Dog

Get your dog care questions answered by Experts

Ask an Expert,
Get an Answer ASAP!

My dog may have PLE --checking out diagnosis currently. Is…

Customer Question
my dog may have PLE...
my dog may have PLE --checking out diagnosis currently. Is your advice from four years ago as far as diet still the best knowledge or are there any new thoughts on diets for dogs with PLE. What are your recommendations for diet. Hills?
Submitted: 3 years ago.Category: Dog
Show More
Show Less
Ask Your Own Dog Question
Answered in 1 hour by:
6/22/2015
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 3 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 35,548
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified
I can't see which advice you're referring to and so I'll post the latest recommendations for diet for you... Ultra-low fat, easily digestible diets should be fed to patients with intestinal lymphangiectasia (the most common cause of PLE) 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 containing less than 3 grams/100 kcal metabolizable energy from fat may also be acceptable. Hydrolyzed protein or novel antigen diets should be considered in patients with concurrent IBD. 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. Home-cooked recipes often require a nutritionist's help to formulate as can be found here: http://nutrition.vetmed.ucdavis.edu/. Gluten-free diets should be provided if gluten-sensitive enteropathy is suspected. *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. Vitamin B12 supplementation should be provided if serum concentrations are subnormal. Folate, vitamin and mineral, calcium and magnesium supplementation may also be necessary. Please respond with further questions or concerns if you wish.
Ask Your Own Dog Question
Customer reply replied 3 years ago
May I fax you the blood results for your thoughts about diagnosis?thank youjoanne
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 3 years ago
Yes, please do, Joanne. I'm not allowed to receive a fax but you can you upload a copy of his test results to our conversation by scanning them into your computer and giving me the link or you can photograph the page(s) and upload the images by using the paperclip icon in the toolbar above your message box (not if you're using the chrome browser) or by using an external app such as imgur.com or dropbox.com.
Ask Your Own Dog Question
Customer reply replied 3 years ago
the blood work has been added- doco19 pdf. also bob has quite a bit of blood in his stool- thoughts? he is still on predizone-- for one week and five days..
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 3 years ago
Thank you! I noticed the low cholesterol which can indicate a poorly functioning liver that isn't producing enough cholesterol or albumin. He may not suffer from PLE but instead liver insufficiency. I would perform a blood test called serum bile acids which is a test for liver function. The blood in his stool (hematochezia) should prompt discontinuation of the prednisone which can be ulcerogenic. Please continue our conversation if you wish.
Ask Your Own Dog Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a dog specialistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 35,548
35,548 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience

Dr. Michael Salkin is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets!

LinhCharleston, WV

$1,000 spent at his vet, and I finally get the correct diagnosis from Nancy Holmes for $15

CarolCedar Hill, MO

I think this is the greatest web site in the world. Thanks to all!

JudyNew Haven, CT

I have referred several friends to your web site. I'm impressed with how easy it is to use your site, the Experts available and the quickness of answers.

NinaUSA

I am completely pleased with the quick response that I received in our time of need for our dog, Jasmine. I couldn't believe how quick the response was and I thank you. It's good to know you're there!!

Jasmine's MomUSA

Please let everyone involved with your site know that your Expert, Dr. Lucy, has saved my dog's life. I will recommend your site to all my pet loving friends. Thank you again for simply being there!

Sonya GEasley, SC

Last night my Expert spent close to 3 hours working with me on my dog's illness. Thank you so much for this opportunity to share in her care and knowledge!

Cathie MPompano Beach, FL

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Dog Veterinarian

3,044 satisfied customers

DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ

Joan

Joan

Vet Tech

5,540 satisfied customers

Vet Tech for over 35+ years working w/Dogs/Rescues

Candy

Candy

Veterinary Technician

7,973 satisfied customers

Practicing Veterinary Technician for 26 years.Former Veterinary Practice Owner, Technician Trainer

Dr Scott Nimmo

Dr Scott Nimmo

Small Animal Veterinarian.

