The moment we knew Vito was going to leave us | Episode 2
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Time to read 13 min
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Time to read 13 min
When a dog is ill, you often don't realise it straight away. Especially when the symptoms are unspecific and sometimes come and sometimes go, as was the case with our Vito. In this episode of our podcast, we explain how we only realised late on that Vito's recurring abdominal pain and sensitivity were not just coincidence or harmless reactions - but the first signs of a serious, chronic bowel disease.
We would like to share our experiences because many dog owners experience similar uncertainties: When is it still "normal" for a dog to be less fit - and when should you take a closer look? Looking back, we can see many things more clearly, but at the time it was an emotionally gruelling, lengthy journey that repeatedly pushed us to our limits.
This blog not only gives you an insight into our personal story, but also valuable canine background information: How do you recognise chronic intestinal diseases in dogs? What happens in the body when the gut is ill? And what does this mean for the coexistence between humans and dogs?
When a dog is ill, many owners only notice the signs late. Particularly in the case of chronic illnesses that develop gradually, many things seem harmless at first: sometimes a little stomach ache, sometimes restlessness, then weeks or months in which everything seems normal. This was also the case with our Vito. Even as a puppy, he was more sensitive than other dogs: minor injuries, recurring stomach problems, mild stress reactions.
Back then, we often thought: "That's just what happens." It wasn't that he was constantly ill. Rather, we were dealing with a dog who had minor health issues from time to time. Today we know that we were already looking at the first warning signs of chronic intestinal disease - but at that time we didn't have the knowledge to recognise the connections.
Living with a sensitive dog requires a great deal of sensitivity. But where do you draw the line between normal sensitivity and a genuine clinical picture? This question has been with us for years - and that's exactly why we want to talk about it today.
Many chronic diseases in dogs develop inconspicuously. Digestive disorders in particular, which alternate with phases without symptoms, lead to owners not taking them seriously for a long time. This is what makes early diagnosis so difficult.
Looking back, we realise that Vito has always been a sensitive dog. Not just in terms of behaviour, but also physically. Even as a puppy, he showed signs that we didn't categorise as alarm signals at the time: minor injuries, recurring stomach problems, phases of restlessness after Eat. Sometimes there were days when he had stomach pains, then weeks without any complaints.
His behaviour after eating was particularly striking: Vito often pulled his lips together, almost like an implied smile. This may have looked cute to outsiders, but to us it was a sure sign of discomfort at some point. He also had a hard belly, which he literally "stretched out" as if to say: "Please massage me here." These rituals after feeding soon became routine for us, without us understanding the big picture.
It was only later that we realised that his "dances of joy" after the shop - small, exuberant jumps - were possibly an expression of relief. Not just pure joie de vivre, but a reaction to the fact that something that had been weighing him down had just been relieved.
That was the beginning of a long journey, during which we had to learn to read Vito's body language differently.
Dogs often show pain subtly: altered facial expressions, body tension, need to rest, altered eating behaviour. Abdominal pain is often expressed by a hard stomach, crouched posture, stretched limbs, smacking or licking.
For years, we looked for answers - from vets, in the community, using alternative methods. In the beginning, we were often told: "It's nothing serious." The intervals between periods of abdominal pain were too long for anyone to think of a chronic illness.
We tried different sources of protein: Chicken, then duck - in the hope of finding something more tolerable. But as it turned out later, duck was a problem for Vito. A bioresonance analysis provided clues that vets did not take seriously at first: Intolerances, immune system stress, intestinal problems. Nevertheless, this direction helped us to think more specifically and recognise connections.
The feeling of often being left alone was particularly challenging. "Everything is okay", we heard regularly - and yet Vito clearly showed us that he was not well. It was only through a combination of veterinary medicine, alternative approaches and intensive observation that we slowly made progress.
Most importantly, we learnt not just to rely on a system, but to actively think along with it - and to take our role as Vito's most important advocates seriously.
Bioresonance is a controversial method that works with electromagnetic vibrations. Although it has not been scientifically proven, some owners report positive experiences, especially when it comes to identifying intolerances.
The moment when everything tipped over came unexpectedly - and violently. During our wedding preparations in Italy, Vito was given the tick repellent Advantix. A preparation that he had not received before. And the consequences were dramatic: He lost his balance, fell off the bed, staggered and toppled over while shaking.
At first we thought the causes were harmless: Water in the ear from playing on the beach. But when the tilting of the head persisted, it became clear that there was something more serious behind it. We travelled to a neurological clinic and underwent expensive examinations - all without a clear result. No tumour, no Wobbler syndrome, no clear diagnosis.
