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Advice for GSD Puppy with Congenital MEGA-E

9.1K views 51 replies 16 participants last post by  CMorton  
#1 ·
First Time GSD Owner Seeks Digestive Advice

Hello, I'm new to the forum and just got my first German Shepherd, Scout, last night (I've wanted one literally my whole life and am so excited to have the little guy). My girlfriends sister works with someone who lives next to a breeder that has a litter of 7 puppies born on Halloween. One of the. Was having digestive issues and I guess had been throwing up pretty much anything he ate and is significantly smaller than the others. I fell in love and knew the puppy would die if he stayed at the breeders because with 2 parent GSD and 6 other puppies, he just wasn't able to give the care and attention he needs. For the last 5 days he was feeding him raw meat and he said he did fairly well on it. Last night after I got him I got taste of the wild puppy formula from Specs and a lady working there also owns a rescue shelter and is a veterinarian and she suggested rather than adding an enzyme supplement to the food to try adding plain yogurt or cottage cheese and that might help the digestive issues.

Last night he ate and threw up about an hour later. This morning he ate and threw it up a few hours later. I got him into the vet today and they kept him all day to observe and try and diagnose the situation. They saw him throw up first hing when he got in and the vet thought it was regurgitation and not vomiting and thinks his esophagus may be inflamed. She fed him small amounts of science prescription gastrointestinal wet food throughout the day and he was able to keep it down. They gave me 8 cans of the food and want to keep him on it a week or so to see how he does. They also gave me an enzyme supplement (been-bac gel) and famotidine tablets to give him daily.

They took a stool sample and I just got a call that the results came back positive for round worms and that I could pick up treatment for this tomorrow. I was kind of excited for this and hoping this was the issue and I texted the breeder and he said that they are all born with round worms and that he was due to be wormed again but he didn't want to with his issues and wormer is a poison. So now I'm not so sure. I'm going to mention this to the vet tomorrow to see their thoughts and if it's ok to still give him the treatment.

At first I was thinking maybe EPI but the vet didn't think so. His stools have been pretty decently solid. The last one a couple hours ago was solid until the last bit came out was a little more diarrhea looking and what I thought was a piece of grass coming out but might have been a worm?

i just want this little guy better and healthy and to live a good life. Does anyone have any thoughts or insight to any of this? FYI he is 10 weeks and weighed 13.2lbs so he's definitely under weight. His parents were huge, the dad 85lbs and mom probably 75lbs.

Attached are pictures of what the Vet said as well as a couple pictures of Scout. Our 2.5 year old pitbull mix loves him and is thrilled to have a little brother for a playmate!
 

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#5 ·
Awww! He is precious!! I'm sorry I don't have any experienced advice to give.... And I expect you already know to get rid of that rawhide, or at least be very careful to keep it from your puppy's troubled tummy if the Pit leaves it lying around. Sending best wishes your way. Trusting someone here has some good advice...


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#6 ·
It sounds like your pup has Megaesophagus. There are several threads on this board about gsds with Mega-E and lots of information on the internet. I am surprised that your vet did not diagnose this? Canine Megaesophagus, Aspiration Pneumonia & Myasthenia Gravis

The first place to start is to educate yourself about the disease and find a vet who is familiar with it. The biggest risk is aspiration pneumonia and so your dog will need to eat a special diet (people either make meatballs or patties for their dogs or some people feed a slurry style diet) and may need to eat in a Bailey chair to minimize the risk of aspiration.

There are several people on this board with Mega-E dogs so you should probably start a new thread in the health section.
 
#7 ·
The vet said he has sever esophagitis, is that the same thing?

I'm keeping a very detailed and specific log of how much I feed him, what time, what meds, when he poops and what it looks like with a picture, if he throws up, etc that way I can show the vet next week how everything has gone. I stopped by the vet today to get his medicine to treat the worms, it's 2 doses; 1 today and 1 in 2 weeks. I gave that to him a couple hours ago as well as some food and he's kept it Down. He did pee in his crate during work today and then had diarrhea when I took him outside (this was before I gave him the heart worm meds and food.

