I wrote the following last year for one of my favorite magazines, BARK (the inventors of “Dog is my co-pilot”). With the holidays once again upon us, I thought I’d toss this information out into cyberspace as a timely reminder to avoid overindulging our dogs!
‘Tis the season for family gatherings, gift giving, and food galore. Veterinarians know that this is also the season for canine pancreatitis (inflammation of the pancreas), a painful, potentially life-threatening condition most commonly caused by overindulgence in foods that are particularly rich or fatty. And what kitchen isn’t overflowing with such foods this time of year?
The pancreas is a thin, delicate-appearing, boomerang-shaped organ that resides in the abdominal cavity, tucked up against the stomach and small intestine. While the pancreas may be diminutive in appearance, its actions are mighty! It is the body’s source of insulin and enzymes necessary for food digestion. When pancreatitis is chronic or particularly severe, this little factory sometimes permanently closes down, resulting in diabetes mellitus (requires insulin shots) and/or exocrine pancreatic insufficiency (requires digestive enzyme replacement therapy).
When a dog eats, enzymes are released from the pancreas into the small intestine, where they are activated for food digestion. Sometimes, for reasons we do not understand, these enzymes are activated within the pancreas itself, resulting in the inflammation of pancreatitis. In addition to rich or fatty foods, certain drugs, hormonal imbalances and inherited defects in fat metabolism can also cause pancreatitis. For some dogs, an underlying cause is never found. Classic pancreatitis symptoms include vomiting, abdominal pain, and decreased appetite and activity levels.
Short of performing a pancreatic biopsy (an invasive and risky procedure), diagnosing pancreatitis can be challenging, because noninvasive tests are fraught with false-negative and false-positive results. Veterinarians must rely on a combination of the following:
• A history of dietary indiscretion, vomiting and lethargy.
• Physical examination findings (particularly abdominal pain).
• Characteristic complete blood cell count (CBC) and blood chemistry abnormalities.
• A positive or elevated Spec cPL (canine pancreas-specific lipase) blood test.
• Characteristic abdominal ultrasound abnormalities.
There is no cure for pancreatitis—much like a bruise, the inflammation must resolve on its own. This is best accomplished by allowing the pancreas to rest, which means giving nothing orally (not even water) to prevent digestive enzyme secretion. Treatment consists of hospitalization for the administration of intravenous fluids; injectable medication to control vomiting, pain and stomach acid secretion; and antibiotics to prevent secondary infection or abscess formation. Dogs should be monitored around the clock for the life-threatening complications that sometimes accompany pancreatitis, such as kidney failure, heart rhythm abnormalities, respiratory distress and bleeding disorders. Small amounts of water and a fat-free diet are typically offered once vomiting has stopped, abdominal pain has subsided, and there is blood test and/or ultrasound confirmation that the inflammation has calmed down. If your dog has pancreatitis, count on a minimum of two to three days of hospitalization, and be sure to ask who will be caring for your dog during the night.
Long-term treatment for pancreatitis typically involves feeding a low-fat or fat-free diet. This may be a life-long recommendation, especially if your dog has been a “repeat offender.” Most dogs fully recover with appropriate therapy; however, some succumb to the complications associated with this disease.
How can you prevent pancreatitis during this food-oriented time of year? You can avoid feeding holiday leftovers altogether (this would cause canine mutiny in my household) or you can heed the following recommendations. New foods should be fed sparingly and only if well tolerated by your dog’s gastrointestinal tract and waistline. Keep in mind that whether offered a teaspoon or a tablespoon of something delicious, most dogs will gulp it down in the same amount of time and reap the same psychological benefit. Don’t offer tidbits from the table while you are eating. This is a set up for bad behavior. Offer the treat only after you’ve left the table. If you shouldn’t be eating the food yourself (emphasis on shouldn’t), please don’t feed it to your dog! By all means, give your precious poopsie a bit of turkey breast, but without the turkey skin or fat-laden mashed potatoes and creamy gravy. Go ahead and offer your sweet snookums a bite of brisket, but please —no potato latkes or sour cream! Bear in mind that most dogs are so darned excited about getting a treat, they don’t care what it is, only that they’re getting it!
Some people dream of sugar plum fairies, a white Christmas or a stress-free family gathering. I’m dreaming of a holiday season in which not a single dog develops pancreatitis!
Wishing you and your four-legged family members a joyful and healthy holidays season.
Dr. Nancy Kay
Specialist, American College of Veterinary Internal Medicine
Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot. There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot is available at Amazon.com, local bookstores, or your favorite online book seller.
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Who doesn’t have a dog lover or two on their holiday gift list? If you are brainstorming the “perfect present” for your friends, relatives, veterinarian, groomer, and Dog Park buddies, here is an idea to consider. How about a personally signed copy of Speaking for Spot! I would be pleased, in fact, honored to personally inscribe as many gift books as you like. Heck, I’ll even provide the wrapping paper (dog motif, of course). Additionally, now through the end of December, 10% of the sales proceeds will be donated to Morris Animal Foundation’s Canine Cancer Campaign (
As much as I enjoy this season, the grapes always create some anxiety for me. What most people don’t realize is that grapes (and raisins) can be terribly toxic for dogs. Fortunately, not all dogs become sick after eating grapes or raisins, but nothing clearly predicts which ones are susceptible. For those who are, ingestion of even a small amount (as little as 0.35 ounces of grapes per pound of the dog’s body weight and 0.05 ounces of raisins per pound of the dog’s body weight) has the potential to cause kidney failure that may be irreversible. The toxic component within grapes and raisins hasn’t been identified, but it is thought to be contained within the flesh of the grape (not within the seeds). 
“A limitation of the microchip registry system is than many pet owners do not register microchips in their names according to ‘Characterization of animals with microchips entering animal shelters’ (see JAVMA, July 15, 2009). In that study, shelters contacted microchip registries regarding 1,943 animals but found registrations for only 58.1 percent. The registries were unable to find any information on the owner or on the person who implanted the microchip for 9.8 percent of the animals. Among other recommendations, the study’s authors suggested that veterinarians and shelter personnel should not only register pet microchips at the time of implantation, but also remind the pets’ owners to update information in the registry. 
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