Dog Veterinary

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

Ask a Dog Veterinarian,
Get an Answer ASAP!

Dog Veterinary

My black lab mix is about 12 years old. She has been having

Customer Question
major issues with bleeding. It...
My black lab mix is about 12 years old. She has been having major issues with bleeding. It started about 2 months ago. With a tooth bleeding and anal gland bleeding. I took her to the vet, they kept her over night and was going to put her under to clean teeth the next day. They called later that day and said they wouldn't be doing the procedure because they ran blood work and her blood platelets were way low (around 5k, said they should be 100k) they kept her for about a week. Giving her cephalexin, doxycycline, prednisone, idexx CBc, and carafate. Tested her for heart worm, lymes, ehrlicia, ana. After a week the bleeding had stopped...brought her home. About 2 weeks later, while she was still on prednisone (the other meds had ran out) she started bleeding from the tips of her ears. Took her back and they gave another prescription for idexx cbc. And a few days later refilled more prednisone. She stopped bleeding again. And then 2 weeks later again she started bleeding from her vagina. Took her back, this time idexx cbc again, prednisone, atopica, and cephalexin. Few days later stops bleeding. Meds run out and now she is bleeding from her nose... Needless to say my vet bills have been horrendous and I'm not getting answers on why this is happening. She also is getting red spots on her stomach..they don't tend to itch her but they (along with the bleeding) come and go at the same time. Any ideas?
Submitted: 2 years ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 2 hours by:
9/21/2015
Dog Veterinarian: Dr. B., Veterinarian replied 2 years ago
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 22,033
Experience: Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
Verified

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today. I do apologize that your question was not answered before. Different experts come online at various times; I just came online, read about your situation, and wanted to help.

Based on your lass's history, we do have a few concerns. As you noted the root of all her bleeding is this dangerously low platelet count. Platelets are the component of our blood that clots any bleed we may have. And as you are surely appreciating our bodies actually suffer small bleeds on a daily basis. The reason we have no signs like she does is because our platelets step in to stop those bleeds before we even see them. But if she is lacking proper platelet levels, she doesn't have that buffer, and therefore we see these seemingly random bleeds and red spotted petechiae you are seeng on her skin.

Now based on your history, it does sound like your vets are trying to rule out what is triggering her signs. Common causes are infectious agents like those that have been tested for. Other possible ones (though some are less likely given your location) include lungworms, Leishmania, and other tick borne agents (ie Rickettsia, Borrelia burgdorferi, Babesia rossi, etc). Otherwise, with those aside, we'd be most concerned about diseases involving the bone marrow (where platelets are made), cancer (of the spleen or marrow), torsion of the spleen, Alabama rot (less likely given her history), Addison's disease, and immune mediated thrombocytopenia (which is what the steroids and Atopica are being used to treat).

Now given her seeming improvement on the immunosuppressive medication, this does make immune mediated issues likely here. And I would note that if she relapses once they are finished, then you may need to consider a longer course and then weaning her down slowly to ensure no relapse (or at least to keep her on as low a dose as possible). Otherwise, if you feel like she is making no progress, then you may want to speak to her vet about further work-up (with ultrasound of her abdomen and a bone marrow biopsy being the next steps here) to pinpoint which of these causes is to blame. And I would note that if she does need that further testing and since her situation doesn't sound to be straight forward, you may want to consider speaking to her vet about referral to a specialist that may be better equipped to diagnose and treat her.

I hope this information is helpful.

If you need any additional information, do not hesitate to ask!

All the best,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. Please remember to rate my service once you have all the information you need as this is how I am credited for assisting you today. Thank you! : )

Ask Your Own Dog Veterinary Question
Ask Dr. B. Your Own Question
Dr. B.
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 22,033
22,033 Satisfied Customers
Experience: Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.

