How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Gary Your Own Question

Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog
Satisfied Customers: 17230
Experience:  DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
15010675
Type Your Dog Question Here...
Dr. Gary is online now
A new question is answered every 9 seconds

Need to stinky!!

Customer Question

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?

Submitted: 1 year ago.
Category: Dog
Expert:  Dr. Gary replied 1 year ago.
Hello, I'm Dr Gary. I've been practicing veterinary medicine since 2007. I look forward to helping with your questions/ concerns.

I wouldn't be too worried about the bowel movements either. If he were straining or acting constipated, then I'd be more concerned. If he had multiple enemas, then his colon should be pretty cleaned out. It's going to take a couple days for food to get back to the colon and for the colon to fill again. This needs to happen before he has another bowel movement. It may take up to 5-7 days in some dogs after given enemas.

I would be more concerned about getting nutrients into him and making sure his other injuries are healing. Constipation is the least of his worries.

The other thing that slows down bowel movements is surgery. This lets air into the abdomen. There is then an air barrier between the body wall and colon walls. This decreases the ability to push stool out and it decreases the sensation that you have to go.

If you want to make sure the colon is doing well, have them shoot some abdominal x-rays. That will allow you to look at it and make sure food is moving through the gut normally.

As long as his GI bleeding (black tarry stool) is resolving and the post-operative signs of peritonitis are resolving, it sounds like he should recover. The next thing would be to make sure the elbow stays in place and heals up well.

Best of luck, let me know if you have any other questions.
Customer: replied 1 year ago.


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.

Expert:  Dr. Gary replied 1 year ago.
Sorry for the wait.

To check for continued bleeding, your best test is repeated PCV/ total protein checks. I would do that every 8-12 hours to monitor. If we have continued bleeding, then a transfusion would be needed to replenish those cells.

I'm still not sure why enemas were given. It doesn't sound like he was ever constipated or obstipated. I rarely give enemas to dogs. I don't think it was all that necessary here, unless I'm missing part of the story.
Customer: replied 1 year ago.

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.

Expert:  Dr. Gary replied 1 year ago.
Yeah, I just wouldn't worry too much about bowel movements. Just keep him eating and he'll make stool and go. He doesn't need enemas to make him go.
Customer: replied 1 year ago.

Thanks so much! I feel much better now. If we could just get his elbow to cooperate, that would be awesome! Take care....

Expert:  Dr. Gary replied 1 year ago.
You're very welcome, happy to help.
Dr. Gary, Dog Veterinarian
Category: Dog
Satisfied Customers: 17230
Experience: DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
Dr. Gary and 3 other Dog Specialists are ready to help you
Expert:  Dr. Gary replied 1 year ago.
Hi Candace,

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

Dr. Gary
Customer: replied 1 year ago.

Hi Dr. Gary,


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!

Expert:  Dr. Gary replied 1 year ago.
Good deal, it sounds like everything is moving in the right direction. Thanks for the update.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets! Linh Charleston, WV
< Last | Next >
  • You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets! Linh Charleston, WV
  • $1,000 spent at his vet, and I finally get the correct diagnosis from Nancy Holmes for $15 Carol Cedar Hill, MO
  • I think this is the greatest web site in the world. Thanks to all! Judy New Haven, CT
  • I have referred several friends to your web site. I'm impressed with how easy it is to use your site, the Experts available and the quickness of answers. Nina USA
  • I am completely pleased with the quick response that I received in our time of need for our dog, Jasmine. I couldn't believe how quick the response was and I thank you. It's good to know you're there!! Jasmine's Mom USA
  • Please let everyone involved with your site know that your Expert, Dr. Lucy, has saved my dog's life. I will recommend your site to all my pet loving friends. Thank you again for simply being there! Sonya G Easley, SC
  • Last night my Expert spent close to 3 hours working with me on my dog's illness. Thank you so much for this opportunity to share in her care and knowledge! Cathie M Pompano Beach, FL
 
 
 

Meet The Experts:

 
 
 
  • Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    2534
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
< Last | Next >
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    2534
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
  • http://ww2.justanswer.com/uploads/JA/Jav917/2012-2-20_54059_201221802254JoananddavidArchuleta3.64x64.jpg Joan's Avatar

    Joan

    Vet Tech

    Satisfied Customers:

    4544
    Vet Tech for over 30+ years working w/Dogs/Rescues
  • http://ww2.justanswer.com/uploads/JA/jadedangel57/2011-11-8_193134_janenewsm.64x64.jpg Jane Lefler's Avatar

    Jane Lefler

    Breeder,Behaviorist, formerVet Asst

    Satisfied Customers:

    13847
    Former vol Vet Assistant.Breeder 16+ years Dog trainer / behaviorist
  • http://ww2.justanswer.com/uploads/ER/ERPetNurse/2011-11-7_1293_b.64x64.jpg Candy's Avatar

    Candy

    Veterinary Technician

    Satisfied Customers:

    7108
    Practicing Veterinary Technician for 26 years.Former Veterinary Practice Owner, Technician Trainer
  • http://ww2.justanswer.com/uploads/BA/babybloo/2011-3-10_62613_DavidandI.64x64.jpg Theresa's Avatar

    Theresa

    A Voice for Your Pet

    Satisfied Customers:

    4704
    19+ years experience in small animal medicine
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    4430
    UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/VE/VetAnswers/2013-4-5_8257_prof10.64x64.jpg Scott Nimmo's Avatar

    Scott Nimmo

    Dog Veterinarian

    Satisfied Customers:

    3977
    BVMS, MRCVS.
 
 
 
Chat Now With A Dog Specialist
Dr. Gary
Dr. Gary
Dog Specialist
17230 Satisfied Customers
DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