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Bloat

“Canine Bloat” is actually called gastric dilatation-volvulus (GDV) and is the second leading cause of death in large breed (50-90 lbs) and giant breed (100 lbs and over) dogs.  Approximately one in four large breed dogs, and one in five giant breed dogs, may develop GDV in their lifetime.  GDV presents suddenly and is life-threatening in one to two hours with a mortality rate of 30%.  Certain breeds like Great Danes have an even higher risk.  In fact, 42.4% of Great Danes will “bloat” at some point in their lives.
 

What Is Bloat?

Bloat is when the stomach fills up with gas (i.e. gastric dilatation), so much that the pressure compresses both ends of the stomach thus preventing gas escape.  This represents about 25% of the cases and is usually managed without surgery.

Most cases, 75%, include gastric volvulus where the stomach fills with gas and then twists on itself which cuts off gas escape and blood circulation.

Thus, gastric dilatation-volvulus is when the stomach “bloats” and then “twists”.  This more complicated problem is treated with emergency surgery.

Proven Risk Factors Include:

  • Deep and narrow chest or abdomen

  • Fast-eating

  • Dry-food diet only

  • A single, large daily meal

  • Fearful, nervous, or aggressive temperament

  • Stress (e.g. kenneling, car rides)

  • A first-generation relative that has had bloat (parent, sibling)

  • Leanness (i.e. being thin)

  • Raising the height of food and water bowls

  • Restricting water intake before and after eating

  • Moistening dry food before feeding

  • Experiencing a major health problem before age one.

  • Age (risk increases with advancing age)

 

Recommendations To Owners:

  • Feed two or more meals per day

  • Feed no more than one cup per 33 pounds of body weight per meal when feeding two meals per day

  • Feed an energy-dense diet to reduce volume, but avoid a diet where a high amount of calories are from fats

  • Feed a variety of different food types regularly

  • Feed a food with larger particles.

  • Avoid moistening dry foods

  • If your dog eats rapidly, find ways to try to reduce the speed of eating

  • Avoid raising the food bowl: place it at ground level instead

  • Try to minimize stress for your dog.  Stressful events have been reported to be precipitating factors in GDV occurrence

  • Restrict vigorous exercise one hour before and two hours after meals.

  • Learn to recognize the signs of GDV: pacing and restlessness, head turning back to look at abdomen, rapid shallow breathing, nonproductive attempts at vomiting, and salivation.   These symptoms can progress rapidly to shock and death.

 

What Else Can I Do To Protect My Pet?

Our veterinarians can perform a technologically advanced surgery called laparoscopic-assisted prophylactic gastropexy.  Keyhole incisions are made to locate the stomach using an endoscope so it can be sutured to the body wall.  This procedure is much less invasive then the traditional approach with identical long-term success.  It is important to be aware that the preventative surgery will not prevent the stomach from abnormally filling with gas (bloat); rather it is designed to prevent volvulus (twisting of the stomach).  It is the volvulus, not the bloat, which is the life-threatening portion of the disease.  This surgery is quick (30-45 minutes) and can be done with a high degree of safety in old and young dogs (suggested at the time of spay/neuter).  The recovery period is fast and has minimal discomfort for your pet.

Please call for a consultation if you would like to learn more about this procedure and its potential benefits.

The following large breed dogs may be at risk of this painful and life-threatening disorder:

Akita Alaskan Malamute
Borzoi Boxer
Bull Mastiff Dalmatian
German Shepherd Gordon Setter
Great Dane Great Pyrenees
Irish Setter Irish Wolfhound
Labrador Retrievers Redtick Hound
Rottweiler Saint Bernard
Scottish Deerhound Springer Spaniel
Standard Poodle Weimeraner

Some smaller breeds are also at risk:

Basset Hound
Briard
Cocker Spaniel
Dachshund
Pekingese
Shar-pei
Yorkshire Terrier