Dog Food for Megaesophagus

Updated on July 20, 2013
Even with Megaesophagus, Kayla is putting on weight AND caring for her Great Dane puppies.
Even with Megaesophagus, Kayla is putting on weight AND caring for her Great Dane puppies. | Source


I’ve been experimenting with dog food for megaesophagus. My granddog, Kayla, has Megaesophagus. With this dog health problem, the esophagus doesn’t work well. In some cases, it doesn’t work at all. When the esophagus isn’t functioning with its normal muscular contractions, food and water swallowed just sit there instead of being pushed to the stomach where it’s needed. After consuming food or water in a normal position, the contents are regurgitated. If the problem isn’t addressed correctly, the dog will literally starve to death. Canine Megaesophagus can also cause aspiration pneumonia when the food or water ends up in the trachea and lungs instead of in the esophagus. A dog with megaesophagus needs to be fed in a vertical position and to remain in that position until all the food reaches the stomach. We accomplish this with a Bailey Chair my husband built. Depending on the dog and on the food, feeding and wait time can take anywhere from a few minutes to an hour. Different Megaesophagus Dogs function better with different types of food and food consistencies. The tips here might not work with your pooch, but I’m going to share with you which dog food for megaesophagus have worked best for us.

We use a Bailey Chair for feeding and watering.
We use a Bailey Chair for feeding and watering. | Source

Megaesophagus Dog Food

Obviously, the best dog food for megaesophagus should include the required nutrients your dog needs to stay healthy – proteins, fats, carbohydrates, vitamins, and minerals. Calories are also a major concern. Since some dogs with the condition can eat only small amounts of dog food at the time, they have to be fed several times a day, and they can’t have much of anything at one sitting.

In Kayla’s case, the problems were compounded by the fact that she’s trying to nurse a little of puppies. While she was in the veterinary hospital for more than a week, we bottle fed the puppies. We planned to continue bottle feeding puppies even after Kayla came home because we believed that getting enough nutrients and calories for her own survival would be difficult enough for the mother dog to do, much less having enough extra to produce milk.

Unfortunately, Kayla wouldn’t stand for it. She insisted on nursing her pups. When we separated them from her, she worried herself to death, really stressing herself out, so to speak. With some megaesophagus dogs, stress makes the condition worse, so we were in a quandary as to what would be best for Kayla and her puppies. When she first came home, she was extremely thin and had no milk whatsoever. As we began feeding her nutritionally dense dog food, however, she’s putting on weight, and her bags are full of milk. We decided that as long as she can gradually add a little weight to her body and feed the pups at the same time, we’d allow her to do so.

As far as dog food is concerned, we’ve tried just about everything – puppy kibble, high nutrition dry adult dog food, raw ground beef, cooked ground beef, and critical care canned dog food. From all the dog foods we’ve tried so far, Science Diet puppy food kibble, Purina Puppy Chow, and the critical care canned food have worked best. We still had to find the best consistency for Kayla, however. The vet was feeding Kayla small “meatballs” of wet and dry dog foods. Kayla did okay on this, but she continued to regurgitate sometimes, even after being fed in an upright position. We met with a veterinarian who has a dog with megaesophagus, and he suggested we try a thinner consistency. He said that many dogs with megaesophagus do better with a more watery meal.

I’ve been feeding Kayla since Monday, and she hasn’t regurgitated a single time! This is how I make her megaesophagus dog food: To the blender, I add ½ can of critical care dog food, ½ cup Science Diet puppy food, ½ cup Purina Puppy Chow, a scoop of dry puppy milk replacer, and a little sugar. The sugar is just to add some extra calories. I pour in some warm water and puree the mixture to a smooth consistency that’s sort of like thin pudding.

