Tailored nutritional solutions to support cats and dogs with digestive disorders and during critical care

MAKE EVERY MOUTHFUL COUNT

DIGESTIVE DISORDERS ARE AMONGST THE TOP 3 REASONS FOR VETERINARY CONSULTATIONS[1]

WITH GASTROINTESTINAL DISORDERS, EVERY MOUTHFUL COUNTS

‘URBAN MYTHS’ PET OWNERS MAY BE INFLUENCED BY DIFFERING AND CONFUSING IDEAS ABOUT NUTRITION

THE SEARCH FOR FAST SOLUTIONS WHEN CATS AND DOGS HAVE GASTROINTESTINAL TRACT DISORDERS, THE PET OWNER WANTS RESULTS FAST!

In 12 months, the number of Google queries for “how to stop dog diarrhoea fast” has increased by 120% worldwide[4].

17.8% 10%10% of cats attending first opinion vet consult[3]

17.8% of dogs attending first opinion vet consult[2]

A bland homemade diet, such as chicken with rice, may

lack essential nutrients to help pets recover

Gastrointestinal rest, which deprives intestinal cells of their metabolic fuel, may be detrimental

to intestinal villi that are responsible for the absorption of nutrients[5-7]

GASTROINTESTINAL SIGNS

Vomiting

Change of appetite

Abdominal pain

Flatulence

Dyschezia (difficult or painful

defaecation)

Constipation

Diarrhoea

Haematochezia (blood in stools)

Steatorrhoea (fat/mucous

in stools)

CLINICAL SIGNS THERE ARE A NUMBER OF CLINICAL SIGNS ASSOCIATED WITH DIGESTIVE DISORDERS INCLUDING:

THE NEED TO FEED THEM PRECISELY AN IMPAIRED DIGESTIVE FUNCTION MAY AFFECT HOW CATS AND DOGS UTILISE THE NUTRIENTS IN THEIR FOOD AND PREVENT THEM FROM REAPING THE FULL BENEFITS OF THE DIET

Appropriate nutrition can:

• Support the short and longer-term management of patients, helping to compensate for the nutrients they may be missing out on. • Support pet recovery by supporting and nourishing the gastrointestinal tract. • Regulate gastrointestinal motility and help reduce fermentation.

Enteropathic disease represented:

THE RECOVERY PROCESS

73% 66%73% of patients suffer from an energy deficit during hospitalisation(8)

66% of patients do not receive adequate nutritional support(8)

3 days of anorexia are enough to produce severe metabolic changes and immune malfunction(8)

Hospitalised cats are particularly sensitive to stress and they can develop an aversion to the food they are given during their stay in intensive care.

Hospitalisation is often a cause of anorexia.

DURING HOSPITALISATION, INADEQUATE NUTRITION CAN WORSEN THE METABOLIC STATE OF PATIENTS

HEPATIC INSUFFICIENCY THE LIVER IS AN EXTRAORDINARY ORGAN, BUT THERE ARE TIMES WHEN A LITTLE EXTRA HELP IS NEEDED

CAREFUL PLANNING AND EXECUTION OF A NUTRITIONAL PLAN CAN BE KEY FACTORS IN THE SUCCESSFUL RECOVERY OF CRITICALLY ILL PATIENTS

APPROPRIATE NUTRITION PROVIDING ADAPTED LEVELS OF HIGH QUALITY, HIGHLY DIGESTIBLE PROTEIN CAN SUPPORT CATS AND DOGS SUFFERING WITH LIVER INSUFFICIENCY

HEPATIC INSUFFICIENCY

SIGNS

Jaundice

PUPD (increased

urination and water intake)

Vomiting, diarrhoea

Lethargy, weight loss

Neurological signs

Abdominal pain

Ascites

Urate crystal and stone formation

CLINICAL SIGNS THERE ARE A NUMBER OF CLINICAL SIGNS ASSOCIATED WITH HEPATIC INSUFFICIENCY INCLUDING:

