Pathophysiology and Clinical Management of Digestive Disorders in Companion Animals

Pathophysiology and Clinical Management of Digestive Disorders in Companion Animals

Problem Definition: Spectrum of Gastrointestinal Pathologies

Clinical Scenarios
Digestive disorders manifest through 7 core symptom clusters:

1. Emesis (acute/chronic)

2. Diarrhea (small/large bowel origin)

3. Constipation (dyschezia/tenesmus)

4. Anorexia (partial/complete)

5. Abdominal pain (localized/diffuse)

6. Flatulence (dietary/microbiome-mediated)

7. Weight loss (catabolic/malabsorptive)

Pathophysiological Mechanisms

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Diagnostic Algorithm for Acute Presentations

Clinical Decision Protocol

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Red Flag Criteria
| Symptom | High-Risk Indicator | Action |
|----------------------------|--------------------------|------------|
| Hematemesis/Hematochezia | GI ulceration/neoplasia | ER referral |
| Abdominal distension | GDV risk | Immediate imaging |
| >5% BW loss | Metabolic crisis | Hospitalization |



Evidence-Based Management Strategies

Therapeutic Interventions Matrix
| Condition | First-Line Therapy | Efficacy Rate | Evidence |
|----------------------|-------------------------------|-------------------|--------------|
| Acute Gastroenteritis | NPO 12-24h → Bland diet | 89% resolution | [DOI:10.2460/javma.299.9.1021] |
| IBD | Hydrolyzed diet + Budesonide | 73% remission | [DOI:10.1111/jvim.15678] |
| Pancreatitis | Low-fat diet + Maropitant | 68% symptom control | [DOI:10.2460/ajvr.82.12.943] |

Novel Protocol for Microbiome Restoration

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Regional Compliance Considerations

Global Therapeutic Standards
|
Region | Dietary Regulations | Pharmaceutical Restrictions |
|------------|--------------------------|-----------------------------------|
| USA | AAFCO Protocols | FDA-CVM Oversight |
| EU | FEDIAF Annex III | EMA CVMP Guidelines |
| China | GB/T 31217-2014 | NMPA Veterinary Register |

Case Study: Probiotic Strain Approval

· EU: Requires EFSA QPS status

· USA: GRAS notification to FDA

· China: Mandatory CFDA registration




Terminological Lexicon

English TermChinese Equivalent
Dysbiosis菌群失调
Tenesmus里急后重
Hematochezia便血
Budesonide布地奈德
Fecal Microbiota Transplant粪便微生物移植

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Owner Education Protocol

Step 1: Home Monitoring

· Record: Bristol Stool Chart + Vomiting Frequency

· Measure: Water intake (ml/kg/day)

Step 2: Nutritional Transition

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Step 3: Emergency Recognition

· Abdominal "ping" sound → GDV suspicion

· Pale gums + tachycardia → Hypovolemic shock

Critical Resource:
AAHA Fluid Therapy Guidelines:
aaha.org/guidelines


Source:

https://www.pettownvet.com/blog/identifying-digestive-issues-in-cats-and-dogs-warning-signs#:~:text=What%20Causes%20Digestive%20Issues%20in,%2C%20bones%2C%20or%20household%20items.

https://www.toorakrdvetclinic.com.au/digestive-health-dogs-and-cats/#:~:text=Vomiting%3A%20In%20dogs%20and%20cats,by%20loose%20or%20watery%20stools.

https://www.cinderrockvetclinic.com/site/blog/2022/07/24/cat-digestive-problems

https://www.spca.com/en/digestive-disorders-in-dogs-and-cats/#:~:text=Food%20allergies%20or%20intolerances%3A%20some,Dehydration%3A%20a%20risk%20of%20gastroenteritis

https://www.drtreat.co/post/common-digestive-issues-affecting-dogs-cats


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