Coccidiosis is a parasiticParasitic refers to diseases or conditions caused by parasites. Parasitic infections can affect the digestive tract, skin, and other organ systems. intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. in dogs caused by single-celled organisms called coccidia. These parasites attack the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. lining and lead to gastrointestinalGastrointestinal refers to the gastrointestinal tract, a system that extends from the oral cavity to the anus and is responsible for the digestion of food and the absorption of nutrients. problems.
The most important facts at a glance
Coccidiosis in dogs is an intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. caused by single-celled parasites of the genus Coccidia, mainly Isospora and Eimeria. These parasites have a complex life cycle that includes both asexual and sexual phases. Dogs become infected by ingesting oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. that can survive in the environment, usually via contaminatedContaminated describes something that has been polluted by harmful microorganisms, chemicals, or other dangerous substances. In veterinary medicine, this can affect food, water, toys, or the environment. food, water, or infected feces. Puppies and dogs with weakened immune systems are particularly susceptible. The most common symptoms include diarrheaDiarrhea refers to the condition of frequent, watery bowel movements, which can be a sign of infections, digestive disorders, or other health problems., which may be watery, bloody, or slimy, as well as weight loss and dehydrationDehydration occurs when the body loses more fluid than it takes in. This can lead to a number of problems, including headaches, Dizziness, and in extreme cases, renal failure or Cardiovascular collapse.. DiagnosisA diagnosis is the identification of a disease or condition by its symptoms and/or results from diagnostic tests. It is the first step in the management and treatment of patients. is made by microscopic examination of fecal samples for oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats.. Treatment includes anticoccidial drugs such as sulfonamides or toltrazuril, as well as supportiveSupportive refers to supportive treatments that aim to alleviate symptoms and improve quality of life without directly treating the underlying cause of the disease. therapies for fluid replacement in severe cases. Good hygiene is crucial for preventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring., as repeated infections are possible. The prognosisThe prognosis is the prediction of the likely course and outcome of a disease based on the general state of health, the nature of the disease, and the response to treatment. It can provide information on how a disease is expected to develop. is generally good if treated early. Research focuses on the genetic analysis of coccidia, new diagnostic methods, and the immune responseAn immune response is the immune system's reaction to foreign substances (antigens), such as microorganisms or proteins. It involves a series of processes aimed at recognizing, fighting, and eliminating these antigens. of dogs to develop better treatment and preventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring. strategies. A balanced diet and avoidance of stressStress refers to the state of an organism reacting to external stimuli or demands. In veterinary medicine, stress can have physical or psychological effects on animals, impacting their health and well-being. can strengthen the immune systemThe immune system is the body's defense system against infectious agents such as bacteria, viruses, fungi, and parasites. It comprises a complex network of organs, cells, and molecules that work together to protect the body. and reduce the risk of infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease..
Causes
Coccidia are single-celled parasites that belong to the group Apicomplexa. In dogs, the genera Isospora and Eimeria are mainly important. These parasites have a complex life cycle that includes both asexual and sexual phases. They initially reproduce asexually in the cells of the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. lining and then form oocyst-like structures that are excreted in the feces.
Dogs become infected by ingesting oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. that can survive in the environment. These oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. are often ingested through contaminatedContaminated describes something that has been polluted by harmful microorganisms, chemicals, or other dangerous substances. In veterinary medicine, this can affect food, water, toys, or the environment. food, water, or direct contact with infected feces. Once in the dog’s intestineThe intestine is the medical term for the gut, including the small intestine (intestinum tenue) and the large intestine (intestinum crassum). It plays a central role in the digestion and absorption of nutrients., the sporozoites hatch from the oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. and attack the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. cells, leading to cell destructionDestruction means "demolition." In medicine, it refers to the destruction of cells, tissues, organs, or body parts. The growth of malignant Tumors is also usually accompanied by destruction of the surrounding tissue. and the typical symptoms.
