Gastric Dilatation-Volvulus in Dogs: A Pet Emergency

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Golden retriever lying down at home, a large breed prone to bloating

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Bloat, also called GDV, is a life-threatening emergency. A swollen or hard belly, retching without bringing anything up, and restlessness mean your dog needs a vet immediately.

GDV stands for gastric dilatation-volvulus. When the stomach fills with gas, food, or fluid, it is called dilatation; when it then twists on itself, it is called volvulus. The twist traps the contents inside and cuts off blood flow to the stomach and other vital organs.

Without immediate treatment, GDV can be fatal. It develops quickly and can lead to shock. As the stomach expands, it presses against the diaphragm, which makes breathing hard. Blood circulation is disrupted, toxins build up, and stomach tissue can start to die. In severe cases, the heart and spleen can be affected too.

This guide covers GDV in dogs, from the causes to treatment options.

What Causes GDV in Dogs? 

Gastric Dilatation-Volvulus in dogs doesn’t have a clear cause, but some factors have been shown to increase the risk. Many of them have to do with your dog’s lifestyle. 

Breed and Body Type

Large, deep-chested breeds are much more likely to develop GDV. This includes dog breeds like Great Danes, Saint Bernards, Standard Poodles, and German Shepherds. Their chest structure gives the stomach more room to move and twist. 

Diet and Eating Habits

Dogs that eat very quickly, gulp air while eating, or eat one large meal a day are at higher risk. Additionally, feeding only dry kibble or any food high in fat and oil may increase the risk of bloat in some dogs. 

Activity Around Mealtime

Intense exercise and play after meals can also increase the risk of GDV in dogs. Like humans, dogs should rest after eating to avoid abdominal pain and gastrointestinal distress. 

Age and Sex

Older dogs are at a much higher risk of Gastric Dilatation-Volvulus, while males have a slightly higher risk than females. 

Symptoms of Gastric Dilatation-Volvulus in Dogs

A veterinarian is gently checking a brown dog's heart rate and abdomen.

GDV develops quickly, and in many cases, the signs can appear within a few minutes to hours. Because this is an emergency situation, take note of these common symptoms: 

  • Unproductive Retching or Gagging. Your dog may appear to be trying to vomit, but this will just be unproductive retching or gagging. This happens because the twisted stomach prevents the contents from leaving. 

  • Enlarged or Firm Abdomen. Affected dogs may also have a swollen belly that is firm to the touch. 

  • Restlessness or Pacing. Dogs may act uncomfortable, unable to settle, and keep moving from place to place. This is often due to the pain they feel. 

  • Excessive Drooling. Excessive drooling can also be caused by nausea and discomfort. 

  • Rapid Breathing. As the stomach swells, it pushes against the diaphragm and makes it harder for your dog to breathe. 

  • Weakness or Collapse. Some dogs may collapse because restricted blood flow reduces blood flow to vital organs. 

  • Abdominal Pain. Your dog may hold a praying position, a common sign of pain and discomfort. 

Go to a vet now if you suspect bloat.

Go to a vet now if you suspect bloat.

A swollen belly, retching without vomiting, drooling, pacing or signs of pain need urgent care.

A swollen belly, retching without vomiting, drooling, pacing or signs of pain need urgent care.

How Do Vets Diagnose GDV in Dogs?

When a dog arrives at the vet with suspected GDV, time is critical. Our emergency vets will be the first to take action, helping stabilize your dog’s condition. 

The first step is to address the shock with intravenous fluids. This helps restore blood pressure and improve circulation within the body. If your dog is in serious pain, we will provide some pain medications. 

Once your dog is stabilized, we will conduct a physical exam. Here, our vets will check for a swollen, firm abdomen and other symptoms. 

Abdominal X-rays will be the gold standard in diagnosing Gastric Dilatation-Volvulus in dogs. This can help us visualize the stomach’s shape and look for the characteristic “double bubble” shape. 

Other tests such as bloodwork and an electrocardiogram can check for your dog’s overall condition and monitor the heart and other organs. 

How Is GDV in Dogs Treated?

A veterinarian is checking a dog's condition after GDV surgery.

Treatment must come as soon as possible in order to save the dog’s life. The process involves stabilizing the patient, decompressing the stomach, and performing surgery to correct the twist and prevent it from happening again.

Stabilization

Stabilization will be done initially to make sure your dog comfortable and stable before we start the treatment process. This will include IV fluids, pain medication, and oxygen therapy. Anesthesia and sedatives will used after. 

