Dog Veterinary

Ask a dog vet and get answers to your dog health questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

This answer was rated:

My little suffers with colitis and has done for the past two…

My little ***** ***** suffers...
My little ***** ***** suffers with colitis and has done for the past two years I have tried everything possible in foods and now cook him chicken, obviously no fat and make his own little biscuits of oats grated cheese and bined with honey. He is on a steroid which I now have to give him every other day as it is getting worse. The blood is terrible that he passes and also is sick with blood in that as well. I am at my whits end knowing what else to try and am finding my vet now, not very helpful....can you please throw any more light on this. Many thanks Sandi
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 7 minutes by:
9/26/2017
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 33,271
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified

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.

Ask Your Own Dog Veterinary Question

I'm sorry to hear of this with Ringo, Sandi. I understand your frustration at this time. There are protocols for addressing such a chronic diarrhea and now that you're also seeing both hematochezia and hematemesis (blood in the stool and vomit) time is of the essence in performing such a protocol. I don't what's been done on or for Ringo over the past two years and so I'm going to post my entire synopsis of how I address these dogs. Please pay particular attention to having Ringo's GI tract scoped and biopsied:

I would approach Ringo's chronic diarrhea in the following manner although the order in which I've listed the various approaches can vary:

1) Presumptively worm with over the counter fenbendazole (Panacur) available in many pet/feed stores. Fenbendazole addresses all of the nematodes (roundworms, hookworms, whipworms) as well as the protozoan Giardia. This should be done even if a fecal ova and parasite exam didn't reveal parasites. That exam is too often falsely negative.

2) If worming weren't helpful, perform a gastrointestinal diagnostic panel of blood and urine tests. This should include a specCPL blood test (most sensitive for detecting the presence of pancreatitis), a TLI blood test (to check for maldigestion), and serum folate and vitamin B12 levels (to check for malabsorption of nutrients). Fecal culture looking for the gastrointestinal pathogens Clostridium difficile, Clostridium perfringens, Campylobacter, and Salmonella can be considered as well.

3) If this testing didn't reveal anything untoward, an abdominal ultrasound should be considered. Ultrasound is the most sensitive and readily available imaging modality for the gastrointestinal tract itself. My concerns would be inflammatory bowel disease, lymphangectasia, and neoplasia (cancer) such as lymphoma and solid tumors such as adenocarcinomas.

4) Perform a hypoallergenic food trial in an attempt to identify food intolerance. Food intolerance/allergy is addressed with prescription hypoallergenic diets. These special foods contain just one novel (rabbit, duck, e.g.) animal protein or proteins that have been chemically altered (hydrolyzed) to the point that Ringo's immune system doesn't "see" anything to be allergic to. The over the counter hypoallergenic foods too often contain proteins not listed on the label - soy is a common one - and these proteins would confound our evaluation of the efficacy of the hypoallergenic diet. The prescription foods are available from her vet. There are many novel protein foods and a prototypical hydrolyzed protein food is Hill’s Prescription Diet z/d ultra (a hydrolyzed protein diet is my preference because it avoids the possibility of my patient being intolerant to even a novel protein). A positive response is usually seen within a few weeks if we’ve eliminated the offending food allergen. Food intolerance can arise at any age and even after our patient has been eating the same food for quite some time.

5. Scoping and biopsying of the gastrointestinal tract which isn't performed soon enough in too many of these patients.

Please respond with further questions or concerns if you wish.

