INCREDIBLE IN EVERY DETAIL EVERY URINARY ......Chew D – Canine and Feline Nephrology and Urology;...
Transcript of INCREDIBLE IN EVERY DETAIL EVERY URINARY ......Chew D – Canine and Feline Nephrology and Urology;...
EVERY URINARYCONDITION DESERVES TO BEDILUTEDTailored nutritional solutionsto support feline and canineurinary health
INCRED IBLE IN EVERY DETA IL
MAIN RISK FACTORS55-65%
IdiopathicCystitis
15-21% Urolithiasis
10-21% Urethral
plugs
1-2% Neoplasia
1-8% Infection
10% Anatomic
defects
9% Behaviour disorders
CAT
40% Cystitis (Urinary Tract
Infection included)
18% Others
18% Urolithiasis
24% Incontinence
DOG
LOWER URINARY TRACT DISEASE:
ONE DISEASE –MULTIPLECONDITIONSLower urinary tract disease (LUTD) encompasses a varietyof conditions that affect the bladder and urethra. That’swhy, despite significant advances in veterinary medicine andthe latest diagnostic technologies, LUTD remains challenging to manage.
MOSTCOMMONLUTD
CLINICAL SIGNS
RECURRENCE IS COMMON
Source: Lulich JP, Osborne CA, Bartges JW et al - Canine lowerurinary tract disorders. In Ettinger SJ, Feldman EC, (eds). Textbook ofVeterinary Internal Medicine Diseases of the Dog and Cat. 5th edition.Philadelphia: WB Saunders Co, 2000: 1747-1781.
1 Chew D – Canine and Feline Nephrology and Urology; p 336; Elsevier 2011.2 Bartges J & Polzin DJ – Nephrology and Urology of Small Animals. Wiley-Blackwell 2011.
Source: Susan Little, The Cat: Clinical Medicineand Management. Elsevier 2012. ISBN: 978-1-4377-0660-4 page 981.
Periuria(urinating ininappropriateplaces)
Anuresis(unable topass urine)
Dysuria(painfulurination)
Haematuria(blood in urine)
Stranguria(straining whileurinating)
In cats, Feline IdiopathicCystitis (FIC) is a chronicdisease with frequent
relapses.
Pollakiuria(increasedfrequency ofurination)
50%of cats with FIC can haveanother episode within
12 months1.
Urolithiasis can recur if the risk factors do not change(diet, lifestyle, infection,
weight, etc.).
same circumstances =
same consequences2
In dogs, where UrinaryTract Infections are themost common LUTD,
5%of positive culturesare from recurrent
infections1.
Stress
Overweight or obesity
Insufficient water intake
Inadequate diet
Existing disease
Medical treatment
Age
Breed
Gender
URINARYSIGNS
High quality proteins
Controlled and balanced mineral
content
ROYAL CANIN RSS PERFORMANCE
02FOOD
3Landsberg G, Milgram B, Mougeot I - Therapeutic effects of an alphacasozepine and L-tryptophan supplemented diet on fear and anxiety in the cat. *National Research Council, Nutrient requirements of dogs and cats, 2006.
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WET OR SPECIFIC DRY FORMULA COULD INCREASE WATER INTAKE
ml/kg*Daily water requirement
DOGml/kg*
CAT
Daily water requirement
METASTABLE SUPERSATURATIONCrystal solubility
No crystal formation/dissolution
LABILE SUPERSATURATIONCrystal formation
UNDERSATURATION
WET ORI
mCATAT
Daily water re
WHATEVER THE CONDITION,
NUTRITION PLAYSA KEY ROLE TOHELP SUPPORT APET WITH LUTDControlling water, nutrient and mineral intake can play a key role in supporting a urinary patient’s recovery.
HYDRATIONINCREASING WATERINTAKE TO DILUTE URINE
LUTD CAN BEDIET-RESPONSIVE3
WET DIETS OR A SPECIFIC DRY FORMULATIONCAN INCREASE WATER INTAKE
• Nutritional management plays aprimary role in the dissolution ofstruvite uroliths.
• Low calcium oxalate (CaOx) RSS willreduce the formation of CaOx crystals.
• Specific nutrients are useful in themanagement of cats with FIC.