Evidently, this concoction is working well for Kayla. She’s a Great Dane, so your dog probably won’t need as much food. And even though this formula seems to be just what Kayla needs, it might not be the best option for your dog. You’ll need to experiment to find the best recipe for dog food that your dog will enjoy and keep down. Some other suggestions I’ve seen from megaesophagus dog owners include yogurt, cheese, oatmeal, Gatorade, olive oil, Ensure, mashed potatoes, mashed sweet potatoes, baby cereal, baby food meats, peanut butter “soup,” and pureed chicken and rice.

In the future, I might be forced to try some new dog foods with Kayla, but for now, I’m following the old saying: “If it ain’t broke, don’t fix it.” If whatever you’re doing in the way of feeding a megaesophagus dog is working, don’t change it. If you have to make some changes and try some new dog foods, make the change gradually, if possible. Sudden changes in food can cause diarrhea and other problems, and you certainly don’t need that.


Bailey Chair:

Water for Megaesophagus Dogs

Getting enough water for megaesophagus dogs can be a real problem. For example, Kayla has always had more trouble keeping down water than she has keeping down food. Of course, you can get a lot of water into your pet with the dog food you use. Canned dog food already contains a good bit of water, and you can always mix it with more water. Dry dog food doesn’t contain much water, but you can use plain water to moisten and soften the food.

Even when you add water to dog foods, however, your furry friend might not be meeting its hydration requirements. I know Kayla wasn’t…at first. Every time we’d let her out, she’d search the yard for any standing water. If she found any, she’d greedily lap it up. I think I’ve solved this problem though, by making what some megaesophagus dog owners refer to as Knox blocks or Knox Blox. Essentially, Knox blocks are water Jell-o. I use four cups of water and four envelopes of unflavored Knox gelatin. I sprinkle the gelatin over a cup of room-temperature water and let it dissolve. Then I stir in three cups of boiling water. I also add about ¼ cup of sugar just to make the blocks more palatable and to add some calories. I poured the liquid into a 13 x 9 dish and refrigerated it overnight. The next morning, I cut it into blocks and placed the blocks into a large Ziploc food bag.

Kayla loves her Knox Blocks! I’ve read that some owners sweeten the blocks with honey or white Karo syrup, but regular sugar is working fine for us. Some owners also make the blocks with no-sodium chicken broth. I can’t find any chicken or beef broth in the supermarkets that doesn’t contain sodium. I guess I could always make my own by boiling some fresh beef or chicken and not adding any salt.

Knox Blox or Knox Blocks
Knox Blox or Knox Blocks | Source

Canine Megaesophagus Feeding Tips

I’ve done extensive research concerning megaesophagus in dogs. I’ve read everything I could get me hands on, talked with owners of megaesphagus dogs, and met with four veterinarians. Obviously, I also have some hands-on personal experience. I’ve been pretty surprised at some of the information I’ve found on some megaesophagus sites and blogs. Some tell owners to simply use elevated food and water bowls. That DOES NOT work for most cases of canine megaesophagus! Here’s the way one vet explained it to me: when a dog is standing on all four legs, most of the esophagus is parallel to the ground. Only the very first section is somewhat vertical, so gravity doesn’t help much when using elevated bowls. This vet also explained that a dog’s esophagus doesn’t end until the last rib. With a Great Dane, that’s a lot tubing to get through before the food winds up in the stomach.

You’ll need to feed your dog as vertically as possible. If you have a small dog, this is pretty easy to do. Heck, you could just hold the pint-sized pooch up during and right after feeding times. The vet I told you about who owns a dog with megaesophagus uses a baby car seat and harness to feed his dog. If you have a larger dog to feed and water, the best option is to buy or build a Bailey Chair. I just can’t say enough good things about Bailey Chairs! The one hubby built for Kayla has worked like a charm. When I say “chair,” she knows that means food, so she heads immediately for her trusty Bailey Chair.

I have some other megaesophagus feeding tips for you, too. One is to keep the dog calm after it eats or drinks. We don’t let Kayla out right after her feeding and wait time in the Bailey Chair. So far, the “magic number” for her is forty-five minutes before going outdoors to relieve herself. We let her out just before feeding or watering her so that the time she has to wait before peeing or pooping won’t be difficult for her to do.

