Accepted Answer

Hi again XXXXXXXXX,

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 they can even have 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.

With the history you have described, I am suspicious that it is the stress to your Lhasa of having the new Shih Tzu pup around that has triggered this. There are things we can do to help, and I will come back to 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 soft, mucoid stool 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 or the canned pumpkin. The idea is that increasing the fibre makes her colon healthier which will help to control this problem.

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 months (which I think it has). 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



If your girl is straining and is passing blood, or begins 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.

Oh, and about the pup who eats his own stool...Poop eating is called coprophagia.

Here's some more information:
http://www.hilltopanimalhospital.com/copraphagia.htm
http://www.doctordog.com/coprophagia.html

In terms of what to do about it, the MOST effective thing is to prevent access. That means taking him out on a leash and keeping him away from poop, and cleaning up the yard several times a day. Most owners find this pretty tedious. However, if you do it for a couple of months, you may be able to break the habit, otherwise he may do this for his whole life!   


You can also try a couple of products available at pet stores or through your vet. One is "Forbid" and another is "Deter." Both are powders that you sprinkle on the food. Apparently, they taste good on the food and bad in the poop! You have to treat both the dogs' food for 3 days to give this a chance, otherwise the pup may just eat the Lhasa's food.

Other things people have tried are meat tenderizer powder used as above, Certs with chlorophyll and putting Hot Sauce on the poops when your dog isn't looking and letting him give them a try.
All in all, it is a challenge to break this habit, unfortunately!


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

Expert:	Dr.Fiona
Pos. Feedback:	99.9 %
Accepts:	1592
Answered:	2/9/2009

Dog Veterinarian

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