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My 8 yr old dog has multicentric lymphoma, diagnosed almost

2 months ago. We currently...
My 8 yr old dog has multicentric lymphoma, diagnosed almost 2 months ago. We currently have hI'm on 30 mg prednisone per day. Which I chose over the 60mg per day the vet recommended. He seems to be doing ok except he just started pooping maroon colored feces. Does this mean his liver us shutting down? My vet is gone until next week (small town). Or is there something I need to do for him now?
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Answered in 5 minutes by:
5/6/2017
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30,846
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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The maroon color suggests ulceration and bleeding into the gastrointestinal tract due to the large dose of prednisone which needs to be tapered down at this time; for example 15 mg daily for a week, then 7.5 mg daily for a week, then 7.5 mg every other day for two weeks, and then stop administering it. For now, please initiate an over the counter antacid such as famotidine (Pepcid) dosed at 0.25 mg per pound of body weight twice daily or omeprazole dosed at 20 mg daily. If the bleeding continues, another vet should consider prescribing a "liquid bandage" for the GI tract called sucralfate (Carafate). Please respond with further questions or concerns if you wish.

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Customer reply replied 6 months ago
I'm not good at weights and measures. He's an 84 lb coonhound. so how much famotidine is that? I have it in the house since my husband takes ot on occasion at 20mg pills.

84 lbs x 0.25 mg/lb = 21 mg; practically speaking, 20 mg twice daily. Please continue our conversation if you wish.

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30,846
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified
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Thank you for your kind accept. I appreciate it. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.

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Hi Tina,

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

Dr. Michael Salkin
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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
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Experience: University of California at Davis graduate veterinarian with 45 years of experience

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