Kayla has been using the Bailey Chair for only a few days, so she hasn’t really gotten used to it yet. She’s always eager to get in it because food is involved, but once she eats, she’s ready to get out. Someone sits next to her while she has to wait. In Kayla’s case, she only needs to stay upright for fifteen minutes after she finishes a meal or a drink of water. After she takes her last swallow, we set the kitchen timer and wait with her. You’ll need to experiment with how long your furkid has to wait before getting down.

When Kayla lies down, especially when it’s right after she’s had food or water, we try to prop up her head and shoulder with a comfy pillow. This creates a slope that will help gravity do its job. If your dog sleeps in a crate or in a dog bed, you might want to try elevating the head portion a few inches.

Living with Megaesophagus can be challenging, but it's entirely possible.
Living with Megaesophagus can be challenging, but it's entirely possible. | Source

Living with Megaesophagus

Dealing with canine megaesophagus can be difficult, but the condition is not usually a death sentence. Once you get the hang of it and know what does and doesn’t work, living with megaesophagus is “doable.” Of course, some dogs more easily adapt than others do, and some cases of the condition are worse than others. Be sure to work with a licensed veterinarian to best manage your dog’s health. If you happen to find a vet who owns a Mega E dog, that’s even better. If you can’t, at least try to find one who has experience with Mega E dogs. Please be patient with your dog – this isn’t easy for him, either. Whatever you do, don’t give up until you’ve tried everything! Learn as much as you can, get a Bailey Chair, and don’t be afraid to think outside the proverbial box from time to time. Living with megaesophagus is no picnic, but once you discover the right hydration methods and dog food for megaesophagus, your largest hurdle will be behind you.

This article is accurate and true to the best of the author’s knowledge. It is not meant to substitute for diagnosis, prognosis, treatment, prescription, or formal and individualized advice from a veterinary medical professional. Animals exhibiting signs and symptoms of distress should be seen by a veterinarian immediately.

Questions & Answers

  • My dog drinks from the swimming pool. I try hard to prevent it, but he has been doing it for over a year. What are your thoughts on this?

    Pool water isn't good for pets. Of course, it depends on the amount and types of chemicals in the pool. Our outdoor cats often drink from our pool, even though they always have fresh water in their bowl. So far, it hasn't harmed them.


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    • profile image


      6 weeks ago

      Hi there, we've just been blessed with a little angel who has ME and I put protexin powder in her feeds which I find helps with the.reflux.. she weighs two blocks of butter (1kg) but is a very happy and active baby 9 weeks old... I feed her royal canine puppy mousse 5 times a day however I was wondering if I could grind her dry food and add it into her puppy mousse to be a bit more sustainable.

    • habee profile imageAUTHOR

      Holle Abee 

      7 months ago from Georgia

      Kay, Kayla is no longer with us. She died from bloat. Of her 4 puppies, my daughter kept one, the sire's owner got one, and I kept 2. They're almost 5 now and have never exhibited any signs of mega e. My 2 have been neutered, so they won't have any offspring. Good to hear about your pooch!

    • profile image


      7 months ago

      As a Mega E dog owner. I do hope you never breed Kayla again, Mega E is a congenital disease and all of the puppies should be tested. If the puppies are getting new homes I do hope you informed them about the moms condition. The breeder we got ours from didn’t disclose anything to us and as you know the care for these dogs is extremely time consuming from feeding to watching them to make sure they don’t chew on anything even a blade of grass. The vet bills also add up quickly. Some will even put the animals down which is what our vet recommended when ours was diagnosed at 10 weeks old. We decided to give her a chance and now she’s six years old and over one hundred pounds. We were lucky but this is not always the case. Good luck with Kayla hoping she stays “regurge” free!

