Reply To: Gastroprotectants: Taking the acid out of the suppression
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I have a question regarding this webinar, which was very interesting btw.
In a previous life I was looking after a host of patients with different issues. In the neuro patients in particular I noticed something. Some animals come in and wont eat. They are generally non-ambulatory patients and/or patient which have undergone spinal surgery (ventral slots and the like). Many things are tried and then chicken is the last line of defence to try and get these patients to eat. It will be chicken, rice or fish. At once point someone said we need to get the ‘said’ patient off chicken so other things were offered. having done a nurtrition course with Hills I was surprised that some of the offerings were very poor quality diets like Bakers, Cesar and so on. As we know these foods are not balanced, packed with salt and E-numbers so in my mind Im not convinced that these are the best foods to be offering convalesing patients. In my mind if they wont eat, chicken is a better choice and then gastro-intestinal or ID. I also understand that chicken is not a balanced diet but for the sake of a few days while a patient is not eating I still think chicken is a better choice. When I asked why its so important to get the patient off chicken the nurse informed me that it causes diarrhoea. ???? This is definitely news to me and it has been puzzling me for some time. Whilst watching your webinar I noticed that an adverse affect of ompeprazole can be D+. All these patients were on that drug and I wonder if the D+ was actually the ompreazole and not the chicken? Reflecting on it now Im also wondering whether the PPI was actually being used prophylactically too as when I think about the patients and look through my notes I cant find any evidence that indicates ulceration. However, that is not the point, there may be valid reasons they were prescribed the drug. My question really is it likely that omeprozole may have been causing D+ and not chicken. Im still trying to understand why chicken would unless you pump 3 whole chickens into a dog at once. …..lol…sorry..