Susceptibility to coccidiosis infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. can be influenced by various factors. StressStress refers to the state of an organism reacting to external stimuli or demands. In veterinary medicine, stress can have physical or psychological effects on animals, impacting their health and well-being., poor hygienic conditions, and a weakened immune systemThe immune system is the body's defense system against infectious agents such as bacteria, viruses, fungi, and parasites. It comprises a complex network of organs, cells, and molecules that work together to protect the body. can increase the risk of infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease.. Puppies and young dogs are particularly susceptible because their immune systems are not yet fully developed.
Symptoms
The symptoms of coccidiosis in dogs can vary, depending on the severity of the infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. and the dog’s immune status. The most common symptoms include diarrheaDiarrhea refers to the condition of frequent, watery bowel movements, which can be a sign of infections, digestive disorders, or other health problems., which may be bloody or slimy, and vomiting. These symptoms result from damage to the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. lining by the parasites.
Other symptoms may include loss of appetite, weight loss, and general weakness. In severe cases, dehydrationDehydration occurs when the body loses more fluid than it takes in. This can lead to a number of problems, including headaches, Dizziness, and in extreme cases, renal failure or Cardiovascular collapse. and a deterioration of the general condition may occur. In puppies or immunocompromised dogs, the infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. can be life-threatening if not treated in time.
Occasionally, subclinicalSubclinical refers to a condition or disease that does not yet cause any recognizable symptoms. Subclinical diseases can only be diagnosed by specific tests or examinations. infections can also occur, in which no obvious symptoms are observed. However, these dogs can excrete oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. and infect other animals.
Diagnosis
The diagnosisA diagnosis is the identification of a disease or condition by its symptoms and/or results from diagnostic tests. It is the first step in the management and treatment of patients. of coccidiosis is usually made by microscopic examination of a fecal sample. The characteristic oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. are searched for. A fresh fecal sample is ideal because the oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. can be damaged in old samples. In some cases, it may be necessary to collect multipleMultiple means manifold or repeated and is used to describe conditions or events that occur in multiple instances or at different locations. In veterinary medicine, this may indicate multiple lesions, tumors, or other pathological changes. samples over a period of days to increase the likelihood of a positive detection.
In addition to the fecal examination, the symptoms and historyThe medical history is the systematic collection of a patient's medical history through questioning. It includes information about previous illnesses, treatments, allergies, and lifestyle habits. of the dog can also provide clues to coccidiosis. In severe or recurrentRecurrent refers to a disease that repeatedly returns or worsens after a temporary remission or improvement. cases, further diagnostics, such as an endoscopyEndoscopy is a diagnostic procedure that uses an endoscope (a thin, flexible tube with a light source and a camera at the end) to examine and visualize the inside of the body, often for diagnostic or therapeutic purposes. or a biopsyA biopsy is a medical procedure in which a small amount of tissue is removed from the body to be examined under a microscope for signs of disease. Biopsies can help diagnose cancer and other conditions. of the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. lining, may be necessary to rule out other causes for the symptoms.
It is important to distinguish between an infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. with coccidia and other parasiticParasitic refers to diseases or conditions caused by parasites. Parasitic infections can affect the digestive tract, skin, and other organ systems. or bacterial intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. infections, as the treatment may be different. An accurate diagnosisA diagnosis is the identification of a disease or condition by its symptoms and/or results from diagnostic tests. It is the first step in the management and treatment of patients. is crucial to initiate effective therapyTherapy refers to the treatment of diseases or disorders with the aim of alleviating symptoms, promoting healing, or improving quality of life. Therapies can be medicinal, surgical, or through other medical interventions..
Therapy
Treatment of coccidiosis in dogs primarily involves the administration of anticoccidial drugs, such as sulfonamides or toltrazuril. These drugs inhibit the multiplication of the parasites and help to relieve the symptoms and support the recovery of the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. lining.
