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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 23766
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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I had a 10 yr. old beagle have 10 teeth extracted. She had

Customer Question

I had a 10 yr. old beagle have 10 teeth extracted. She had surgery in the morning and came home that evening. She was bleeding some when we picked her up. As the night went on she keep bleeding and starting having clots come out of her mouth. The bleeding got worse. By morning she was weak. She got up to go in the kitchen and passed a big mass of blood and clots from her rectum. Within two hours she passed. Do you have any idea what may have gone wrong?
Submitted: 5 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 5 months ago.
I'm sorry that your question wasn't answered in a timely manner. Disseminated intravascular coagulation (DIC) is the most important differential diagnosis for her. This is an acquired syndrome in which coagulation is abnormally and inappropriately activated with widespread fibrin deposition in the microvasculature. Depletion of blood platelets and coagulation factors can then cause bleeding. Primary disorders that may lead to DIC are infectious (an infected mouth in her case), inflammatory (her mouth was severely inflamed), neoplastic (cancer/unknown), or traumatic (having 10 teeth removed is traumatic). There's no single laboratory test diagnostic for DIC. A high index of suspicion should prompt IV fluids, supplemental oxygen, red blood cell transfusion in anemic patients, fresh-frozen plasma to correct fibrinogen and clotting factor depletion, +/- heparin if dyspnea (difficult breathing) or organ failure from thrombosis occur.Please respond with further questions or concerns if you wish.
Expert:  Dr. Michael Salkin replied 5 months ago.

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin