THERAPEUTIC NUTRITION
THERAPEUTIC NUTRITION
Useful information about the needs of cats and dogs with nutritionally sensitive health conditions.
Gastrointestinal Disorders
Intestinal Dysbiosis in Dogs and Cats
The gastrointestinal (GI), or gut, microbiome plays an important role in the GI tract health of cats and dogs. Research shows the gut microbiome ꟷ or more specifically, alterations in the gut microbiome ꟷ may cause or be caused by GI disorders. Nutritional interventions, such as diet modifications, prebiotics and/or probiotics, are an important part of a multimodal therapeutic approach to managing dogs and cats with clinicals signs of dysbiosis.
THERAPEUTIC NUTRITION
Many dogs and cats with GI disease have concurrent dysbiosis.1─8 Dysbiosis has been identified in dogs with both acute and chronic GI conditions (e.g., acute diarrhea and chronic enteropathy [CE]),1─5 cats with CE,6,7 and dogs and cats with Giardia duodenalis infections.8
Key Messages
- Intestinal, or gut, dysbiosis is defined as changes in the make-up and/or diversity of the intestinal microbiota that affect its function (e.g., reduced production of short-chain fatty acids and other metabolites, altered bacterial enzyme pool, and/or disruption of the intestinal barrier).9─11 Dysbiosis may be localized to one area or may occur along the entire GI tract.
- Four major dysbiosis patterns, which can overlap in the same patient, have been identified in dogs and cats:11
- The presence of an abnormal substrate in the intestinal lumen, such as undigested nutrients or medications, can result in an increase in microbial metabolites that contribute to diarrhea.
- A loss of beneficial commensal bacteria can result in decreased beneficial microbiota functions such as conversion of primary to secondary bile acids and production of anti-inflammatory bacterial metabolites.
- Increased total bacteria numbers, particularly in the small intestine, can lead to greater production of toxic metabolites and/or release of bacterial toxins and increased inflammation.
- Greater numbers of invasive or mucosa-adherent bacteria can produce an increased inflammatory response in the intestinal mucosa.
- Although there are many conditions that may contribute to dysbiosis, in any individual patient, it may be unclear if dysbiosis caused the GI disease or is a consequence of it.11
- Dysbiosis-related GI signs vary with the location of the dysbiosis (e.g., stomach, small intestine, colon or throughout the intestinal tract) and extent of microbiome changes. Signs can range from mild to severe acute or chronic GI signs, including diarrhea, vomiting, decreased appetite, and weight loss. Pets with dysbiosis also can be asymptomatic.
- Since intestinal dysbiosis occurs with various GI diseases, restoring normal microbiome composition and function is an important therapeutic goal ꟷ in addition to managing or treating any underlying GI condition.
- Common nutritional strategies for altering the intestinal microbiome include dietary modifications and administration of prebiotics, probiotics or synbiotics.11,12
- A highly digestible diet reduces the availability of undigested nutrients for fermentation by the gut microbiota and possible bacterial overgrowth.11
- For patients with chronic enteropathy from suspected food allergy or sensitivity, a hydrolyzed or novel protein diet may reduce intestinal inflammation, an important driver of dysbiosis.11
- Prebiotics, specific soluble fibers that can be fermented by bacteria in the colon, can help recover beneficial bacterial populations, restore short-chain fatty acid production and lower intestinal lumen pH.
- Although probiotics may only transiently colonize the GI tract, they can still produce beneficial metabolites that help improve clinical signs.13 Since different probiotic strains have varying effects on the host, specific probiotics should be chosen based on the desired goals.
THERAPEUTIC NUTRITION
"Based on your pet's evaluation, I believe [he/she] has bacterial dysbiosis along with [today's diagnosed health condition(s)]. I am recommending [a change in diet and/or the addition of a probiotic/synbiotic] that can help address these issues."
Related Tools and Content:
Managing the Gut Microbiome
Diet, a controllable factor that influences the gut microbiome, offers a daily opportunity to contribute to gut health.
More Than a Meal: Putting Purina's Microbiome Science into Practice
Decades of research into the microbiome and nutritional interventions such as prebiotics and probiotics reveals how diet influences the gut microbiome and ultimately contributes to pet health.
Balance Is Everything: Maintaining a Healthy Gut Microbiome
Kelly S. Swanson, PhD, explains the importance of gut health, what dysbiosis means, and the value of using a synbiotic supplement.
Considerations When Choosing a Probiotic Supplement
Probiotics are a nutritional intervention that may help manage pet health issues from gastrointestinal tract and beyond.
Distinguishing Characteristics of Small and Large Bowel Diarrhea Chart
A practical, easy-to-use chart that helps localize diarrhea to the small or large intestine.
Purina Fecal Scoring Chart
The Purina Fecal Scoring Chart is a practical, easy-to-use tool that can help clients describe their pets’ stools.
To Share With Pet Owner:
Prebiotics
Purina was the first to use prebiotics in pet food and is a leader in the field. What are the benefits of prebiotics to pets?
Probiotics
Probiotics offer many benefits, but with so many options available, pet owners may not know how to select the best quality and most appropriate one for their pet's needs
References
- AlShawaqfeh, M. K., Wajid, B., Minamoto, Y., Markel, M., Lidbury, J. A., Steiner, J. M., Serpedin, E., & Suchodolski, J. S. (2017). A dysbiosis index to assess microbial changes in fecal samples of dogs with chronic inflammatory enteropathy. FEMS Microbiology Ecology, 93(11), fix136. doi: 10.1093/femsec/fix136
- Guard, B. C., Barr, J. W., Reddivari, L., Klemashevich, C., Jayaraman, A., Steiner, J. M., Vanamala, J., & Suchodolski, J. S. (2015). Characterization of microbial dysbiosis and metabolomic changes in dogs with acute diarrhea. PLoS ONE, 10(5), e0127259. doi: 10.1371/journal.pone.0127259
- Suchodolski, J. S., Markel, M. E., Garcia-Mazcorro, J. F., Unterer, S., Heilmann, R. M., Dowd, S. E., Kachroo, P., Ivanov, I., Minamoto, Y., Dillman, E. M., Steiner, J. M., Cook, A. K., & Toresson, L. (2012). The fecal microbiome in dogs with acute diarrhea and idiopathic inflammatory bowel disease. PLoS ONE, 7(12), e51907. doi: 10.1371/journal.pone.0051907
- Minamoto, Y., Otoni, C. C., Steelman, S. M., Buyukleblebici, O., Steiner, J. M., Jergens, A. E., & Suchodolski, J. S. (2015). Alteration of the fecal microbiota and serum metabolite profiles in dogs with idiopathic inflammatory bowel disease. Gut Microbes, 6(1), 33─47. doi: 10.1080/19490976.2014.99712
- Suchodolski, J. S., Dowd, S. E., Wilke, V., Steiner, J. M., & Jergens, A. E. (2012). 16S rRNA gene pyrosequencing reveals bacterial dysbiosis in the duodenum of dogs with idiopathic inflammatory bowel disease. PLoS ONE, 7(6), e39333. doi: 10.1371/journal.pone.0039333
- Suchodolski, J. S., Foster, M. L., Sohail, M. U., Leutenegger, C., Queen, E. V., Steiner, J. M., & Marks, S. L. (2015). The fecal microbiome in cats with diarrhea. PLoS ONE, 10(5), e0127378. doi: 10.1371/journal.pone.0127378
- Marsilio, S., Pilla, R., Sarawichitr, B., Chow, B., Hill, S. L., Ackermann, M. R., Estep, J. S., Lidbury, J. A., Steiner, J. M., & Suchodolski, J. S. (2019). Characterization of the fecal microbiome in cats with inflammatory bowel disease or alimentary small cell lymphoma. Scientific Reports, 9(1), 19208. doi: 10.1038/s41598-019-55691-w
- Šlapeta, J., Dowd, S. E., Alanazi, A. D., Westman, M. E., Brown, G. K. (2015). Differences in the faecal microbiome of non-diarrhoeic clinically healthy dogs and cats associated with Giardia duodenalis infection: Impact of hookworms and coccidia. International Journal for Parasitology, 45(9-10), 585─594. doi: 10.1016/j.ijpara.2015.04.001
- Zeng, M. Y., Inohara, N., & Nuñez, G. (2017). Mechanisms of inflammation-driven bacterial dysbiosis in the gut. Mucosal Immunology, 10(1), 18─26. doi: 10.1038/mi.2016.75
- Suchodolski, J. S. (2016). Diagnosis and interpretation of intestinal dysbiosis in dogs and cats. The Veterinary Journal, 215, 30─37. doi: 10.1016/j.tvjl.2016.04.011
- Ziese, A. L., & Suchodolski, J. S. (2021). Impact of changes in gastrointestinal microbiota in canine and feline digestive diseases. Veterinary Clinics of North America: Small Animal Practice, 51(1), 155─169.
- Barko, P. C., McMichael, M. A., Swanson, K. S., & Williams, D. A. (2018). The gastrointestinal microbiome: A review. Journal of Veterinary Internal Medicine, 32(1), 9─25. doi: 10.1111/jvim.14895
- Gagné, J. W., Wakshlag, J. J., Simpson, K. W., Dowd, S. E., Latchman, S., Brown, D. A., Brown, K., Swanson, K. S., & Fahey, G. C., Jr. (2013). Effects of a synbiotic on fecal quality, short-chain fatty acid concentrations, and the microbiome of healthy sled dogs. BMC Veterinary Research, 5, Article 246. doi: 10.1186/1746-6148-9-246