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Health Issues

The GSMD can have its share of health issues which include bloat (FAQs below), orthopedic, splenic torsion, epilepsy, eye issues, cancer and urinary incontinence.

Prospective families should be aware of these possible issues and realize that the most responsible breeder can unfortunately be affected with any of these issues as genetics can go back many generations, this can affect everyone both financially and emotionally.  Do not assume that just because you paid a premium price from a reputable breeder, that you will not have to deal with any of
these health issues.  You may be fortunate and get a Swissy that lives a long and healthy life, however, chances are you will have to deal with one or more issues over the course of his or her life time.

THEREFORE, we STRONGLY recommend any new Swissy owner consider talking with their Vet and enroll in a health care insurance plan.  We can recommend several for your consideration.  The EARLIER you enroll  ie: 8-10 weeks old  could save you thousands in Vet fees.

Responsible breeders do their best to reduce the risk of producing any of these health issues in their breeding program but that is all they can do…….reduce the risk.  Once an issue arises the breeder will use that experience to reduce perpetuating that issue in future breedings.  A responsible breeder will have clearances evaluated by OFA and prospective families should ONLY consider a puppy from a sire/dam with certifications.

 

What is meant by the term ” Bloat” in dogs?

This is a term that is synonymous with the more scientific term “Gastric Dilatation/Volvulus.” It is often called GDV. That means that a dog’s stomach distends with air to the point that it goes into shock and may die.

Dilatation means that the stomach is distended with air, but it is located in the abdomen in its correct place. Volvulus means that the distention is associated with a twisting of the stomach on its longitudinal axis.

How or why does this occur?

We really do not know the answer to either of those questions. Original theories suggested that it occurred when a dog ate a large meal of dry food and then drank a lot of water. The water caused the dry food to swell. At the same time, the dog was supposed to be engaged in strenuous exercise that included running and jumping. That resulted in the dog’s stomach twisting on itself as the heavy organ was jostled about in the abdomen.

Although that is the most common explanation given, there is no scientific evidence to support this theory. In most dogs experiencing GDV, the stomach is not excessively full of dry food and the dog has not recently engaged in strenuous exercise. The most current theory is that the stomach’s contractions lose their regular rhythm and trap air in the stomach; this can cause the twisting event. However, the sequence of events for most cases defies a good explanation.

How is it diagnosed?

The first step in diagnosis is to determine if the correct breed is involved. This condition almost always occurs in deep-chested dogs of large breeds. Some of the more commonly affected breeds include Great Danes, Irish Setters, German Shepherds, and Afghan Hounds.

The next step is to establish that the stomach is distended with air. An enlarged stomach will cause the body wall to protrude prominently, especially on the dog’s left side. The swelling will be very firm and obvious enough to see across the room. Occasionally, this distention is not very apparent. This occurs in dogs which have a large portion of the stomach up under the rib cage. In most cases, however, the owner is able to detect the distention. A dog which experiences significant pain will be very depressed. It may lie in what is commonly called a “praying position” with the front legs drawn fully forward. This should occur quickly, within two to three hours at the most.

The presence of a rapidly developing distended abdomen in a large breed dog is enough evidence to make a tentative diagnosis of GDV. A radiograph (x-ray) is used to confirm the diagnosis of dilatation. It can also identify the presence of volvulus, in most cases.

What happens when the stomach is distended with air?

The first major life-threatening event that occurs is shock. This occurs because the distended stomach puts pressure on the large veins in the abdomen that carry blood back to the heart. Without proper return of blood, the output of blood from the heart is diminished, and the tissues are deprived of blood and oxygen.

The reduced blood output from the heart and the high pressure within the cavity of the stomach cause the stomach wall to be deprived of adequate circulation. If the blood supply is not restored quickly, the wall of the stomach begins to die; the wall may rupture. If volvulus occurs, the spleen’s blood supply will also be impaired. This organ is attached to the stomach wall and shares some large blood vessels. When the stomach twists, the spleen is also rotated to an abnormal position and its vessels are compressed.

When the stomach is distended, digestion stops. This results in the accumulation of toxins that are normally removed from the intestinal tract. These toxins activate several chemicals which cause inflammation, and the toxins are absorbed into circulation. This causes problems with the blood clotting factors so that inappropriate clotting occurs within blood vessels. This is called disseminated intravascular coagulation (DIC) and is usually fatal.

