Dog Veterinary

Ask a Dog Vet and Get Answers to Your Dog Health Questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

Dog Veterinary
This answer was rated:

my dogs platelet count was near zero. Bleeding out colon.

my dogs platelet count was...
my dogs platelet count was near zero. Bleeding out colon. Transfusions including packed platelets don't last & platelets are destroyed. Can't do bone marrow puncture she'll bleed out trying steroids for autoimmune w/ transfusions until steroids work if they do. What else can they try? We are losing her. X-ray & ultrasound show nothing
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 11 minutes by:
7/8/2012
Dr. Gene
Dr. Gene, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 2,692
Experience: DVM degree from Ontario Veterinary College
Verified
Hi there.

I'm sorry to hear of Melina's condition.

Most cases of decreased platelet numbers (thrombocytopenia) occur due to certain infections, drugs, parasites or cancers (secondary thrombocytopenia), or be an autoimmune-mediated event (primary thrombocytopenia).

In severe cases, which is what yours unfortunately appears to be, steroids are used in conjunction with immunosuppressive drugs such as cyclosporine, azathioprine or cyclophosphamide. As an emergency treatment, a drug called vincristine is often used to bring the platelet numbers up; this usually has a positive effect in about 3-4 days, while supportive care is continued (fluids, stomach protectants). Antibiotic therapy (doxycycline) is used in case thrombocytopenia is related to infection, most of which are carried by ticks.

Unfortunately, the intestinal hemorrhage complicates the issue. In general, about 70% of dogs with immune mediated thrombocytopenia recover with steroid and other drug treatment. Excessive hemorrhage, however, decreases this number and worsens prognosis.

I would definitely add on doxycycline (antibiotic), a drug like azathioprine plus vincristine; this can improve chances significantly.

I hope this helps; please let me know if you have any other questions and best of luck!
Ask Your Own Dog Veterinary Question
Customer reply replied 5 years ago
Already on those meds. Receiviing a transfusion over next 4 hours. Probably last one. If that doesn't bring the count up to stop the amount of blood loss they say it's time to let her go. She is at an animal referral clinic staffed w/ specialists. She is checked every 5 minutes. We hope this transfusion will help but they say prognosis is very guarded. She could have cancer but they can't check for it
Sorry, you mentioned only transfusions and steroids in your initial post. Most of the drugs take at least 3-4 days to take effect, so if it's been over 5-7 days with no effect, it's unfortunately not likely things will look better. If not, I would try to wait up to 7 days for the drugs to show effect.... I'm sorry.
Ask Your Own Dog Veterinary Question
Customer reply replied 5 years ago
It's been 3 days but she won't last 5 to 7 days. They say she has had too many transfusions already & is still leaking it out her gut. This is probably the last try. Whole blood packed w/ platelets.
Human immunoglobulin is something that is sometimes used in cases that don't respond to all of the other drugs after the initial 5-7 days. The hemorrhage, of course, is the determining factor; if severe, blood can't go in fast enough, so much is lost. This is very unfortunate... You can only do what you can, sometimes even the best therapy isn't enough. If she can just hold on for the next 2-3 days, hopefully, the platelets will start going up and bleeding will slow down. You have doing absolutely everything you can...
Dr. Gene
Dr. Gene, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 2,692
Experience: DVM degree from Ontario Veterinary College
Verified
Dr. Gene and 87 other Dog Veterinary Specialists are ready to help you
Ask your own question now
Ask Dr. Gene Your Own Question
Dr. Gene
Dr. Gene
Dr. Gene, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 2,692
2,692 Satisfied Customers
Experience: DVM degree from Ontario Veterinary College

Dr. Gene is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 & GeorgeBoca 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!!!!

AlexLos 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.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, 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.

