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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16157
Experience:  Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
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My dog has gut sounds, loss of appetite and diarrhea, what

Customer Question

My dog has gut sounds, loss of appetite and diarrhea, what may be the cause and what can I do
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 1 year ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

How long has she had these signs?

Any retching, gagging, vomiting, or lip licking?

Is she drinking and can she keep water down?

Are her gums pink or pale/white? Moist or sticky?

If you press on her belly,does she have any discomfort, tenderness, or tensing?

Could she have eaten something she should not have (ie bones, toys, rocks, plants, chemicals, etc)?

What does the diarrhea look like? Any blood?

Customer: replied 1 year ago.
She has had the signs since the day before yesterday and the diarrhea is liquid like water having no discomfort when I press on her stomach
Expert:  Dr. B. replied 1 year ago.

Thank you,

First, Abbie's signs suggest she has an ongoing upset that is affecting the upper and lower GI. Common causes we need to consider include bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, and ingestion of harmful items (ie toxins, plants, non-edible items).

With this all in mind, since appetite loss and that gurgly gut are highly suspicious of nausea, we can try some home supportive care to see if we can settle her stomach. To start, you can consider treating her with an antacid. Pet safe OTC options include:

*Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid)
*Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac)

Tagamet (More Info/Dose Here @http://www.petplace.com/article/drug-library/library/over-the-counter/cimetidine-hcl-tagamet)
Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. Of course, do check with her vet before use if she has any known health issues or is on any medications you didn’t mention. As well, if you try this and find her nausea too severe to keep it down, then that is usually a red flag that we need her vet to bypass her mouth with injectable anti-vomiting medication.

Once that has had time to absorb and she is steadier on her stomach, you can consider starting her on alight/easily digestible diet. Start with a small volume (a spoonful). Examples you can use are cooked white rice with boiled chicken, boiled white fish,cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. When you offer that spoonful, give her 30 minutes to settle. If she keeps the food down, you can give a bit more and so on. As her stomach stabilizes, you can offer more. The aim of these diets is that it will be better tolerated and absorbed by the compromised gut. Therefore, it should get more nutrients in and result in less GI upset and diarrhea.

Finally, since you didn't mention blood in her diarrhea, you can consider trying a pet safe anti-diarrheal. As I am sure you appreciate, these would not be a cure if the cause were infectious; but it can still be of benefit. It will reduce diarrhea load, allow the body to absorb more water/nutrients, and soothe the upset gut. In regards ***** ***** options for your wee one, the one we most commonly use is Kaolin/Kaopectate (More Info/Dose @ http://www.petplace.com/drug-library/kaolin-and-pectin-kapectolin-k-p/page1.aspx).This is available OTC at most pharmacies. Otherwise, Propectalin, Canikur, Fast Balance, and Protexin Pro-Fiber (which is available OTC at vets, pet stores,and even Amazon) would be another option. All will slow diarrhea and those last ones have the added bonus of providing support to the delicate good GI bacteria. So, these can be used as a short-term means of soothing this upset GI.

Overall, a wide range of agents could trigger the GI upset we are seeing. Therefore, in Abbie's case, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down, appears dehydrated already, or doesn’t respond to the above within 12-24hours; then we'd want to get her vet involved. They can assess her hydration,rule out fever, make sure there is nothing in her stomach that shouldn't be there, and test a stool sample for infectious agents. Depending on their findings, her vet can treat her with injectable anti-nausea medication, antibiotics, +/- appetite stimulants to settle her stomach and get her back feeling like herself.

I hope this information is helpful.

If you need any additional information, do not hesitate to ask!

All the best,

Dr. B.

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