BLOAT & A LINK TO POTASSIUM DEFICIENCY? ©

Written and compiled

By Val Hudson & J. Abraham.

 

For the last eleven years Val Hudson has been researching a link between nutrition and Bloat. It hasn’t been easy; nevertheless she has persevered due in no small part to absolute devotion and love of dogs. She has looked into many of the potential deficiencies and excesses that can be found in today’s feeding regimes such as Copper, Zinc and Magnesium etc. with very little success. It wasn’t until she started looking into potassium deficiency that certain aspects started to fall into place.

'BLOAT'

Many theories have evolved around canine 'Bloat'. Originally, food got most of the blame; sometimes the new complete foods, sometimes an ingredient in the food such as soy meal. These ideas were abandoned when even dogs on home cooked diets developed 'bloat'. Better management was later suggested as a preventive, for instance, preventing the dog from eating and drinking large volumes of food and water, before or after periods of exercise. While these helped somewhat, they did not eliminate 'bloat'. It was suggested that the problem may have a genetic predisposition, or that it may even be due to body conformation. The specific cause for "bloat" as yet is not determined.

Veterinarians know how to diagnose and treat 'bloat' but as yet do not know what events trigger it. They know that there must be some factor, which causes the initial distension of the stomach. Their latest theory is that the stomach distension is probably due to a condition, which causes atony or paralysis of the wall of the stomach. Or it could be the loss of fluids and electrolytes from the body into the distended gut. More recently, an X-ray displaying the severely gas distended stomach of a dog with 'bloat' also showed markedly distended loops of intestines.

Wild or semi-wild dogs do not suffer from bloat - it is believed to be an ailment of domestication. Pedigree dogs have a 4.4 times higher risks of developing bloat than mongrels. It is more common in large and giant breeds, although medium sized dogs are also at risk. It is rarely - if ever, seen in small breeds. The apparent increase in incidents since 1975 has paralleled the growth of the dog food industry. This has led to the theory that commercially prepared foods may be an important factor. However, dogs hospitalised for a variety of other conditions that have not eaten for 24 hours also develop bloat.

Risk factors of bloat - in relation to body weight.

Dog Breeds

Body Weights

Risk factor of Developing Bloat

Small

Less 10kg

1

Medium

11 - 39kg

17

Large

40 - 49kg

23.5

Giant

50kg+

133.2

 

FEEDING DOGS

The nutritional requirement of dogs has changed little since they were first domesticated. However, the knowledge and understanding of nutrient requirements and their applications have changed dramatically over the years. Ideally, the diet served to your dog should furnish at least the minimum content of all essential nutrients. This applies to any commercial all-in-one diet in use, and the many variations of canine diets prepared at home. The minimum nutrient requirement shown in the following chart illustrates the amount needed for each kilogram of body weight. Multiply these figures by your dog's weight. These adapted figures will then confirm the minimum daily nutrients required by your dog.

 

MINIMUM NUTRIENT REQUIREMENTS - ADULT DOGS FOR MAINTENANCE

(Amounts per kg of body weight per day)

Protein - grams

1.50

Selenium - ug

2.20

Fat - grams

1.00

Vitamin A - i.u.

75.00

Calcium - mg

119.00

Vitamin D - i.u.

8.00

Phosphorus - mg

89.00

Vitamin E - i.u.

0.50

Potassium - mg

89.00

Thiamin B1 - ug

20.00

Sodium - mg

11.00

Riboflavin B2 - ug

50.00

Chloride - mg

17.00

Pantothenic B5 - ug

200.00

Magnesium - mg

8.20

Niacin B3 - ug

225.00

Iron - mg

0.65

Pyridoxine B6 - ug

22.00

Copper - mg

0.06

Folic Acid - ug

4.00

Manganese - mg

0.10

Biotin - ug

3.00

Zinc - mg

0.72

Vitamin B12 - ug

0.50

Iodine - mg

0.012

Choline - mg

25.00

 

What are the daily nutritional requirements of the dog?

Where do we get the figures? These come in the form of tables compiled from experiments done by the academic and veterinary professions. Almost all of these figures involved the strict control of food intake of both adult and puppy until clinical signs manifested themselves. Animals were also observed and tested to ascertain the dietary requirements for Adult Maintenance; Requirements for Growth; Requirements for Reproduction; Work and Adverse Environmental Conditions. This data was correlated and a book was published called "The Nutrient Requirements of Dogs". This book is the basis of all pet food manufacturer recipes and is one of a series entitled Nutrient Requirements of Domestic Animals.

The majority of dog owners use 'all in one's'. Most Weimaraner people - like the 'majority' genuinely believe they are feeding what's best for the dog. As this breed needs to be 'lean', most owners usually feed very near to the maker's 'daily food' recommendations for the size of their dog. It's not for the Weimaraner to be on the plump side!

As a rule of thumb - the nutrients supplied by the food served daily, should be balanced and encompass entirely your dog's nutritional needs. Unfortunately this is mainly just the advertising hype given to the dog-loving public, as our research proved contrary to this belief.

We decided to take a closer look at three 'Regular' dry commercial brands of dog food, and choose only those promoted as 'complete' and 'balanced'. The only accurate information about a dog food is within a nutrient analysis. Commercial dog foods should theoretically contain nutrients more than the legal minimum. The term 'complete' implies that the dog food contains all of the required nutrients for canine health. If the nutrients are present in the correct amount and ratio, the food is 'balanced'. However, nutrient excesses and shortages became evident right from the start of our evaluation.

Brand A showed calorie deficiencies at 20kg body weight with potassium joining in at 30kg. Selenium almost made the minimum figure at 50kg. All three nutrients were deficient at 75kg body weight.

Brand B lacked sufficient calories from the start, with calcium and vitamin D short by 10kg body weight. At the 20kg weight, potassium, magnesium, phosphorus, vitamin E and choline joined the list of deficiencies, with vitamin A following at 40kg. At 75kg fat and selenium completed the deficiency list.

Brand C commenced with a deficiency of choline, adding potassium and calorie deficiencies at 10kg body weight. Selenium joined in at 30kg, and copper at 60kg body weight.

What does this mean in layman's terms?

These three commercial dry foods are promoted as 'complete' and 'balanced' yet all appear to be characterised by dietary excesses and shortages. Sodium is the most prominent nutrient excess and potassium the most obvious mineral deficiency.

At 5-kg body weight Brand A supplies in each daily feeding, three and a half times more sodium, and one and a half times the amount of potassium than the 'official'" minimum figures show. Yet this same brand, on reaching the recommendations for a body weight of 75kg, supplies with each daily intake of food - double the amount of sodium and only three-quarters of the minimum figure for potassium.

Brand B on the other hand, appears to assume that a very small breed of dog weighing 5kg or less, needs seven times more sodium than the minimum requirement, and one and a quarter times the minimum figure of potassium. Recommendations to daily food intake regarding weight supply such amounts. However, this assumption changes as the dog reaches 75kg. The recommended daily ration of food then only supplies three times the amount of sodium, and covers just over half of the minimum potassium requirement.

Brand C's idea of a dog's nutritional needs, means five and three-quarter times the minimum amount of sodium and a mere fraction over the minimum figure of potassium. The recommended daily allowance of food for a 5kg dog supplies these amounts. However, at 75kg, sodium levels are triple the minimum amounts, yet only half of the minimum figure for potassium is evident in the food fed.

The average sodium intake from these three commercial brands is five and half times more than the minimum requirement for a small dog. However, the potassium differential becomes greater from the smaller dog, to the largest breed.

 

Potassium Deficiency.

In 1952 a scientific paper was published from the Department of Pharmacology, University of Oxford, and entitled Loss of Cellular Potassium as a cause of Intestinal Paralysis in Dogs by D. H. P. Streeten and E. M. Vaughan Williams.

The main points of which were:

That, and I quote ‘This condition is characterised by abdominal distension, vomiting, intestinal ‘silence’ and failure to pass stools or flatus.

In every experiment, the depression of intestinal propulsion was accompanied by a slight rise in the plasma K (potassium in blood fluid). In the very severe depletions (of K), complete intestinal paralysis was associated with a large rise in plasma K Since these elevations of plasma K occurred more than an hour after the withdrawal of the intraperitoneal fluid, K may have been moving into the plasma from the cells. A point of considerable interest, therefore, was whether the paralysis was mainly associated with the increase of plasma K or with a decrease in cellular K’.

 

INTESTINAL PARALYSIS

A potassium deficiency causes the contractions of intestinal muscles to slow down considerably, or the muscles to become partially or completely paralysed. Such a deficiency can occur while taking diuretics, or cortisone, after surgery, diarrhoea, and other forms of stress.

