Welcome! I am Dr. Altman, a licensed veterinarian and happy to answer your questions today.
I am so sorry to hear that Princess is having issues with diarrhea with blood and mucus
Unfortunately it is ideal to have a diagnosis with such severe symptoms of colonic inflammation but if this is absolutely not possible then the recommendation would be:
Possibly underlying causes include food allergy, inflammatory bowel disease to name a few), or even cancer then the gi tract will be more susceptible to giardia, bacterial overgrowth, clostridia, campylobacter which can result in further gi issues
So that leaves you with a few options
1.) Doing a food allergy trial. Surprisingly most food allergies are to the protein in diets not the grains so using a food that is specifically for this purpose, which is where the proteins are broken down beyond the point where the body recognizes the protein as beef, chicken
, fish and monitor for improvement in signs. These prescription foods include: royal canin h/p (hydrolyzed protein), hill's z/d ultra
-During the food trial she cannot have anything besides these diets and this can be a two week trial. So no treats
nor other foods. This is the best way to rule out food allergies
2.) Starting a probiotic from your veterinarian such as proviable which is a probiotic that has no meat based products in it.
3.) If there is no change after 1-2 weeks of the food allergy trial then talking to your vet about a trial of steroids since further diagnostics are not likely at this point. This would be treatment for issues such as inflammatory bowel disease or lymphoma
to name a few
4.) Lastly, there is a blood test to ensure the pancreas is not part of the problem and this is a specific test called a tli, folate, cobalamin level that is sent to a lab in Texas to rule out this condition
I have a food allergy dog and this can be quite a challenging situation. She is on the royal canin h/p formula longterm and whenever she gets anything else she breaks with loose stools :(
I hope this information makes sense but please let me know if you have any additional questions or concerns I can assist with!
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