDA report have not yet been fully studied, the heart of the matter is that no conclusions can yet be made about the underlying dietary cause or causes of taurine-deficiency DCM in dogs.

But given what we do know, we recommend feeding a diet that contains sufficient levels of high-quality, animal-source protein, does not include plant-source proteins as primary protein sources, and does not contain high levels of dietary fiber.

If you are worried about your dog’s taurine status or heart health, whether due to his diet history or physical signs that are of concern, see your veterinarian for a complete physical examination and, if needed, to measure plasma levels of taurine. 

Cited Studies

1. Pion PD, Kittleson MD, Rogers QR, et al. “Myocardial failure in cats associated with low plasma taurine: A reversible cardiomyopathy.” Science 1987; 237:764-768.

2. Earl KE, Smith PM. “The effect of dietary taurine content on the plasma taurine concentration of the cat.” British Journal of Nutrition 1991; 66:227-235.

3. Hickman MA, Morris JG, Rogers QR. “Effect of processing on the fate of dietary taurine in cats.” Journal of Nutrition 1990; 120:995-1000.

4. Hickman HA, Morris JG, Rogers QR. “Intestinal taurine and the enterohepatic circulation of taurocholic acid in the cat.” Advances in Experimental Medicine and Biology 1992; 315:45-54.

5. Freeman LM, Rush JE, Brown DJ, et al. “Relationship between circulating and dietary taurine concentrations in dogs with dilated cardiomyopathy.” Veterinary Therapeutics 2001; 370-378.

6. Backus RC, Ko KS, Fascetti AJ. “Low plasma taurine concentration in Newfoundland dogs is associated with low plasma methionine and cysteine concentrations and low taurine synthesis.” Journal of Nutrition 2006; 136:2525-2533.

7. Ko KS, Backus RC, Berg JR, et al. “Differences in taurine synthesis rate among dogs relate to differences in their maintenance energy requirement.” Journal of Nutrition 2007; 137:1171-1175.

8. Fascetti AJ, Reed JR, Roger QR, et al. “Taurine deficiency in dogs with dilated cardiomyopathy: 12 cases (1997 – 2001).” Journal of the American Veterinary Medical Association 2001; 223:1137-1141.

9. Delaney SJ, Kass PH, Rogers QR, Fascetti AJ. “Plasma and whole blood taurine in normal dogs of varying size fed commercially prepared food.” Journal of Animal Physiology and Animal Nutrition 2003; 87:235-244.

10. Torres CL, Backus RC, Fascetti AJ, et al. “Taurine status in normal dogs fed a commercial diet associated with taurine deficiency and dilated cardiomyopathy.” Journal of Animal Physiology and Animal Nutrition 2003; 87:359-372.

11. Ko KS, Fascetti AJ. “Dietary beet pulp decreases taurine status in dogs fed low protein diet.” Journal of Animal Science and Technology 2016; 58:29-39.

Linda P. Case is the owner of AutumnGold Consulting & Dog Training Center in Mahomet, Illinois. Linda is the author of Dog Food Logic, has a new book, Dog Smart, and writes The Science Dog blog.

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• This reply was modified 6 years, 7 months ago by Patricia A.
• This reply was modified 6 years, 7 months ago by Patricia A.
• This reply was modified 6 years, 7 months ago by Patricia A.

[anonymous]

We have been pleased with Fromm and our vet approves. Here are some formulas you may like:

https://www.gofromm.com/fromm-family-reduced-activity-senior-gold-food-for-dogs (368 calories per cup)

https://www.gofromm.com/fromm-family-classic-mature-adult-dog-food (360 calories per cup)

https://www.gofromm.com/fromm-family-weight-management-gold-food-for-dogs (334 calories per cup)

I like the Blue Homestyle Chicken as a canned food/topper. It’s reasonable and I can find it at the local market.

