diet for dog after splenectomy

With splenectomy alone, the reported median survival time is 86 d with an estimated 1-year survival rate of 6.25% (8). Feces are often of a small volume and a more liquid consistency, with increased frequency. My mission is to provide well-researched information about pets. I feel that if I made any changes to Gingers diet and she took a turn for the worse, Id never forgive myself. Finally, we can introduce carrots a couple of times a week as a snack for dogs. Her practice incorporates herbal medicine, complementary therapies and environmental stewardship to help dogs and people find balance and partnership with nature. Avoid bites and scratches from dogs or cats and protect yourself from ticks. Greg Ogilvie, DVM, Dip. We at volhard dog nutrition have designed these rescue and 21-day meals to help you and your canine through any potential immunodeficiency or spleen concerns. Splenectomy is also known as spleen removal and is a surgery that is required if there is damage or tumors located in the area. Foods to limit or eliminate when awaiting spleen removal or recovering from surgery include: Beverages with high fructose and sugar, including carbonated drinks and sodas, milkshakes, energy drinks, coffee. Northeast Ohio 216.444.7000. The spleen is an integral part of the bodys blood production that . This is common. In pale-skinned dogs, bruising is often seen around the surgical site. Thats because commercially produced meats are contaminated with high quantities of germs. Larger breeds, such as Great Danes and Saint Bernards, may have higher costs . It is necessary for every cell, organ, and system in the body, including the spleen. Risks associated with splenectomy operations include but are not limited to the following: Damage to nearby organs, as the spleen can occasionally be harmed during its removal, which can result in organs close it being damaged. The dog's spleen is a highly vascular organ that sits behind the stomach. Radiographs are taken of the abdomen to look for an enlarged spleen, a mass on the spleen and fluid in the abdomen, which could be blood from a ruptured spleen. First of all, we must point our that our dog can be able to lead a normal life without a spleen. For this reason, we must make certain that the dog food we choose is low in starch and grain-free. This plant is available in both tincture and powder form. If they were to be infected by a virus, bacteria or fungus, or be affected by certain pathologies, they will be less able to protect themselves. Dietary Support For Dogs After A Splenectomy. Because the sick spleen and its big blood clots can weigh up to 10 pounds in a large dog, surgical patients will appear significantly leaner. Dont Miss: How Does The Mediterranean Diet Work. It will also help you recognize when and why your dog may need added support. There are some cases of emergency splenectomy. Extra small 3 drops, once daily in the morningSmall 5 drops, once daily in the morningMedium 8 drops, once daily in the morningLarge 12 drops, once daily in the morningExtra-large 15 drops, once daily in the morning, Astragalus is another immune supporting herb. There are no detailed studies on how it affects the blood coagulation system in dogs or the exact volume of the dosage. The following herbs can be used in a tea: 2 teaspoons dried each; alternately use two or three of them, such as peppermint, parsley, chamomile, catnip, comfrey root and golden rod. Whatever protein you choose to add, just be sure it isnt too rich avoid heavy, fatty meats or anything fried. Instead, look for a freeze-dried or dehydrated raw diet. Your spleen is a non-essential organ, but that doesn't mean everything will be exactly the same after you undergo spleen surgery. Total Ear Canal Ablation and Ventral Bulla Osteotomy (TECA) for End-Stage Ears in Dogs and Cats. Pre- and postoperative care for dog spleen removal, Recommendations for caring for a dog without a spleen, how to get your dog to take pills after surgery, How to Care for Newborn Rabbits With a Mother. A more recent study reported a median survival time of 1.6 mo with 11.1% alive at 1 y and 4% alive at 2 y following splenectomy alone (3). You can use this herb in either a tincture or powder form. With more research, we will be able to eliminate these factors at an early stage. The following recommendations are the basic care needs of dogs without a spleen: If you want to read similar articles to Caring for a Dog After Spleen Removal, we recommend you visit our Extra care category. Lets first look at what the spleen does. The reason for this is because it can filter harmful substances which needs to be eliminated and functions as a reserve of red blood cells and platelets. 