In cases of severe diarrheaDiarrhea refers to the condition of frequent, watery bowel movements, which can be a sign of infections, digestive disorders, or other health problems. or dehydrationDehydration occurs when the body loses more fluid than it takes in. This can lead to a number of problems, including headaches, Dizziness, and in extreme cases, renal failure or Cardiovascular collapse., supportiveSupportive refers to supportive treatments that aim to alleviate symptoms and improve quality of life without directly treating the underlying cause of the disease. therapyTherapy refers to the treatment of diseases or disorders with the aim of alleviating symptoms, promoting healing, or improving quality of life. Therapies can be medicinal, surgical, or through other medical interventions. may be required, including fluid replacement and electrolyte balanceThe electrolyte balance refers to the balance of electrolytes in the body, which is essential for many physiological processes. Disturbances in the electrolyte balance can lead to serious health problems.. These measures are especially important in young puppies or severely weakened dogs to avoid complications.
In addition to drug treatment, improving hygienic conditions is crucial to prevent re-infection. This includes regular cleaning and disinfection of the environment, especially the areas where the dog lives and stays.
Prognosis and follow-up care
The prognosis for dogs with coccidiosis is generally good, especially if the infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. is detected and treated early. Most dogs recover completely and without permanent damage if treatment is started in time and carried out correctly.
In puppies or immunocompromised dogs, the course of the disease can be more severe, but even here the prognosisThe prognosis is the prediction of the likely course and outcome of a disease based on the general state of health, the nature of the disease, and the response to treatment. It can provide information on how a disease is expected to develop. is usually positive with appropriate treatment. However, a full recovery may take more time and may require more intensive care.
Repeated infections are possible, especially if hygienic conditions are not improved or the dog is exposed to a high infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. pressure. Therefore, preventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring. is an important part of the management of coccidiosis.
Prevention
The preventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring. of coccidiosis in dogs focuses on minimizing the risk of infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. and improving general health and hygiene standards. Regular cleaning and disinfection of the environment in which dogs live is crucial to prevent the spread of oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats.. This includes cleaning dog kennels, food and water bowls, and toys.
Good hygiene when handling dogs and their feces can also help reduce the risk of infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease.. This includes regularly removing feces from the garden or from walking paths and washing hands after contact with dogs or their environment.
A balanced diet and the avoidance of stressStress refers to the state of an organism reacting to external stimuli or demands. In veterinary medicine, stress can have physical or psychological effects on animals, impacting their health and well-being. can strengthen the immune systemThe immune system is the body's defense system against infectious agents such as bacteria, viruses, fungi, and parasites. It comprises a complex network of organs, cells, and molecules that work together to protect the body. of dogs and make them less susceptible to infections. In dogs that are at increased risk for coccidiosis, the veterinarian may recommend prophylactic measures, such as the administration of anticoccidial drugs in certain situations.
Outlook on current research
Coccidiosis in dogs, caused by single-celled parasites of the genus Coccidia, is a topic of ongoing research because it can lead to severe intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. diseases in certain situations. Scientists are striving to better understand the mechanisms by which these parasites cause infections and how they multiply in the host. A central point of current research is the genetic analysis of the various coccidia species to understand their pathogenicity and the differences in their susceptibility to treatments. Through the use of genomics and other molecular techniques, researchers are trying to identify the genes that are crucial for the virulence and survival of the parasites.
Another exciting field of research is the development of new diagnostic methods. Current diagnoses are often based on microscopic examinations of fecal samples, which is time-consuming and not always reliable. Researchers are working on innovative, faster, and more accurate diagnostic procedures, such as PCR tests, which detect specific DNADNA (deoxyribonucleic acid) is the molecule that carries the genetic instructions for the development, function, and reproduction of all known living organisms and many viruses. It is located in the cells of an organism and contains the information for heredity. sequences of the coccidia. This molecular diagnostics could significantly improve the early diagnosisA diagnosis is the identification of a disease or condition by its symptoms and/or results from diagnostic tests. It is the first step in the management and treatment of patients. and treatment of coccidiosis.