[Goldens4ever]

I’m really anxious for answers to this. My Golden was just diagnosed with DCM and has eaten grain free Blue Buffalo Wilderness all his life. I have changed his food to a non-grain free food, but now I’m not sure what I picked is good enough. It’s paralyzing when you feel like you’ve already given your beloved dog a death sentence and you’re conditioned to think corn is “bad”.

And to anyone who thinks their dog is fine on grain free, mine was fine until he wasn’t. He passed a senior physical to have his teeth cleaned in October and this week he was diagnosed with advanced DCM. I know it didn’t happen that fast, but unless they develop a heart murmur or start gagging like mine did or faint, you’re probably not going to know it’s happening until it’s too late or nearly so. They seem fine until they aren’t with this. It’s why heart disease is considered a silent killer.

[haleycookie]

Because there is no definitive proof grain free is the main and only cause at this point.
The reason to avoid carbs (grains and potatoes, peas, etc) is because dogs are facilitative carnivores. Meaning they can eat a small amount of carb but it’s not really necessary. So meat based diets are the most healthy. Meat based foods will be rated higher on this site for that reason.
I would consider 20lbs+ over small breed requirements.
Some Boston’s are quite small and would fall into that category. I’m sure at the end of the day if you feed a proper diet “smallbreed” or not won’t matter much. Just feed the correct amount of calories for your dogs ideal weight and you’ll be fine. “Senior”, “small breed” , “healthy weight”, etc are gimmick words for the most part to charge high prices for a “special” food when in reality senior foods have such a small amount of glucosamine it’s not even close enough to be effective, small breed foods typically are just smaller kibble, and weight loss foods are foods where meat is taken out and replaced with a carb, not the best idea for a carnivore looking to loose weight lol.

[anonymous]

“She isn’t a senior, she’s only four”

That is even more concerning. I am sorry but you just don’t get it. Blood in the stool is not normal.

GO TO THE VET. What did her last annual exam reveal?

Peace out

PS: An 8 pound dog is not a wolf, they are delicate animals, please discuss with your vet, prescription food may be the way to go at least till she is stable.

“There are many people that have been doing it for decades and their dogs have never been healthier”
BS Where is the research? You are talking ragtime.

[Anonymous]

She isn’t a senior, she’s only four. If the bone was the problem she would be having problems not just when I give her something new. I doubt it is that, when she does just fine when she’s eating her usual food. I’m sorry you had a bad experience, but there are numerous things that could’ve gone wrong. Just because one person has a hard time does not mean the diet in itself is bad. There are many people that have been doing it for decades and their dogs have never been healthier.

[anonymous]

“dehydrated bones”

That is bone, it can calcify in the gut and turn into a cement like substance and cause a blockage, GI upset at the least.

Obviously you have been listening to the homeopathic crowd. Your info about raw food is wrong.
” Dogs aren’t built like us and are designed to be able to handle it. As long as your dog is healthy and doesn’t have any underlying problems they should be just fine.”

Good luck with that.

BTW: Your dog is a senior, has she had labs done recently? My advice still stands. Take her to the vet. I would have an x-ray/ultrasound done to rule out.

If you think I am blowing smoke, I am not. I have experience and knowledge in these matters. Find out the hard way, I did.

Please provide an update after your dog sees a real vet (not the internet).

[Susan]

Hi Jamie,
My boy suffers with IBD, I feed kibbles that have Potato & Sweet Potato works best for him, as soon as he eats Hills, Purina or Royal Canine we end up at the vets needing a course of Metronidazole, he doesn’t do well on grains..
Your best off doing an elimination diet to work out if she has food sensitivities??…
Get a kibble that has just 1 meat protein & 1-2 carbs like “Wellness Simple Turkey & Potato” kibble then once your dog is stable & doing really well start adding 1 new ingredient over a 4-6 week period & see do the poos get sloppy & keep a diary.. Does she mouth lick & swallow, gulp (Acid Reflux) when she vomits is it yellow??
I’m wondering does she have the Helicobacter?? It’s a bad bacteria that lives in the stomach walls, does she act like she is starving all the time?? this is 1 of the symptoms you have when you suffer with Helicobacter + vomiting & acid reflux this is what Patch suffers with, Best to do Endoscope + Biopsies if it vomiting continues..
or ask vet can prescribe the Triple Therapy meds to kill the Helicobacter, meds are – Metronidazole, Amoxicillin & Omeprazole taken for 21 days given every 12 hours with a meal the 20mg x Omeprazole is just given of a morning once a day…

