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Hills Prescription Diet c/d Multicare is formulated to support your pets urinary health and reduce the risk of urinary crystal and stone formation.
Bladder stones are formed when mineral crystals in the urine combine to form stone like structures that sit in the bladder. They can come in many different mineral compositions, the most common two are struvite and oxalate.
Struvite: Struvite crystals are composed of magnesium, ammonium and phosphate and it is not uncommon for them to be present in the urine of healthy animals. Struvite stones form most commonly as a consequence of a urinary tract infection with certain types of bacteria that produce an enzyme called urease. Urease reacts with urea, a normal waste product excreted in urine, to create ammonia which raises the urine pH to create an alkaline environment. As well as changing the pH of the urine, the ammonia is also toxic to the cells of the bladder wall which results in inflammation and the release of proteins. These proteins provide the struvite crystals that are normally in the bladder with a scaffolding to create bladder stones. This reaction can only occur in the alkaline environment created by the ammonia. Struvite stones are most common in female dogs, particularly Miniature Schnauzers, Miniature Poodles, Bichon Frises and Cocker Spaniels.
Oxalate: Oxalate crystals are composed of calcium oxalate, and can form for a number of reasons. Some dogs may have a hereditary predisposition to forming stones due to the absence of a substance called nephrocalcin in their urine. Another risk factor for oxalate stone formation in dogs is an excess of calcium or oxalate in the diet, generally from feeding human foods. Some metabolic conditions may also result in the formation of calcium oxalate stones, for example Cushings Disease, which causes increased amounts of calcium to be excreted in the urine. Breeds predisposed to calcium oxalate stones include Schnauzers, Lhasa Apsos, Yorkshire Terriers, Miniature Poodles, Shih Tzus and Bichon Frises. Male dogs represent over 70% of dogs affected.
Signs of bladder stones in dogs include:
Once bladder stones form they often require surgery to remove them, although some may be dissolved over time with the correct urinary support diet. If the underlying cause is not addressed after the stones are removed, crystals will persist in the urine causing them to build up again. Usually your veterinarian will recommend feeding a prescription urinary support diet as part of your dog’s treatment plan. Urinary support diets have controlled levels of protein and minerals to limit the building blocks of urinary crystals and stones. They also contain ingredients that optimise urine pH to interrupt stone formation. There are different types of urinary support diets for dogs that are targeted at different types of crystals and stones, your veterinarian will recommend the right one.
C/d Multicare Canine has controlled levels of magnesium, phosphorus, calcium and protein, to limit the building blocks of struvite and calcium oxalate crystals in the urine. It has been clinically proven to aid in the dissolution of struvite stones and reduce the risk of formation of new struvite and calcium oxalate stones. C/d contains added potassium citrate to adjust urine pH and interrupt the formation of bladder stones. It is also enriched with antioxidants to control cell oxidation and promote a healthy immune system. C/d Multicare is a complete and balanced diet and is recommended as a lifelong food for adult pets prone to development of bladder stones.
Whole Grain Corn, Chicken Meal, Pork Fat, Corn Gluten Meal, Soybean Mill Run, Egg Product, Soybean Meal, Chicken Liver Flavor, Wheat Gluten, Soybean Oil, Lactic Acid, Flaxseed, Pork Liver Flavor, L-Lysine, Calcium Sulfate, Fish Oil, Potassium Chloride, Iodized Salt, Choline Chloride, Potassium Citrate, vitamins (Vitamin E Supplement, Niacin Supplement, Thiamine Mononitrate, Pyridoxine Hydrochloride, Calcium Pantothenate, Riboflavin Supplement, Biotin, Vitamin B12 Supplement, Vitamin A Supplement, Folic Acid, Vitamin D3 Supplement), Taurine, minerals (Ferrous Sulfate, Zinc Oxide, Copper Sulfate, Manganous Oxide, Calcium Iodate, Sodium Selenite), L-Carnitine, Mixed Tocopherols for freshness, Natural Flavors, Beta-CarotenePet Food Ingredient Glossary / Explanation
These are broad guidelines only, designed to assist with feeding your pet based on their weight, age and activity level. Always check the feeding charts on your pet's food packaging in conjunction with these feeding guidelines. Required amounts may differ between individual pets, and adjustments may be required to maintain optimal body weight.
Once or twice daily feeding is recommended for adult dogs, unless otherwise specified by your veterinarian. Puppies and kittens require feeding more regularly, with the total portion divided into three or four meals throughout the day. Ensure fresh water is available at all times.