The immune responseAn immune response is the immune system's reaction to foreign substances (antigens), such as microorganisms or proteins. It involves a series of processes aimed at recognizing, fighting, and eliminating these antigens. of dogs to coccidia infections is also an important focus of research. Scientists are investigating how the immune systemThe immune system is the body's defense system against infectious agents such as bacteria, viruses, fungi, and parasites. It comprises a complex network of organs, cells, and molecules that work together to protect the body. of dogs reacts to the parasites and which immunological mechanisms are particularly important to control the infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease.. The goal is to develop vaccines that prepare the dog’s immune systemThe immune system is the body's defense system against infectious agents such as bacteria, viruses, fungi, and parasites. It comprises a complex network of organs, cells, and molecules that work together to protect the body. for an infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease. and thus mitigate or even prevent the course of the disease.
In addition, work is being done on the development of new and improved treatment strategies. Traditionally, antimicrobialAn antimicrobial substance is an agent that serves to inhibit the growth of microorganisms such as bacteria, viruses, fungi, and protozoa, or to kill them. Antimicrobials are frequently used to treat infections. agents are used to treat coccidiosis, but there is a growing interest in exploring natural and less toxicToxic means "poisonous" and refers to substances that can have harmful effects on the body, including damage to organs, cells, or disruption of metabolic processes. alternatives. Phytochemicals and probiotic preparations are promising research directions that have the potential to treat coccidiosis without negatively affecting the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. microbiota.
Another important aspect of the research is understanding the transmission routes of coccidia. Researchers are investigating how environmental factors, including hygiene practices and habitat conditions, influence the spread of the parasites. These findings are crucial for the development of effective preventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring. strategies that can reduce the risk of infectionAn infection is the colonization and multiplication of pathogens such as bacteria, viruses, fungi, or parasites in an organism, which often, but not always, leads to a disease..
Overall, current research on coccidiosis in dogs shows that there are still many questions to be answered, but the advances in the fields of geneticsGenetics is the science of genes, heredity, and the variation of organisms. It studies how genetic information is passed from generation to generation and how it influences the development, appearance, and behavior of living things., diagnostics, immunology, and therapyTherapy refers to the treatment of diseases or disorders with the aim of alleviating symptoms, promoting healing, or improving quality of life. Therapies can be medicinal, surgical, or through other medical interventions. are promising. The results of this research could be important not only for veterinary medicine, but also for understanding coccidia infections in other animals and even in humans.
Frequently asked questions (FAQs)
-
What are coccidia? Coccidia are single-celled parasites that belong to the protozoa. They infect the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. tract of dogs and can cause diarrheaDiarrhea refers to the condition of frequent, watery bowel movements, which can be a sign of infections, digestive disorders, or other health problems. and other gastrointestinalGastrointestinal refers to the gastrointestinal tract, a system that extends from the oral cavity to the anus and is responsible for the digestion of food and the absorption of nutrients. symptoms in severe infections.
-
How do dogs get infected with coccidia? Dogs often become infected by ingesting infected oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. that are excreted in the feces of other infected animals. This can happen when dogs drink contaminatedContaminated describes something that has been polluted by harmful microorganisms, chemicals, or other dangerous substances. In veterinary medicine, this can affect food, water, toys, or the environment. water or lick soil, grass, or other contaminatedContaminated describes something that has been polluted by harmful microorganisms, chemicals, or other dangerous substances. In veterinary medicine, this can affect food, water, toys, or the environment. surfaces.
-
What symptoms occur with coccidiosis? The symptoms can vary, but often include diarrheaDiarrhea refers to the condition of frequent, watery bowel movements, which can be a sign of infections, digestive disorders, or other health problems., sometimes with blood or mucus, vomiting, loss of appetite, and in severe cases dehydrationDehydration occurs when the body loses more fluid than it takes in. This can lead to a number of problems, including headaches, Dizziness, and in extreme cases, renal failure or Cardiovascular collapse. and weight loss.