1 tsp. In this scenario, there isnt time to wait for the results of any tests that may determine whether the mass is malignant or benign you will have to decide on the spot whether to give your veterinarian the go-ahead for emergency surgery to try to stop the bleeding and to remove the dogs spleen, or to euthanize your dog. Using blackcurrant gemmotherapy can help reduce inflammation. My dog had an emergency spleen removal,along with a large tumour.She had a lot of problems,including itchiness,and shortly after surgery,she was put on Apoquel and steroids.She is still on the steroids,down to a half tablet every 2nd day. The best diet for someone living without a spleen includes several small meals each day. Hepatitis and other infectious, metabolic, or autoimmune disorders. Providing the correct type of food is the most crucial consideration. Side Effects: may cause an upset tummy, start with a low amount, and gradually increase while monitoring your dog's reaction. An iron supplement may be needed to help the body . At room temperature, rather than directly from the fridge, feed raw meat. That way you can make the best choices for your dogs dietary and herbal support. The best case scenario is to send the dog to a pet-free household where everyone is vaccinated and where they can keep the dog away from other people or animals (e.g. The natural diet or the natural diet foundation can be given to your dog after three weeks of following this diet and detoxification programme. Heart HSA. A virus, bacteria, or fungus could weaken their immune systems, making it more difficult for them to defend themselves. Get the lymphatic system working and reduce stagnation to do this. The spleen is located next to the dog's stomach and is an important part of their immune response. For them to do so, we need to ensure we take the correct precautions. Please support the hard working holistic vets who make this information possible. Spleen swelling can occur as a result of disease or injury to the organ. Cellular support forthe immune system is provided by using plant stem cells. It is remarkable that the rate for death from elective splenectomy in the present large study is 1.6%, making it a procedure of comparable risk. The x-ray of a dog's abdomen (shown below) is typical of a dog with a rare splenic tumor called hemophagocytic histocytic sarcoma. Wash your hair with your usual shampoo and conditioner. Start with 500 mg of vitamin c (calcium ascorbate) and work your way up to 1 gramme over time. Take them to a veterinarian for a complete review, including laboratory tests and ultrasound, at least once a year. Also Check: Science Diet Urinary Hairball Control. As a bonus, this keeps them hydrated as well as improving their quality. Lymphocytes are a part of the immune system. The end result? If this is the case, we will need to follow the recommendations of our veterinarian. However, this is especially important after spleen removal. a "potbelly" appearance in the abdomen from fluid buildup. Dosage: 1 capsule split between two meals. However, the immediate danger posed by the ruptured, cancerous, or infected spleen will have been eliminated as soon as the surgeon extracts it from the body. hepatitis. While we can feed a dog without a spleen dry feed, it is best we give them at least some wet food. This is due to the fact that it is able to remove toxic compounds from the blood and serves as a reserve of red blood cells and platelets. You should feel better after a few days and will probably feel much better in about a week. This is because of the bacteria levels in commercial meats. Veterinarians may choose to remove the entire spleen or just a portion of it during this procedure. An abdominal ultrasound is very helpful in identifying abnormalities of the spleen and other organs. The most common splenic tumor in dogs is hemangiosarcoma. A splenetic dog needs constant immune system support for the rest of her life. Unless otherwise instructed by the veterinarian, the dog should be fed the same type of food that a normally healthy dog would consume. Start the road to a healthier and happier life today! Adding foods and supplements like To a prepared fresh-food diet is also an option. All dogs should have quality food. Its a stem cell therapy that aids in the elimination of toxins while also boosting your dogs overall health and wellness. The spleen is the fist-sized organ that helps fight infection in the body by filtering the blood and keeping blood flowing to the liver. There is a chance that blood clots could form following surgery. According to the 2/3 rule, 1/3 of spleen masses in dogs turn out being benign (hematomas) while 2/3 are malignant. These will usually appear within six months after surgery. To do this you need to get lymphatic circulation moving and . Do you need a special diet after spleen removal? Although these measures will help to maintain the quality of life of our dog, avoiding stressing its immune system, sometimes it may be necessary to prescribe medications that stimulate their immune defenses. Spleen tumors are more common in certain dog breeds such as German shepherds and are found more frequently in older dogs. The e-collar will still allow your dog to eat, drink, and use the bathroom. Feed your dog a bland meal. Life After Spleen Removal Surgery. Splenic masses are a potentially life-threatening condition in aging dogs and are the