EPI * Exocrine Pancreatic Insufficiency

managing EPI

Jean and Kara

Joined Sep 14 2010
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liverpool england
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EPI * Exocrine Pancreatic Insufficiency

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 hello i am jean i live in liverpool england with husband derek

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Reply Mike
2:49 AM on March 21, 2014 
Thanks for welcoming me to the sight have had lots of help ,A week ago I had no idea what EPI was.and I thought Rylee was suffering from a bad reaction to food it was really messy .Since he's started on the Enzyme powder 3 days I've noticed a difference in him its unbelievable he seems more energetic hasn't pooped in the house for 2 days and his poop is actually firming up.Nice topic LOL.Was over in Bourmouthe in December my cousin is a Liverpoole fan.
Reply esme
12:11 AM on March 21, 2014 
Hi thank for your kindness living in the uk also it wolyd be lovely to hear which meds antibiotics work for your fur baby as am new to all this it so hard to no what to do she on royal canin hepatic wet meat and some foak say that the food has to be grian free and it has rice i would be very great full for any help as u may know tabs and food are the best to buy thank u then i can suggest them to my vet on tue thank do u use tylan ?
Reply Linda Stephenson
3:30 PM on November 17, 2013 
"I have considered what you have said and again am bewildered with its content

I am not prepared to debate with you the rights and wrongs of peoples experiences which are the heart of the advice given,

written eveidence is all very well, but there is nothing better than what has gone before, which both helps and surrounds the new people with some comfort that their pride and joy is not going to die immediately

all they want is support and love and its what happens on the Forum,
they do not want scientific debate

I am also not willing to debate Olesia,

She set this up with at the time no support, and of her own volition and offers her time, and knowledge, free with no financial gain, as do we all

I wish you luck with your baby "

Thanks for the good wishes. My baby is a delight. So sorry if I somehow offended. I don't know what I said that was bewildering, and I didn't comment at all on people's experience. I commented on the published article that recommended avoiding grains and then suggested oats, wheat and rice instead of grains. Obviously nonsense. I trusted that your medical background, as well as your experience with feeding potatoes as a starch, would make it obvious that the article was nonsense.
Love and support are all very well, but good, evidence-based advice would also be a big help in keeping our dogs healthy. If I read an article that tells me to avoid grains and instead feed my dog wheat, I have to wonder who fact-checked the article. Don't you?
There are so many controversies swimming around EPI dog care. I'm not pretending to have answers, but it seems just common sense to question errors in a published article that's being presented as a resource, and to stimulate some discussion based on what we do know (e.g., that wheat is a grain, and that "crude fiber" on a label doesn't tell us the percentage of soluble/fermentable fiber). If we don't talk about it, and shed some light on what is known, then new EPI dog owners are going to make needless mistakes -- like tossing out 100 lb. of kibble because it contains a little rice.
Reply Linda Stephenson
2:47 AM on November 17, 2013 
Hi, Jean.

I hope you and Kara are thriving. All is well here in sunny Santa Cruz. Biff had an amazing afternoon playing with dogs on the beach (a minus tide a 4 pm).

So I followed that article you recommended to our newbie, and I hate to be critical, but I can't help it. The writer is confused.

Here's the worst sentence: "Change to a dog food that uses less grain and more digestible carbohydrates, such as oatmeal, pasta or rice."

Well, you and I both know that oats, pasta (wheat) and rice are all grains. So what on earth are they talking about?

If you really want to avoid grains in kibble, you have to choose another carbohydrate source, such as legumes, potato, sweet potato, quinoa and so forth.

If you want to avoid carbohydrates, you have to give up kibble.

Biffy loves sweet potatoes, and he mostly gets a salmon and sweet potato kibble along with fresh meat and pumpkin, sweet potato, and extra oils. He's doing great.

But I think we risk confusing people by stating categorically that EPI dogs must have grain-free food. There's really very little evidence that peas are any more digestible than, say, rice. I believe this grain-free shibboleth is mostly an overreaction to truly awful kibbles made of corn and slaughterhouse sweepings.

