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My 13 yr old and mini chihuahua started having profuse blood…

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My 13 yr old...

My 13 yr old and mini chihuahua started having profuse blood from the rectum that smells of strong iron she won't eat or drink and she's really lethargic. Please help

Veterinarian's Assistant: I'm sorry to hear that. Could be a lot of things that cause lethargy. The Expert will know how to help the Chihuahua. What is the Chihuahua's name?

Miracle

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Miracle?

I not sure if it helps but when she was born she wasn't breathing so she had to be resuscitated.

Submitted: 9 months ago.Category: Dog Veterinary
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Answered in 2 minutes by:
9/22/2017
Dog Veterinarian: Dr. Kara, Veterinarian replied 9 months ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,589
Experience: Over 20 years of experience as a veterinarian.
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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.

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Dog Veterinarian: Dr. Kara, Veterinarian replied 9 months ago

I am very concerned about your pup because of her age, lethargy, and lack of appetite along with profuse blood from her rectum.

There is a condition in dogs called hemorrhagic gastroenteritis. These dogs have profuse dark, jelly-clot like, bloody diarrhea. They are very sick dogs and get dehydrated quickly, so they need immediate care. Since she seems lethargic and has such profuse bloody stools an emergency/urgent veterinary visit is best.

There are other reasons for blood in the stools. 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 or lethargy.

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. Well worth checking at least a couple fresh stool samples too as parasite eggs/cysts are shed intermittently and they may be picked up on the second sample or third test even if the first is negative.

If she still felt well otherwise there are things we can try at home. If you cannot have her seen right away you can try these too, but getting her into a clinic and on fluids and injectable antibiotics is best.

Since her appetite is off and she isn't eating she likely has 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 half of a 10mg tablet per 10 to 20 pounds of body weight every 12 hours.

OR

2) Prilosec (omeprazole) at a dose of one quarter of a 20mg tablet per 10 to 20 pounds of body weight every 24 hours.

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

I would not feed her any food for 12 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 her pedialyte to replace electrolytes too but Gatorade is much too high in sugar which can make colon irritation worse.

Today even with the fast you can start Kao-pectate at 1/2ml per pound or 1/2 tablespoon per 15 pounds 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 vomit and have bloody diarrhea with no improvement after being on kao pectate for 24 hours, becomes very lethargic, 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.

But if she feels better after the acid reducer is given and 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 1/2 tablespoon of canned pumpkin (not pie filling, plain pumpkin) 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 begins 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.

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Dog Veterinarian: Dr. Kara, Veterinarian replied 8 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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