What is done to save the dog’s life?

There are several important steps that must be taken quickly.

1)Shock must be treated with administration of large quantities of intravenous fluids. They must be given quickly; some dogs require more than one intravenous line.

2)Pressure must be removed from within the stomach. This may be done with a tube that is passed from the mouth to the stomach. Another method is to insert a large bore needle through the skin into the stomach. A third method is to make an incision through the skin into the stomach and to temporarily suture the opened stomach to the skin. The last method is usually done when the dog’s condition is so grave that anesthesia and abdominal surgery is not possible.

3)The stomach must be returned to its proper position. This requires abdominal surgery which can be risky because of the dog’s condition.

4)The stomach wall must be inspected for areas that may have lost its blood supply. Although this is a very bad prognostic sign, the devitalized area(s) of the stomach should be surgically removed.

5)The stomach must be attached to the abdominal wall (gastropexy) to prevent recurrence of GDV. Although this is not always successful, this procedure greatly reduces the likelihood of recurrence.

6)Abnormalities in the rhythm of the heart (arrhythmias) must be diagnosed and treated. Severe arrhythmias can become life-threatening at the time of surgery and for several days after surgery. An electrocardiogram (ECG) is the best method for monitoring the heart’s rhythm.

What is the survival rate?

This will largely be determined by the severity of the distention, the degree of shock, how quickly treatment is begun, and the presence of other diseases, especially those involving the heart. Approximately 60 % of the dogs will survive if treatment is started reasonably soon after onset of signs. Some dogs may survive the initial treatment and surgery only to have areas of the stomach wall die and slough 2 to 4 days after surgery. These areas may have looked fine during surgery but were deprived of blood long enough to permanently affect the tissue.

What can be done to prevent it from occurring again?

The most effective means of prevention is gastropexy, the surgical attachment of the stomach to the body wall. This will not prevent dilatation (bloat), but it will prevent volvulus in most cases. Various dietary and exercise restrictions have been used, but none of these have proven value.

Fortunately, this is not something that is a routine occurrence but it does happen often enough that owners of “deep chested” large breeds should be aware of the potential.

Idiopathic Epilepsy (IE):
(Used with permission Courtesy of Brigitte Rhinehart, Brushcreek Kennels. – http://www.brushcreekfarm.com)

This is the term used by most experts to describe the condition of frequent seizures with no identifiable cause. Seizures occur when nerve cells in the brain become hyperexited and send rapid-fire messages to the body. If nerve cells in an isolated part of the brain are defective, only part of a dog’s body is affected resulting in a partial seizure. Partial seizures are exhibited by localized body movements, such as head bobbing or imaginary fly-biting. If circuits throughout the entire brain misfire, the dog has a generalized seizure. Tonic-clonic seizures involve teeth gnashing, frantic thrashing of the limbs, excessive drooling and loss of bodily functions resulting in uncontrolled urination and defecation.

Treatment of IE depends on the severity of the case and may involve daily administration of anticonvulsant drugs such as phenobarbital, primidone, potassium chloride and others. Unfortunately, all anticonvulsants have some undesired side effects. Some affect liver functions, others can make the dog drowsy or hyperactive or may cause vomiting and constipation.
IE is present in all Swissy lines. It typically surfaces between the ages of 1 to 3 years but it can become evident as early as 12 months and as late as 5 years.Unfortunately, no method to identify carriers of epilepsy exists to date. It is only after a dog or a bitch has produced offspring with IE that we can assume that this particular sire or dam is probably a carrier of epilepsy. However, the mode of inherintance of IE is so complex that at the moment no one management method will assure complete control of the disease. Prudent Swissy breeders will not continue to breed a dog or a bitch that has produced 2 or more offspring with IE, and of course no serious breeder will ever consider breeding an affected animal.

Many Swissy breeders and owners participate in the all breed DNA research project to locate the genetic marker for IE conducted currently at the University of Missouri/Columbia. We all hope that this research eventually will produce a reliable method to identify carriers of IE and thus help the breeder to better control or even erradicate this heartbreaking, unpredictable and often lethal disease.