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Gastrointestinal Problems in Dogs
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Causes and Symptoms
Gastrointestinal disturbances in dogs can be caused by various factors. The most common causes include:
- Incorrect diet: Sudden changes in food, poor quality food, intolerances, or eating spoiled food can trigger digestive problems.
- Infections and parasites: Bacteria (e.g., Salmonella), viruses (e.g., parvovirus), or parasites such as worms and Giardia can damage the gastrointestinal tract.
- Chronic diseases: Diseases such as inflammatory bowel disease (IBD), pancreatic insufficiency, or metabolic disorders can lead to long-lasting digestive problems.
- Stress and environmental factors: Changes in the environment, separation anxiety, or loud noises can negatively affect gut health.
- Toxins and medications: Consuming toxic substances (e.g., chocolate, onions) or side effects of certain medications can cause gastrointestinal discomfort.
We have listed the main causes of gastrointestinal diseases and digestive disorders here: (https://petsvetcheck.de/krankheiten-und-stoerungen/).
All listed diseases, disorders, and complaints in the gastrointestinal area can be accessed directly for details.
The Typical Symptoms for Diseases in the Gastrointestinal Tract are:
• Diarrhea
• Vomiting
• Abdominal pain
• Abdominal cramps
• Flatulence
• Loss of appetite
• Lethargy
• Fever
A compilation of the most common causes of problems in the stomach and intestinal area in dogs can be found here:
Diagnostics
Diagnostics depend on the affected region of the gastrointestinal tract.
If the esophagus or stomach is affected, an endoscopic examination (gastroscopy) is the primary option. This imaging procedure allows for a very good assessment of the mucous membrane. Samples can be taken for various laboratory tests and also tissue samples for cell and tissue examination.
For diseases and disorders in the small and large intestine, imaging procedures such as X-ray and computed tomography with and without contrast medium are also primarily considered.
For diarrhea diseases, various laboratory diagnostic tests of stool samples and blood are common. Depending on the suspicion, further examinations may follow.
In acute diarrhea, an infectious or allergic event can often be assumed. Poisonings are also not excluded. In chronic diarrhea, an allergic event or functional disorders such as irritable bowel syndrome may also be present. In these cases, cancer must also be considered.
Therapy
Many diseases of the gastrointestinal tract can be treated very well with medication. Sometimes inpatient admission is also advisable, especially if there is already a fluid deficit and feeding is not possible due to repeated Vomiting. Young animals are particularly at risk. In the case of an allergic background to the complaints, dietary advice may also be sufficient.
If stomach and duodenal ulcers are suspected, long-term, acid-inhibiting treatment is indicated. The detection of possible causes, including the bacteria Helicobacter pylori, should be aimed for. Then a corresponding, targeted therapy is necessary.
What is the importance of the intestine beyond the digestion of nutrients?
The sum of all bacteria in the intestine is called the gut microbiome. It is not generally known that about 70 percent of all immune cells are located in the intestine and the vast majority of all immune responses also take place there.
Overall, the gut microbiome is important for:
- supporting the immune system
- avoiding allergies
- regulating metabolism
- general well-being
- promoting skin health and coat quality
- absorbing vitamins
- the vitality of older animals
The composition of the microbiome is individual for each individual. The mucous layer of the gastric and intestinal mucosa is the breeding ground for these bacteria. Together they form a protective barrier against pathogens. The integrity and optimal composition of this protective barrier are, as in humans, an important basis for the health and well-being of our dogs and cats.
Stress, improper nutrition, or the administration of medications can damage this layer, reduce the proportion of beneficial bacteria, and allow undesirable, disease-causing bacteria or putrefactive bacteria to multiply disproportionately. Such a disturbance in the composition of the microbiome is called dysbiosis.
We should also pay attention to these connections known from human medicine in our dogs and cats and be sensitive to the use of antibiotics.
Probiotics can be helpful for intestinal rehabilitation. However, two essential criteria must be met for their usefulness. These are: The number of strains contained should come as close as possible to the microbiome in dogs and cats, and the dosage, i.e., the amount of microcultures in the preparation, should be as high as possible. A high dosage sets a sufficiently large impulse so that the rehabilitation of the intestinal environment gets going at all.
Last but not least, the packaging must ensure that the contained bacteria remain viable. Only so-called aluminum-aluminum blisters, in which each capsule is individually encased in an aluminum chamber, are actually suitable.