When Patch was eating a kibble that was Lamb or Fish he was vomiting, so I don’t know were these kibbles higher in contaminates, heavy metals & toxins?? cause since he’s been eating Wellness, Canidae the vomiting has all stopped now he does take an Acid blocker called “Pantoprazole” 20mg of a morning now Vets normally prescribe 20mg- Omeprazole.. when they have acid reflux – gulping, mouth licking, swallowing, grinding teeth, vomiting early hours of the morning yellow acid vomits..
also are you feeding 4 smaller meals a day, don’t feed 2 large meals a day, its too much work on the pancreas & stomach.
I feed at 7am-1 cup, 12pm-1/3 a cup, 5pm-1cup & 7.30pm-1/4 a cup some lunch days Patch doesn’t eat kibble he eats cooked meal boiled sweet potato, no rice as rice ferments in the gut or freeze dried “Frontier Pets” has human grade ingredients.

These foods Patch does really well on

Wellness Core Large Breed Adult Chicken & Turkey
Wellness Simple Turkey & Potato
Wellness Complete Health Grain Free Chicken
Canidae Pure Wild Boar
Canidae Pure Meadow Senior Chicken & Turkey
Nutragold Turkey & Sweet Potato

I rotate his Grain Free kibbles as soon as the kibble bag is running out, I buy another brand that has Sweet Potato or Potato lean white meats are best to stay away from fish as main protein as fish is higher in toxins & contaminates.
Then I rotate old kibble & mix in the new brand kibble over 1 week, then do the same as the new kibble starts ending make sure you have enough kibble for 10days to introduce a kibble she was doing well on or another brand you want to try.. best to have at least 3 different brands you know she does OK on..
My boy starts to react if he eats the same dry kibble month after month also rotating foods strengthen their gut & immune system, you should start her on a good probiotic so her gut gets healthy… Wellness & Canidae have the Probiotics sprayed on the kibbles to strengthen gut.

A really good product called “Adored Breast Healthy Gut”
If you want to try something natural Adored Beast is getting great reviews from people who have a dogs suffering with IBD & IBD..
Have a look at “Adored Beast Gut Soothe” & “Adored Beast Love Bugs”

“Adored Breast Healthy Gut”
https://www.adoredbeast.com/collections/all

Julie Anne Lee – “Adored Beast Love Bugs” – Probiotics & Prebiotics

Have you joined the “Dogs with Inflammatory Bowel Disorder IBD” on facebook
it’s a really good group when you need help…
https://www.facebook.com/groups/11164787803/

Also after she vomits or 20mins before she eats have you tried Slippery Elm powder made into a Slurry it soothes the esophagus, stomach & bowel..

I use the Slippery Elm Powder made into a slurry, go to health food store buy slippery elm powder not the capsules. Health food store sell the Slippery Elm powder..
add 1/2 a teaspoon into a cup, boil the jug & slowly add the boiling water & stir quickly till you get a thin paste/slurry you pull up into a syringe 4ml & give 20mins before a meal.. I cover the cup with foil put in fridge & take out when needed again, it turns into a jelly then boil the jug & slowly add boiling water & stir till you have a slurry again & use then I throw out & make a new batch the next day..
Slippery Elm powder soothe the esophagus, stomach & bowel, good for nausea, acid reflux, rumbling grumbling gasses going thru the bowel – loud noises.. also helps firm poos..

[Susan]

Hi Patrica,
Wellness is a really good brand, I feed the Wellness Core Large Breed Adult cause it has lower fat & lower Kcals then the Wellness Core Small Breed…
I also Feed Wellness Complete Health Grain Free, Canidae Pure Wild, Canidae Pure Meadow Senior is really good aswell… also Wellness has been around nilly 100yrs so they’d know what they’re doing.

