Ehrlichia are a type of bacteria that live within their host’s white blood cells. Ehrlichia are spread from host to host by tick bites. The two Ehrlichia of concern are Ehrlichia canis and Ehrlichia ewingii. Testing positive for Ehrlichia can feel overwhelming, but it’s essential to know that not all cases lead to serious health issues, and many dogs may show no symptoms at all. Here’s a holistic look at Ehrlichia in dogs, how it affects them, and the ways to support their health naturally if they do show symptoms.

Ehrlichia Canis (Canine Monocytic Ehrlichiosis)

Vector: The brown dog tick, found across the United States, is the primary carrier of Ehrlichia canis. This tick can transmit other tick-borne infections such as Rocky Mountain Spotted Fever and Babesiosis so infection with multiple organisms is not unusual.

Symptoms: Dogs may exhibit signs like mild fever, lethargy, or loss of appetite in the initial stages, which may progress through acute, subclinical, and, in rare cases, chronic phases. However, many dogs remain asymptomatic, and only those showing specific clinical signs may require treatment.

Diagnosis: A combination of clinical signs, bloodwork, and a positive PCR test can confirm infection. A snap test may indicate exposure but should be used alongside other evaluations before beginning treatment.

Ehrlichia Ewingii (Canine Granulocytic Ehrlichiosis)

Vector: The lone star tick, primarily in the Eastern U.S.

Symptoms: Infection tends to be less severe than that of Ehrlichia Canis. Ehrlichia ewingii can lead to symptoms like mild joint pain, lethargy, or low-grade fever.

Diagnosis: A combination of clinical signs, bloodwork, and a positive PCR test can confirm infection. A snap test may indicate exposure but should be used alongside other evaluations before beginning treatment

Conventional Treatment

Treating dogs that test positive for Ehrlichia antibodies but are otherwise healthy is controversial, as treatment has not been shown to alter outcomes in these cases and carries potential risks, such as antimicrobial resistance or adverse drug effects. If your dog is symptomatic and tests positive, the recommended treatment is usually doxycycline for 28 days, which can effectively manage most symptomatic cases. Supportive natural options can work alongside antibiotics to boost recovery, reduce discomfort in these dogs.

Natural Symptom Support

For joint discomfort:

• Turmeric: A natural anti-inflammatory that can support joint health.
• Omega-3 Fatty Acids: Found in fish oil and green-lipped mussel, beneficial for inflammation.
• Chondroitin: Helps to cushion joints; naturally sourced from green-lipped mussels, beef trachea, bone broth, and eggshell membrane.
• Palmitoylethanolamide (PEA): A safe, non-toxic option that supports inflammation management.

For immune and gut health:

• Soil-Based Probiotics: Support a healthy gut flora, which can help improve immune function, especially post-antibiotic treatment.
• Medicinal Mushrooms: Including reishi and turkey tail, which support immune health.
• Dandelion Root: Naturally detoxifies the liver.
• Echinacea and Ginger: Help bolster immune response and reduce oxidative stress.

Ehrlichia might sound intimidating, but the prognosis for most dogs is generally positive. Testing isn’t always necessary unless clinical symptoms arise, as treatment is typically not recommended for dogs without symptoms. To support your dog’s overall health, focus on a nutrient-rich diet, immune support, natural tick prevention, and regular check-ups to detect any changes early. With balanced care, many dogs remain symptom-free even if they test positive. If your dog does show symptoms for Ehrlichia such as joint pain, lethargy and fever then 4 weeks of Doxycycline is usually effective. To help prevent Ehrlichia, check out my blog on Natural Flea & Tick prevention

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