Hi Denise. That’s because this page is the second of two articles, on what to do after more common conditions like EPI have been ruled out. You’ll find a link to that page at the top of the article.

Hi Katherine. That sounds fine, as although there are certainly more strict diets eg Anallergenic, diet is unlikely to be the problem. However all the same I would be careful using the probiotic and definitely try without.

Thanks Andrew. She is on the Purina Hypoallergenic diet and treats of raw carrot which she has had for a while and it has not caused her problems in the past. I have been recently giving her Purina probiotics once a day for the last two weeks which seemed to help initially but she is up and down now. She is now on 10mg steroids every other day although I did try to reduce it to 5mg but on the second day she went downhill rapidly. She does occasionally try to self medicate by grabbing grass or rabbit droppings but I do try to prevent this.

Hi Katherine. For cases like these we often use chlorambucil or azathioprine as a second drug, but much care is needed when doing so. That’s assuming of course that nothing has been missed along the way – I would for example ask how rigourous the elimination diet is and whether it could be re-visited.

Hi Anne. No, I’ve never encountered this. I would follow the same diagnostic plan as other dogs and also possibly consider anxiety medication if it seems that your dog is nervous on walks.