    • habee profile imageAUTHOR

      Holle Abee 

      8 months ago from Georgia

      Hi, Lynn. We were lucky: I'm retired, so I could feed Kayla numerous times a day. For extra calories, I even added sugar. I'm sure that's not the healthiest thing for dogs, but it beats starvation. Best of luck to you and your pooch!

    • profile image


      8 months ago

      I just got diagnosis of ME for my 16 year old Lhasa apso. She is doing well vertically late in day but first meal of day no matter what time of morning is causing regurgitation. I think I am feeding her too much too fast. She is down 3 lbs and we all work. Struggling to get calories into a 6 hour after work window. Mixing high calorie dog food with ensure and beef broth. I gave 3 x 16 ml of slurry at one time. Usually during day it is fine. First meal of day may be too much. Any comments or suggestions.

    • habee profile imageAUTHOR

      Holle Abee 

      8 months ago from Georgia

      Pamela, I never tried using the gelatin with kibble. Have you tried using critical care canned food?

    • profile image


      8 months ago dog was just diagnosed with mega esophagus..I would like to know if you can help me with a recipe to gel his food. I am currently soaking his prescription kibble in water and puree in in the blender. He can take the pudding consistency during the day, but needs more of a slush at night. I thought the slush made into gelatin cubes would go down easily...Not sure about the amounts of gel and "pudding" to use. Surely don't want to waste anything, so if you have any recipes for that, I would so much appreciate it...Thanks.

    • profile image


      9 months ago

      Robert sorry to her about your dog. Have you tried giving your dog pepcid a.c. it helps coat the stomach and reduce acid which reduces the dog from vomiting. My dog is 100 lb and I give him 1 1/2 tablets every night and he's no longer vomiting

    • profile image


      9 months ago

      I have been feeding my goldendoodle peyton primal . I feed it to him with a spoon in his chair , it’s an incredible food all natural , is frozen so it just has to be defrosted prior to feeding. I’ve experimented with cooking for him and all kinds of food , but this food has worked the best for his Megaesophagus . Its expensive but so worth it . Megaesophagus is the worst condition ever , but I’m doing whatever I can and always will - he is the love of my life . I have faith he will be with me for a long time.

    • habee profile imageAUTHOR

      Holle Abee 

      12 months ago from Georgia

      Robert, so sorry to hear this. Have you tried to "gel" his food? That might help him keep it down. We also gave Kayla sugar Knox blocks just to add some calories. Another thing - you might have to keep him sitting up in the chair longer after he eats. Please let us know how it goes!

    • profile image


      12 months ago

      I have 4 large dogs, my oldest is a 12 year lab. When he first got megaesophagus he weighed 89 lbs. That was 3 months ago. Now he weighs around 55 lbs. and is getting worse. I've tried everything that people say has worked for them and he still throws up. I did build him a Bailys chair and it seems to work at first but about an hour later he throws up what we fed him up. I always put food in a blender to make it easier to go down. I really don't know what to do . I hate to see him suffer, but I feel he's starving to death. Also its hard when you have 3 other big dogs just waiting to eat what he won't. I would appreciate any advice. I had to put one of my babies down years ago and I said I would never do it again. I guess we old people get a little my sensitive the older we get. Does anyone have any suggestions?

      Thank You


    • habee profile imageAUTHOR

      Holle Abee 

      21 months ago from Georgia

      Sandi, lots of people with small dogs use a baby/infant carrier at meal times. Just make sure your fur baby sits up straight enough. Best of luck to you and your pooch!

    • profile image

      sandi stonebraker 

      21 months ago

      my little chihuahua was just diagnosed trying to learn everything i can. Because she is so tiny i'm thinking of wearing her in a baby carrier at meal times instead of a bailey chair - any comments?