Dr. B. 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

16,112 satisfied customers

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

Dr. Gary

Dr. Gary

Dog Veterinarian

9,980 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

9,897 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

9,134 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,745 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
He is having a nose bleed but it is continuing and he leaves
He is having a nose bleed but it is continuing and he leaves blood where he lays down. … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,383 satisfied customers
Lyme disease flare up treatment. How urgent is it?
How urgently should a flare up of clinical symptoms in a Lyme positive dog be treated? It has been 3 days, and I am only now realizing what is going on. My dog, at this moment, seems very "ill," and h… read more
CriticalCareVet
CriticalCareVet
Veterinary Specialist
Doctoral Degree
57,087 satisfied customers
My dog has IMT according to my vet. Nose bleeding for two
my dog has IMT according to my vet. Nose bleeding for two days. Has no prescribed prednisone to stop the bleeding. Was asked if he was in contact with rat poison etc. No! The only thing I can think of… read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,850 satisfied customers
My daughter's dog nose bleeds when she lays down and sneezes
My daughter's dog nose bleeds when she lays down and sneezes she also seems to have something in throat when eats and swallows water and food. … read more
DocPaul
DocPaul
Doctoral Degree
680 satisfied customers
I think he ate a sharp bone and is bleeding internally - he
I think he ate a sharp bone and is bleeding internally - he puked up a lot of blood and won't eat anything. Is there anything that can be done? … read more
Dr. B.
Dr. B.
Veterinarian
22,033 satisfied customers
One of our dogs has been bleeding from the nose for an hour.
Hello. One of our foster dogs has been bleeding from the nose for an hour. It will coagulate in her nose and then start coming out of her mouth. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
I think he has a fever, warm ears, warm nose but it's
I think he has a fever, warm ears, warm nose but it's running, warm paws and he's lacking energy is there anything I can give to him to help? … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
She has a rash on her stomach and her ears are rash-like and
She has a rash on her stomach and her ears are rash-like and inflamed … read more
divealot1
divealot1
DVM
7 satisfied customers
He's bleeding from the nose and getting his nose scoped next
He's bleeding from the nose and getting his nose scoped next week (along with dental exam and xray). The prognosis isn't good, although I'll know more this week. Is there anything I can do to make him… read more
DocPaul
DocPaul
Doctoral Degree
680 satisfied customers
When the weather turned cold my dogs ears started bleeding
When the weather turned cold my dogs ears started bleeding at the bottom, they look like someone has chewed on them. … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,516 satisfied customers
Small dog hit by car and bleeding from the ear. He is
Small dog hit by car and bleeding from the ear JA: I'm sorry to hear that. The Expert will know what to do about this bleeding. I'll connect you ASAP. Is there anything else the Veterinarian should be… read more
Dr. Denise
Dr. Denise
Veterinarian
Doctor of Veterinary Medicine
494 satisfied customers
She was diagnosed with lyme disease. Lyme's disease
she was diagnosed with lyme disease JA: I'll do all I can to help. What is wrong with the dog? Customer: Lyme's disease diagnosis JA: Where does the dog seem to hurt? Customer: no symptoms of pain yet… read more
Dr. Jo
Dr. Jo
Veterinarian
BA
1 satisfied customers
Took our dog to Vet last week. She has nose bleeds and
Took our dog to Vet last week. She has nose bleeds and choking she gave.her vitamin K1, said she must have eaten rat poison. After a week the bleeding started up again . Cost about 200,00. What can we… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My dog namelyDusty has been bleeding through its nose for
Hi there my dog namelyDusty has been bleeding through its nose for almost two months.We have now noticed that he has a swollen gum problem and is at times drooling. Can you please advise me on its con… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,745 satisfied customers
My dog has something attacking her eyes, nose, mouth, ears,
My dog has something attacking her eyes, nose, mouth, ears, paws, all over her . I have the same issues. We have both tested positive for Lyme, Babeosis, Morgellons so far. This took years to find out… read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,850 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
355 satisfied customers
He scraped nose while retrieving and was bleeding. Applied
He scraped nose while retrieving and was bleeding. Applied wet compress until bleeding subsided. How treat the scraped nose and will black pigment come back. … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,745 satisfied customers
Shivering, but nose is wet. Loud stomach noises, normal
Shivering, but nose is wet. Loud stomach noises, normal bowel, but scooting. won't eat … read more
Lisa
Lisa
Certified Veterinary Technician
Associate Degree
15,474 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