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Old 12-17-2008, 10:37 PM
Woof Woof Woof!
 
Location: Some place very cold
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This is for the post looking for information on IBD.

First thing you should now: IBD can ONLY be diagnosed via path examination of tissue samples taken during endoscopy or ab surgery. It cannot be diagnosed on the basis of blood or fecaltesting or imaging, such as x rays or ultrasound. What's more, IBD cannot be diagnosed by trying to "rule out" everything else. This is because IBD has the same or similar symptoms to many other diseases/conditions. For example, the symptoms of IBD can be the same as or similar to exocrine pancreatic insufficiency (EPI), allergies, bacterial overgrowth of the small intestine (SIBO), partial obstruction, parasitic infestations, bacterial or fungal infections, cancer, canine lupus, Addison's disease, tick borne disease (TBD) or gi ulceration to list, just to name a few.

In treating IBD or colitis, you need to go through a series of well documented steps. Each step is meant to eliminate possibilities. They go something like this:

1. Start with a broad-spectrum wormer, such as Panacur, which is effective against giardia as well as most intestinal parasites (roundworms, hookworms, whipworms). Whipworms and giardia can cause symptoms similar to IBD.

2. Rule out pancreatitis with the Spec cPL test.

3. Rule out Addisons disease with a thyroid test.

4. Try an elimination diet to rule out food allergies. An elimination diet sometimes helps dogs with IBD (rather than food allergies) as well, for several possible reasons, including secondary allergy (due to the intestines being permeable because of inflammation), the diet being easier to digest, or because feeding smaller, more frequent meals may be easier on the digestive system. NOTE: My dog is currently on a VERY strict diet of 50% baked chicken (I use breast meat, but if the results come back from the Spec cPL indicating my dog does not have pancreatitis, I will switch to dark meat because it is more nutritious.) and 25% white potato and 25% sweet potato. I feed three meals a day and do this for 10 days. No supplements, no treats, no NOTHING.

5. Try giving antibiotics to see if there is a response. Flagyl (metronidazole) is the one most commonly used, as it also has some modulating effect on the immune system (calming down an autoimmune response) which helps to reduce inflammation, but Tylan (tylosin) is often used as well and is also thought to have a similar effect on autoimmune response and inflammation. NOTE: My dog is on Tylan Powder 2x per day. You can see results in about 24 hours.

6. As a last resort, if all the above have failed to produce adequate improvement, you will need to try using immunosuppressive drugs. Prednisone is what has been used more commonly, but some vets also recommend Budesonide, which may have fewer side effects.

Last edited by Woof Woof Woof!; 12-17-2008 at 10:50 PM..
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