A low-purine diet
excludes alcohol, fizzy drinks and processed food but includes fruit and vegetables, whole grains and dairy.
Dietary recommendations Patients Fruits and vegetables 26 Low-sodium diet 15 Low-purine diet
5 High magnesium diet 2 Non specified diet 18 Table 2.
His owner, Shelley Gallagher of Sandy, Utah, had been feeding Armstrong a low-purine diet
, giving him extra fluids to help dilute his urine, letting him out to urinate every few hours (including every night at 2 am), and obsessively monitoring him--all, ultimately, to no avail.
Although a strict low-purine diet
isn't necessary, think about reducing your intake of foods such as liver and other offal, fish roe, meat extracts, poultry and pulses for five days out of seven.
Feeding a low-purine diet
helps prevent urate stones, but the problem can be so severe that in some cases the only option is euthanasia.
The key to keeping urate-forming dogs healthy is to feed them a low-purine diet.
Urate stones can be dissolved with a combination of a low-purine diet, urine alkalization, and control of secondary infections.
A low-purine diet must be fed while giving allopurinol, as otherwise it predisposes dogs to the formation of xanthine stones and shells, making dissolution difficult.
On average, it takes about VA months for stones to dissolve using allopurinol in combination with a low-purine diet and urinary alkalizination, but it can take as little as one month or as long as 18 months.
In some cases, discontinuing allopurinol while feeding a low-purine diet has dissolved xanthine uroliths, but in general, treatment consists of surgical removal, urohydropropulsion (a nonsurgical procedure performed with the dog under anesthetic, in which the bladder is filled with saline through a catheter, and the bladder is manually squeezed to force stones out through the urethra), or lithotripsy (the use of high-energy sound waves to break up the stones).
Mandell generally doesn't prescribe extremely strict low-purine diets
It was formerly thought that low-purine diets
were effective, but with such drugs as NSAIDs to relieve the initial attacks of pain and inflammation, and allopurinol and other drugs for long-term therapy when necessary, these bland diets are of little value.