The idea of rehabilitating the intestinal environment with natural yogurt after a longer-term input of antibiotics is questionable when you consider that good microculture preparations in human medicine contain at least 20 billion colony-forming units (CFU). To reach this value, about 25 kilograms (!) of yogurt would have to be ingested.
When are probiotics useful for dogs?
- for acute and chronic gastrointestinal problems (Diarrhea, Flatulence)
- after antibiotic therapy to support the build-up of beneficial intestinal flora
- in situations associated with severe Stress
- in case of general immune deficiency
- for allergies and food intolerances
What is a fecal transplant?
Fecal transplantation – usually referred to in technical language as fecal microbiota transplantation (FMT) – is a procedure in which processed stool from a healthy donor is transferred into the intestine of a sick animal. In dogs, this method is used for severe or chronic diarrhea diseases, especially when conventional therapies do not show sufficient success. The treatment method has been established in human medicine for a long time. In veterinary medicine, although very successful, it is still not widely used.
The goal is to build a healthy gut microbiome in the recipient animal so that “good” bacteria can reduce inflammatory processes in the intestine and normalize digestion. The donor stool sample is processed in a special procedure (filtered, possibly deep-frozen, and examined for germ contamination) before it is administered to the affected dog – usually via the rectum (rectal catheter) or the small intestine (via endoscope or gastric tube).
In initial studies, dogs with therapy-resistant gastrointestinal problems (e.g., chronic diarrhea) often showed a significant improvement in stool consistency and general well-being after FMT. Nevertheless, the procedure is still relatively new in veterinary medicine; it is not yet performed by all veterinarians and requires carefully selected donors to minimize the risk of unwanted germs.
Frequently Asked Questions (FAQs)
1. Why should I ensure a healthy intestinal flora for my dog?
A healthy intestinal flora (or, in technical terms: a balanced gut microbiome) is so important in dogs because it plays a decisive role in supporting the entire organism. Specifically, a balanced bacterial colonization in the intestine ensures that:
- Nutrient absorption can take place optimally.
The intestinal bacteria help break down and utilize food components so that the dog can absorb important vitamins, minerals, and other nutrients well. - Harmful substances and pathogens are kept in check.
An intact intestinal flora acts like a protective shield: “Good” bacteria prevent potentially disease-causing germs from multiplying uncontrollably and thus strengthen the immune system. - The immune system is strengthened long-term.
A large part of the immune cells are located in the intestine. A balanced microbiota promotes the maturation of these immune cells and ensures a stable balance between defense and tolerance. - Digestive problems such as Diarrhea or constipation are avoided or alleviated.
With a stable intestinal environment, stool consistency is usually good, and digestion proceeds without disturbance. - Stress and general well-being can be positively influenced.
A healthy microbiome has also been shown to contribute to the release of fewer stress hormones. This helps the dog to remain calmer in stressful situations.
In summary, a balanced intestinal flora is a basic prerequisite for the physical and mental well-being of the dog. Therefore, pay attention to high-quality nutrition, regular preventive care (e.g., deworming and veterinary check-ups), and possible support for the gut microbiome (e.g., through probiotics) so that your dog remains healthy and cheerful all around.
2. What could indicate a disturbed intestinal flora?
A disturbed intestinal flora often manifests itself through various digestive and general complaints. Typical signs can be:
- Diarrhea or mushy stool
If digestive problems occur frequently and repeatedly, this can be an indication of an imbalance in the intestine. - Flatulence and abdominal sounds
Frequent Flatulence or clearly audible bowel sounds often indicate that putrefactive processes or abnormal fermentation are taking place in the intestine. - Changes in appetite and Weight loss
With a disturbed intestinal flora, nutrients are absorbed less efficiently, so the dog may lose Weight or generally appear “unwell” despite sufficient food. - Lethargy or reduced performance
A persistent imbalance in the intestine can affect general well-being: the dog appears exhausted and has less energy. - Frequent infections and weakened immune system
Since a large part of the immune system is located in the intestine, dogs with dysbiosis (unhealthy microbiome) are sometimes more susceptible to infections or other diseases. - Skin and coat problems
Poor gut health manifests in some dogs through Skin rash, Itching, or dull coat.
If several of these Symptoms occur more frequently or over a longer period, it is worth seeking veterinary advice. After an examination (e.g., stool and blood tests), it can often be determined whether a disturbed intestinal flora is the cause and how it can be brought back into balance.