Loss of cellular potassium is a cause of intestinal paralysis in dogs. Abdominal distension, vomiting, intestinal "silence" and failure to pass stools and flatus characterise it. As salt is lost from the body there is saliva from the mouth and a discharge from the nose, sometimes lasting for three hours. Their may be retching or vomiting, as a direct result of abdominal distension. Gait becomes unsteady. The dog walks with a wide base reminiscent of the effects of cerebella dysfunction, dragging the front paws. The head droops as the result of a generalised weakness, predominantly affecting the extensor muscle groups. Two further effects also became prominent. There is a generalised fibrillation most pronounced in the shoulder girdle, forelimb and facial muscles, and a clonic nodding of the head.

As the peristalsis of the intestine is completely abolished, the loop becomes flaccid and dilated. The tone of its wall is so low that the contents of the loop are no longer insulated from respiratory changes. Complete intestinal paralysis occurs before any evidence of respiratory embarrassment or circulatory failure becomes evident.

The reduction of the difference of potassium concentrations across the cell wall, by the loss of cell potassium, is exaggerated both by the rise in plasma potassium and by the passage of plasma water into the cellular compartment. Cellular loss of potassium is primarily responsible for a depression of intestinal propulsion.

 

QUERY: Let's presume that you are feeding one of the formula's belonging to brands A, B, or C, to your dog on a daily basis. We can also assume that you are very precise with the amount - serving only the measure recommended by the maker's to suit your dog's weight. If this is the case, a small breed fed on one of these complete

foods receives all the potassium they require from their daily allowance. Therefore, they have a risk factor of 1 of developing bloat. Medium sized breeds receive an average of 77% of the minimum amount of potassium required for their needs. They have a risk factor seventeen times greater than small dogs in developing "bloat". Large breeds receiving only 70% of their minimum requirement of potassium have a risk factor of almost 24% to bloat. The figure jumps to 133% chance of developing bloat when only 65 % of the minimum amount of potassium is supplied in the daily amount of food, which is fed to the giant breeds.

'THEORY'

We believe that there is a direct correlation between the high sodium, low potassium content of commercial dog foods, to the occurrence of "bloat" in dogs. Let us show you our theory further by displaying potassium short falls and risk factors alongside each other.

 

The following chart shows the average percentage of potassium covered by brands A, B, and C, in relation to weight.

 

Why is it that wild dogs do not suffer from 'bloat'? Could it be that they are much more naturally intelligent than man is, when it comes to 'balancing' their diet! Why is it that pedigree dogs have a higher risk factor than mongrels, to bloat? Could it be that mongrels are more likely to get table scraps and a variety of foods, whereas most pedigree dogs receive nothing other than "all-in-one" food - in the mistaken belief that they are 'complete' and 'balanced'!

After submitting our research to "officials" we received this statement from the Chief Scientific Officer, ‘there is sufficient information to warrant further investigation into Potassium Deficiency as a cause of Bloat in Dog’s.’ Now that there is a starting point for investigation let us all hope that the true horror of Bloat is at last behind us.

If the information contained in this article gives rise for concern, then perhaps it is the time to modify your dogs feeding regime. To this end we have compiled a (& to coin a phrase) ‘completely balanced and all your dog needs, diet’ together with the typical nutritional analysis for your use if you so desire.

The object of this article has been to focus attention into the latest continuing research into Bloat, to jog your conscience into thinking a bit more closely into your dogs dietary requirements and if we have succeeded then we shall be more than happy.

 

HEALTHY "BALANCED" HOMEMADE DIET©

 

BARLEY/OAT mix, MEAT, VEG, and SEED, MENU (10kg Adult Dog)

 

MONDAY and THURSDAY of each week.

Morning meal:

50 grams Barley/Oat flakes mixture (dry weight) - 6 tablespoons

45 grams Chicken Livers - 5 tablespoons

30 grams Cauliflower, cooked and chopped - 4 tablespoons

30 grams Peas, cooked and chopped - 3 tablespoons

10 grams Sunflower seeds ground - 2 teaspoons

5 grams Cod Liver Oil = 1 teaspoon, 5 ml.

PREPARATION: Put the Barley/Oat flakes mixture into a bowl. Pour over sufficient COLD water to well cover the flakes (three times the amount of water to grain), stir lightly; set aside to soak OVERNIGHT. Transfer the cereal flakes to a colander 10 to 30 minutes prior to use - to drain off the soaking water. Dice up the offal and place it into a pan. Pour over just enough boiling water to cover. Simmer gently for three minutes - if you prefer just to scald the offal, or cook to preference. When ready strain off the liquid - set aside to cool, (a little may be poured over the meal just before serving), chop small or mince the offal. Cook the vegetables, strain, and chop small, set aside to cool. Grind the sunflower seeds in a coffee mill or something similar. Put the strained cereal flakes into the feed bowl. Add the chopped/minced offal and vegetables. Sprinkle over the sunflower seeds. Add the Cod Liver Oil. Mix all together. Pour over a little of the offal stock to flavour the meal, if desired.