FELINE NUTRITIONAL MANAGEMENT

DECISION TREE

Thin slices in gravy in pouch Thin slices in gravy in pouch Thin slices in gravy in pouch Thin slices in gravy in pouch

Ultra soft mousse

**

Recovery liquid

Ultra soft mousse

Ultra soft mousse

HAIRBALLS*CONSTIPATION* LIVER DISEASEDIARRHOEA / VOMITING*EMACIATION, MALNUTRITION ANOREXIA*

ASSOCIATED WITH CHRONIC / SEVERE

CONSTIPATION

ACUTE EPISODE OR NON-SPECIFIC ORIGIN

CHRONIC CLINICAL SIGNS

SUSPECTED PANCREATITIS

NO Nutrient intolerance / Need for hydrolysed

protein diet

Possibly associated with a nutrient

intolerance (triaditis)

Not responsive to food elimination trial

with hydrolysed protein diet

Ideal weight / underweight

Overweight Acute / Feline Hepatic Lipidosis

Liver dysfunction, portosystemic shunt

in adult cats***

YES

FIBRE RESPONSE

GASTROINTESTINALHAIRBALL

GASTROINTESTINAL RECOVERY GASTROINTESTINAL KITTEN

RECOVERY

For further information, please refer to the dermatology range

ADULT KITTEN KITTEN ADULT

No tube feeding No tube feedingTube feeding

*Please note: these signs can be related to other gastrointestinal tract causes, which may have a tailored ROYAL CANIN® diet (e.g. for chronic kidney disease, ROYAL CANIN® RENAL is recommended) **In cases of tube feeding puppies, ROYAL CANIN® RECOVERY Cans are recommended ***In cases where kittens are diagnosed with liver dysfunction, contact the Royal Canin Nutritional Helpline for advise on 0800 717 800

CANINE NUTRITIONAL MANAGEMENT

DECISION TREE

Ultra soft mousse Ultra soft mousse

Recovery Liquid GI High Energy Liquid

GI Low Fat Liquid

LoafLoaf Loaf

CONSTIPATION* LIVER DISEASENEED FOR FAT RESTRICTION (e.g: hyperlipidemia,

lymphangiectasia, pancreatitis)

DIARRHOEA / VOMITING*EMACIATION, MALNUTRITION ANOREXIA*

ACUTE EPISODE OR NON-SPECIFIC ORIGIN

CHRONIC CLINICAL SIGNS

No tube feeding No tube feedingTube feeding Need for fibre increase (e.g. fibre

responsive entheropathy)

Nutrient intolerance / Need of hydrolysed

protein diet

Ideal weight / underweight

Overweight Acute Liver dysfunction, portosystemic shunt, copper hepatopathy

in adult dogs***

RECOVERY

RECOVERY

For further information, please refer to the dermatology range

ADULT PUPPY

PUPPY

ADULT

LoafLoaf Loaf Ultra soft mousse

*Please note: these signs can be related to other gastrointestinal tract causes, which may have a tailored ROYAL CANIN® diet (e.g. for chronic kidney disease, ROYAL CANIN® RENAL is recommended) **In cases of tube feeding puppies, ROYAL CANIN® RECOVERY Cans are recommended ***In cases where puppies are diagnosed with liver dysfunction or copper hepatopathy, contact the Royal Canin Nutritional Helpline for advise on 0800 717 800

**

NAMENEW

WITH GASTROINTESTINAL DISORDERS, EVERY MOUTHFUL COUNTSLike us, you know that nutrition is the cornerstone of both short-term recovery and long-term management for gastrointestinal tract issues.

kg

Specific mousse texture to facilitate food intake.

A moderate level of fibres: soluble fibres combined with psyllium to help ease digestive transit and help obtain softer stools.

An increased level (20.8% as fed) of a fibre-blend and a majority of insoluble fibres.

High energy formulas with adapted levels of nutrients.

Kibble that can be easily rehydrated to facilitate food intake.

A highly digestible formula with balanced fibres, including prebiotics, to support a healthy digestion and transit.