These brands are the only brands Patch doesn’t react too with his IBD when he stays on these brands longer then 3 months, maybe they use better quality ingredients + he’s eating the proper ingredients listed on ingredient list, when I feed other brands he starts to react after 2months?? 🙁
If you scroll down you can click on “Contact Us” you can talk with Dog Food Advisor – Mike Sagman
address your post to him & ask him why was the Stella & Chewy freeze dry Review changed??
it mighten have anything to do with DCM??

[Tamara B]

As a Dog Trainer . . . I recommend my clients ALWAYS closely check the ingredients and manufacturer information on ALL dog products because they are NOT regulated by the FDA like human products–this having been said . . . the ingredients listed on Diamond Natural Senior dog food and Kirkland Mature dog food are very similar but not exactly the same and listed in a different order, which everyone knows what the order of ingredients means on all products.
Therefore–I DID “check for myself” and need more information!
I cannot get a straight answer on the above comparison and a couple of other questions I have when comparing both dog foods. . . .
Most pet owners that go to the trouble of participating in these type forums read labels but are asking for more detailed information . . .
People should ALWAYS read ingredients and manufacturing information on ALL dog products because they are not regulated by the FDA! . . . everyone should closely monitor ALL things they give their pets due to this fact!!

[anonymous]

The products don’t look similar at all.
Check for yourself.

https://www.costco.com/Kirkland-Signature-Mature-Formula-Chicken%2c-Rice-and-Egg-Dog-Food-40-lb..product.100343437.html

https://www.chewy.com/diamond-naturals-senior-formula-dry/dp/34913

[Tamara B]

I need to know if Diamond Naturals Senior Dog Kibble has the same exact ingredients/ contents as Costco’s Kirkland Mature Dog Kibble? I cannot seem to get a straight precise answer ?? Please advise because I have a Senior Husky that has Epilepsy and very sensitive and wondered since I now belong to COSTCO can I substitute the COSTCO Mature for the Diamond Naturals Senior food? There cannot be ANY difference in ingredients to substitute his Diamond Natiural for the COSTCO brand!! I hope you can finally give me a precise answer if they are EXACTLY the same food/ingredients/content!!

[Beth C]

Any new ideas? I have an senior 8 pound dog who had all his teeth removed. I’m trying cooked ground turkey which I then grate mixed with The Honest Kitchen fruit and vegetables based mix. I also grate the THK base mix so there will be no chunks. He doesn’t really like the base mix that much but eats some blended with the turkey. He is not getting enough base mix yet. I haven’t tried the FreshPet refrigerated food that someone mentioned above. I think I might give that a try. The canned dog foods all seem to be the wrong texture for my toothless doggy. He spends so much time trying to eat without his teeth. It is a very slow and hard process for him., no matter what I try. But canned dog foods seem to have no appeal and their textures all seem difficult for him and he just walks away from them.

[Patricia A]

I think the regulars on this board know I have the three Chihuahuas’. My Hannah Belle has been coughing for a few months now. She will be 17 in June. Initially diagnosis was collapsing trachea and she was given cough meds. It was impossible to get the drops in her. Hiding little drops in appealing food to her did not work. Would not eat it. At one point her cough got so much better. Just a little before sleep. Vet said on our second visit that she did have a heart murmur caused from the mitral valve and how that’s contributing to the cough. He said X-ray with ultrasound was necessary to give meds. He suggested not to put her through all this. Her cough got worse and I took her back today. We started with an X-ray which did show enlarged heart contributed not from diet but age. I asked for pill form of cough suppressant since he said the coughing is causing the heart to work harder. He said good news is she does not have any fluid on lungs. So he said ultrasound will be very beneficial in determining what heart meds she needs.I will do anything to make her more comfortable and just maybe my Hannah will have more time with us in comfort. She eats well. At this point only fresh food. Loves her steak, salmon, chicken etc. She still is alert and will even walk around backyard recently now that it’s sunnier and on a warmer day. I feel she still has quality of life left.
Now this is the problem. My vet has a traveling ultrasound guy. He said he’s a pain because he wants all dogs there by 7am but might not show up till 11. I asked if he can call me when he gets there and take other dogs and i’ll be there in less then 10minutes since I live close . He said no because he might only have one other dog that day and will not wait. I said i’d be willing to sit with Hannah even two hours in office if I can have approximate time he’ll be there. But since he goes from vet office to vet office they can’t tell me when he’ll pop in. So I might be waiting for hours. I just HATE letting Hannah at her age sitting in a cage for hours. I am torn now whether to get the ultrasound. I’m so scared her heart won’t take the stress from this. Does anyone have experience with enlarged heart in senior dogs and if they make symptoms better? Please I need encouragement.

