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Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 14826
Experience:  Over 20 years of experience as a veterinarian.
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My dog had dirrea and was passing blood. should I be

Customer Question

my dog had dirrea and was passing blood. should I be concerned.
JA: I'll do all I can to help. What is the matter with your dog?
Customer: he had dirriela
JA: Where does your dog seem to hurt?
Customer: he is passing blood .
JA: Can you see anything that looks wrong or different?
Customer: loose bowel
JA: Is your dog eating normally?
Customer: yes
JA: OK. No appetite problems. Is your dog having trouble peeing or pooing?
Customer: pooing
JA: Is there anything else the veterinarian should be aware of about your dog?
Customer: he have allergis
Submitted: 25 days ago.
Category: Dog Veterinary
Expert:  Dr. Kara replied 25 days ago.

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Expert:  Dr. Kara replied 25 days ago.

I am very sorry to hear about your fellow's diarrhea with blood.

Of course anyone would be concerned about blood in the stool. The fresher the blood appears the closer the source is to his rectum.

The important factor in all of this is how your boy feels. If he feels great otherwise, has a good appetite and is bright and active, then that is a good sign.

There is a condition in dogs called hemorrhagic gastroenteritis. These dogs have profuse dark, jelly-clot like, bloody diarrhea. They are very sick dogs and get dehydrated quickly so they need immediate care. Thus if he seems lethargic and/or begins vomiting an emergency veterinary visit is best.

But colitis or inflammation of the large intestine, can be due to stress, a change in diet, parasites, a viral or bacterial infection, inflammatory bowel disease or even a food allergy. Rarely a mass in the colon can be the cause, or exposure to anticoagulant rodenticides. Another possibility is an anal gland infection. These are scent glands that are located just inside the rectum and an infection can cause a bloody discharge, though should not cause loose stools.

A raw, irritated colon can take a few days to heal. Do you know if he got into anything that may have started all of this? The bleeding should clear completely with treatment over the next 2 to 3 days. If not he should be checked by his regular veterinarian and his anal glands should be checked. Well worth checking at least a couple fresh stool samples too as parasite eggs/cysts can cause bloody diarrhea and are shed intermittently so they may be picked up on the second sample or third test even if the first is negative.

If he still feels well now though we can try some things at home.

If his appetite is off and his stomach is gurgling he may have some stomach upset and reflux that can go along with his bloody stools.

To try and settle his stomach today you can try either:

1) Pepcid-ac (famotidine) at a dose of one 10mg tablet per 20 to 40 pounds of body weight every 12 hours.

OR

2) Prilosec (omeprazole) at a dose of one 20mg tablet per 40 to 80 pounds of body weight every 24 hours.

These will reduce stomach acid and should help if this is related to simple nausea and gastrointestinal irritation. They can be given for several days if need be. If his appetite seems normal then you can skip this step.

I would not feed him any food for 24 hours. This should help stop gut spasms and restore normal gut motility. Small amounts of water or ice cubes given frequently are fine as he needs fluids after all that he has lost with bloody stools. You can give him pedialyte to replace electrolytes too but Gatorade is much too high in sugar which can make his colon irritation worse.

Today even with the fast you can start Kao-pectate at 1/2ml per pound or 1/2 tablespoon per 15 pounds of body weight every 12 hours. This will coat his irritated gastrointestinal tract as well as absorbing bacterial toxins. You can find kao-pectate at the drug store.

If he has a tense painful abdomen, continues to have diarrhea with no improvement after being on kao pectate for 24 hours, becomes very lethargic, begins vomiting or runs a fever greater than 103.5F then he really must be seen by a veterinarian as soon as possible. Make sure to take a fresh stool sample with you when you go.

After his food fast start a bland diet of 1/3 boiled, lean hamburger (or boiled, white skinless chicken), all fats and juices drained off the meat, mixed with 2/3 boiled, plain white rice. Feed several small meals a day. You might wish to add 1-2 tablespoon of canned pumpkin (not pie filling, just pumpkin) to each meal as fiber helps soothe an irritated colon. I recommend adding probiotics like Fortiflora, Proviable or Benebac to his meals daily to re-establish normal gut bacteria levels too.

Once he feels better (no bloody diarrhea for 48 hours) start mixing in his regular dog food very slowly. Less bland more regular with each day. It should take a week or so to convert him back.

If your pup is vomiting and feeling poorly though it would be best that he see a veterinarian now as anything you give him orally will just come back up worsening his dehydration.

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

Customer: replied 25 days ago.
my dog was having problems pooing when he did poop it was loose then he started to pass blood.should I be concerned.
Customer: replied 25 days ago.
you are not giving me an answer
Customer: replied 25 days ago.
cancel my payment
Expert:  Dr. Kara replied 25 days ago.

Many dogs with colitis (inflammation of the large intestine) will have blood and/or mucous in their stool and strain repeatedly to pass small amounts of loose stool, because the inflammation makes them feel like they need to pass stools, even when there is very little present.

Yes, loose stools and blood are always something to watch closely. But if his gum color is nice and pink, and he feels well otherwise there are things that we can do to try to ease the inflammation and get him feeling better.

I listed the possible reasons for colitis and what we can do for him above your last response. If you have questions about what I have written please feel free to respond.

Expert:  Dr. Kara replied 25 days ago.

IF however he is vomiting and feeling poorly, and/or his gum color is very pale/white, then this becomes an emergency situation, the concern is much, much more.

Expert:  Dr. Kara replied 25 days ago.

Are you able to scroll up and see my long initial response about what to watch for and how to try to help him feel better?

Do you have any further questions after reading that?

Expert:  Dr. Kara replied 22 days ago.
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Kara
Expert:  Dr. Kara replied 19 days ago.

Hello, I wanted to check in and see if you had any further questions after reading my response. If you do please feel free to respond with them. If not I would appreciate an update on your pup, thank you, ***** *****