Ask Your Own Dog Veterinary Question
Customer reply replied 6 months ago
Dear Dr. Michaelthank you for your response. Both my dogs are wormed every three months and also take Bravecto every three months. He has been scoped and all the answer I got back was......."inflammation as I expected" from my vet!! I have tried him on all the various hypoallergenic foods over the last two years...In fact ask me what I haven't tried?!!!!! I now keep him on either fresh mackerel with rice or chicken with rice. I boil up the chicken carcus's and use the broth on his food. I also given him Manuka honey. We seem to go, anything from 36hours to 4 days and then it's back to the Prednisolone of which I give him half of a 5mg or when he has a flare up like Sunday night when he is sick with blood and then loads of blood from the rectum. It is so upsetting and I just don't seem to be getting anywhere......you do say an ultra sound I'm pretty sure that my vet has done that. I myself feel that there maybe a cancer for this surely can't be normal? I would think that the biopsying may be the next step what would you say?
It's just great to s[peak to some -one with some answers. I know it is a condition that people say cannot be totally solved but there must be more to Ringo's case than just the colitis would you say?Many thanks for your time dr. Michael, I appreciate it greatly
Sandi

Sandy, wasn't he biopsied when he was scoped? If not, yes, that's what needs to be done. I wouldn't bother with an ultrasound. I think you would have lost him long ago if cancer were present.

Ask Your Own Dog Veterinary Question
Customer reply replied 6 months ago
No I don't think he was but I will check on that tomorrow. O.K thank you at least that would rule out the big 'C'!
This has been going on for two years and I had him on alternate medicine for a while which worked for 5 months and then wham....back to the drawing board again!! Its all the bleeding that concerns me most as this seem to be getting worse not better.

Yes, that bleeding is a negative prognostic sign. One last question for you...was Addison's disease discussed with you? Typical Addison's can be ruled out with normal serum sodium and potassium levels. Atypical Addison's would require an ACTH stim test to identify.

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 33,271
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified
Dr. Michael Salkin and 87 other Dog Veterinary Specialists are ready to help you
Ask your own question now
Customer reply replied 6 months ago
No Addisons was never discussed but thank you so very much Dr. Michael you have been a great help to me. I shall now go and fire a few more questions at our vet!! How about you come and work in England....Chester?!!!!!!Take care

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.

Ask Your Own Dog Veterinary Question
Was this answer helpful?
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 33,271
33,271 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience

Dr. Michael Salkin 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

904 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,147 satisfied customers

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

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,315 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,063 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