    • profile image


      2 years ago

      Hi I have a very fit 11 year old jack russell who has been diagnosed with myaesthenia gravis & megaesophagus for 2 months he spent 2 weeks at the vets he nearly died lost alote of waight he was 13kg went down to 10.6 got pneumonia, had to be on a drip & oxygen, it all started when he got tick pyralisis 3 months ago other wise we was a very healthy fit active dog. We have been giving him 1 1/2 Mestinon 3 times a day 8 hours apart we wait 1 hour before we feed him in a bailey chair leave him in there for 45 minutes he also gets 3/4 tablet of amoxyclav to prevent the pneumonia from coming back & 1 losec morning & night with food to help settle his stomach. He also wears a pro/ travel pillow all day everyday day except for when he is in the chair or going out side to the toilet. It id amazing how much this pro/ travel pillow has helped. He was spewing every 5 day about 6 times per day nearly all thick froth before we got this pro/ travel pillow & uped his medication to 1/12 of mestinon but he still spews once & reverse sneezes every 6th day. We keep his exercise to a very minimum vertually just enough for him to go for a little sniff & the toilet. We also bought a little doggie trailer to pull behind the push bikes just to get him out of the house so he's not getting depressed as he was so active. We have tried the Knox blocks & didn't really work for him so we just stuck with water but only in his bailey chair though. We have just started feeding him hills precription diet I.D & hills Science diet Adult light biscuits soaked in water, morning & lunch don't give him biscuits at night just tinned food we also roll the tinned food into balls & hand feed him then put the water bowl in his bailey chair. Before we started him on the tinned food we were giving him mince & chicken balls even thought he loved it, we found he was getting alote of Salva build up. If there is anything else we could try to get him to stop spewing & reverse sneezes all together would love to hear from you. Thank you.

    • habee profile imageAUTHOR

      Holle Abee 

      3 years ago from Georgia

      Swee, sorry to hear about your dog. Yes, we fed the Knox blox while Kayla was verticle. I think we fed Kayla 5 or 6 times a day. We were lucky. After several weeks, the Mega E reversed itself! Sadly, Kayla died this past May from an unrelated condition.

      Have you tried getting your dog to place its front paws on a couch while it eats?

    • profile image


      3 years ago

      Hi, my dog has been recently been diagnosed with megaesop and I've been looking for articles or write ups or other pet owners who are also having this. he is still in the hospital under care of nurses and the dr but i just wanna be more prepared when he is ready to come back home.

      the knox water block is ingenious! do you also feed it when vertical ? my dog has mild hip dyslexia so i'm wondering if a bailey chair would be any comfort at all. I also thought of holding my dog upright but I have a golden retriever... how often do you feed your dog ?

    • habee profile imageAUTHOR

      Holle Abee 

      5 years ago from Georgia

      Hi, Brooke. Sorry about your puppy. The pup will still need the same amount of calories as a normal pup its size/breed/age. Ask your vet if critical care canned food would be appropriate. The calories and nutrition are concentrated, so you won't have to feed as much. Does the pup have myasthenia gravis or a thyroid problem? If so, the megaesophagus might reverse if the underlying condition is treated. According to the AKC, surgery for the condition is rarely successful. Also, sometimes puppies that are born with the condition grow out of it. PLEASE find a vet familiar with the condition!

    • profile image


      5 years ago

      Do you happen to know what and how much you should feed a puppy with megaesophagus because I have only found information on grown dogs. She is only 8 weeks old and she was diagnosed 1 week ago. We have built her a baily chair but she still seems to be regurgitating some food back up. Also do you know anything about the corrective surgery that can be done because our vet hasn't had any experience with megaE dogs and doesn't know the advantages or disadvantages with the surgery.

    • habee profile imageAUTHOR

      Holle Abee 

      5 years ago from Georgia

      Wish I could take credit for inventing the Bailey Chair, Doc, but I can't. It's really handy for dogs with megaesophagus. Always good to "see" you!

    • drbj profile image

      drbj and sherry 

      5 years ago from south Florida

      What a wonderful invention, Holle, that Bailey chair is. Didn't have a clue before I read your hub what a Bailey chair was.


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