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. Taus Your Own Question

Dr. Taus
Dr. Taus, Veterinarian
Category: Veterinary
Satisfied Customers: 488
Experience:  Veterinarian with experience in equine and small animal medicine.
74956788
Type Your Veterinary Question Here...
Dr. Taus is online now
A new question is answered every 9 seconds

Diarrhea

Resolved Question:

Diarrhea after being on preds 20mg (macro lone/pred-x)

Meds tried to fix diarrhea so far
Carafate 1hour before food & protein in food
Metrogyl tabs 2 & 2 times per day

Then
Metrogyl as above & scourban 2 x day

Still no good :(
Submitted: 1 year ago.
Category: Veterinary
Expert:  Dr. Taus replied 1 year ago.
Hi there,

I'm sorry to hear that Storm has not been feeling well. It sounds as if you and your vet have been quite thorough in trying to treat her diarrhea.

My first question for you is, why was the pred prescribed initially? Was it for more intestinal problems, or was there another medical condition (skin issues, etc)?

If she's been on meds for diarrhea less than 10-14 days, it's worthwhile to continue and see if you get an improved response with more treatment. However, if the diarrhea is just going on and on, it's time to try something different. Some dogs will see an initial improvement in their diarrhea and never get completely better until they go off meds (the meds keep their GI tracts a little messed up), so discontinuing one or all of your meds (particularly the antibiotics-- metrogyl and scourban) may be helpful. I would involve the vet who prescribed them in this decision, though.

If it hasn't been done already, I'd also recommend sending a sample of the diarrhea to the lab to see what we are dealing with. They can look under the microscope for bacteria that cause diarrhea, and measure cobalamine and folate, vitamins produced in the intestine that can become low in diarrhea and make diarrhea last longer. If they are low, treating with Vitamin B might help.

Finally, if you can't find a cause, an abdominal ultrasound or endoscopy may be useful. I once had a patient with colon cancer who had no signs other than diarrhea we just couldn't get to stop. This is rare, and I hope it's not the case with your dog, but it's something to consider.

I hope this is helpful. If so, please rate me positively, and don't hesitate to let me know how I can help further.
Customer: replied 1 year ago.
Hi thanks for your reply
Storm had to be put on the pred course because from 6 months old she
Had food allergies then unfortunatly I soon worked out we had a whole lot else going on contact allergies & atopic allergies.
The atopic allergies has been the hardest on her & me too see my girl suffer but I refuse too give up!!! It's not her fault we just manage it all the best we can. My vet thinks Atopica is our last resort too keep the hives break out & her at bay but after she has reacted to the pred I'm scared too try but Storm is running out of options he said once you start it you can't stop at least for the first 3 months. Storm is a bullmastiff so it is very expensive Atopica but it's her health Whilst on the meds & the effect on her vitals has me wondering is it the path too take ?
Expert:  Dr. Taus replied 1 year ago.
Atopica has a different mechanism of action than pred, and some dogs that cant tolerate pred do well on it. Unfortunately the expense is quite great (its the main reason many of my clients dont use it). It may be worth a tru to get your poor girl comfortable.

If you havent already, you might consider desensitization. This involves an allergy test and a series of individualized allergy shots to reduce your dogs sensitivity to allergens. Its the same principle used by human allergists, and it is successful in about 85% of patients.

Can you or your vet consult with a veterinary dermatologist? These specialists often have experience formulating combination therapies in difficult cases. Allergies are so frustrating, and treating them often boils down to trying therapies until you find the one that works. New advances like staph phage lysate and combining antihistamines with nerve drugs like gabapentin has had some success. In some cases, atopica is a good way to get the allergies under control, and the dose may eventually be able to be reduced, especially in combination with other drugs. If atopica is not your first choice, I'd recommend looking into desensitization therapy first. I think with a big dog with severe allergies, any route you take will be expensive- once we move past antihistamines and pred, that's very hard to avoid.

It's pretty common to see pred induce ulcers and diarrhea. I would expect the carafate to be the most helpful medication in your arsenal. If nothing is working, including going off meds, another thing to consider is misoprostol, which can counteract some of the effects of steroids.

Dr. Taus, Veterinarian
Category: Veterinary
Satisfied Customers: 488
Experience: Veterinarian with experience in equine and small animal medicine.
Dr. Taus and 5 other Veterinary Specialists are ready to help you

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:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
< Last | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Andy

    Medical Director

    Satisfied Customers:

    2630
    UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
< Last | Next >
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    2630
    UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    1656
    12 years of small animal veterinary medicine
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Veterinarian

    Satisfied Customers:

    1451
    DVM, Emergency Veterinarian, BS (Physiology)
  • http://ww2.justanswer.com/uploads/PC/pcbobber/photo.64x64.JPG Dr. Bob's Avatar

    Dr. Bob

    Veterinarian

    Satisfied Customers:

    1306
    35 years in practice
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    865
    12 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Veterinarian

    Satisfied Customers:

    1889
    Small Animal Medicine and Surgery
  • /img/icons/shirt.jpg Dr. Jenn's Avatar

    Dr. Jenn

    Veterinarian

    Satisfied Customers:

    1225
    Practicing small animal medicine since 2004 , also involved in working with animal rescue groups.
 
 
 
Chat Now With A Veterinarian
Dr. Taus
Dr. Taus
Veterinarian
488 Satisfied Customers
Veterinarian with experience in equine and small animal medicine.