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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 26146
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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What is the best food to purchase 3year old Shih TZU

Customer Question

What is the best food to purchase for my 3year old Shih TZU with PLE. He's vomiting every day and has dropped from 20 pounds to 14 pounds...his stomach looks like a greyhounds...he tries to eat fort last month but simply throws up afterwards
Submitted: 1 year ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 1 year ago.
Can you tell me, please, if intestinal lymphangiectasia or, instead, another etiology has been confirmed as the cause of Saucy's PLE? Ultra-low fat, easily digestible diets should be fed to patients with intestinal lymphangiectasia to minimize fat malabsorption and lacteal (lymphatic) flow. Cottage cheese (1% fat), non-fat turkey breast, and cooked white rice are excellent temporary options or may be added to elemental diets* to improve palatability. Prescription highly digestible diets available from Saucy's vet containing less than 3 grams/100 kcal metabolizable energy from fat may also be acceptable. Prescription hydrolyzed protein or novel antigen diets should be considered in patients with concurrent IBD (inflammatory bowel disease) but most prescription diets in this category aren't adequately fat restricted for patients with lymphangiectasia; consider a home-cooked diet or one of the hydrolyzed protein diets that are fat restricted. Gluten-free diets should be provided if gluten-sensitive enteropathy is suspected. Saucy's vet should have home-cooked recipes for you or you can contact a veterinary nutritionist here: or at a nearer veterinary school. *Elemental enteral feeding products may be helpful in very compromised patients. Such diets contain free amino acids to facilitate nutrient uptake by a compromised GI tract. Low-fat formulations such as Vivonex T.E.N. are appropriate for dogs with lymphangiectasia. Cobalamin (vitamin B12) and folate supplementation should be provided if serum concentrations are subnormal. Vitamin and mineral supplementation may be needed in dogs with lymphangiectasia as well as uptake of fat-soluble vitamins is substantially compromised. Calcium and magnesium supplementation may be needed as well. Please respond with further questions or concerns if you wish.
Expert:  Dr. Michael Salkin replied 1 year ago.
I'm just following up on our conversation about Saucy. How is everything going?
Dr. Michael Salkin
Customer: replied 1 year ago.
Horrible...throwing up everything!
Expert:  Dr. Michael Salkin replied 1 year ago.
Something more is going on than PLE. Pancreatitis, inflammatory bowel disease, and even gastrointestinal neoplasia (cancer) needs to be considered. if diagnostics in the form of blood and urine tests haven't clarified what's going on, scoping and biopsy of his GI tract should be considered. Please continue our conversation if you wish.