 

Evening meal: 200 grams raw, MINCED whole Chicken wings approx. 2.1/2 wings.

PREPARATION: MINCE the Chicken wings, or feed whole if you prefer. Place in the feed bowl. Serve at room temperature - NEVER chilled.

 

TUESDAY and FRIDAY of each week.

Morning meal:

50 grams Barley/Oat flakes mixture (dry weight) - 6 tablespoons

45 grams Pigs Kidney - 5 tablespoons

30 grams Cabbage, cooked and chopped - 3 tablespoons

30 grams Carrots, cooked and chopped - 3 tablespoons

10 grams Sunflower seeds ground - 2 teaspoons

PREPARATION: As before. Note - NO C.L.Oil.

 

Evening meal: 200 grams raw, whole Chicken wings - approx. 2.1/2 wings.

PREPARATION: As before.

 

WEDNESDAY and SATURDAY of each week.

Morning meal:

50 grams Barley/Oat flakes mixture (dry weight) - 6 tablespoons

45 grams Lambs Heart - 5 tablespoons

30 grams Brussels sprouts, cooked and chopped - 3 tablespoons

30 grams Swede, cooked and mashed - 2 tablespoons

10 grams Sunflower seeds ground - 2 teaspoons

PREPARATION: As before. Note - NO C.L.Oil.

 

Evening meal: 150 grams raw lean Lamb (leg) 5.1/4 oz. 20 grams Wheat Bran - 3 dessertspoons.

PREPARATION: Sprinkle the bran over the minced Lamb. Mix. Serve.

 

MENU FOR SUNDAY

 

Morning meal:

50 grams Barley/Oat flakes mixture (dry weight) - 6 tablespoons

25 grams Sardines canned in oil (drained) approx. 2 fish

30 grams Runner Beans, cooked and chopped - 4 tablespoons

30 grams Carrots, cooked and chopped - 3 tablespoons

10 grams Sunflower seeds ground - 2 teaspoons

PREPARATION: As before. Note - NO C.L.Oil.

 

Evening meal: 150 grams raw lean minced Beef - 5.1/4 oz.

20 grams Wheat Bran - 3 dessertspoons.

PREPARATION: Sprinkle the bran over the minced Beef. Mix. Serve.

 

BARLEY/OAT FLAKES MIXTURE:

 

Mix two cups of Barley flakes with one cup of rolled Oats. Or, if larger amounts are needed: Mix 750grams Pot Barley flakes with 250grams Rolled Oats.

NUTRITIONAL INFORMATION

This Weekly Menu provides a 10-kg Adult Dog with a daily average of 620 calories.

Typical Analysis: Protein 42g, fat 32g, sodium 281mg, potassium 1,107mg, calcium 5,938mg, magnesium 320mg, phosphorus 3,459mg, iron 30.88mg, copper 1.52mg, zinc 15.64mg, chloride 287.69mg, manganese 3.12mg, selenium 58.99ug, iodine 0.64mg, Vit A 5,445 IU, Vit D 138 IU, Vit E 8 IU, thiamin 0.87mg, riboflavin 1.26mg, niacin 26.69mg, Vit B6 1.08mg, Vit B12 12.31ug, folate 186ug, pantothenate 3.81mg, biotin 0.05mg, Vit C 18.39mg.

The protein/fat ratio is 1.32:1 The calcium/phosphorus ratio is 1.72:1

 

CONVERTING THE RECIPE TO SUIT YOUR DOG'S

ADULT BODY WEIGHT AND CALORIE REQUIREMENTS

Body weight in Kilograms

Body weight in lbs.ozs.

Calories HIGH level activity

Calories AVERAGE level activity

Calories REDUCING level

DIVIDE Basic Recipe By:

1

2.03

100

80

60

7.58

2

4.06

181

145

109

4.19

3

6.10

262

210

157

2.89

4

8.13

337

269

202

2.25

5

11.00

412

329

247

1.84

7.5

16.08

585

466

350

1.30

 

 

 

 

 

 

10

22.00

758

606

455

Basic Recipe

 

 

 

 

 

Multiply by:

15

33.00

1,077

861

646

1.42

20

44.00

1,396

1,115

837

1.84

25

55.00

1,696

1,357

1,019

2.24

30

66.00

1,995

1,594

1,197

2.63

35

77.00

2,282

1,824

1,370

3.01

40

88.00

2,569

2,054

1,542

3.39

45

99.00

2,848

2,279

1,711

3.76

50

110.00

3,127

2,503

1,879

4.13

55

121.00

3,399

2,715

2,038

4.48

60

132.00

3,671

2,933

2,202

4.84

65

143.00

3,957

3,163

2,375

5.22

70

154.00

4,243

3,394

2,548

5.60

75

165.00

4,547

3,636

2,730

6.00

80

176.00

4,850

3,878

2,912

6.40

85

187.00

5,150

4,115

3,089

6.79

90

198.00

5,450

4,357

3,271

7.19

 

THE END

 

Members might be interested in this new piece of research into Gastric Torsion (Bloat) being undertaken by Val Hudson & John Abraham, which is gaining support among the scientific community. The research seems to indicate that potassium levels in the dog's body are significant in torsion.

In the meantime Val & John need a lot more results from dogs dying of torsion and in this respect the undernoted additional material is reproduced in the hope that it may convince you to help with this important piece of research.

 

Proposed metabolic component in the aetiology of bloat in dogs

 

Disorders of potassium/magnesium metabolism

Potassium

Physiology

Potassium is predominantly an intracellular ion. 98% of potassium at a concentration of 160 mmol/l exists within the cell contrasting with the extra-cellular concentration of 3.5-5.5 mmol/l. This "extra-intra" ratio is critical for normal cellular function. Dietary intake of potassium is normally 80-150 mmol daily and 85-95% is excreted via the kidneys, the remainder by the gut in faeces.

Control of potassium distribution within the extra-cellular and intracellular compartments is influenced by:-

pH - potassium moves into the cell in alkalosis e.g. vomiting, specific renal diseases (renal tubular acidosis).

Aldosterone - a hormone released from the adrenal glands which in excess reduces the extra-cellular potassium levels.

Insulin - has a role in shifting potassium from the extra-cellular to the intracellular compartments.

Diarrhoea - liquid faeces contain 10-50 mmol/l of potassium therefore severe diarrhoea may cause hypokalaemia.

The above may of themselves cause hypokalaemia or precipitate it in an animal already with poor intake secondary to dietary lack.

Clinical Features

Severe hypokalaemia (less than 2.5mmol/l) results in impaired muscle function (skeletal, cardiac and gut). This may manifest as weakness, paralysis and ileus (paralysis of the gut).

Magnesium

Physiology

Plasma magnesium levels in the dog are normally 0.7-1.2 mmol/l. As with potassium, magnesium is mainly an intracellular ion. The kidneys regulate magnesium levels. Disturbances of magnesium should always be suspected in the presence of other electrolyte disorders e.g. potassium.

Clinical Features

Hypomagnesaemia most often develops in poor dietary intake or excess loss from the kidney or bowel. Clinical features include irritability, loss of co-ordination especially with walking, confusion, and progresses to muscular weakness.

Measurement of potassium and magnesium post-mortem

These ions are very difficult to assess after death because of their vast excess in the intracellular space. Post-mortem when cellular membrane integrity is lost with the failure of the potassium pump potassium leaves the cell and causes a rapid rise in plasma levels. This results in difficulty assessing the level of these ions at the time of death. However the levels within the eye in the aqueous and vitreous humour are relatively protected for 24 hours following death and assessment with these fluids gives good forensic information as to the levels at the time of death.

It is therefore proposed to measure these ions in aqueous humour in dogs dying of bloat within 24 hours of death. These electrolyte values will be assessed in comparison with the normal plasma levels of potassium and magnesium. The distribution of results in the bloat group in this hypothesis is likely to be negatively skewed and therefore a non-parametric distribution. Therefore statistical analysis will employ non-parametric tests. In the hypothesis there are two populations, the bloat deaths versus the normal dogs. They may have different means but not a normal distribution of data. We will therefore test the hypothesis by the Wilcoxon Mann-Whitney test for non-parametric analysis.

 

Specimens for analysis

Potassium and magnesium

500 m l of aqueous humour will be withdrawn and placed in a sterile dry plastic tube. These specimens with accompanying clinical information (forms supplied by DEFRA and to be forwarded by the authors to the participants.) will be transported via Royal Mail special delivery to: -

VLA, DEFRA, Biochemistry Department, Kendal Road, Harlescott, Shrewsbury, SY1 4HD

 

Each assay costs £5.50 and results are available the same day as receipt of the specimen. The additional cost of the postage is by Royal Mail special delivery, up to 100gms - £3.60, 100gms to 500gms - £3.95.

 

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