Insufficient pancreatic external secretion (EPI) refers to the ability to reduce pancreatic secretion protease, lipase and amylase, etc., resulting in proteins, fats and starch in nutrients, can’t be fully digestible, resulting in diseases that do not normally digest food. The disease will make the pet in the “hunger” state, causing pet weight loss.
In the past, the German Shepherd dog was easily epi. But later, all breeds of dogs may have EPI, except for dogs, cats with EPIs are also very likely. EPI pets happen to varying degrees of gland atrophy. If no reasonable treatment, the shrinkage will become more serious, EPI may also induce other intestinal diseases, and even threaten the life of pets.
First, the common symptoms of EPI
1. The feces are thin, more defecation and frequent, the feces have always residual fat, protein or starch, yellow, gray or brown
2. Strong appetite, but may drop chronic weight, have a variety of food or feces
3. With intestinal sound, gastrointestinal flatulence and intestinal inflammation, etc.
4. Diarrhea, vomiting or gastric acid reflux
5. The vitamin B12 is insufficient, and a group disorder occurred.
Second, EPI diagnosis
Serum Case Immunization (TLI) was required to confirm EPI.
Dog Tli Normal range: 5.7-45.2μg / L; less than 2.5μg / L can be diagnosed as EPI;
Cat TLI Normal range: 12.0-82.0μg / L; it can be diagnosed as EPI when it is below 8.0μg / L;
Dog TLI is 2.5-5.7μg / L, and the cat TLI is 8.0-12.0μg / L, for EPI suspected cases, more diagnosis is needed, and the disease is diagnosed.
Third, EPI treatment
EPI is not terrible, and EPI can be relieved or cured by some comprehensive treatment.
During the treatment, the individual conditions of pets are needed, and a reasonable treatment plan can be developed to obtain good therapeutic effects. The treatment plan can refer to the following points:
1. Supplementary digestive enzyme: After the EPI diagnosis, first start the digestive enzyme supplement
The digestive enzyme is added to the meal, and the amount is determined based on the amount of food and digestive enzyme activity in the pet.
The first choice of trim enzymes, in order to avoid gastric acid damage, choose the pancreatic enzyme of enteric coating.
If the compass supplement is not good, consider adjusting the amount of pancreatic enzyme.
Solving the feces and thin problems, in addition to treating EPI, consider supplementing gastric protease and enhances stomach digestive function.
After the condition is stable, the amount of digestive enzyme to the lowest effective amount can be appropriately reduced.
2. Antibiotic treatment
The intestinal nutrition problem of EPI cases will cause the pet intestinal flora, which is one of the important reasons for trigger diarrhea, and antibiotics can solve such problems.
Thai music can effectively inhibit bacterial growth, and there is no side effects, suitable for long-term delivery. Dosage: 25 mg / kg, 2 times / day.
Metronidazole can effectively inhibit anaerobic bacteria in the intestine. Dosage: 10 mg / kg, 2 times / day.
3. Supplement vitamin B12
Most (77-90%) EPI dog cat blood is low in blood, which will affect many important metabolic functions. In addition, if less than 300μg / L, the treatment effect of digestive enzyme supplement will also be greatly affected. . Vitamin B12 is recommended to be supplemented by injection, and the injection dose is 250-1500 μg. 1 month later, the vitamin B12 in the blood was reconfed, and the injection was adjusted according to the test results.
If vitamin B12> 300-1000g / L, it is injected once / month, and 6-12 months will be monitored once.
If the vitamin B12 <300μg / L, the injection frequency is increased to 2-4 times / month, monthly, monthly.