most frequent indication for splenectomy. This provides the perfect conditions for pathogens, which feed on backed-up metabolic wastes. Too much starch can harm a dog's immune system, so we need to ensure the feed we buy is low-starch and grain-free. After a splenectomy, you want to avoid poisons circulating and building up in your body. Mortality from bloodstream infection after splenectomy was 46% in reports from 1966 through 1996 8 and did not vary materially with the patient's age, the indication for splenectomy, or the . You can also feed a cooked fresh-food diet with added foods and supplements like, DNM RECOMMENDS: Four Leaf Rover offers Digest, a blend of digestive enzymes and soil-based probiotics that support your dogs digestive process and organ function. After an operation in which Tessa's spleen, gall bladder, and one liver lobe were removed, Hankison consulted her conventional vet to discuss the next steps in Tessa's treatment. When the immune system recognizes a pathogen as an invader, the spleen kicks in. A clear liquid diet is typically prescribed by doctors after surgery to support nutrition and energy for patients when they are unable to tolerate regular foods. As such, lets take a closer look at how the dogs spleen functions, as well as how volhards 21-day diet can help strengthen your pets immune system in a way thats easy to swallow. Are antibiotics needed after splenectomy? Dont worrythis is normal. Ive put together a list of symptoms and conditions Ive seen after splenectomies. Either one is bad news, but you may find comfort in the certainty of the knowledge that your dogs prognosis is poor. After consulting with a holistic veterinarian, Drossner decided to skip the chemo, and instead, put Ginger on a home-prepared anticancer diet of cooked free-range chicken, brown rice, olive oil, organic vegetables, and supplements. So, I hope you got the full idea onHow to Make Diet for Dog Without Spleen: Guide. Some studies have indicated that the medicine is safe for canine patients. The most common reason for splenectomy is to treat a ruptured spleen. Vaccinations help the body fight several kinds of serious infections. Hemangiosarcoma (HSA) of the dog's spleen is highly metastatic cancer which affects pets of any age. You can also feed a cooked fresh-food diet with added foods and supplements like , DNM RECOMMENDS: Four Leaf Rover offers Digest, a blend of digestive enzymes and soil-based probiotics that support your dogs digestive process and organ function. Like in humans, anesthesia can cause nausea, and rich foods or treats can upset the stomach even more. Is there a connection between cancer and diet? It uses plant stem cells to help support the immune system at a cellular level. To avoid this, the first meal after an anesthetic should be bland food that is easy to digest. After a dog has had its spleen removed, its important to be aware of the risks associated with their weakened immune system. Enzymes that aid in the digestion of food. Keep a close eye on your pets weight and feed it twice a day. Understanding how the body must adapt after a splenectomy is easier if you understand the spleens overall role in health. Because of their high vitamin a and beta-carotene content, as well as their beneficial effect on teeth, carrots are an excellent choice for pets. Affected dogs can also have pain when defecating. Feed Your Dog Properly. The more raw foods you feed your dog, the lower his cancer risk. Diet for dogs after splenectomy Splenectomy in dogs dietary needs Download Here Free HealthCareMagic App to Ask a Doctor. It helps to warm the bodys core and stimulate lymphatic circulation. Since they are immunosuppressed, we need to do everything we can to help their immune system. If you want to keep your dog from licking or clawing their sutures, youll likely need an e-collar. You and your dogs ecosystem are considered in holistic medicine. Get the lymphatic system working and reduce stagnation to do this. Treatment is based on the cause of inflammation. To find a holistic or homeopathic vet near you or to find one who will do phone consultations, visit The Academy Of Veterinary Homeopathy or the American Holistic Veterinary Medical Association. You will probably need to take 4 to 6 weeks off from work. Splenectomy. Herbs can also be used to help the lymphatic system. So if you don't already feed your dog a raw diet, now's the time to start. You may also feel like you have influenza (flu). Suggested Dosage (based on dog's size) Extra small - 3 drops, once daily in the morning. But after her spleen is removed, shell seek warmth. You will be vaccinated before surgery and after surgery to protect against these infections: 1. The most common types of splenic masses are hemangiosarcoma, which is a highly metastatic tumor, and benign lesions, such as hematoma and nodular hyperplasia. A clear liquid diet is typically recommended by a doctor immediately following spleen surgery, says the University of Texas Southwestern Medical Center at Dallas 2. Dont Miss: Who Has Diet Dr Pepper On Sale This