This is Diesel, he’s 2 years old and he’s a Lab x Golden mix. Diesel has always been a dog with a medium-low energy level, anxious and insecure. He’s reactive with strangers and noises. When he was around 1 year old we started to think that he drooled excessively and had an inconsistent pattern in his stools, that is, his stools have some shape at the beginning but in the end they are more pasty and at the end of the day, on the walk, after doing a normal poop, he usually has a little intestinal discharge with liquid stools. He did 15 days of metronidazol and the liquid discharged stopped, than started again when he was off of it. I don't see much difference using probiotics because the usual pattern remains even when we’re using it.
Diesel has always been skinny and sometimes shows low appetite. Now he also seems to suffer from some gastric reflux, burps frequently and eats a lot of herbs on the street.
We've been investigating.. we did analyzes that came back normal, b12 and normal folates, ultrasound, TLi analysis and cPL Snap (to rule out EPI and pancreatitis). In the ultrasound, the vet mentioned that he has small adrenal glands for his size and weight, which may indicate Addison but she does not think it is necessary to do other tests for now (didn't seem to think it would be Addison from the symptoms). Still, we asked to test electrolytes that come back normal.
My questions are:
- Could this stool pattern and symptoms above be related to anxiety or is there likely to be some other issue here? Many people say that stress can increase bowel motility during walks but I wonder if that's the case, what can I do to help? Or will it always be like this?
- Could any of these symptoms be related to a malfunction of the adrenal glands? Or is the fact that they are small not necessarily cause for alarm? I don't know if I should start preventing something.
- We are going to start introducing a raw diet but we have some fear that he also has some food allergy (simply because we don't know what he has in fact) and that we can do worse. What do you recommend to facilitate the transition for Diesel?
Thank you very much in advance.
Dr. Steve's Advice - First, if the Na:K ratio in the bloodwork is <<28 or so, then the small adrenals are an issue and have to factor into treatment. Have your vet check that. Anxiety can likewise factor into the digestive tract challenges, via the brain-gut-skin axis. You don't mention skin issues, but they are a common manifestation of the kind of dynamic you're dealing with. They may show eventually.
Rather than see all these things as causally linked, Chinese medicine views them as concomitant. They are all manifesting as an outcropping of a deeper problem which otherwise remains hidden. In your dog's case, the underlying issue appears to be a Shao Yang disharmony.
Without going into too much detail, the Shao Yang is the structure in the body that regulates digestive tract function. It is like the master control switch for it. If it malfunctions you can get problems like:
- colitis which is often amenable to metronidazole, etc.
- regurgitation
- abnormal peristalsis regulation, such that stools come through faster than they should to create the 'normal at the beginning, soft at the end' look
- resistance to probiotics, which also need adequate mucosal immunity to oust pathogenic bacteria so the probiotics can 'take root'. The Shao Yang partly controls that local immune response
Shao Yang disharmony has other manifestations, too, including adrenal issues (Cushing's, Addison's) and often pronounced anxiety and fear aggression. In short, it seems to be the issue with your dog.
The first step is to treat on that basis, using something like Harmonize the Qi from Kan Essentials, which is a version of Minor Bupleurum. Dose according to the guidelines at https://nphc.ca/using/dosage. If you see improvements, then you can take comfort in knowing we understand the problem well, such that a diet change can likely be made safely, as long as it also addresses the same diagnosis.
Diets that treat Shao Yang disharmonies are real food meat-and-vegetable diets, containing sufficient carbs and fiber to feed the probiotics being administered. You'd need at least 15% vegetables, beans or fruit mixed with the meat portion to provide that support. Meanwhile, get the Minor Bupleurum going and let us know what happens
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