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Bloat

This article was originally posted to the AcmePet Dog House on January 10, 1999.

A few of us have been talking this evening about the tragic death of Buddha. It came as a great shock to all of us, hitting very close to home. Some of us have lost dogs to bloat, and each of us who has a large dog knows well that it can happen to any of us, at any time. "But for the grace of God..." Each time we know a dog who dies of bloat, we know again how very fragile these giant lives can be, and how quickly they can be taken from us.

Nak's Mom, we want you to know that our deepest sympathies are with you. You gave Buddha love and a home, and you saved him from having to die in great pain by having the vet do what needed to be done. You have done just what we, as their guardians, are supposed to do. There is NO WAY to predict which dogs will bloat, and no guaranteed way to prevent it. You did nothing wrong, and in fact responded quickly to the first symptoms, and got Buddha to a vet very quickly. Bloat can happen to any dog. It's a horrible, deadly, and swift thing.

While we in no way want to cause Nak's Mom any greater pain by discussing this subject, we do feel that this--a time when we're all thinking about it, and have been reminded of how very swift and deadly bloat can be--that this might be a good time to remind each other of what we do know about bloat, what we don't know, and what we can do to perhaps try to prevent it, or to treat it if it ever occurs in one of our dogs. Any newbies/lurkers who might not have heard of bloat before might be curious what this mysterious thing is that took Buddha so quickly. Nak's Mom, please please forgive any pain the following editorial might cause. That is not our intent.

We're enclosing below some of the links we have on the subject of bloat, but would like to go over the basics quickly before sending you on your way to read up on it. Bloat is something that all owners of large dogs should discuss with their veterinarian. Know the symptoms, and know what you can and can't do if your dog bloats, while you contact your emergency vet.

From Canine Connections' site: "Veterinarians call the ailment gastric dilation-volvulus or GDV...The first part of the name refers to a rapid accumulation of gas in the stomach. For some unknown reason the stomach doesn't empty normally. No food passes into the intestine, and no food passes in the other direction as vomit, either.

"The second part of the name refers to what can happen to the stomach with this condition. Sometimes the stomach flips over or twists clockwise on its long axis. When this happens, the spleen turns with the stomach. This turning compresses the caudal vena cava, one of the major veins carrying blood to the heart. The blood supply is cut off [from] the stomach, spleen, and some other organs. The dog goes into shock, and death is imminent."

From the Dog Owner's Guide's site on bloat: "Now a complex chain of physiologic events begins. The blood return to the heart decreases, cardiac output decreases, and cardiac arrythmias may follow. Toxins build up in the dying stomach lining. The liver, pancreas, and upper small bowel may also be compromised. Shock from low blood pressure and endotoxins rapidly develops. Sometimes the stomach ruptures, leading to peritonitis."

Symptoms of bloat include restlessness, salivation, and unsuccessful attempts to vomit. The stomach swells, and you can see and feel the distention in the abdomen.

IT IS EXTREMELY IMPORTANT TO SEEK VETERINARY CARE IMMEDIATELY IF YOU SUSPECT BLOAT! Prompt veterinary care is vital.

There are a few things that an experienced and properly prepared person can do while contacting a vet in order to increase the chances of survival for the dog. If you do not have immediate and guaranteed access to an emergency vet at all times, then this is extremely important information. The first is to attempt to pass a stomach tube into the dog, allowing the gases and material in the stomach to pass out, relieving the pressure. The second is to use a syringe inserted into the stomach just behind the last rib to do the same. Neither of these should be attempted unless you're sure you know what you're doing. Owners of large breed dogs should familiarize themselves with these procedures, and keep a bloat kit--containing the necessary items--available at all times. Instructions for these procedures are available on some of the links below, and should be discussed with your vet. In fact, the process of putting together a bloat kit, and learning the emergency procedures, is a good time to talk with your vet, making sure you have all the supplies and knowledge you might need. The items to be included in a bloat kit are (from the Bloat Book site):

1) Instructions for use

2) Stethoscope

3) Rolls of tape (3 rolls, 1 in. x 10 yd)

4) Stomach tube (2) (different diameters). 5 ft. length beveled at one end, with two holes drilled in tube 2 & 3 inches up from the beveled end. Pre-measured and marked for each [dog] in household (see page 4, NOTE 1)

5) 14 gauge or larger needles (2) (1 1/2" to 3" length)

6) K. Y. jelly

7) Gas absorbent (Digel, GasEase, etc)

There are also homeopathic remedies for bloat, including Nux Mocheta 30c every few minutes, administered on the way to the vet. As with the bloat kit, you might want to consult your veterinarian and learn about it before using it.

There are no "for sure" causes of bloat, but there are quite a few suspected contributors. These include gulping of food, swallowing air while eating, drinking a lot of water after eating dry kibble, and exercise immediately before or after eating. Eliminating or working to eliminate these factors do not guarantee that a dog will not bloat, unfortunately, but may reduce the risk. Also, there seems to be increased occurrences of bloat in some lines of dogs, so it is something to discuss with breeders when acquiring a dog.

There are a few things you can do to try to reduce the risk factors for your dog. Large dogs should be fed from raised dishes, so that they don't have to bend so far over to reach food. Large dogs should be fed at approximately chest height. This helps reduce the amount of air they gulp while eating. Dogs that eat their food very rapidly can sometimes be slowed down by placing tennis balls or something similar into their dishes, so that they have to nose around the balls to get the food, thus slowing them down. Dogs prone to gulping a lot of water right after eating should have their water restricted to a small amount right after meals. Large dogs should be fed two or three smaller meals a day, instead of one large meal. Many people soak dry kibble in warm water before feeding so that it doesn't swell so much in the stomach, or feed wet food in combination with or instead of kibble, since wet food doesn't swell like dry kibble does. Kibble can be tested to see how much it will swell in the stomach. Take the amount of food you feed your dog, put it in a bowl, and add warm water--try to add approximately the amount that the dog seems to drink after eating. How much is that kibble swelling up, and does it seem like too much for the dog's stomach to handle? Some kibbles swell more than others, and some hardly swell at all, but become more the consistency of a good quality wet food. More "crumbly" then swollen. Some people use homecooked, raw or natural diets to reduce the risk, for the same reasons. (Dr. Pitcairn has a section in his book Natural Health for Dogs and Cats for natural treatments.) Also, adding yogurt to a meal can usually reduce the amount of gas produced during digestion (this is handy for reasons other than preventing bloat!). Dogs should not be allowed strenuous exercise or excitement for about an hour prior to, and two hours after a meal, but walking is good after a meal, because it helps stimulate the digestive system, and helps "move things along" as it were.

Finally, you know your dog better than anyone else, including your vet. Some dogs are very stoic about the pain or distress they feel. If this is the case with your dog, be sure to tell your vet. Make sure your vet listens to you (this is, of course, good advice for all situations with a vet--make sure you have one that listens to you). If the vet misjudges how much pain or distress your dog is in, she may misjudge the condition, and not take appropriate action.

Again, these are just the first things that come to mind that one needs to know about bloat. We strongly suggest that you read up on it, and discuss it with your vet. There are many contributing or suspected contributing factors, and there are many theories on why dogs bloat and how to prevent it. As with so many other things in life, the more you know, there more there is to learn. But we feel that these are some of the basics that are the most important to be aware of. NOTHING that we do can GUARANTEE that a dog will never bloat. But there is strong evidence that we can reduce the risks in certain ways.

Would that we never need see this subject arise again on these boards.

The Sunshine Band


Copyright © 1999, 2001 by The Sunshine Band and OffLead Productions. Reprinted with permission of the author.


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