Moderate calorie content to help maintain ideal weight.

For the nutritional management of dogs needing a fat restricted diet.

All ROYAL CANIN® GASTROINTESTINAL TRACT* diets are highly palatable, to encourage spontaneous consumption and to facilitate convalescence and recovery.

GASTROINTESTINAL PUPPY AND KITTEN UNIQUE FORMULAS TO HELP MANAGE GASTROINTESTINAL PROBLEMS FROM WEANING TO ADULTHOOD

HIGHLY PALATABLE DIETS PATIENTS WITH GASTROINTESTINAL PROBLEMS OFTEN SHOW DECREASED APPETITE AND WEIGHT LOSS SO A PALATABLE DIET IS VITAL

GASTROINTESTINAL FIBRE RESPONSE CAT AND HIGH FIBRE DOG DESIGNED TO MANAGE CAT CONSTIPATION AND DOG FIBRE RESPONSIVE ENTEROPATHY

GASTROINTESTINAL IS DESIGNED FOR THE NUTRITIONAL MANAGEMENT OF GASTROINTESTINAL DISEASES IN CATS AND DOGS

GASTROINTESTINAL KITTEN

FIBRE RESPONSE

GASTROINTESTINAL

Different fibres have different effects on intestinal motility and on the gut microflora.

Puppies and kittens have immature digestive

systems, which make them more prone to

digestive issues. With adapted levels of protein and calcium,

and specific textures to stimulate food intake,

the diets facilitate transition from milk

to solid food

When you work with a clear and comprehensive range, it is easier

to gain compliance from pet owners so they follow your expert recommendation after a diagnosis

of gastrointesinal disease

When a dog presents with fibre responsive

diarrhoea, a high-level of the right fibres is required

When a cat is experiencing constipation, it is not only the quantity of fibre that counts, an adapted fibre

content is required

*Designed for patients under critical care, liquid diets feature a texture that can be used through any feeding tube. Given that palatability is not primordial for patients receiving assisted feeding, it has not been evaluated for these liquid diets. To achieve the recommended texture, shake for 7-10 seconds before use.

NAMENEW

ROYAL CANIN® GASTROINTESTINAL HAIRBALL

HAIRBALL

GASTROINTESTINAL

59.3%

Positive control classic hairball diet

Test food hairball complex

Negative control maintenance diet

80.9%

46.9%

0 10 20 30 40 50 60 70 80 90

+72%

+36%

A specific blend of fibres (including psyllium) helps eliminate ingested hair and controls hairball formation.

A highly digestible formula with balanced fibres, including prebiotics, to support a healthy digestion and transit.

Hair excretion in mg/kg bodyweight/day

MEAN FAECAL HAIR EXCRETION MEASURED ON 24 CATS DURING A SHEDDING PERIOD FOR 4 WEEKS[9]

Ingested hairs can accumulate into hairballs, which may cause constipation, appetite loss and vomiting

Convalescent cats and dogs, or those in intensive care, often need extra nutritional support

MAKE PERIOPERATIVE FEEDING EASY WITH ROYAL CANIN® GASTROINTESTINAL PACKSTHE IMPORTANCE OF PERIOPERATIVE NUTRITION

• Replaces energy stores depleted during pre-op starvation

• Helps maintain the intestinal mucosal barrier

• Helps reduce the risk of cachexia which can slow wound healing and affect immune function(10)

WHEN CAN GASTROINTESTINAL PACKS HELP?

• Take-home nutrition after surgery (for any conditions where the animal is well enough to be discharged on the day of surgery or the day after surgery)

• To support patients during acute digestive upsets (except in cases of nutrient intolerance)

Products with textures and technologies that facilitate tube feeding.

High protein levels to help maintain muscle mass during hospitalisation and convalescence.

High energy density to provide daily energy requirements in a reduced feeding volume.

