Hi. I have a min. Schnauzer who was hit by a bike 2 1/2 weeks ago. Since then he has had an exploratory lap. His gall bladder had been torn for 6 days before surgery and he has/had horrible peritonitis. Also, his elbow was out of joint and we are having trouble splinting it to make it stay in joint. Surgery would cost $5000 which I don't have especially after spending $4300 already. After that, last week, his red blood cells were dropping and he had a black, tarry stool. So I felt better about the RBC's. He had 2 more enemas since then with the last one being this past Saturday. It was still dark but not as bad as before per the vet tech. He used approx 120 cc's of water and Dawn dish soap and used a soft flexible "catheter looking" like thing. He hasn't had a BM since then. He is just oozing slightly. This concerns me since I know the amount of food that he has been eating since surgery. Our vet doesn't seem concerned since he doesn't seem to be trying. He would be more concerned if he was trying to go and couldn't. I have a bad feeling about it ( since I'm an RN myself). What do you think?
Hi Dr. Gary,
When he had the enemas there wasn't much output. He got a soap suds enema with 120 cc's and he didn't have nearly that amount out. It may have been 1/4 to 1/2 cup of dark loose stool but not much more than that. Working with humans, usually the amount out is close to what went in. How would you be able to tell if the GI bleed is resolving with no BM? RBC's? They started increasing Thursday of last week. The lowest his PCV got was 15 and then started increasing from there to 20 on Sunday. White count was going down but started to increase again on Saturday. 48,000 down to 30,000+/- and then up again into the 40's. He doesn't act like he is in pain or uncomfortable and has eaten great since surgery with a little creativity at first.
Come to think of it, I'm not sure why we gave enemas either unless my dad and I were worried about a lack of a BM. The first one he got was on last Wed which would have been 5 days post op. He was eating great. However, had we not done one, we wouldn't have known why his RBC',s were dropping. He was supposed to go to the doctor Friday to have labs drawn and to check his elbow. My dad was going to take him tomorrow so hopefully they will do xrays at that time. I will suggest that he ask for one if it isn't offered.
Thanks so much! I feel much better now. If we could just get his elbow to cooperate, that would be awesome! Take care....
He finally went about an hour ago. It was soft but formed and greenish-brown. Talk about a relief! Friday his elbow was checked. It was still in the joint so he decided to leave the splint on for a little bit longer. I was glad of that. His PCV was up to 29 but WBC's weren't checked since he said that he still expected to be up some. I think he is actually on the mend and I can breathe easy again. I have been a wreck for 3 weeks! Thanks for following up on him!