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Hi there. My name is ***** ***** I'm happy to help you with your question today. Just like an in person consult, I have a few questions of my own to help ensure I give you the best advice possible....
Has the vet tried any medications such as Metronidazole?
Have they ever considered IBD?
Has your vet recommend seeing a veterinary internist?
Thanks for the additional information. I really appreciate it.
The loose stool combined with the transient constipation makes me wonder if there's something going on that is normally associated with inflammation of the rectum or anus such as rectal or anal strictures, anal gland infections, perianal fistulas, cancers, rectal polyps, inflammatory bowel disease (IBD), parasites, prostate disease (males), or even some infections. GSDs tend to get things like fistulas or IBD more frequently than some other breeds, so if your girl had come into our clinic, those would be the first things we'd check for.Depending on what is going on with her . The vet will often treat these dogs with Flagyl, and prescribe a bland diet (boiled white rice and boiled hamburger or chicken ( which is clearly already something you've been doing for her with the I/D) for about a week or so to see if that helps things.
Since your vet has already run all the routine tests for this kind of issue, my next step would be one of two things....first, a possible ultrasound to rule out things like IBD. If that comes up clear, then it's time to be referred to a veterinary internist or other specialist. I'm sure your vet is awesome at his job, but sometimes a case can be so challenging that a referral is the best way to go.
I hope this helps.