High quality proteins
Controlled and balanced mineral
content
No crystal f
ROYAL CANIN® DIETSincrease water intakeand guarantee high
Relative Supersaturation (RSS)performance in mixed feeding
Specific nutrientslike L-tryptophan
or alpha-casozepine
FELINE NUTRITIONAL MANAGEMENT
DECISION TREECANINE NUTRITIONAL MANAGEMENT
DECISION TREEDISSOLUTION OF PURE STRUVITE CRYSTALS/STONES AND REDUCTION OF FORMATION OF CALCIUM OXALATE
OR STRUVITE CRYSTALS/STONES
LONG TERMMANAGEMENT
OF CATS WITH FIC
IDEALWEIGHT
IDEALWEIGHT
NEUTERED OR PRONE TOWEIGHT GAIN
NUTRIENT INTOLERANCE
IDEALWEIGHT
NEUTERED OR PRONE TOWEIGHT GAIN
NUTRIENT INTOLERANCE
OVERWEIGHT/OBESE(BCS=6)
P
>
AGE
S
I
P
H
CAT D
i
DOG
URINARY
HYPOALLERGENIC
URINARY
SATIETY
URINARY
CALM
URINARY S/O URINARY S/O URINARY S/O URINARY S/O URINARY URINARY S/OMODERATE CALORIE
URINARY S/OMODERATE CALORIE
SINGLECONDITION
MULTIPLECONDITIONS
MULTIPLECONDITIONS
SINGLECONDITION
DISSOLUTION OF PURE STRUVITE CRYSTALS/STONES AND REDUCTION OF FORMATION OF CALCIUM OXALATE
OR STRUVITE CRYSTALS/STONES
REDUCTION OFFORMATION OFURATE CYSTINE OR XANTHINE
CRYSTALS/STONES
sSMALL DOGS
U/CAGEING 7+
< 7 YEARS OLD > 7 YEARS OLD
< 10kg Body Weight > 10kg Body Weight
OVERWEIGHT/OBESE(BCS=6)>
+ + URINARY
HYPOALLERGENIC
URINARY
SATIETY+ ++
WHAT IT IS
WHEN TO USE IT
PROBLEMOR RISK
AT HOME HEMATURIA DETECTION
TEST
DIAGNOSIS
W
W
W
W
W
LITTER GRANULES FOR BETTER FOLLOW UP
RECURRENCE IS COMMON
Early detection of signs of recurrence can reduce complications
• White granules with a reagent incorporated that turns fromwhite to blue when it comes intocontact with blood.
HEMATURIA DETECTION should be used as a followup after an episode of LUTD.
VETERINARYRECOMMENDATION• Medication• Adapted
nutrition• HEMATURIA
DETECTION
IF GRANULESTURN BLUE,CONSULT YOUR VETFOLLOW UP
CAT OWNERS WORRY ABOUT THEIR PET’S HEALTH
Difficult to have effective follow up at home
CATS OFTEN HIDE SIGNS OF DISEASE
Difficult to detect healthproblems at an early stage
HEMATURIA IS A STRONG INDICATOROF MOST LUTD
Early detection of this key indicator can enable earlier intervention
ROYAL CANIN HEMATURIA DETECTION BY BLÜCARE IS A TOOL WHICH ENABLES
EARLY DETECTION OF BLOOD IN A CAT’S URINE MAKING HEALTH
MANAGEMENT EASIER
A BREAKTHROUGHTOOL FOR
HAEMATURIA DETECTION
LUTD SIGNS ARECHALLENGINGTO FOLLOW
Spread the granulesover the cat litter.
Inspect the litter boxafter the cat urinates.
If the granules arewhite, the test is negative.
If the granules haveturned blue,the testis positive and indicatesthe presence of bloodin the cat’s urine.
Consult your vetwithout delay.
HOW TO USE IT
SYSTEM
SYSTEM
SYSTEM
MAIN FEATURES AND BENEFITS
URINARY TRACT HEALTH
COGNITION AND VITALITY
AGEING SUPPORT
HIGHLY PALATABLE PRODUCTS
URINARY SECURITY
Effective struvite stonedissolution and specificallyformulated for up to 80%
of all urinary stones.
Support dogs’ vitality and cognition with an exclusive
blend of nutrients and antioxidants. Also supports
kidney health.
To facilitate food intake with ageing dogs suffering
from poor appetite.
RSS tested to reduce the risk of struvite and calcium oxalate
crystal formation.
SYSTEM
DRY1kg / 3.5kg / 8kg
WETPOUCH 85g
COMPLIANT MIXED FEEDING COMBINATION
NEW PRODUCT INNOVATION
URINARY S/O AGEING 7+Cutting edge innovation to effectively manage and support ageing dogs with LUTD.
MORE THAN 1/5DOGS DEVELOP COGNITIVE DYSFUNCTION
SYNDROME AFTER 9 YEARS OLD
OTHER ISSUES EFFECTING AGEING DOGS INCLUDE:
Increased susceptibility to infection
Decreased capacity to retain water
Behavioural changes
Increased sensitivity to stimuli
Sarcopenia
Poor appetite
Reduced nutrient absorption
LOWER URINARY TRACT DISEASE:
ONE GOAL
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4 Buffington CA et al -Clinical evaluation of multimodal environmental modification (MEMO) in the management of cats with idiopathic cystitis. J Feline Med Surg. 2006 Aug;8(4):261-8.
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Over the years, we have continued towards a common goal of ensuring the best urinaryhealth for pets. As your nutritional partner, we are determined to go further in oursearch for more innovative nutritional solutions and services to ensure your clients aremore satisfied and your business more successful.
Together, we can support your patients to help maintain their urinary health.
• History • Clinical examination• Radiography • Urinalysis• Ultrasonography
• Increase water intake• Diet adaptation• Medical treatment• Environmental modification(FIC cats)
• Lifestyle changes• Surgery
• Regular urinalysis• Specific diet• Weight monitoring (in petsat risk of obesity)
• Environmental changes incats (identify triggeringfactors)4
• Hematuria Detection
• To build awareness and knowledge
• To ensure long termcompliance
• To minimise concern• To help avoidrecurrence
DIAGNOSIS
MANAGEMENT PROTOCOL
FOLLOW UP
TO MINIMISE RECURRENCE
PET OWNER
COMMUNICATION
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