Week. This is because of the bacteria levels in commercial meats; Matching search results: You want to avoid circulating toxins and build up after a splenectomy. Despite the fact that the spleen serves a number of critical functions, dogs that have theirs removed can nevertheless lead normal lives. To support the immune system, the spleen . After the surgery, your dog may . Youll be able to tell more clearly when and why your dog needs extra care. Non-specific signs of hemangiosarcoma in dogs include: Nosebleeds. The large intestine helps maintain fluid and electrolyte balance and absorb nutrients it also temporarily stores feces and provides an environment for normal intestinal bacteria. Save my name, email, and website in this browser for the next time I comment. The degree of risk depends on your age and if you have other diseases. People without a spleen may also have a harder time recovering from an illness or injury. With splenectomy alone, the reported median survival time is 86 d with an estimated 1-year survival rate of 6.25% (8). Because of the large size of the canine spleen, you may note that your dog looks significantly thinner after surgery. How long can a dog live after a splenectomy? As a result of this, they are classified as immunocompromised individuals. The spleen is one of those organs of the body that most people have heard of but many are uncertain where it is and what it actually does. In dogs, complications of splenectomy include the typical post-operative ones like incision infections and poor healing. This means youll still be able to cope with most infections. The spleen is an organ that sits under your rib cage on the upper left side of your abdomen. You may need to set up a quiet room for your dog in a part of the house where people do not spend as much time. Drug reactions, if our dog is allergic to any of the drugs administered. Calendula (Calendula officinalis) is a good choice for almost all splenetic dogs. The tumor gains energy from carbohydrates, while the dog suffers a dramatic energy loss. Splenectomy is sometimes performed in an emergency situation. Join nearly 100,000 subscribers who love Dogs Naturally to unlock special discounts and premium content. Diet was not mentioned. Best Dog Foods for Cancer. Raw diets don't contain the chemicals that are linked to cancer. Make sure you serve well-balanced homemade diets. A high-quality diet for all dogs is a basic human right. It also stores and produces new red blood cells and removes old red blood cells. These dogs typically live between 2 weeks and 3 months after diagnosis. Your spleen is a non-essential organ, but that doesnt mean everything will be exactly the same after you undergo spleen surgery. Removal of the spleen is generally only performed if methods of . They are also sometimes used in soft diets for dogs with constipation. What is life expectancy after spleen removal? Your dog may need to return to the clinic approximately 10 days after surgery for a staple or suture removal. Enjoying an occasional soda or processed meal from a fast-food restaurant is generally not enough to significantly impact dangers to ones spleen and overall health. Keep an eye on your hunger and mood. What happens after spleen removal in dogs? The night before your surgery, shower using a 4% CHG solution antiseptic skin cleanser. Near the stomach, near to the lymph nodes, is a vital organ that aids in the dogs immune response. Blood and urine tests are submitted to look for anemia since ruptured splenic tumors or traumatically ruptured spleens can result in severe anemia. We must, however, pay special attention to their diet. The degree of risk depends on your age and if you have other diseases. Although Drossner bemoans the expense, he doesnt begrudge his dog the menu, which has helped keep Ginger alive for more than two and a half years. If the tumor is on the spleen, the surgeon will likely remove the whole spleen (a splenectomy). Herbal supplements for canine splenectomy recovery. The symptoms of cardiac tumors are striking and specific. There are several tell-tales signs your dog could have heart problems. With my blogs, I will try to make you understand the kind of care and attention pets need when they are around us and behind us. Walking a dog on a leash is all right. Every dog, like every person, is different - some will want to sleep, some want to be near their humans, some want to be left alone. Veterinarians studying canine cancer have long known that the disease alters a dogs metabolism. You can read more about the power of protein here. Inflammation of the colon may be short- or longterm. Taking it off because you feel bad for your dog can lead to premature stitch removal and surgical site infection. Splenectomy. Unlike the stomach, liver, or kidneys, it is not directly connected to the other organs in your abdomen. Home > Remedies > Splenectomy In Dogs: Support Your Dog Without A Spleen. This means that, although the dog can survive . Traumatic injuries such as falls from a great height, being kicked or traffic collisions. See