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Question

diarrhea and listless

Submitted: 476 days and 20 hours ago.
Category: Dog
Value: $9
Status: CLOSED
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Optional Information

Age: 7; Female; Breed: yorkshire terrier 3 lbs

Already Tried:
nothing

Posted by Dr.Fiona 476 days and 18 hours ago.

Info Request

Hi there XXXXXXXXX,

Welcome to Just Answer! I am sorry you have had such a long wait to get a response to this important question In order to better assist you, I need a bit more information.

When did the diarrhea start?

Are you seeing blood or mucus in the diarrhea?

Is your dog vomiting?

What is her appetite like?

Is she spayed, and if not, when was her last heat?

Fiona

476 days and 5 hours ago.

Reply

diarrhea started 2 days ago; seems to have subsided...there was mucus in stools did not see blood;breezy vomited yesterday twice and early this morning again..did not eat yesterday nor did she drink..ate a little this morning at 9 am,still refused water.she has been spayed...linda

Accepted Answer

Hi Linda,

I'm sorry again for the wait - I have been away from the computer taking my kids to swimming lessons.


What you are describing in your dog sounds like she may have colitis.

With colitis, dogs tend to have more frequent bowel movements, a sense of urgency, sometimes straining, and mucus and even blood on the stools. The stools often start out a bit soft, or pudding like and become gelatinous, shiny and mucoid as it progresses. The colon normally makes mucus to help the stool to pass along, so when it is inflamed it makes a lot of mucus, and also can have erosions that lead to bleeding.


Colitis could be caused by a large number of different things. Examples are stress, dietary indiscretion (eating something she shouldn't have), bacterial and viral infections, and parasites. In a sensitive dog, even a one-meal food change could trigger this.

If a dog with no history of stress were to come in to my hospital, and we didn't have to consider money (so I could do all the tests I would want to do!) I would start with a physical exam and then a number of tests:

- fecal analysis to rule out hookworms, whipworms and coccidia
http://www.petplace.com/dogs/intestinal-parasites-in-dogs/page1.aspx

- an ELISA test for Giardia. Giardia used to be hard to diagnose, but this test is fast and easy and accurate.
http://www.petplace.com/dogs/giardia-in-dogs/page1.aspx

- a fecal smear to look for Campylobacter
http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=2232
http://www.petplace.com/dogs/campylobacteriosis-in-dogs/page1.aspx

- a fecal culture (sent out to a lab) to check for Clostridium or other unusual bacteria. This test takes 3-4 days.


Then, if the dog were my patient, I would see how the dog responded to treatment as follows:

- fibre trial - I would start the dog on Metamucil or canned pumpkin (not pie filler). I usually suggest 1 tsp per 10 lbs body weight given 2 or 3 times a day of Metamucil, or 2 tablespoons twice daily per 10lbs body weight of Pumpkin. Do this for at least one week.


- medication trial:

I would try metronidazole (http://www.petplace.com/drug-library/metronidazole-flagyl/page1.aspx) as a first line treatment but there are a number other drugs that can be helpful too:

Panacur (fenbendazole, http://www.petplace.com/drug-library/fenbendazole-panacur/page1.aspx) ,

Tylosin (http://www.petplace.com/drug-library/tylosin-tylan/page1.aspx )

and even steroids (prednisone http://www.petplace.com/drug-library/prednisone-prednisolone/page1.aspx )


Now, in terms of what people can do at home for dogs that I have seen and diagnosed with colitis, I suggest the following:

1.     When she has an episode of diarrhea and/or mucus on the stool, you should WITH-HOLD FOOD! Do not offer her regular food for 12 hours. This gives the intestines a chance to rest and heal.
*****While she is off her regular food, you can start 2 tablespoons per 10lbs body weight of canned Pumpkin given twice daily. Be sure to use plain canned pumpkin and NOT pie filler!****


2. When she is fasting, she can have lots of clear fluids. So, water is fine, but also she can have pedialyte, Gatorade, apple juice diluted 50:50 with water, or chicken or beef broth diluted 50:50 with water. Give the fluids in small amounts frequently. For a dog this size that means about 1/4 cup an hour.

3. After 12 hours if the diarrhea has stopped, you can start your dog back on a bland diet. For patients that I see, I recommend a mixture of 75% cooked white rice, and 25% low fat protein. For the protein you could use extra lean ground beef, boiled with the fat scooped off, or chicken breast boiled with fat scooped off or even scrambled egg cooked without fat in the microwave. Feed small frequent meals. For a dog this size, I would suggest 2-3 tablespoons every 3 to 4 hours.

4. After 1-2 days on the rice mix, you would gradually change your dog back to the normal diet and food. So, on day 3, give the rice mixture, but bigger meals, spaced further apart. On day 4, mix a little tiny bit of the normal food in there, and decrease the frequency so it is down to 3 meals or so. And so on.

5. Keep your dog as quiet as possible - just out to relieve herself and back in.


I'll give you links to further information:
http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=677
http://www.dogsworldwide.com/articles/infofile/if_bpn10.htm


In terms of preventing this problem, it is very helpful to have dogs prone to this on a bit of OAT bran (very important it is OAT bran and not wheat bran) in their food daily. For a dog this size, I would suggest 2-4 teaspoons daily, divided between his meals.

Alternatively, you may just wish to keep her on the Metamucil.

Also, you may wish to consider a DAP (dog appeasing pheromone) diffuser to decrease stress if this has been a factor in the last few weeks. It contains a smell that calms dogs, but is not a drug and is perfectly safe. It has no odour to humans. Here is more about them:
http://www.healthypets.com/dapdogappher.html

Another thing which I should mention is that in patients that I see, I quite often prescribe Imodium (loperamide) to help resolve diarrhea. It is quickly effective, and I have people use it for 3 or 4 days.
More here about it, including dose:
http://www.petplace.com/drug-library/loperamide-imodium/page1.aspx


If your girl is straining and is passing mucus, or continues vomiting, or loses her appetite, then a call to your vet would be in order. Your vet may want to start her on metronidazole which is very quickly effective at helping to make dogs with colitis feel better.

If you are in the USA, I would strongly recommend seeing your veterinarian TODAY as they are likely to be closed for Thanksgiving and if your little one does not improve you are going to end up at a much more expensive emergency clinic over Thanksgiving!

I hope that helps you. If this has been helpful, please hit the green "Accept" button and leave feedback. If you need more information, just click on reply and I will still be here to provide it!

The above is given for information only. Although I am a licensed veterinarian, I cannot legally prescribe medicines or diagnose your pet's condition without performing a physical exam. If you have concerns about your pet I would strongly advise contacting your regular veterinarian.

Fiona


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Expert: Dr.Fiona
Pos. Feedback: 99.9 %
Accepts: 1591
Answered: 11/26/2008

Dog Veterinarian

15 years experience as a companion animal veterinarian in British Columbia, California and Ontario

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