3. When should I give my dog probiotics?
The feeding of probiotics can be useful in various situations to support or rebalance your dog’s intestinal flora:
- After antibiotic treatments
Antibiotics not only work against unwanted bacteria but also against many beneficial bacteria in the intestine. Probiotics help to rebuild the intestinal flora more quickly. - For recurrent Diarrhea or sensitive digestion
Dogs with a sensitive gastrointestinal tract or frequent digestive problems can benefit from probiotics by building a more stable and resilient microbiota. - After severe diarrhea diseases
If a dog suffered from acute Diarrhea or gastroenteritis, probiotics often accelerate regeneration and improve stool consistency. - Support during Stress situations
In phases that put a lot of strain on the dog (e.g., moving, long journeys, competitions), the microbiome can suffer. Probiotics can help maintain the balance in the intestine during such Stress phases. - During food changes
If you change your dog’s food (e.g., type, brand, or form of administration), an additional dose of probiotics can facilitate adaptation in the intestine and prevent digestive problems. - Long-term immune support
In some cases, a course or permanent administration of probiotics is recommended – especially for chronically sensitive animals – to stabilize gut health and strengthen the immune system.
Whether probiotic feeding makes sense and which preparation is best always depends on the individual health condition of the dog. Veterinarians or specialized nutrition consultants for dogs can advise you on this and make appropriate recommendations.
4. What should be considered when feeding probiotics?
If you want to give your dog probiotics, you should pay attention to the following points:
- Choose a high-quality preparation
Make sure you choose a product specifically developed for dogs. It should contain sufficient live germs and, if possible, be tested for safety and efficacy. - Pay attention to the correct dosage
Adhere to the manufacturer’s instructions or your veterinarian’s recommendation. Over- or underdosing can reduce the desired effect or lead to mild digestive problems. - No heating or hot food
Live bacterial cultures are sensitive to high temperatures. Therefore, only mix probiotics with food at room temperature so that the beneficial microorganisms do not die. - Start slowly and observe
It is best to start with the recommended minimum amount and observe whether your dog responds well to it. If no problems occur, you can adjust the dosage if necessary. - Consult a veterinarian for persistent complaints
Probiotics often help with mild digestive problems, but they do not replace a veterinary diagnosis and therapy if, for example, serious Diseases or parasite infestation are present. Always consult a specialist for persistent Symptoms. - Pay attention to freshness and proper storage
Some probiotics require refrigeration or should not be stored in direct sunlight. Inform yourself in the package insert or from the manufacturer so that the germs remain alive.
If these points are observed, probiotics can be a valuable support for your dog’s intestinal health and contribute to a more stable digestive tract.
5. What probiotics are available for dogs?
There are a number of different probiotics on the market that have been specially developed for dogs. They often contain bacterial strains such as Enterococcus faecium, Lactobacillus acidophilus, Bifidobacterium species, or Saccharomyces boulardii (a yeast). Here is a brief overview of some common variants:
- Products with Enterococcus faecium (e.g. SF68)
- FortiFlora (Purina): Contains the strain Enterococcus faecium SF68, is available as a powder and is often used for Diarrhea or after antibiotic administration.
- Entero*-supplement products from various manufacturers: Often similar bacterial strains, sometimes combined with vitamins and electrolytes. They have proven effective for puppy diarrhea or as an accompaniment to antibiotic administration.
- Lactobacillus and Bifidobacterium preparations
- Pro-Kolin varieties (Protexin): Contain various strains such as Lactobacillus acidophilus and Bifidobacterium, as well as kaolin pectin to firm up the stool.
- Special capsules or powders with multiple bacterial cultures: They often combine several Lactobacillus and Bifido strains to cover a broad spectrum.
- Yeast-based probiotics
- Saccharomyces boulardii: Is used especially when antibiotics or other agents are intended to displace unwanted bacteria, as yeasts, unlike bacteria, are not killed by antibiotics.
- Some combination preparations contain both yeasts and bacterial cultures to counteract acute diarrhea phases.
- Combined preparations with prebiotics
- Some probiotics are additionally enriched with prebiotics (e.g., fructooligosaccharides/inulin). These indigestible fibers serve as “food” for the beneficial bacteria and support their colonization in the intestine.
- Therapeutic diets with probiotics
- Some pet food manufacturers (e.g., Royal Canin, Hill’s, Purina) offer special food for sensitive dogs that already contains probiotic strains or prebiotic fibers.