Since we are in potty training, I boiled some organic chicken breast and cut into small pieces to reward him when he pees or poops outside.

Another thing, what should I get for him to chew on/ play with? I don't want to upset his stomach with something he shouldn't have. I just want this guy to get healthy and will do whatever it takes
 

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#8 ·
He is peeing in his crate and has diarrhea? The worming meds often cause diarrhea. Heartworm and deworming meds are completely different. Which is he getting? Did he have diarrhea before he started the canned food? Personally, I would be concerned.

I assume you must mean severe esophagitis. That is inflammation of the esophagus and very different from Mega-E. I actually had not heard of that until I read about it here: http://veterinarymedicine.dvm360.com/vetmed/article/articleDetail.jsp?id=651709&sk=&date=&pageID=3

Did the vet mention Mega-E?
 
#9 ·
He is peeing in his crate and has diarrhea? The worming meds often cause diarrhea. Heartworm and deworming meds are completely different. Which is he getting? Did he have diarrhea before he started the canned food? Personally, I would be concerned.

I assume you must mean severe esophagitis. That is inflammation of the esophagus and very different from Mega-E. I actually had not heard of that until I read about it here: Recognizing and treating esophageal disorders in dogs and cats - Veterinary Medicine

Did the vet mention Mega-E?
Yes, I meant severe lol

Today was the first time that he peed in his crate. He has not pooped in the crate yet. When I got home I carried him outside (legs and feet covered in pee) and he went poop but it was all diarrhea. He also had a little diarrhea about an hour ago. I just ordered some "Naturvet enzymes and probiotic" powder to put with each feeding.

His de worming meds I got today are 2 small syringes of pyrantel pamoate. The vet did not mention Mega-E, at least it don't recall her mentioning it. I've been slightly overwhelmed with all of this so I could have missed it. I will definitely bring it up at his appointment next Wednesday unless you think I should get him back in sooner?
 
#10 ·
Another thing that has been weird this afternoon/ evening is he keeps going and laying down in the kitchen (around the area I feed him). Even when I pick him up and take him to lay on the couch, he jumps down and goes to the kitchen. I'm not sure if it's because he likes laying on the cold hardwood floors or if it has something to do with because that's where I feed him. I'm actually sitting on my kitchen floor with him right now typing this ha.
 
#11 ·
Also, he did not have diarrhea before the canned food but we have only had him for 48 hours now and the breeder said he didn't think he had diarrhea since staring him on raw hamburger for the 5 days before we got him. He did fine all day yesterday and last night on the canned food (2 meatball sized spoonfuls each hour). My vet said to try it for a week and see. I'm hoping the enzyme powder I'm having overnighted from amazon will help. I will start that tomorrow
 
#14 ·
Here are the ingredients:

Water, Turkey, Egg Product, Pork Liver, Rice, Whole Grain Corn, Rice Starch, Powdered Cellulose, Dried Beet Pulp, Dicalcium Phosphate, Potassium Chloride, Caramel Color, Flaxseed, Calcium Carbonate, Iodized Salt, Choline Chloride, L-Threonine, DL-Methionine, Vitamin E Supplement, L-Tryptophan, Taurine, Iron Oxide, Ascorbic Acid (source of vitamin C), Zinc Oxide, Ferrous Sulfate, Thiamine Mononitrate, Cysteine, Magnesium Oxide, Beta-Carotene, Manganous Oxide, Copper Sulfate, Niacin, Calcium Pantothenate, Vitamin B12 Supplement, Pyridoxine Hydrochloride, Biotin, Vitamin D3 Supplement, Calcium Iodate, Riboflavin, Folic Acid, Sodium Selenite.

Here is a link to the food:

i/d® Canine Gastrointestinal Health - Canned

As for the dewormer, he did regurgitate about 2 hours 20min after I gave it to him. Should I be concerned that it was also regurgitated and ask the vet for more or was that enough time for it to get in his system? Thank you so much everyone for the advice, I appreciate beyond words!
 