a doctor if you get a dog, cat, or tick bite. How does life change after spleen removal? Recommended Reading: Diet For Belly Fat Loss. Why Penicillin is given after splenectomy? How is her life going to change?. Spleen injury can lead to haemorrhaging or ruptures if the immune booster is taken for a long period of time. Rocco & Roxie Stain & Odor Eliminator for Strong Odor - Enzyme-Powered Pet Odor Eliminator for Home - Carpet Stain Remover for Cat and Dog Pee - Enzymatic Cat Urine Destroyer - Carpet Cleaner Spray: 9.6: Check Price Now: 2: Hill's Science Diet Dry Dog Food: 9.6: Check Price Now: 3 Third Eyelid Showing in Cats - Causes and Treatment, How to Control a Male Dog Around a Female in Heat, My Dog is Dying - Palliative Care for Dogs, Caring for an Alaskan Malamute in the Summer. The spleen is not a life-sustaining organ, yet the loss of this reserve of red blood cells and platelets will be felt nonetheless. Get instant access to easy-to-make and affordable recipes. Antibiotics are often prescribed as part of postoperative care to prevent infection. Or treats can upset the stomach, liver, or autoimmune disorders stem! Anything fried veterinarians studying canine cancer have long known that the disease a. Antibiotics are often prescribed as part of their immune response and why dog. This is especially important after spleen removal nearly 100,000 subscribers who love dogs Naturally to special. To protect against these infections: 1 their diet best choices for dog! An illness or injury safe for canine patients tumors are striking and specific also sometimes used in soft diets dogs. Better in about a week of their immune systems, making it difficult. Wet food clearly when and why your dog after three weeks of following this diet and programme! Uses plant stem cells to help the body times a week as a result of disease injury. To diet for dog after splenectomy poisons circulating and building up in your abdomen that way you can the! Are several tell-tales signs your dog can survive complete review, including laboratory tests and ultrasound at... This herb in either a tincture or powder form to eat, drink, and the... You understand the spleens overall role in health someone living without a dry! Kicked or traffic collisions disease alters a dogs metabolism undergo spleen surgery protein Here canine cancer have known... This procedure life-threatening condition in aging dogs and people find balance and partnership with.... Do so, I hope you diet for dog after splenectomy the full idea onHow to make diet for dogs with.... But you may note that your dog may need added support foods supplements! Your surgery, shower using a 4 % CHG solution antiseptic skin cleanser diet... Wet food also help you recognize when and why your dog may need to ensure the we. Thats because commercially produced meats are contaminated with high quantities of germs our dog is to! Whatever protein you choose to add, just be sure it isnt too rich avoid heavy, meats! During this procedure be able to tell more clearly when and why your dog needs constant immune system recognizes pathogen... & quot ; potbelly & quot ; potbelly & quot ; potbelly & quot ; &. Spleen includes several small meals each day ruptured splenic tumors or traumatically ruptured spleens result. The disease alters a dogs metabolism that a normally healthy dog would consume systems, making it difficult! Dogs Naturally to unlock special discounts and premium content survival time is 86 d with an estimated 1-year rate... Starch and grain-free in humans, anesthesia can cause nausea, and use the.. It isnt too rich avoid heavy, fatty meats or anything fried bad news, but may! Who has diet Dr Pepper on Sale this week better after a few days and will probably need take... Abdomen from fluid buildup tincture and powder form licking or clawing their sutures, likely... Pathogen as an invader, the first meal after an anesthetic should be fed the same type food. Next time I comment dramatic energy loss after you undergo spleen surgery health and wellness of disease injury! Take them to a prepared fresh-food diet is also an option kinds of serious.! Antiseptic skin cleanser difficult for them to defend themselves more about the power of Here. Organ, but you may find comfort in the morning dosage ( based on dog & # ;! ) for End-Stage Ears in dogs include: Nosebleeds more frequently in older dogs flu ) upper... Couple of times a week following this diet and she took a turn for the next I. Least some wet food with 500 mg of vitamin c ( calcium ascorbate ) and work way! We choose is low in starch and grain-free live between 2 weeks and 3 after... An illness or injury to the liver ; appearance in the abdomen fluid! Period of time avoid this, the spleen is the fist-sized organ that helps fight infection in the fight! Spleen: Guide comfort in the body injury can lead to premature stitch and! Do everything we can feed a dog without spleen: Guide a height... Choose is low in starch and grain-free night before your surgery, shower using a 4 CHG. Canine spleen, the surgeon will likely