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Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 8601
Experience:  23 years of experience treating dogs, cats, mice, rats, rabbits, guinea pigs, hamsters, & iguanas
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My dog has been diagnosed with cancer. He has several tumors

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My dog has been diagnosed with cancer. He has several tumors up and down his colon and has had trouble defecating for the past month and a half now. I have gotten him to finally pass some stool every now and then but its not much and its dark and bloody still. He has vomited a few times once with blood in it but has no other symptoms. When will I know its time to put him down and how much time will he have with this?
Submitted: 7 months ago.
Category: Dog Veterinary
Expert:  Dr. Kara replied 7 months ago.

Hello, my name isXXXXX and I have over 20 years of experience as a veterinarian.

I am so sorry to hear that Coors has been diagnosed with colon cancer.

Without knowing what type of cancer it is it is very difficult to know how long he has because different cancers will grow at a different rate, and some readily metastasize (spread to other locations) which will create other difficulties for him, depending upon where the cancer spreads.

 

The two most common types of colon cancer in dogs are lymphoma and adenocarcinoma. I suspect that your fellow has adenocarcinoma because he has many palpable tumors which is a more typical presentation for adenocarcinoma, whereas lymphoma tends to be an infiltrative cancer, with discrete tumors less likely as a presentation.

 

Adenocarcinoma is a cancer that likes to metastasize to the local lymph nodes in the abdomen as well as the liver. This can cause blockage of the colon if the lymph nodes get too big and press on the colon. Spread to the liver causes poor liver function and that can decrease clotting ability.

 

Prognosis in dogs with multiple tumors that aren't surgically resectable (like your fellow) is weeks to 3 to 4 months. Chemotherapy usually isn't done because these tumors are not responsive to chemotherapy.

 

Things that can be done for him to keep him comfortable are feeding a canned low residue diet like Hills i/d or Purina Veterinary Diets EN. These highly digestible foods produce little stool which is helpful. the less he has to pass by those tumors the better.

We can keep stools soft with Miralax added to the food, 1/4 to 1/2 teaspoon sprinkled on the food twice daily. We do need to make sure he is well hydrated using Miralax so I recommend adding low salt chicken broth or warm water to his meals. Another option for keeping stools soft is a prescription medication called lactulose. You can discuss which would be better for him with your veterinarian.

It may be helpful to put him on Piroxicam, which is an anti-inflammatory that has shown some anti-tumor effects as well. It can potentiate gastrointestinal bleeding though so you need to discuss the pros and cons of use with your veterinarian. Another option is using a different nonsteroidal anti-inflammatory such as Metacam or Deramaxx, which may not be quite as effective but is less likely to lead to further bleeding or ulceration.

 

You will know when it is time to let him go by his appetite and attitude.

Dogs that are no longer eating, or vomiting with every meal are signaling that it is time to consider humane euthanasia.

Dogs that are no longer interacting with the family, but rather going off on their own, are letting you know that they are too painful or sick to enjoy life.

If he is no longer able to enjoy doing things that he likes such as walks or playing ball, although we know that it will be for less time as he feels weaker, he is telling you that he is no longer enjoying life.

 

I know that you love him very much so I think that you will be able to read his subtle clues that he is no longer enjoying life, and that is when it is time to let him go gracefully. I am so sorry that you and Coors are forced to go through this.

Please let me know if you have any further questions after reading my response.

Customer: replied 7 months ago.

So I guess it is safe to say taht he is in the beginning stages I guess of the cancer due to the fact that there are no other symptoms besides it affectinghis bowel movements, increased defecating and a couple of vomiting episodes. He has eaten more grass here lately but I am sure its because his stomach is upset due to the cancer.

Expert:  Dr. Kara replied 7 months ago.

You are right in that eating grass indicates nausea.

It may help to give him an acid reducer to settle his stomach. You can try either:
1) Pepcid-ac (famotidine) at one 10mg tablet per 20 to 40 pounds of body weight
every 12 hours.
OR
2) Prilosec (omeprazole) at one 10mg tablet per 20 to 40 pounds of body weight
every 24 hours.
These will reduce stomach acid and should help settle his stomach. They are very safe medications and can be used every day if necessary.

Best of luck with your fellow, please let me know if you have any further questions.

Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 8601
Experience: 23 years of experience treating dogs, cats, mice, rats, rabbits, guinea pigs, hamsters, & iguanas
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