Bloat and Gastric Torsion

Background

Bloat is the abnormal distention of the stomach with gas. If not relieved, it can progress to gastric torsion which is the rotation of the stomach about its axis, cutting off the blood supply leading quickly to shock and death.

Bloat is always a medical emergency and immediate surgery is mandatory.

The incidence of gastric torsion is highest in large, deep chested breeds - Great Danes, German Shepherds, Irish Setters, Weimaraners, etc. Dogs that survive bloat are at high risk for a recurrence.

The basic mechanism of bloat is a failure of the sphincter between the esophagus and stomach to open in response to increased intragastric pressure. What causes this failure is still open to debate, however, some have suggested that damage to the vagal nerves may be the cause. What causes this damage is still open to investigation.

Prevention

There are many recommendations for preventing bloat and gastric torsion. The following table is adapted from Weimaraner Ways by Virginia Alexander and Jackie Isabell.

Participating Factor Preventive Measure
Difficulty digesting food Soak food in hot water
Eating too rapidly Free feed dry kibble
Overfilling the stomach Feed twice a day
Overdrinking Have water available at all times
Vigorous exercise before and after eating Avoid vigorous exercise 1 hour before and 2 hours after eating
Change of dog food Change foods gradually
Parasites Routine stool samples and treatment as needed
Eating foreign objects Pick up toys and other tempting objects
Stress

Crate 30-60 minutes before feeding