Stomach Decompression

Once the dog is stable, our vets will release the trapped gas from the stomach by passing a tube down the throat and into the stomach. We can also do this by inserting a needle through the abdominal wall to relieve the pressure. 

Emergency Surgery

The definitive treatment for canine GDV is surgery. Our vets will untwist the stomach and assess any tissue damage, if present. Next, we’ll remove any dead tissue and check on the condition of other nearby organs. If the spleen has been damaged, we will conduct a splenoctomy. 

To prevent this from happening again, we will do a gastropexy. This involves attaching the stomach to the body wall.  

Post-Surgical Care

After surgery, dogs stay in the hospital for close monitoring. This includes watching for complications like infection, heart arrhythmias, or further digestive issues. 

Prognosis for Dogs With Gastric Dilatation-Volvulus

The prognosis for a dog with GDV depends heavily on how quickly treatment begins. When diagnosed and treated as soon as possible, survival rates are 80% or higher. Delayed treatment will ultimately result in severe complications and organ damage. 

In many cases, dogs that do not obtain immediate treatment will go into shock and pass away. 

Roxy is one of our patients who came to us with a life-threatening stomach bloat. Read Roxy’s journey: surviving a life-threatening stomach bloat to see what happened.

“In an emergency, every second counts. Acting fast helps keep our dogs healthy and happy.”

- Dr. Rokas Proscevicius

Final Thoughts

Gastric Dilatation-Volvulus is one of the most serious emergencies that can affect our best friends. But with good understanding and quick action, our dogs can have a fighting chance. So, if you notice any of these symptoms, call our vets right away.

How Do Vets Diagnose GDV in Dogs?

When a dog arrives at the vet with suspected GDV, time is critical. Our emergency vets will be the first to take action, helping stabilize your dog’s condition. 

The first step is to address the shock with intravenous fluids. This helps restore blood pressure and improve circulation within the body. If your dog is in serious pain, we will provide some pain medications. 

Once your dog is stabilized, we will conduct a physical exam. Here, our vets will check for a swollen, firm abdomen and other symptoms. 

Abdominal X-rays will be the gold standard in diagnosing Gastric Dilatation-Volvulus in dogs. This can help us visualize the stomach’s shape and look for the characteristic “double bubble” shape. 

Other tests such as bloodwork and an electrocardiogram can check for your dog’s overall condition and monitor the heart and other organs. 

How Is GDV in Dogs Treated?

A veterinarian is checking a dog's condition after GDV surgery.

Treatment must come as soon as possible in order to save the dog’s life. The process involves stabilizing the patient, decompressing the stomach, and performing surgery to correct the twist and prevent it from happening again.

Stabilization

Stabilization will be done initially to make sure your dog comfortable and stable before we start the treatment process. This will include IV fluids, pain medication, and oxygen therapy. Anesthesia and sedatives will used after. 

Stomach Decompression

Once the dog is stable, our vets will release the trapped gas from the stomach by passing a tube down the throat and into the stomach. We can also do this by inserting a needle through the abdominal wall to relieve the pressure. 

Emergency Surgery

The definitive treatment for canine GDV is surgery. Our vets will untwist the stomach and assess any tissue damage, if present. Next, we’ll remove any dead tissue and check on the condition of other nearby organs. If the spleen has been damaged, we will conduct a splenoctomy. 

To prevent this from happening again, we will do a gastropexy. This involves attaching the stomach to the body wall.  

Post-Surgical Care

After surgery, dogs stay in the hospital for close monitoring. This includes watching for complications like infection, heart arrhythmias, or further digestive issues. 

Prognosis for Dogs With Gastric Dilatation-Volvulus

The prognosis for a dog with GDV depends heavily on how quickly treatment begins. When diagnosed and treated as soon as possible, survival rates are 80% or higher. Delayed treatment will ultimately result in severe complications and organ damage. 

In many cases, dogs that do not obtain immediate treatment will go into shock and pass away. 

Roxy is one of our patients who came to us with a life-threatening stomach bloat. Read Roxy’s journey: surviving a life-threatening stomach bloat to see what happened.

“In an emergency, every second counts. Acting fast helps keep our dogs healthy and happy.”

- Dr. Rokas Proscevicius

Final Thoughts

Gastric Dilatation-Volvulus is one of the most serious emergencies that can affect our best friends. But with good understanding and quick action, our dogs can have a fighting chance. So, if you notice any of these symptoms, call our vets right away.

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