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Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16289
Experience:  Over 20 years of experience as a veterinarian.
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My cavalier is panting a lot and has had two bouts of

Customer Question

My cavalier is panting a lot and has had two bouts of diahorrea tonight the last one had blood in it .
JA: I'm sorry to hear that. What sort of animal are we talking about?
Customer: Cavalier King Charles dog
JA: OK. What is the dog's name and age?
Customer: Ruby and she's 9
JA: Is there anything else the Veterinarian should be aware of about Ruby?
Customer: She did have a heart murmour
Submitted: 6 months ago.
Category: Dog Veterinary
Expert:  Dr. Kara replied 6 months ago.

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Expert:  Dr. Kara replied 6 months ago.

I am very sorry to hear about Ruby's panting and loose stools, the last one with a little blood.

Panting can be related to heart disease, anemia, poor lung function and decreased oxygen exchange, anxiety, or it can be a pain response. In her case because she has loose stools too she likely has uncomfortable abdominal cramping which is causing her to pant. If her gums are a nice pink color (rather than blue, white or gray) that would be the most likely cause for her.

Of course anyone would be concerned about blood in the stool. The fresher the blood appears the closer the source is to her rectum.

The important factor in all of this is how she feels otherwise. If she is willing to eat, not vomiting and can rest comfortably those are good signs.

There is a condition in dogs called hemorrhagic gastroenteritis. These dogs have profuse dark, jelly-clot like, bloody diarrhea and are often vomiting too. They are very sick dogs and get dehydrated quickly so they need immediate care. Thus if she seems lethargic and/or begins vomiting an emergency veterinary visit is best.

But colitis or inflammation of the large intestine, can be due to stress, a change in diet, parasites, a viral or bacterial infection, inflammatory bowel disease or even a food allergy. Rarely a mass in the colon can be the cause, or exposure to anticoagulant rodenticides. Another possibility is an anal gland infection. These are scent glands that are located just inside the rectum and an infection can cause a bloody discharge, though should not cause loose stools.

A raw, irritated colon can take a few days to heal. Do you know if she got into anything that may have started all of this?

The bleeding should clear completely with treatment over the next 2 to 3 days. If not she should be checked by her regular veterinarian and her anal glands should be checked. Well worth checking at least a couple fresh stool samples too whether she improves or not as parasites commonly cause loose/bloody stools and their eggs/cysts are shed intermittently, thus they may be picked up on the second sample or third test if the first is negative.

If she still feels well now though we can try some things at home.

If her appetite is off and her stomach is gurgling she may have some stomach upset and reflux that can go along with bloody stools.

To try and settle her stomach today you can give either:

1) Pepcid-ac (famotidine) at a dose of one 10mg tablet per 9 to 20 kilos of body weight every 12 hours.

OR

2) Prilosec (omeprazole) at a dose of one half of a 20mg tablet per 9 to 20 kilos of body weight every 24 hours.

OR

3) Ranitidine at a dose of one quarter of 75mg tablet per 9 to 20 kilos of body weight every 12 hours

These will reduce stomach acid and should help if this is related to simple nausea and gastrointestinal irritation. They can be given for a few days if need be.

If she is eating readily and her stomach isn't gurgling you can skip the acid reducer.

I would not feed her any food for 12-24 hours. This should help stop gut spasms and restore normal gut motility. Small amounts of water or ice cubes given frequently are fine as she needs fluids after all that she has lost with bloody stools. You can give pedialyte to drink to replace electrolytes too.

Today even with the fast you can start Kao-pectate at 1ml per kilo or 1 tablespoon per 15 kilos of body weight every 8 hours. This will coat her irritated gi tract as well as absorbing bacterial toxins. You can find kao-pectate at the drug store.

If she has a tense painful abdomen, continues to have diarrhea with no improvement after being on kao pectate for 24 hours, becomes very lethargic, begins vomiting or runs a fever greater than 103.5F then she really must be seen by a veterinarian as soon as possible. Make sure to take a fresh stool sample with you when you go.

After her food fast start a bland diet of 1/3 boiled, lean hamburger (or boiled, white skinless chicken), all fats and juices drained off, mixed with 2/3 boiled, plain white rice. Feed several small meals a day. You might wish to add 1 tablespoon of canned pumpkin or squash to each meal as fiber helps soothe an irritated colon. I recommend adding probiotics like Fortiflora, Proviable or Benebac to her meals daily to re-establish normal gut bacteria levels too.

Once she feels better (no bloody diarrhea for 48 hours) start mixing in her regular dog food very slowly. Less bland more regular with each day. It should take a week or so to convert her back.

If your pup is vomiting and feeling poorly though it would be best that she see a veterinarian now as anything you give orally will just come back up worsening her dehydration.

Best of luck with your pup, please let me know if you have any further questions.

Expert:  Dr. Kara replied 6 months ago.

Hello, I wanted to make sure that you didn't have any further questions for me, and I'd like to know how things turned out for your pup. If you could give me an update that would be great, thank you, ***** *****

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