

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
Diagnostic Algorithm for Acute Presentations
Clinical Decision Protocol
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
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 Term | Chinese 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 |
Owner Education Protocol
Step 1: Home Monitoring
· Record: Bristol Stool Chart + Vomiting Frequency
· Measure: Water intake (ml/kg/day)
Step 2: Nutritional Transition
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.cinderrockvetclinic.com/site/blog/2022/07/24/cat-digestive-problems
https://www.drtreat.co/post/common-digestive-issues-affecting-dogs-cats