When buying or using probiotics, one should always pay attention to the quality and type of bacterial strains, as well as a sufficient dosage (colony-forming units, CFU). Not every product is equally suitable for every dog. In the EU, only a few probiotic bacterial strains are approved for dogs. For these, it has been proven that they positively influence the dog’s microbiome and are harmless to health.
6. How long and how often should I give my dog probiotics?
The administration of probiotics in dogs depends on the respective health condition, the type of probiotic and the recommendations of the veterinarian. In general, the following points have proven successful:
Duration of use
- Acute complaints: For short-term digestive problems (e.g., Diarrhea, after antibiotic administration or food change), probiotics are usually administered for 2–4 weeks to rebalance the intestinal flora.
- Chronic complaints: For longer-term or recurring digestive disorders, food intolerances, or allergies, a longer or even permanent administration may be useful. Here it is advisable to discuss the course of treatment with the veterinarian at regular intervals and adjust it if necessary.
Frequency of administration
Usually, a probiotic is administered once a day with food. Sometimes two doses per day can also be useful. The exact dose and frequency depend on the concentration of the bacterial cultures contained and the manufacturer’s recommendation. Consultation with the veterinarian provides certainty and helps to determine the correct amount.
Dosage and product selection
- Pay attention to high-quality probiotics specifically developed for dogs. Products for humans may contain different bacterial strains in concentrations not optimal for dogs.
- Incorrect dosages may lead to undesirable effects such as Flatulence or Diarrhea; therefore, it is important to observe the instructions for use.
Effect and control
- Changes in stool consistency, appetite or general condition can be indications of effectiveness or tolerability. If symptoms persist or worsen (e.g. frequent Diarrhea, Vomiting), a renewed visit to the veterinarian is advisable.
- A stool examination can also help to assess the success of probiotic administration by checking the microbiological balance in the intestine.
Special situations
- Antibiotic treatment: A simultaneous administration of probiotics may be advisable to reduce the death of healthy intestinal bacteria; it is sometimes recommended to administer probiotics during and two to four weeks after the end of antibiotic treatment.
- Operations or Stress situations: In cases of increased Stress, after operations or vaccinations, supportive probiotic administration can help strengthen the immune system and reduce digestive problems.
Conclusion:
- How long? In most cases at least 2-4 weeks, if necessary also longer or permanently.
- How often? Usually once per day according to the manufacturer’s instructions or veterinary recommendation.
7. Is it useful to administer prebiotics in addition to probiotics?
The simultaneous administration of probiotics and prebiotics is useful in many cases in dogs, as both support and complement each other in their effect. Here is an overview:
- What are prebiotics?
- Prebiotics are indigestible food components (often special fibers such as inulin, FOS (fructooligosaccharides) or MOS (mannan-oligosaccharides)) that promote the growth of healthy intestinal bacteria.
- They serve as “food” for the desired bacterial strains in the intestine and thus contribute to a balanced intestinal environment.
- Synergy of probiotics and prebiotics
- Probiotics (live bacterial strains) can colonize the intestine more easily if they have prebiotics that serve as a nutrient source for them.
- By combining both substances, the intestinal flora is supported in two ways: on the one hand, beneficial bacteria enter the intestine, and on the other hand, the already existing or supplemented bacteria receive an optimal nutritional basis.
- Benefits for the dog
- Support for digestion: The improved conditions for beneficial bacteria can help reduce Diarrhea, Flatulence, or other digestive disorders.
- Strengthening the immune system: A healthy intestine contributes significantly to the defense against pathogens.
- Better utilization of nutrients: A well-functioning intestine can optimally absorb important nutrients.
- Recommended situations
- After antibiotic administration for faster and more sustainable restoration of a healthy intestinal flora.
- For chronic or recurring digestive problems (e.g., soft stool, sensitive gastrointestinal areas, food changes).
- In cases of Stress, operations, or generally when the immune system or digestion needs additional support.
- Application notes
- In many cases, a combination of pro- and prebiotics is possible and is often already offered in combination preparations.
- When dosing, the manufacturer’s instructions should be observed and veterinary advice should be sought if necessary. Too high amounts of prebiotics can lead to increased Flatulence or Diarrhea, especially in sensitive dogs.
Conclusion
- Yes, it can be very useful to give prebiotics in addition to probiotics, as both interact and complement each other in their effect.
- The exact dosage and selection of suitable preparations should best be done in consultation with the veterinarian to ensure optimal tolerability and effectiveness.
