Avoiding Pancreatitis During the Holidays

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.

Nicky 

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.  

Speaking for Spot, signed by Dr. Kay, a great gift idea for holiday 2009 shoppingOrder  a copy of Speaking for Spot personally signed by Dr. Kay – http://www.speakingforspot.com/purchase.html

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7 Responses to “Avoiding Pancreatitis During the Holidays”

  1. Amy Says:

    Some dogs can handle goodies and some can’t. My mom has a really hard time not giving pieces of her food to my dogs, one of which is diabetic & the other has bad allergies. She thinks I’m being mean, but I’m insistent. Her lab-chow mix is going on 17 years old and eats a terrible diet. No heart disease, no problems in bloodwork, not even any dental decay. I stay in a motel when I visit, and when she’s there I’ll let her give my dogs appropriate treats at an appropriate time to satisfy her need to spoil them. My dogs ignore me while I’m eating — no begging. So the dogs aren’t my problem, it’s the other people they meet!

  2. Colleen Says:

    Thank you so much for this reminder! It is hard sometimes looking into the pleading eyes of my four-footed companions who REALLY want whatever it is the humans are having and not give in. And it’s especially difficult with visiting family members who say “Oh, but she really wants some!” Having specifics of what can happen as a consequence of giving them “just a little bit” provides weight when asking the humans to refrain. Thanks again.

  3. animalsigner Sean Senechal Says:

    Thank you Dr. Kay. Since the pancreas also produces enzymes for proteins and carbohydrates, does pancreatitis only happen with fat ingestion, not protein or carbs?
    Sean
    AnimalSigner

  4. Dr. Nancy Kay Says:

    Hi Sean,

    One of the most common histories we hear when a dog comes into the hospital with symptoms caused by pancreatitis is that they just raided the garbage or were fed something very fatty such as the skin that was removed from the duck. Truthfully, some dogs develop pancreatitis without any such history, so we really don’t know for sure all of the causes of pancreatitis. Neither ingestion of high protein or carbohydrate loads have been implicated, however.

    Best wishes,
    Dr. Nancy Kay

  5. Part 1: Holiday Newsletter Series - Dogasaur Says:

    […] If you would like to respond publicly to this information, please visit http://speakingforspot.com/blog/?p=633. […]

  6. FitnFurry says Enjoy The Holiday Season With Your Pets! « Dog Training, Dog Grooming and Pet Care in Sonoma County Says:

    […] for your pets.  To avoid any unwanted trips to the vet  stay away from rich foods which can cause pancreatitis or other illnesses.  If you are going to give them some turkey,  make sure you take off the skin […]

  7. Linda Says:

    Well, I hate to say but this is sooooo true!! Last christmas of 2008 I had over indulged my dog with dog treats. I usually wrapped treats up for him and let him unwrap them christmas day and needless to say he had a lot of gifts last year. I ended up rushing him to the hospital a few days later and found out that he was in ketosis from diabetes and near death. Now he is diabetic (a year now) and going blind with cataracts. I have to give him insuline 2 x a day. I feel soooo guilty!! He loved christmas and this year I will not be giving him any gifts (he’s not really into toys…he would rather have food) soooo this will be the 1st time in his 12 years of no gifts 😦
    Long story short….. DONT KILL YOUR DOG WITH KINDNESS!!!

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