#13 ·
Hope your little guy gets well soon. My pup weighed about the same 13/14 lbs at 10 weeks. He was 77 lbs last time the vet weighed him at 8 months.

Mine also seeks the wood or tile floor because it's cooler.

To chew on, he loves bully sticks, but I don't know if that will complicate your pup's tummy issues.
 
#15 ·
I just think the dewormer is too much for his system right now.

Did you read about Mega-E? Or search it on this board?

Honestly, I would go with a bland diet and puree it. I would also feed your dog upright. And I would find a vet who is familiar with Mega-E. Is the breeder paying for any of this health care?

ETA:I just re-read your original post: "throwing up almost anything he ate." This screams Mega-E. A vet should know this. Where are you? We need to find you a better vet.
 
#19 ·
The breeder is not paying for it. He gave him to me for free knowing something was wrong. He told me he was thinking it was EPI but wasn't sure. I knew he was having issues before I got him. My vet bills thus far are over $700 but I have no problem with it, I just want him healthy. Knowing he is sick is breaking my heart. This morning when I got to his crate to let him out, he was covered in vomit and it was all over his crate. He was still happy though. I cleaned him up, gave him water then fed him sitting up twice so far today and kept him upright afterwards. Knock on wood, but he's held the food down thus far. Any suggestions of food to purée? As I said in my last post, today it has been prescription diet I/d gastrointestinal health, castor and Pollux puppy food, water, and probiotic enzyme all blended together. A few people have suggested I take him back to the breeder but I don't think they realize how attached to him I am

Here is a link to each thing:
ORGANIX Puppy Food | www.castorpolluxpet.com

i/d® Canine Gastrointestinal Health - Canned

Digestive Enzymes with Prebiotics & Probiotics
 

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#16 ·
He is just gorgeous.

It must be very worrying for you, I went through something similar with my male when he was just over 1yo, he used to vomit, had constant diarrhea and was very skinny. Turns out does have EPI, with enzyme replacements he is doing brilliantly.

Be guided by your vet and keep his food simple, stick to the same food for a while and keep a diary of his stools. Hopefully your vet will be able to work out the problem.

I would not give him yoghurt as this will just increase his diarrhea With enzymes, if your vet suggest this, you could give enzyme replacements such as 'Creon' or any of the many other powdered ones available.

Probiotics are an option, and may help to keep his tummy stable by using a good probiotic such as Protexin,
 
#18 ·
Well bad news, had an x ray yesterday and it is congenital mega-esophagus :( we went out to buy him a baby walker to help him eat upright and remain upright 20-30 min after eating. Today we have fed him prescription diet Id, an organic chicken/ rice puppy kibble, probiotic enzyme powder, and water all blended together. He's held it down so far and seems to be doing well. I really hope he has a case that maybe he will outgrow one day. I'm heartbroken over this but going to do everything I can to give him a happy healthy life. After he's grown, I'll build him a bailey chair. Here's a pict of the baby walker
 

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#20 ·
I'm very sorry about the diagnosis but glad you know that it's Mega-E. I had a foster pup with Mega-E and there are several people on this board with Mega-E dogs. First thing I would do is start a post in the Health section titled, "Congenital Mega-E" so that those folks see your post and can help you.

I don't know if I already posted this link but there is a support group on Yahoo. You DEFINITELY want to join that group because they will have tons of info on feeding, etc. Canine Megaesophagus, Aspiration Pneumonia & Myasthenia Gravis - Support Page

Feeding and keeping upright is a must. I know some people feed a slurry and other feed meatballs. I fed a slurry but my foster pup had a mild case of Mega-E and didn't even need a Bailey chair so I am not the best source of info. ETA: I don't like that ID food and I'm also not crazy about Castor & Pollux food. If it were my dog I would contact Monica Segal about a recipe for a homemade diet.

Please tell the breeder what he has and make sure s/he never breeds those dogs again.