We began to suspect that there was a connection between the spot-on preparation and the neurological deficits, even if the vets were sceptical. We found information in the community that helped us: Tips on detoxification, alternative approaches, things you could do yourself.
That was the turning point. We realised that our dog didn't "just have a tummy ache". His body was fighting on several fronts - and we had to learn to think and steer with him.
Spot-on preparations such as Advantix® contain active ingredients from the pyrethroid group (e.g. permethrin), which act on the nervous system of parasites and kill them. Whilst these products are well tolerated by most healthy dogs, there are genetic and phenotypic risk groups:
Dogs with an MDR1 gene defect (multidrug resistance gene 1, also known as an ABCB1 mutation) are unable to sufficiently excrete certain drugs from the brain. This leads to an increased susceptibility to neurotoxic effects. Breeds such as Collies, Australian Shepherds and Shelties are particularly affected, as are mixed breeds with these breeds.
Dogs with a diluted coat colour (e.g. dilute gene, visible in "blue", "lilac", "silver") often have a genetically more sensitive skin barrier, which allows active ingredients to be absorbed more strongly and makes the skin more susceptible to irritation and reactions.
Animals with existing underlying neurological or immunological diseases can react much more sensitively to additional stress caused by spot-ons.
Although serious side effects are rare in authorisation studies, they are documented in the scientific literature: symptoms such as ataxia (coordination disorders), tremor, hypersalivation, vomiting or apathy can occur, particularly in the case of overdose, misuse or genetic predisposition.
An MDR1 test is strongly recommended for dogs at risk before neurotoxic drugs are administered.
After the initial neurological problems, another topic slowly came to the fore: Vito's intestinal health.
At first it was sporadic diarrhoea, then came bloody, slimy faeces. We noticed that he couldn't tolerate certain protein sources - chicken was critical, duck caused discomfort. The vets advised an intestinal biopsy to make a clear diagnosis.
The result was devastating, but also relieving because we finally knew what we were dealing with: Histiocytic ulcerative colitis, an inflammatory bowel disease that is considered a subtype of IBD (Inflammatory Bowel Disease). Genetically predisposed breeds such as Boxers and French Bulldogs, of which Vito was one, are particularly affected. At the same time, a biopsy of the palate showed signs of lupus, an autoimmune disease.
We started with an adapted diet, switched to a highly digestible, protein-reduced diet, tested monoprotein feed and started cortisone therapy. We also carried out a bioresonance analysis - on the recommendation of a veterinary practitioner - which revealed other intolerances (including duck).
We were required to observe, document and adapt on a daily basis. Every small change in food became a risk - but also a hope. It was a particularly emotional experience that we often found helpful approaches more quickly through the community than through veterinary advice.
Histiocytic ulcerative colitis is a chronic inflammatory bowel disease that is closely linked to genetic factors in research. Studies show that macrophages (scavenger cells of the immune system) in the large intestine react overactively and cause chronic inflammation (Simpson et al., 2006). Symptoms include bloody diarrhoea, emaciation, loss of appetite and abdominal pain.
Dietary management, antibiotics, immunosuppressants (such as cortisone) and, in severe cases, even faecal microbiota transplants (faecal transplants) are used therapeutically.
In addition to the bowel disease, we received a second diagnosis that explained a lot - and at the same time made everything more complicated: lupus erythematosus, an autoimmune disease.
In lupus, the immune system attacks the body's own structures as if they were foreign. This can affect the skin, joints, blood vessels, organs and mucous membranes. In Vito's case, it first appeared on the palate, where white, fungal-like changes formed. Later, general inflammation, fatigue and immunodeficiency were added.
The treatment was challenging because we had to fight two fronts at the same time:
The intestinal inflammation required a strengthening of the immune system and rebuilding of the intestinal flora.
Lupus, on the other hand, made immunosuppression with cortisone necessary in order to dampen excessive reactions.
We were faced with a balancing act: how much suppression does the immune system need without rendering the gut completely defenceless? How much build-up can the gut tolerate without triggering lupus?
Dogs with genetic sensitivity in particular - such as those with an MDR1 mutation or special coat colours like "blue" or "lilac" - are highly sensitive in such situations. Their genetic dispositions act as an amplifier for any treatment, which challenged us again and again in many ways with Vito.
Systemic lupus erythematosus (SLE) is a rare but serious autoimmune disease in dogs. The immune system produces autoantibodies that attack the body's own tissue. Symptoms can include skin changes, joint inflammation, anaemia, fever and neurological deficits (Gross & Ihrke, 2005).