A CRITICAL CARE RANGE FOR CATS AND DOGS THE ROYAL CANIN® GASTROINTESTINAL TRACT RANGE HAS PRODUCTS TO SUPPORT YOUR PATIENT’S CARE EVEN DURING THE MOST CRITICAL MOMENTS

RECOVERY

SCAN TO DISCOVER MORE GASTROINTESTINAL TRACT CONTENT IN THE VETERINARY FOCUS ONLINE MAGAZINE

THE WORLDWIDE JOURNAL FOR THE COMPANION ANIMAL VETERINARIAN

THE ROYAL CANIN® HEPATIC DIETS PROVIDE ADAPTED LEVELS OF HIGH QUALITY, HIGHLY DIGESTIBLE PROTEIN TO SUPPORT CATS AND DOGS SUFFERING WITH LIVER INSUFFICIENCY

VET FOCUS: ONLINE EXPERT CONTENT

NUTRITIONAL NEEDS OF A HEPATIC PATIENT

Cu

In cases of liver insufficiency, waste products generated by dietary protein metabolism are not processed normally by the liver. For example, ammonia is not converted to urea and can reach the systemic circulation, contributing to clinical signs associated with hepatic encephalopathy and ammonium urate crystals.

Whether hepatic copper accumulation is primary or secondary, it can lead to oxidative damage and on-going liver inflammation, and in some cases progressive disease resulting in hepatic cirrhosis.[11]

Feeding a low-copper diet can support pets suffering with hepatic copper accumulation.[12]

Cats and dogs suffering with liver diseases may have a reduced appetite. ROYAL CANIN® HEPATIC diets provide high energy content, which reduces meal volume whilst still providing adequate energy requirements.

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OYAL CAN

IN® SAS 2020. All R

ights Reserved. Code: 16990

REFERENCES

1. Banfield data, 2018

2. O′Neill DG, Church DB, McGreevy PD, Thomson PC, and Brodbelt DC. Prevalence of Disorders Recorded in Dogs Attending Primary-Care Veterinary Practices in England. PLoS One. 2014; 9(3): e90501.

3. O′Neill DG, Church DB, McGreevy PD, Thomson PC, and Brodbelt DC. Prevalence of disorders recorded in cats attending primary-care veterinary practices in England. Vet J. 2014;202(2):286-91.

4. Source: Google Trends. Report extracted on 13/05/2019.

5. Liu DT, Brown DC, Silverstein DC. Early nutritional support is associated with decreased length of hospitalization in dogs with septic peritonitis: a retrospective study of 45 cases (2000–2009). J Vet Emerg Crit Care. 2012;22(4):453–459.

6. Mohr AJ, Leisewitz AL, Jacobson LS, Steiner JM, Ruaux CG, Williams DA. Effect of early enteral nutrition on intestinal permeability, intestinal protein loss, and outcome in dogs with severe parvoviral enteritis. J Vet Intern Med. 2003;17:791–798.

7. Harris JP, Parnell NK, Griffith EH, Saker KE. Retrospective evaluation of the impact of early enteral nutrition on clinical outcomes in dogs with pancreatitis: 34 cases (2010-2013). J Vet Emerg Crit Care (San Antonio). 2017 ;27(4):425-433.

8. Remillard RL, Darden DE, Michel KE, Marks SL, Buffington CA, and Bunnell PR. An Investigation of the Relationship Between Caloric Intake and Outcome in Hospitalized Dogs. 2001.

9. Tournier C. Dietary fiber stimulates fecal hair excretion in cats. Proceedings of the 9th ESVCN congress 2005, p112.

10. Freeman, L.M. (2012) Cachexia and Sarcopenia: Emerging Syndromes of Importance in Dogs and Cats. Journal of Veterinary Internal Medicine, 26, 3-17. http://dx.doi.org/10.1111/j.1939-1676.2011.00838.x.

11. Dirksen K & Fieten H . Canine Copper-Associated Hepatitis. Veterinary Clinics of North America: Small Animal Practice, 2017: 47(3), 631–644.

12. Fieten H. et al. Dietary Management of Labrador Retrievers with Subclinical Hepatic Copper Accumulation. J. Vet. Intern. Med. 2015: 29, 822–827.