EstherWoodstock, 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.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

902 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,087 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr. Gary

Dr. Gary

Dog Veterinarian

9,949 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

9,704 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Dr. Bruce

Dr. Bruce

Veterinarian

8,945 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,442 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
She has a big sack on her stomach. A dog a maltees. Cutie is
Cutie is her name and I have had her over 18 years … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,601 satisfied customers
Bleeding for no reason on top of head and under jaw. Not
Bleeding for no reason on top of head and under jaw … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
My dog got ahold of a small whole chicken bone and swallowed
Hello my dog got ahold of a small whole chicken bone and swallowed it. I do not believe he chewed it up before swallowing. Should I be worried? He doesn't seem to be in pain. … read more
Dr. Deb
Dr. Deb
Associate Veterinarian
Doctoral Degree
556 satisfied customers
She was given a veal bone a few days ago and has loose dark
She was given a veal bone a few days ago and has loose dark stools … read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My dogvomited his food and one of the eatable bones. To the
My dogvomited his food and one of the white eatable bones. To the point he urined and pooped and now lying does not want get up. He is breathing but no energy … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
She is not eating and her stomach is gurgling sounds liquid
She is not eating and her stomach is gurgling sounds liquid however when I walked her last night she had a normal bowel movement. She's been picky about her food for the last week or so barely eating … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
Throwing up blood. He had rib bones yesterday, Pork rib
Throwing up blood. He had rib bones yesterday JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the dog eat anything unusual? Customer: Pork rib bones JA: What is the dog's name and age… read more
DakotaSouthFive
DakotaSouthFive
Independent Contractor
High School or GED
9 satisfied customers
Has bone tumour on nose and now has frequent nose bleeds.
Has bone tumour on nose and now has frequent nose bleeds. Told vet but not getting clear answer. When is nose bleeds too much?? She had 3 today … read more
Joan
Joan
Private
353 satisfied customers
My chihuahua was eating a pork bone yesterday and she has
My chihuahua was eating a pork bone yesterday and she has been throwing up … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,376 satisfied customers
I give my dogs marrow bones nearly every Sunday as a treat.
I give my dogs marrow bones nearly every Sunday as a treat. My 3 year old Golden Retreiver has the "runs" and threw up some yellowy bile this morning. It's never bothered her before. Do you think the … read more
DakotaSouthFive
DakotaSouthFive
Independent Contractor
High School or GED
9 satisfied customers
My dog has mega esophagus and he ate a bone in pork chop
Hi. My dog has mega esophagus and he ate a bone in pork chop raw. He has vomited all night now it's pretty red anything we can do? … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
8,945 satisfied customers
We were at a park yesterday and he snatached a bone by a
hi- we were at a park yesterday and he snatached a bone by a garbabge can from someone s picnic I could not tell, didnt look like a chicken bone, he is eating today but having a hard time pooping He h… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My dog swallowed a small T-bone steak bone about 24 hours
My dog swallowed a small T-bone steak bone about 24 hours ago. We haven't noticed any change in behavior but are still nervous. How long could it take to pass? Is there anything we should to help it p… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
Internal bleeding, she bleeds from rectum, she jumped out of
internal bleeding, she bleeds from rectum, she jumped out of moving car this afternoon … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My dog has an open wound (not bleeding) on her stomach that
My dog has an open wound (not bleeding) on her stomach that she will not stop licking. She has a lot of hair so we didn't realize she had an open wound. … read more
Dr. Loretta
Dr. Loretta
Large and small animal Veterinarian
Doctoral Degree
22,387 satisfied customers
My dog is choking on a bone and he's bleeding and and mouth
My dog is choking on a bone and he's bleeding and and mouth is foaming and blood is coming out … read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
9,949 satisfied customers
He ate part of a plastic bone. Now this stomach is
He ate part of a plastic bone. Now this stomach is distended, and he's vomiting up his food. … read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
Swollen nipples, enlarged stomach, and vaginal bleeding, She
Swollen nipples, enlarged stomach, and vaginal bleeding … read more
Dr. Ann M.
Dr. Ann M.
Veterinarian
Doctoral Degree
1,591 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x