• This topic was modified 6 years, 9 months ago by Patricia A.

[anonymous]

My dogs are doing well on Fromm Classic Adult. Most vets(in my experience) approve of Fromm.
This formula has 5.5% fiber https://www.gofromm.com/fromm-family-reduced-activity-senior-gold-food-for-dogs

Some of the grain-free formulas have more fiber but until the FDA finds out if there is a correlation with cardiac problems/DCM I would avoid grain-free.
Unless your vet recommends and feels that the benefit outweighs the risk for your dog.

[Christie B]

I’m pretty good with making sure that my dogs see the vet annually for general checks and to make sure their up to date with necessary vaccinations. I was due to go back towards the end of 2018, but it completely slipped my mind.

My 9.5 year old American Bulldog mix has 1 front bowed leg. He’s always had it and he walks and runs fine (he looks gimpy when walking, but it’s how he’s always been and it causes no discomfort). He’s also had issues with food and the environment around him, although we’ve never been able to pinpoint his exact sensitivities. I’m sure you can go back and see my many posts and responses related to his “excessive drooling” and allergies posts.

So I noticed the other day when he was laying on his side (with the bowed leg up) that there appeared to be a large lump behind the leg. I never noticed it or just attributed it to the structure of his frame with the odd leg. So I went back to some old pictures I had, and I didn’t see the lump.

Concerned, I contacted the vet’s office on Saturday to make an appointment to look at the leg, as well as have his annual exam. The receptionist asked what doctor I deal with there. I told her the name of the practice’s owner (Dr. B), who also was the one who I discussed his allergies with (which was something I wanted to ask him about while I was there since the drooling episodes persist at irregular intervals). The earliest appointment was Monday 5:30. I rushed out of work that afternoon, let my dogs out, put the one in the car (I left the other home alone for like the 2nd time ever in the 4 years that I’ve had her)

When I arrived at the vet, I could see other dogs in the lobby. My big guy is loud and disruptive when he sees other dogs that he wants to meet. So I called and told them I was outside to call me when the room was ready. Nearly 30 minutes pass (we walked laps around the building) before we’re ushered into the hottest room ever. The vet tech asks me why we’re here. I explain about the lump and that I want to have his annual exam, etc.

So then we wait even longer and my poor dog, recognizing where he is is now panting and barking and crying. So the door opens and this women walks in. Never met her before, but she certainly wasn’t the vet I booked the appointment with. One of her arms wasn’t through the armhole of her cardigan and instead stuck out of the bottom. So something was up with her. She introduced herself, asked what I was here for.

Now, I understand my dog can be intimidating at first glance. He’s 119 pounds and has a giant pit head. But I never interacted with a vet who wouldn’t approach my dog. Even after telling her he’s 1000% friendly (and mind you I was holding him next to me), she made sure to keep the metal exam table between her and us.

