Reflux

[Btekrony]

Is acid reflux caused by too much enzymes, too little enzymes, or all of the above? I currently give George 1 tsp of Pantenex with 2 cups of food. I am having to put Parmesan cheese on it in order to get him to eat.

[Miss Maddie Moo]

Can be a lots of reasons, food ,to little or to much enzyme the gut flora may be out of balance going to long without food you may want to try some slippery elm and see if that works before trying an acid reducer:
https://epi4dogs.com/slippery-elm/

[Riley's Mom]

Some people also find long stretches between meals cause trouble, so if it's happening in the stretch between dinner and breakfast the next day, some give a little "snack" before bed.

[jilbert57]

Hi.
The starting ratio for enzymes to dry food is 1 level teaspoon per 1 cup of dry kibble .

You say you feed 1 teaspoon for 2 c dry food?

You may need to increase the enzymes to meet the amount of food.

Just a thought.

[Miss Maddie Moo]

To clarify what Jill has said the starting dose is 1tsp for 6 x enzymes it will depend on the strength of the enzyme i think Pantex goes up to 10x so there may be a different staring point ...having never used it i cant comment.

[jilbert57]

Gosh my mistake. Good catch. I just looked up Pantenex and it is 10x. It says add 3/4 to 1 teaspoon to food but I don't see where it says how much food..
Makes sense to use less enzyme.

[Madelon]

Also, we now know that EPI dogs have more bile acid than "normal dogs". So, they have more bile acid to start with and add to that too long in between meals, etc. and then you have a problem with acid reflux. Some vets prescribe an acid reducer which helps, others have been able to keep it at bay by reducing time between meals overnight. Have you noticed a pattern of when it happens?

[Paige's Guardian]

My Dane has malabsorption, chronic pancreatitis and SID. She cannot go long stretches between meals. She doesn't always make it until I get home from work.

We have tried many things over the years to reduce reflux but she gets nausea between meals and will vomit bile. We have tried pepcid 2x/day and still needed Cernia intermittently. Now, the vets have recommended omeprazole which seems to be working so far. I give it to her on my work days. When I am not working, I feed her mid-day which works well.