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Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 11687
Experience:  Practicing small animal veterinarian for 17 years.
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He just had surgery yesterday to remove a broken canine

Customer Question

he just had surgery yesterday to remove a broken canine tooth and put in a few stitched into a laceration under his tongue. He caused trauma to the area but unknown what happened. His mouth is less sore etc and he's on wet dog food. (normaly always on dry Royal Canine) he has had diarhea since this morning and just notices some bright red blood on his anus and some in his stool. He went soon after again no blood this time. He's on tormalene sp? for pain
JA: I'm sorry to hear that. The Veterinarian will know what to do about this bleeding. I'll connect you ASAP. Are you ready to speak with the Veterinarian now?
Customer: sure
JA: I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Veterinarian about your situation and then connect you two.
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Altman replied 1 year ago.

Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!

I am so sorry to hear your dog is having so many issues the past 48 hours. Is he on tramadol for pain? Is he on an antibiotic? Rimadyl or an antibiotic such as clavamox can upset the stomach and cause bloody stools so I want to try to get a baseline for you one what possibly is the cause in order to hopefully discontinue any possible medications creating this issue to resolve it more swiftly

Expert:  Dr. Altman replied 1 year ago.

Alright, I don't know if you are having issues with the site but I can give you some basic guidelines for tonight. If there is no improvement then please consider a veterinary er since these signs are signs of colitis (inflammation of the colon). This can lead to more concerning illness and we definitely do not want this to progress. Below is more information on hemorrhagic gastroenteritis or HGE

http://www.petplace.com/article/dogs/diseases-conditions-of-dogs/stomach-intestine-liver-or-pancreas/hemorrhagic-gastroenteritis-hge

- Begin Pepcid 0.25 mg/ pound (famotidine) every 12 hours for 3 days to help settle the stomach
- Wait 12 hours to feed to allow the gi contractions to subside that are causing the bloody stools
- Mix white rice with boiled lean meat such as chicken which is high in fiber but also bland to the intestinal tract and enticing to the appetite as well in small more frequent meals. No regular dog food please. You can add water to ensure that there is no dehydration but you also want to do water in moderation because large amounts of water will increase risk of vomiting
- If you are able, getting up and walk. Walks are great in reducing gi spasms, nausea, and entice the appetite but if not up for it that is also alright

- Discontinue any antibiotics or rimadyl, metacam, previcox he might be on but tramadol should be fine to continue

Indications of cause for concern:
- Gums are pale, yellow, brick red and sticky indicating dehydration
- Vomiting or diarrhea with blood in it that is progressing or not resolving in the next 2-4 hours
- Increased lethargy or difficulty getting comfortable
- Swollen abdomen
- Respiratory rate > 60 while at rest
- Temperature rectally <99 or >103.5
- No interest in food for 24+ hours
- No urination for 12+ hours
- Trembling without resolution for more than an hour
- Productive coughing
- Taking a "play bow" or what looks like a downward dog position which is abdominal distress

I hope this information is helpful. Please let me know how else I can assist you both today and I truly hope your dog is feeling better soon. I am online another 20 minutes to assist you both

If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION (I am not compensated in any other way). Bonuses are always welcome. Thanks!

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Expert:  Dr. Altman replied 1 year ago.

Good evening, I wanted to check in on your dog to see if he is feeling better after having some blood in is stools last night? Is he feeling better? I would love an update when you are able...

Please let me know if I can be of any further assistance to you both today

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