So a vet tech comes in to ‘hold the dog’. The doctor looks at the lump and tells me, without touching it, that it’s a lipoma. I say “are you sure”, then she hesitantly approaches and feels the lump for about 10 seconds and says yes. Then says it’s obviously hampering his movements. I tell her he’s always had the bowed leg and cued up a video on my phone from him running, jumping and playing with my other dog the day before. So she then says it’s not hampering him, but it should be removed. And unfortunately it’s so big that they probably shouldn’t do the surgery and should have a specialist come in to do it. Then she did said that he’s young enough to warrant doing it (like I was automatically going to say no because of the expense). I she knew me like the other vet did, then she would know the well being of my dog is my priority. I ask her to get me an estimate.

I then ask if we can do a needle aspiration to make sure it’s not cancer. Why would I put my dog through a surgery, only to find out it may be cancerous and then make him go through treatments? If it’s cancer, he might still have to have surgery, but maybe they could try other methods to shrink it or kill it first. She says we can “for peace of mind”. And then tells me 30 seconds later that needle aspirations on lumps are highly inaccurate. The sample they take might not have cancer, but it can still be there.

Peace of mind, indeed.

Then she tries to dissuade me from the procedure by saying it will be expensive (but specialized surgery isn’t?)

I tell her to go ahead and do it.

While they try to formulate the price, she sells me on their “wellness package” which includes standard blood labs, urine and stool labs and heartworm test. Other than her 10 seconds spent feeling the lump and listening to his heart with a stethoscope, she didn’t touch my dog. The vet tech felt my dog’s body for lumps. Found a hard one in his chest. Doctor edges closes and feels for 1 second…”not concerned”. I tell them he has a lot of little lumps on his belly along with a bunch of skin tags of various size and color. She wasn’t interested in seeing them.

I’ve had wellness exams every year. The vet normally checks my dog’s ears, mouth, teeth, runs his hands over the dog to looks for lumps or abnormalities, checks over his legs and makes sure his joints are ok, listens to his heart, listen to his lungs/respiration, asks me what he eats, asks about his energy level, talks about any sort of supplements he takes, sometimes takes his temperature and checks the anal glands.

But this lady had her tech do the most cursory exam feeling for lumps on his back and sides and that’s it.

So she leaves the room to get started with prepping for the needle aspiration. Time passes (so much time) and she pops her head in and says that Dr. B (the practice owner) has to be the one who does it because she just had shoulder surgery (thanks for finally telling me) and unfortunately he still has two other patients to see, so can I come back another time? I turn around and tell her that I work every day and I switched my schedule around to be there that day and not for nothing but my appointment was supposed to be with Dr. B in the first place. So she says that she hopes that I wasn’t disappointed in having her treat my dog (I should have said something, but I didn’t). But I made the point that had I had Dr. B like originally scheduled, I wouldn’t have had to wait for him to finish with other people in order to do this test because he would have done the exam and the test and finish with me before seeing anyone else.

I wound up waiting. My poor dog, already traumatized by the blood test puncture was panting and crying and barking. At first, I kept shushing him. But then I just let him bark it out, because maybe they’d be so sick of hearing him that they’d hurry up. Dr. B finally came in, did the needle aspiration and left. In and out in less than 5 minutes.

I had hoped that he was going to come in alone so I could give him a tell him how disappointed I was with the exam and the doctor. But she had come in with him and with the vet techs in the room holding the dog down, I didn’t want to speak in front of them.

It’s been 3 days and I’m still annoyed. I didn’t get to discuss the drooling episodes (she was not interested at all in discussing it since it happens so randomly and the Benedryl and Pepcid help manage it). Who knows if the other lumps are lipomas or something else? I wanted to discuss senior nutrition (but not with her at this point).

I didn’t want to say anything until all the lab tests were in. Everything was good (Cholesterol and Total Protein levels a bit high, but she wasn’t concerned) and the biopsy came back likely to be fatty deposit lipoma.

Anyone else have inadequate vet exams?

And yes, I could have made a separate appointment to do the wellness exam and focus this one on the lump. But my vet knows these visits aren’t cheap and always makes a point of asking if there’s anything else I want to address while I’m there so I don’t have to pay for another visit. This new vet couldn’t be bothered…how do you expect to go to work to thoroughly examine a pet when you only have the use of 1 arm?