8. Can I give my dog probiotics even without an obvious reason?
Giving probiotics “just like that” without a specific reason is basically possible and not harmful for most dogs. However, there are some points to consider:
- Support for the intestinal flora
- Probiotics can supply the intestine with beneficial bacterial strains and thus contribute to the stabilization of the intestinal flora. A healthy intestine is important for good digestion and a strong immune system.
- However, dogs that do not have digestive problems and are generally healthy do not always noticeably benefit from a routine probiotic administration.
- Prevention in case of Stress or change
- Mild Stress situations (e.g., moving, travel, food change) or minor everyday stresses can justify a short-term administration of probiotics to support the digestive system.
- In these cases, preventive intake can be useful so that the intestine remains stable in an unusual situation.
- Long-term use
- Anyone who wants to give their dog probiotics permanently should always weigh the cost-benefit ratio.
- A healthy intestinal flora needs regular “care,” but is usually also sufficiently supported by high-quality, balanced nutrition and a low-Stress daily life.
- Individual tolerability
- In general, high-quality probiotics are well tolerated. Nevertheless, Flatulence or Diarrhea can rarely occur if the product is not optimally adapted to the dog or the dosage is chosen too high.
- Veterinary advice
- In healthy dogs without complaints, a regular administration of probiotics is often not mandatory.
- However, anyone who wants to use probiotics preventively or is unsure whether a certain combination of pro- and prebiotics is suitable should seek veterinary advice and discuss the individual situation of the dog.
Conclusion:
- It is generally possible to give probiotics to healthy dogs without a specific reason, for example, for prevention in Stress situations.
- A permanent routine application is usually not necessary for dogs without symptoms, but it can be useful in consultation with the veterinarian, for example, if you want to provide preventive support for special burdens.
- Always pay attention to high-quality preparations and observe whether your dog tolerates them well.
9. My dog has a food allergy. What do I need to consider if I want to use probiotics?
If your dog has a food allergy and you want to give probiotics, there are some important aspects to consider:
- Check the composition of the probiotic
- Make sure that the preparation does not contain any allergens to which your dog is sensitive (e.g., certain proteins from cow’s milk, soy, or grains).
- Read the list of ingredients carefully and, if in doubt, choose a product that has been specially developed for allergy dogs.
- Special bacterial strains
- Some probiotics contain various bacterial cultures (e.g., Lactobacillus, Bifidobacterium). These are generally considered well-tolerated and can even help stabilize a disturbed intestinal barrier.
- One goal can be to support the intestinal immune system so that it reacts less excessively to allergens.
- Elimination diet or special food
- Dogs with food allergies are often prescribed an elimination diet or hypoallergenic food. Check whether the probiotics can be easily integrated into this feeding regimen.
- Make sure that the probiotics are free of unwanted additives that could impair the diet therapy.
- Dosage and tolerability
- Start with a low dosage and observe your dog for possible undesirable reactions (e.g. Diarrhea, Vomiting, Itching).
- Increase the amount gradually only if your dog tolerates the product well.
- Control and monitoring of success
- An improvement in allergy Symptoms often only occurs after several weeks, as the intestine first needs to regenerate and the body’s immune response needs to stabilize.
- If, on the other hand, a deterioration occurs within a few days, the probiotic should be discontinued and veterinary advice should be sought.
Conclusion:
- Choose probiotics without known allergy triggers for your allergic dog and discuss the application with your veterinarian beforehand.
- Pay particular attention to composition, dosage and tolerability in order to ensure optimal support of intestinal health and avoid allergic reactions.
Literature
- SCHMITZ, Sabrina and SUCHODOLSKI, Jan S.
Understanding the canine intestinal microbiome and its modification by pro-, pre- and synbiotics. Journal of Veterinary Internal Medicine, 2016, 30(1), pp. 11–22.
2. XIA, Junliang, et al. The function of probiotics and prebiotics on canine intestinal health and their evaluation criteria. Microorganisms, 2024, Vol. 12, No. 6, p. 1248.
3. BAILLON, Marie-Louise A.; MARSHALL-JONES, Zoe V.; BUTTERWICK, Richard F. Effects of probiotic Lactobacillus acidophilus strain DSM13241 in healthy adult dogs. American journal of veterinary research, 2004, Vol. 65, No. 3, pp. 338-343.
4. Ziese AL (2020) Probiotic Therapy in Dogs with Acute hemorrhagic Diarrhea Syndrome. Dissertation, Faculty of Veterinary Medicine of the Ludwig-Maximilians-University Munich