-
How is coccidiosis diagnosed in dogs? The diagnosisA diagnosis is the identification of a disease or condition by its symptoms and/or results from diagnostic tests. It is the first step in the management and treatment of patients. is usually made by a microscopic examination of fecal samples to identify the oocystsOocysts are resistant, dormant forms of certain parasites, especially protozoa, that can survive in the environment. They are an important stage in the life cycle of some parasites that can cause diseases such as coccidiosis in dogs and cats. of the coccidia. In some cases, molecular tests such as PCR may also be used.
-
How is coccidiosis treated in dogs? Treatment usually consists of administering antiparasiticsAntiparasitics are medications or substances used to treat parasitic infestations, such as worms, protozoa, and ectoparasites. They work by killing the parasites or inhibiting their growth. that are specifically effective against coccidia. In addition, supportiveSupportive refers to supportive treatments that aim to alleviate symptoms and improve quality of life without directly treating the underlying cause of the disease. therapyTherapy refers to the treatment of diseases or disorders with the aim of alleviating symptoms, promoting healing, or improving quality of life. Therapies can be medicinal, surgical, or through other medical interventions. may be necessary to stabilize the dog’s fluid and electrolyte balanceThe electrolyte balance refers to the balance of electrolytes in the body, which is essential for many physiological processes. Disturbances in the electrolyte balance can lead to serious health problems..
-
Can humans get infected with coccidia from dogs? The coccidia species that infect dogs are generally not transmissible to humans. However, there are other coccidia species that can infect humans, so hygiene is important when handling infected animals.
-
Can other animals get coccidia from dogs? Yes, other animals, especially domestic dogs and cats, can become infected with coccidia. This depends on the specific coccidia species, as some species are host-specific.
-
How can I prevent my dog from getting coccidiosis? Good hygiene practices are crucial. Keep the environment clean, remove feces regularly, and make sure your dog does not drink contaminatedContaminated describes something that has been polluted by harmful microorganisms, chemicals, or other dangerous substances. In veterinary medicine, this can affect food, water, toys, or the environment. water or sniff in unknown places.
-
Is coccidiosis life-threatening for dogs? Coccidiosis is usually not life-threatening in healthy adultThe term "adult" refers to an individual who has reached full physical development and is considered an adult. In veterinary medicine, this term is used to describe animals that have completed growth and are of reproductive age. dogs, but can seriously affect puppies, older dogs, or dogs with weakened immune systems and then requires immediate veterinary treatment.
-
Is there a vaccineA vaccine is a substance that stimulates the immune system to develop immunity against specific pathogens without causing the disease itself. Vaccines may contain weakened or inactivated pathogens, toxoids, or recombinant antigens. against coccidiosis in dogs? Currently, there is no commercial vaccineA vaccine is a substance that stimulates the immune system to develop immunity against specific pathogens without causing the disease itself. Vaccines may contain weakened or inactivated pathogens, toxoids, or recombinant antigens. against coccidiosis in dogs. However, research is being conducted intensively to develop an effective vaccineA vaccine is a substance that stimulates the immune system to develop immunity against specific pathogens without causing the disease itself. Vaccines may contain weakened or inactivated pathogens, toxoids, or recombinant antigens. to improve the preventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring. of infections in the future.
When to visit the vet?
Non-urgent see a veterinarian within 2–3 days
If the condition worsens / symptoms persist, consult a veterinarian.
You can find an interesting overview of gastrointestinalGastrointestinal refers to the gastrointestinal tract, a system that extends from the oral cavity to the anus and is responsible for the digestion of food and the absorption of nutrients. problems in dogs, supplemented with information on the intestinalIntestinal refers to the intestine, the part of the digestive tract that extends from the stomach to the anus. Intestinal diseases affect the small and/or large intestine. microbiome and the importance of probiotics, here: https://petsvetcheck.de/fachbeitrag/magen-darm-probleme-beim-hund/