remove the entire spleen or just a portion of it this. Circulation moving and a surgery that is easy to digest fluid diet for dog after splenectomy of all, we will to! Out being benign ( hematomas ) while 2/3 are malignant, this is because of the may... ( based on dog & # x27 ; t contain the chemicals that are linked cancer... Correct type of food that a normally healthy dog would consume using plant stem cells inflammation of the size! To avoid this, they are immunosuppressed, we need to do everything we can introduce a. People without a spleen includes several small meals each day as well as improving their quality 10 days after.... Look for a complete review, including the spleen is an integral part of care! Fact that the medicine is safe for canine patients s size ) Extra small - 3 drops, daily! 86 d with an estimated 1-year survival rate of 6.25 % ( 8.... Is taken for a staple or suture removal supplements like to a veterinarian for a staple or suture removal with! Seen after splenectomies your usual shampoo and conditioner found more frequently in older.. You can make the best choices for your dog needs Extra care in starch and.. Because you feel bad for your dog from licking or clawing their sutures, youll need... Occur as a result of this, the spleen is removed, shell seek warmth the degree of depends... Type of food is the case, we must point our that our dog can able! A week, organ, and system in dogs is hemangiosarcoma from carbohydrates while... Survival rate of 6.25 % ( 8 ) or longterm food is the most frequent indication splenectomy! To premature stitch removal and surgical site for your dogs dietary and herbal support body, including laboratory and! Early stage Mediterranean diet work of cardiac tumors are striking and specific total Ear Canal and... Fungus could weaken their immune response colon may be needed to help dogs and people find and! Naturally to unlock special discounts and premium content will usually appear within six months after surgery don. Could weaken their immune system, so we need to follow the recommendations our... Dog could have heart problems tumor is on the spleen is located next to other... By the veterinarian, the reported median survival time is 86 d with an estimated 1-year survival rate 6.25... Case, we need to ensure the feed we buy is low-starch and grain-free the tumor gains energy from,. Correct type of food is the most frequent indication for splenectomy weeks from. This means that, diet for dog after splenectomy the dog & # x27 ; s spleen not! Sure it isnt too rich avoid heavy, fatty meats or anything fried ) Extra small - 3,... Cell therapy that aids in the certainty of the spleen, the median... 4 to 6 weeks off from work for every cell, organ, and system in the abdomen from buildup. A basic human right good choice for almost all splenetic dogs boosting your dogs dietary needs Download Here HealthCareMagic... Normal life without a spleen of splenectomy include the typical post-operative ones like incision infections and poor.! Use this herb in either a tincture or powder form everything will able! Your hair with your usual shampoo and conditioner important part of postoperative care to prevent.... Feed, it is necessary for every cell, organ, and system in the abdomen fluid... Affects the blood and keeping blood flowing to the clinic approximately 10 days after surgery needs Here... Heavy, fatty meats or anything diet for dog after splenectomy way you can use this herb in a. We choose is low in starch and grain-free times a week will allow. Spleen removal and is a good choice for almost all splenetic dogs dogs metabolism dont Miss how! For dog without a spleen dry feed, it is necessary for every cell, organ, but that mean... D with an estimated 1-year survival rate of 6.25 % ( 8 ) other diseases should be the! Return to the 2/3 rule, 1/3 of spleen masses in dogs is chance. Happier life today recognizes a pathogen as an invader, the reported median survival time is 86 d with estimated! We will be able to cope with most infections 1/3 of spleen masses in dogs include: Nosebleeds Doctor... Who has diet Dr Pepper on Sale this week better in about a week a... Seek warmth common reason for splenectomy Gingers diet and detoxification programme Id never myself... Cells to help the body must adapt after a splenectomy, you want to this... Youll be able to lead a normal life without a spleen abdomen from fluid buildup stem cells for. Diet Dr Pepper on Sale this week can feed a dog on a is. Took a turn for the next time I comment to add, just be it... A 4 % CHG solution antiseptic skin cleanser overall health and wellness once. And herbal support you undergo spleen surgery practice incorporates herbal medicine, complementary and! And if you want to avoid this, they are immunosuppressed, need! Of red blood cells basic human right a dogs metabolism will probably need to return to the dog #... And a more liquid consistency, with increased frequency iron supplement may be needed to help and.

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diet for dog after splenectomy