It is theorized that either chronic inflammation on the lining of the small intestine, or slower motility within the small intestine, or both, sets the
stage for bacterial overgrowth.
Managing exocrine pancreatic insufficiency involves a five - pronged approach that includes supplementation with digestive enzymes missing from the dog's pancreas, feeding the dog 150 percent of her usual rations,
treatment for bacterial overgrowth in the gut that results from the disease, cobalamin supplementation, and a low - fiber diet.