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

9,533 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

8,299 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
He has a lymphoma tumor pushing on his colon, restricting,
He has a lymphoma tumor pushing on his colon, restricting, but not blocking it. He's trying to poop but can't. I know he is terminal, but is there anything I can do to help him defacate? … read more
Dr Scott Nimmo
Dr Scott Nimmo
Dog Veterinarian
10,315 satisfied customers
My dogs has LYMPHOMA can she have the same prednisolone as
my dogs has LYMPHOMA can she have the same prednisolone as humans. She weights 45 kg … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,465 satisfied customers
My dog was diagnosed with pancreatitis last week, and during
Hi. My dog was diagnosed with pancreatitis last week, and during the course of treatment, also began showing symptoms of IMHA. He is currently on azathioprine, prednisone, and two antibiotics. As of y… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,397 satisfied customers
Is cheese a couse of pancreatitis in dogs? It is a
It is a conversation we (dog people) had at the off leash today. One person said that a dog should never be given cheese as it cuases pancreatitis. Most of us have never heard of this although I know that a high fat diet /low carb diet can cause it. Most cheeses (particularly many processed Cheddar) is very high fat so that may be where the idea comes from. … read more
Dr. Deb
Dr. Deb
Associate Veterinarian
Doctoral Degree
567 satisfied customers
Our 14yo schnoodle keeps having pancreatitis attacks, is
our 14yo schnoodle keeps having pancreatitis attacks, is there an enzyme we can feed her to lessen the condition? … read more
divealot1
divealot1
DVM
8 satisfied customers
My dog is having colitis related problems. He had a colitis
He had a colitis flare up on 19 Feb. - Initial symptoms were passing a lot of wind, discomfort. His stool started off okay, but by the third one it was mucusy. I went to the vet and she gave him a steroid injection. He responded within a couple of days and went back to normal. 7 days later, the symptoms returned. He was gassy again and his stool comtained a lot of mucus plus a small dot of red blood. The vet prescribed prednicare tablets - 2 a day for 5 days, and then 1 a day for 10 days. He responded very well, until day 8 (today) - he won't eat today - his stomach is making gurgling noises, and he is eating grass. He hasn't vomited so far, and his stools are normal. What do you think is happening, and what can I do to help him - should I withhold food for today? … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,397 satisfied customers
Well, she started some steroids for the lymphoma she was
Well, she started some steroids for the lymphoma she was diagnosed and was wondering if once on the maintenance dosage, will she not pee as much? … read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
How long does it usually take for the liquid roundworm de-wormer to ki
How long does it usually take for the liquid roundworm de-wormer to kick in once I give my dogs their dose? I am using pro-sense with the active ingredients of: 250 mg Piperazine base as Piperazine Ci… read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
Our dog was diagnosed with lymphoma and given two weeks but
our dog was diagnosed with lymphoma and given two weeks but with much prayer she has survived. but she is on tramadol but her breathing is hard and went want to ease her discomfort more, can we admini… read more
divealot1
divealot1
DVM
8 satisfied customers
My almost 3month old puppy vomited a roundworm Yesterday. He
Good morning My almost 3month old puppy vomited a long roundworm Yesterday. He goes to the Vet regularly. Today 2-19-18, I can tell he's not feeling well. He was given a medication( Trifexis) I'm not … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
8,299 satisfied customers
Existing tumor in my boxers mouth has stated to bleed quite
Existing tumor in my boxers mouth has stated to bleed quite a bit. Don't know if this is an emergency or it will slow down on its own. … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
9,533 satisfied customers
My 15 year old Labradoodle has inflammatory bowel disease
My 15 year old Labradoodle has inflammatory bowel disease for over a ;year and now I am feeling bony type growths on her ribs. She has continues to lose weight over the past year but otherwise, acts f… read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,983 satisfied customers
Lymphoma. She has lymphoma and she cannot breathe tonight
She has lymphoma and she cannot breathe tonight I'm planning on doing chemo but I need to give her something tonight and I have dexamethasone 2 milligram tablets she weighs 40 pounds … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
33,271 satisfied customers
My dog has been diagnosed with colitis. She was on Fromm
My dog has been diagnosed with colitis. She was on Fromm adult dog food. We stopped that and have been just giving her baked chicken with white rice to stop the diarrhea. We recently tried to reintrod… read more
Vet_Dr.Drea
Vet_Dr.Drea
Veterinarian
Doctoral Degree
379 satisfied customers
My Scottie male was diagnosed with lymphoma two mornings
My Scottie male was diagnosed with lymphoma two mornings ago. This morning dr Fuller started steroid therapy. Right now his heart beat is super rapid and breathing super rapid. … read more
Expert
Expert
Associate Veterinarian
Doctor of Veterinary Medicine
920 satisfied customers
Dx colitis. Tried to poo but can't and nothing comes out.
Dx colitis. Tried to poo but can't and nothing comes out. Has not eaten since Wednesday meaning 3 full days but drinking water and keeping that down. Vet gave a got of antinauseant today with aim to e… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My dog has a bleeding ulcer or tumor. the vet gave me some
my dog has a bleeding ulcer or tumor. the vet gave me some chinese medicine to help stop the bleeding but nothing is working she is just lying around with very white gums … read more
Kelly Jones
Kelly Jones
Doctorate of Veterinary Medicine
249 satisfied customers
My dog is on Metronidazole for colitis. She takes a half
My dog is on Metronidazole for colitis. She takes a half tablet in the morning and after her evening meal. My husband just told me that he doesn't remember if he gave her her dose tonight. Will it hur… read more
Dr Scott Nimmo
Dr Scott Nimmo
Dog Veterinarian
10,315 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