5,193 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Andy

Dr. Andy

Medical Director

4,911 satisfied customers

UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management

Theresa

Theresa

A Voice for Your Pet

4,705 satisfied customers

19+ years experience in small animal medicine

Dr. Drew

Dr. Drew

Veterinarian

3,294 satisfied customers

Small Animal Medicine and Surgery

< Previous | Next >

Related Dog Questions
He has been diagnosed with PLE vomiting, diarrnea, He is on
He's a Maltese and poodle, was 20 pounds, lost 3 pounds. Stopped eating until he went on medicine. I would like to know how long he will be on this and the prognosis… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
35,548 satisfied customers
I have a 3 month old swiss shepherd. Within the last month
Hi!, I have a 3 month old swiss shepherd. Within the last month she has been having diarrhea and had 2 cases of intussusception, the first time when the vet opened her up it had already resolved on it… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,416 satisfied customers
My Maltese has fluid that had to be tapped, it's not in
My Maltese has fluid that had to be tapped, it's not in heart, kidneys are working, we have learned that she has fluid buildup, and are not sure what's causing it. We are treating her with 2 water pil… read more
Karen Louis
Karen Louis
Doctor of Veterinary Medicine
4 satisfied customers
I have 3 year old female Irish Wolfhoun and she has been having
I have 3 year old female Irish Wolfhoun and she has been having watery stools; She was eating Royal Carin (3 cups);cooked rice She was eating Pedigree Dog Food but I eliminated it. She does not have a… read more
Lisa
Lisa
Certified Veterinary Technician
Associate Degree
15,485 satisfied customers
I have a 6-yr old male, German-shorthaired Pointer that was
I have a 6-yr old male, German-shorthaired Pointer that was diagnosed with PLE in May. He is currently on Budesonide 2mg qd, along with Metranitizole BID. He has had plueral effusion twice, once 3.2 l… read more
Dr. G.
Dr. G.
Veterinarian
Doctor of Veterinary Medicine
1,734 satisfied customers
My 5 year old male Pitbull has been diagnosed with protein
My 5 year old male Pitbull has been diagnosed with protein losing enteropathy. He is currently on Hill's A/D and Prednisone. Over the past two weeks his stools have gone from liquid diarrhea to solid … read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
My dog has PLE I have had this diagnosed and biopsies done,
My dog has PLE I have had this diagnosed and biopsies done, the first part of 2013. I suspected he had been ill prior to that time, but I thought he was just a fussy eater. Georgie is on all the stero… read more
Dr. Gene
Dr. Gene
Veterinarian, Chief of Staff
Doctor of Veterinary Medicine
1,975 satisfied customers
I own an Ibizan Hound that has been diagnosed with PLE. I
I own an Ibizan Hound that has been diagnosed with PLE. I am trying him on Taste of the Wild Grain Free Salmon and Sweet Potato dry food. So far he is having on and off diarrhea although his coat and … read more
Dr. Deb
Dr. Deb
Associate Veterinarian
Doctoral Degree
569 satisfied customers
MY dog has been diagonsed with PLE. Two years ago he was sick
MY dog has been diagonsed with PLE. Two years ago he was sick and fluid built up in his body. He was getting tapped every week, then twice and week trying to keep him alive. This went on for about sev… read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
3,044 satisfied customers
Soft coated wheaton 2 years old has had 2 bouts of pancreatitis
Soft coated wheaton 2 years old has had 2 bouts of pancreatitis one mild the other moderate, now has diarrhea, has been a finicky eater all along but has good energy level. Labs have been normal excep… read more
Pet Doc
Pet Doc
Senior Small Animal Veterinarian
BVSc
2,782 satisfied customers
2 of my dogs have protein losing enteropathy - can I give them
2 of my dogs have protein losing enteropathy - can I give them extra protein in the source of protein powder and would soy or whey be OK for them.… read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
3,044 satisfied customers
Jean-Pierre, our 8 year old Wheaton Terrier has been diagnosed
Jean-Pierre, our 8 year old Wheaton Terrier has been diagnosed with renal problems due to protein leaking. We were sent to a consultant who took xrays, ultrasound etc and determined that he has a very… read more
NancyH
NancyH
Pet/Animal Care Expert
Bachelor Degree
19,712 satisfied customers
We have a 9 year old toy poodle who became ill around the 28th
We have a 9 year old toy poodle who became ill around the 28th of August. She had loose stools with blood in them. We took her to our vet and they prescribed a course of Metranidazole for a 14 day per… read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
3,044 satisfied customers
My 4 year old Yorkie was diagnosed with Protein Malabsorption entropathy...
she almost died and went to emergency...given plasma and IV. Doctor recommened 2.5 mg of prednasone and chicken and rice diet. Her protein numbers have gone down today. Rice in her poo poo. I am switc… read more
Dr. Brian
Dr. Brian
Doctoral Degree
92 satisfied customers
My 12 yr old maltese was diagnosed with IBD & he now has ...
My 12 yr old maltese was diagnosed with IBD & he now has PLE(protein -losing enteropathy).His total protein has dropped very badly(3.0)HE is eating Purina EN for IBD.Vet says he has done all that he c… read more
Dr. Debbie
Dr. Debbie
Veterinarian
Doctoral Degree
1,728 satisfied customers
7y/o Portuguese Water Dog. No history of vomiting or ...
7y/o Portuguese Water Dog. No history of vomiting or diarrhea. Dog is active, happy with good appetite - only change is that he has started to eat (not just chew, but eat) paper, such as the mail over… read more
Dr. B.
Dr. B.
Veterinarian
Doctor of Veterinary Medicine
80 satisfied customers
yorkie: our vets)..stools..skin and bones and mostly just lays..mix
my dog has been diagnosed with an illness that mostly effects yorkies (according to our vets) i cant remember the name but apparently she looses her protiens into her intestines, her stools are at tim… read more
Dr. K
Dr. K
Veterinarian
Doctoral Degree
2,462 satisfied customers
German Shepherd: late) and feeding half..Also treating..stools liquid
six month old German Shepherd with chronic diahrrea for three weeks now. We have been to vet numerous times - waiting for enzyme test results (late) and feeding half can ID with half can WD x 3 daily.… read more
Dr. B.
Dr. B.
Veterinarian
Doctor of Veterinary Medicine
80 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x