Olesia likes to remind us, often, that most EPI dogs need "less than 4% fiber." And Olesia often uses "grain-free" and "low fiber" as more or less synonymous. They're not, of course. And that "4% fiber" is meaningless because soluble/fermentable fiber is great for most EPI dogs or anybody with gastrointestinal issues. It's true that insoluble fiber slows down digestion, but there's no evidence that reasonable amounts of fiber actually do harm and much evidence that reasonable amounts are helpful. That's why we add prebiotics for goodness sake.

Okay. Sorry. Off my high horse here. I'm still learning and I should be quiet now. I've ordered "Textbook of Veterinary Internal Medicine 7th edition" from interlibrary loan. It has a section on canine pancreatic disease by Jorg Steiner, newly updated. Also new material on diet for dogs with intestinal ailments. And yes, of course, each EPI dog is different.

Reply susanna.hakanen
5:43 AM on October 23, 2013 
Hi Jean, i send my email address, if you like to write to me of this metatarsal fistulation more? And do you have photos of your dogs legs, paws?

Reply susanna.hakanen
5:43 AM on October 23, 2013 
Hi Jean, i send my email address, if you like to write to me of this metatarsal fistulation more? And do you have photos of your dogs legs, paws?

Reply John Hire & Muggie
6:32 PM on October 21, 2013 
Jean, Did you get my ,message about Maddie ann and her using Aquamin?
Reply John Hire & Muggie
6:45 PM on August 23, 2013 
Jean, Wilth so much going on in the forum lately I forgot to tell you that the pictures of kara are just beautiful. I love the one you sent to Michele just before the Reiki session. I also like the ones on your posts or her. Especially the one with the bandana with her sitting on the couch. What a love. So much personality......
Reply Jean and Kara
5:08 PM on August 20, 2013 

good for you and go for it

Reply Jean and Kara
5:05 PM on August 20, 2013 
good and thank you

Reply Cindy
3:55 PM on August 20, 2013 
Jean, yes I've seen the bandanna and plan to order. I have to tell you I LOVE that picture of Kara wearing it, she should be the model!!
Reply John Hire & Muggie
9:52 PM on June 9, 2013 
Jean, I see you have kara on oxytet or Tylan. Her scores are very similar to muggies. less than 1 on the TLI. 414 on cobolamin and 9.8 on the folate. Just looking to see why the antibiotics. My vet didnot recomend antibiotics because Mug's folate was low at a 9.8. Just hoping I didnot miss something. Mug seems to be a low maintainence EPI pup. She gets 1/2 tsp of enzymes (8X) for 2 cups of food and some yogurt with the enzyme mixed in and incubated. Thanks. Johnny
Reply Mojo's Mom
7:48 PM on March 10, 2013 
Thank you for the welcome Jean. Such a relief to stumble on this forum and all the positive energy!
Reply Jean and Kara
5:07 PM on February 15, 2013 

i loved it

e-mail me if you like


i keep in touch with a few folk off the forum with jokes and whatever

Reply Eskie Mom
4:28 PM on February 15, 2013 
Hi Jean & Kara - glad you liked what I posted - enjoy and take care -
Reply sasha2008
5:14 AM on March 29, 2012 
hiya Jean, i wont be in later on tonight ive got choir practise tonight, i'll be back at 9pm. im in most of tomorrow. x
Reply jane
8:46 AM on February 24, 2012 
Hi Jean
Can't remember the reasoning behind the change to non-enteritic coated Tryplase by my vet but think she thought it acted better. Will certainly discuss it with her when I see her next. By the way can you buy Pancrex Granules from a chemist? Are they just sprinkled on the food and fed straight away?
Also is the dose 1 teaspoon/200g food? Grateful for your advice
Reply jane
11:02 AM on February 22, 2012 
Hi jean
Think there is some confusion. My vet changed Nyle
from Lypex (enteric coated) to Tryplase (not coated). Perhaps it wasn't clear what I meant in the message. Thanks for replying.
Reply Jean and Kara
3:49 PM on April 30, 2011 

give me Bell

0151 726 1468
Reply Sailin Suzie & Brenda
11:35 AM on March 12, 2011 
Hi Jean, OMG. I just looked up to see where you are. My dock neighbor is from England, but I must admit, I dont know what part they are from. Man is not just the best forum in the world? Bringing us all together from around the world for a common cause. Heck, if my geography severs me, England is an Island. You could be a boat dweller too someday. Do you sail? Are you a boater? If you want to e-mail me direct, I am sailinwench@msn.com
Would love to chat.

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