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Jeffrey Evans
Jeffrey Evans,
Category: Dog
Satisfied Customers: 72
Experience:  Veterinarian at North Shore Animal Hospital
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My dog was diagnosed w/PLE. He has chronic diarrhea and has

Customer Question

My dog was diagnosed w/PLE. He has chronic diarrhea and has lost 30% of his body weight. We've tried antibiotics (Tylan) and steriods. Neither have produced results. I recently put him on a freeze dried dehydrated raw food (I and Love and You). He had firm poops for about 4 days and then went back to loose stools. To be fair during this time frame he has been put on another antibiotic for a wound. To sum up we haven't found a solution through medication. I'm looking for an answer through diet. Otherwise I fear the worse.
Submitted: 1 year ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 1 year ago.

You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply.

Expert:  Dr. Michael Salkin replied 1 year ago.

I'm sorry to hear of this with Duke. Intestinal lymphangectasia is usually synonymous with PLE. This is what is recommended concerning diet in dogs suffering from lymphangectasia:

Ultra-low fat, easily digestible diets should be fed to minimize fat malabsorption and lacteal flow.

Cottage cheese (1% fat), no-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 kilocalories metabolizable energy from fat may also be acceptable.

Hydrolyzed protein or novel antigen diets should be considered in patients with concurrent inflammatory bowel disease.

Most prescription diets in this category are not adequately fat-restricted for patients with lymphangectasia; 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.

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 lymphangectasia.

Cobalamin (vitamin B12) should be provided if serum concentrations are subnormal. Folate supplementation if serum concentrations are subnormal. Vitamin and mineral supplementation may be necessary in dogs with lymphangectasia as uptake of fat-soluble vitamins is substantially compromised. Vitamins D, E, and K may also be depleted; supplementation of vitamin D must always be preceded by measurement (confirmation) and monitoring. Calcium and magnesium supplementation may be necessary.

Duke's vet can help you find appropriate diets as mentioned above. You also have the option of having a nutritional service help you such as here: when considering home-cooked recipes.

Please respond with further questions or concerns if you wish.

Customer: replied 1 year ago.
I appreciate the response. Not sure if you read the details I provided. Namely, I'm looking for advice on a raw diet for managing this disease.
Expert:  Dr. Michael Salkin replied 1 year ago.

You posted "I'm looking for an answer through diet." Earlier, you posted "I recently put him on a freeze dried dehydrated raw food..." I don't believe that a necessarily less digestible raw diet is appropriate for Duke and so I'll opt out which will allow another expert to enter this conversation.

Expert:  Jeffrey Evans replied 1 year ago.

Hi this is Dr. Evans, do you have some time to talk now?

Expert:  Jeffrey Evans replied 1 year ago.

Hi there, are you available now to talk?