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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 28934
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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Salkin only. I have another question about Maggie our 16

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For Dr. Michael Salkin only.
I have another question about Maggie our 16 year old Cushing's dachshund.
Submitted: 9 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 9 months ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Expert:  Dr. Michael Salkin replied 9 months ago.

I'm here. What's up?

Customer: replied 9 months ago.
Maggie has been doing very well until yesterday when she threw up a small amount of bright red blood. Off to the vet. Labs were fine, except lipase 6000. And xrays showed gastric thickening. No masses seen. She's on cerenia, pepcid and carafate. Doing fine until she and the golden retriever got into a fight today and Maggie threw up blood and mucus again. She doesn't seem ill at all.
Expert:  Dr. Michael Salkin replied 9 months ago.

If it's not one thing it's another. Hematemesis (blood in the vomitus) is a danger sign for bleeding disorders, heavy metal intoxication, infectious disorders, gastroduodenal erosions/ulcerations due to infiltrative diseases such as neoplasia, metabolic disorders such as pancreatitis, stress, drug administration (glucocorticoids such as excess cortisol produced by a cushingoid patient), foreign bodies, hemorrhagic gastroenteritis, and esophageal disorders. Cerenia, Pepcid, and carafate is sensible symptomatic and supportive therapy. Instead of the nonspecific lipase, I'd like to see the result of the more specific-for-pancreatitis specCPL blood test.

Customer: replied 9 months ago.
The CPL was over 400
Expert:  Dr. Michael Salkin replied 9 months ago.

Thank you for the additional information. Pancreatitis was present and at least contributory to Maggie's hematemesis.

Customer: replied 9 months ago.
I should just continue the current meds. How about diet? And should I expect resolution of the hematemesis when the pancreatitis resolved?
Expert:  Dr. Michael Salkin replied 9 months ago.

We used to fast these dogs for days but current thinking is to feed dogs suffering from pancreatitis once vomiting has stopped. Yes, vomiting with or without blood should stop once the inflammation associated with pancreatitis resolves - usually within a week.

Customer: replied 9 months ago.
In the meantime, can I give her some broth and rice? With the Cushings, she's always starving.
Expert:  Dr. Michael Salkin replied 9 months ago.

Sure. It's best to feed ultra-low fat foods to pancreatitis patients but you're probably already doing that due to her obesity of Cushing's.

Customer: replied 9 months ago.
she's lost 3 lbs in 3 months and looks great. So I'll keep her on the rice, broth and boiled chicken breast. Thx again. Now, if the bleeding gets worse ir doesn't resolve, are we dealing with something perhaps more ominous?
Expert:  Dr. Michael Salkin replied 9 months ago.

Pancreatitis is bad enough. As in humans it can be life-threatening. Yes, as I mentioned above there are a number of awful underlying disorders to consider with hematemesis. You're quite welcome. Keep me posted, please.

Customer: replied 9 months ago.
Thank you so much. I trust our vet but always like to bounce these things off you.
Expert:  Dr. Michael Salkin replied 9 months ago.

You're quite welcome. It's my pleasure.

Expert:  Dr. Michael Salkin replied 8 months ago.

I'm just following up on our conversation about Maggie. How is everything going?

Dr. Michael Salkin