And he looks adorable in that baby thing. :wub:
 
#21 ·
I do not know anything about breeding but scout is 1 of 7 in the litter and the others are fine. His great grand dad is a world champ European GSD and his other grand dad is an American GSD champ. His mom and dad have had a total of 19 puppies and this is the first with issues. How do you determine when not to breed? Is it possible to guarantee a dog not have any issues? Obviously Scout will never be used for breeding but I wasn't planning on it anyways
 
#22 ·
God love it. What a precious puppy! He looks so adorable in that baby chair! Bless you for keeping him. I'm know a lot of people would not want to be saddled with a "sick" dog that takes a little extra effort to take care of and the extra expense. Mega E is not a death sentence. I wish you and your baby the best.
 
#23 ·
The only reason I would ever even consider putting him down is if after much trying, getting nothing to stay down and if he was clearly miserable. Even then, I wouldn't be able to live with myself. Right now he's extremely happy and today has done very well. I just fed him an hour ago and had him in the baby chair for 25 min after. With a puppy it's a chore keeping him there so I've been sitting there rubbing his cheeks trying to keep him calm. Also put a few toys on the tray including a plastic bone that I have been letting sit in the Tupperware that I keep his bathroom reward chicken pieces in, that way it tastes good to lick on and keeps him distracted to stay there. I'm really hoping this becomes easier and he grows out of it. I don't mind dedicating the time to help getting him there but I can't imagine having to do this the next 12+ years. I've not gone to work 3 days this week now to stay home and take care and watch over him. Not gonna be able to do that forever lol
 
#24 ·
What is everyone's thoughts about putting a binder or anything under his crate to put it on a slope so he sleeps on an incline? That way when he swallows his saliva it will go downhill to his stomach instead of sitting in his esophagus to regurgitate. I'm hoping he wouldn't turn around and sleep facing downhill
 
#25 ·
My understanding is that the biggest risk with Mega-E is aspiration pneumonia. Some dogs end up having to have a tube put in because they just can't handle food passing through the esophagus, even in a Bailey chair.

I really, really encourage you to start a Mega-E thread on here and to join the Yahoo group. That way you will get the best advice from the most experienced people.

And if he has congenital Mega-E then it is genetic and the dogs should not be bred again.
 
#26 ·
Shoot he did so well today and we just gave him a 1/4 cup more of the purée mix and he was in his chair 20 minutes but then spit up 3 separate times within 5 minutes (we caught it every time and he did not eat what he spit up. He's been peeing all day outside but his last bowel movement was yesterday at 7 am. Now that he is on a liquid diet essentially, can I expect that when he does poop, it will look like diarrhea? Is it possible the reason he hasn't had a bowel movement because until this evening he has kept the food down and has badly needed the nutrients so there hasn't been anything to release?

As I typed this he decided to take a big poop inside lol. It looked like normal poop which hasn't been the case since Wednesday morning at 8:03AM. It's all been diarrhea until now. I'm just relieved he finally pooped. I don't even care that it was inside the house lol
 
#27 ·
Hello, I have an 11 week old GSD puppy that was diagnosed yesterday with congenital mega-e. Obviously we are having problems keeping food down. Currently he's on a purée mix of prescription diet Id gastrointestinal, organic chicken/ rice kibble, probiotic enzyme powder, and water. He did well for feelings 1,2, and 3 today but his last feeding a little over an hour ago, he has now regurgitated 4 times since then. We've been feeding him in a baby walker to keep him upright and keeping him in it for 20 min after eating. Here is a thread I started in the welcome section that gives full details on everything we are going through. Any experts on this condition please please take a look and let us know what we should do and what we are doing right or not right here is a picture of the little guy. I just want him healthy

Link to other thread

http://www.germanshepherds.com/foru...oductions-welcome-mat/396201-first-time-gsd-owner-seeks-digestive-advice-2.html
 

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#28 ·
So sorry for your pups condition. I hope you've informed his breeder.
The yahoo group is probably your best go-to for support and advice. Hoping he'll outgrow the worst of it and thrive to live a healthy happy life.
 
#29 ·