The therapy usually consists of a combination of corticosteroids (e.g. prednisolone) and other immunosuppressants. The aim is not a cure, but remission - i.e. a reduction in symptoms.
When we started the cortisone therapy, we initially felt relief: the inflammatory processes finally seemed to be under control. The diarrhoea subsided, the palate changes receded and Vito became more stable. But cortisone is a double-edged sword.
The typical side effects, which can be particularly stressful for dogs, soon appeared:
Severe hunger and thirst
Frequent urination (also at night)
Muscle atrophy and weakness
Restlessness
Weight gain with simultaneous muscle loss
Vito's muscle loss was particularly problematic, which was exacerbated by his castration: Without testosterone, he lacked an important hormonal basis for maintaining muscle mass. His increased appetite also presented us with challenges: He began to eat everything on walks - from leftover food to fox faeces.
We had to learn to see cortisone management as a fine-tuning process: too much meant anti-inflammation, but also side effects. Too little led to relapses of intestinal inflammation and lupus symptoms.
We worked closely with our vet, a nutritionist and alternative practitioners. Step by step, we adjusted the dosage, introduced a selected diet and supplemented it with gentle supportive measures such as detoxification cures and herbal preparations.
Vito's everyday life became a balancing act - for him and for us. But despite all his efforts, we noticed how his body was losing more and more of its reserves as the months went by.
Corticosteroids such as prednisolone have an anti-inflammatory and immunosuppressive effect by inhibiting the production of cytokines, prostaglandins and other messenger substances (Moore, 2010).
However, long-term use can lead to side effects such as polyphagia (binge eating), polydipsia (increased thirst), polyuria (frequent urination), muscle atrophy, osteoporosis, skin changes and increased susceptibility to infections. Gradual tapering is important in order not to jeopardise the body's own cortisol production.
In addition to all the medical challenges, it was above all the emotional strain that pushed us to our limits as owners. Vito was not "just" a dog. He was part of our family, a companion who shaped our everyday life, our routines and our home.
Watching him fight - sometimes strong, sometimes weak - was a constant up and down of emotions:
Hope if a new therapeutic approach worked.
Anxiety when new symptoms appeared.
Exhaustion, due to sleepless nights, constant observation and care.
Feelings of guilt because you ask yourself: "Could we have realised something earlier? Did we always make the right decisions?"
The uncertainty was particularly difficult: we never knew what to expect the next day. We experienced phases in which Vito happily jumped around the garden, followed by days when he wouldn't move from his spot.
We realised how important it was to take care of ourselves too: small breaks, conversations, accepting help from the community so as not to burn out completely.
But the most emotionally difficult thing was the thought that we would have to make a decision at some point: Would Vito stay with us - or would we release him?
A thought that emerged the more we saw his body struggling and suffering.
Studies show that the emotional burden of pet owners with seriously ill dogs is comparable to that of relatives of chronically ill people (Bowen et al., 2013). The phenomenon is called "caregiver burden" - the burden that people bear when they take on responsibility for a sick living being.
This burden can lead to stress, exhaustion, depressive symptoms and social withdrawal. Experts advise targeted self-care, dialogue with other sufferers and, if necessary, professional support.
By the end of the year, we were exhausted - physically, mentally and emotionally. But we were also hopeful.
The blood results were stable, the diet adjusted, the cortisone reduced. We had the feeling that we had made it. Vito was not a healthy dog, we knew that, but he was a happy dog. We made plans: little outings, cosy walks, cuddly evenings.
But as is so often the case with chronic illnesses, things turned out differently.
Vito's condition suddenly deteriorated in the first few weeks of the new year. It happened quickly - faster than we had expected. And with each deterioration, the one issue that we had previously suppressed grew:
When is it time to say goodbye?
The decision to have an animal put to sleep is one of the most difficult moments in an owner's life. Studies show that the emotional stress involved is comparable to the loss of a close relative (Adams et al., 2000).
It is important that owners are supported in understanding their decision not as a "failure", but as a final act of care. Veterinary counselling, conversations with trusted people and open communication help to better manage this process.
In episode 3 of our podcast, we will talk about exactly that:
How we realised it was time.
What thoughts, fears and doubts we had.
And why this decision was ultimately an act of love.
This episode was particularly important to us because we wanted to take you into the part of the story that you often don't see from the outside:
The small signs that have been there for years.
The emotional highs and lows.
The challenges that not only demand the dog, but also the people.
We hope that we have not only been able to give you an insight, but also a bit of a connection. Perhaps you have experienced something similar. Maybe you're at a similar point right now.
And maybe this podcast will help you feel a little less alone.