Microbiome medicine in practice: Rethinking chronic enteropathy management
Chronic gastrointestinal disease in dogs is one of the most common and challenging presentations in small animal practice, yet management strategies continue to evolve. This session will focus on a practical approach to canine chronic enteropathy, with particular emphasis on how our understanding of dysbiosis is reshaping treatment decisions. Moving beyond a default reliance on antibiotics, we will explore a structured, stepwise approach to management, including dietary strategies, microbiome-modifying therapies, and immunosuppressive treatment. The role of faecal microbiota transplantation and emerging therapies will be discussed, alongside clinically relevant conditions such as bile acid diarrhoea. A critical evaluation of when steroids are indicated, and when they may not be the best option, will also be included. The aim is to provide clinicians with a clear, pragmatic framework for managing chronic GI disease in dogs in everyday practice.
- Develop a structured, practical approach to the diagnosis and management of chronic enteropathy in dogs
- Understand the role of dysbiosis in canine chronic GI disease and how it influences treatment decisions
- Recognise and manage conditions such as bile acid diarrhoea within the chronic enteropathy spectrum
- Evaluate the use of steroids and alternative therapies in canine chronic enteropathy
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