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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 36213
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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My dog has vomited blood streaked bile twice today.

Customer Question

My dog has vomited blood streaked bile twice today. Otherwise acting normal. The closest open vet is an hour away. Does he need to be seen right now?
JA: I'll do all I can to help. Hopefully it didn't make a mess. Did your dog eat anything unusual?
Customer: Not that I know of, but I wouldn’t put it past him to eat a bone or something he found.
JA: OK. The Expert will know what to do. What is the dog's name and age?
Customer: Rudy, approx age 5.5
JA: Is there anything else the Veterinarian should be aware of about Rudy?
Customer: He has a history of heart worms, but has been negative for approximately 3 years.
Submitted: 8 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 8 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 8 months ago.

I'm sorry to hear of this with Rudy. To answer you directly, yes. Heavy metal intoxication - arsenic, lead, and zinc, mainly - needs to be considered whenever hematemesis (vomiting blood) arises but there are quite a few considerations in such a patient. They include bleeding disorders such as an anticoagulant rodenticide toxicosis, infectious disorders (parasites, viral or bacterial gastroenteritis), gastroduodenal erosions/ulcerations (non-pharmacologic) due to infiltrative disease such as neoplasia or inflammatory bowel disease (IBD), metabolic disorders (renal and hepatic disease; Addison's disease (hypoadrenocortisolism), stress erosions/ulcerations from sepsis, for example, drug administration (glucocorticoids (steroids) and nonsteroidal antiinflammatory drugs (NSAIDs), gastric/duodenal foreign bodies, hemorrhagic gastroenteritis (a toxic shock-type of disorder), and esophageal disorders. Too many of these differentials can be life-threatening and so prompt attention to dogs exhibiting hematemesis (vomiting blood) is important. Please respond with further questions or concerns if you wish.

Customer: replied 8 months ago.
okay. Thank you.
Expert:  Dr. Michael Salkin replied 8 months ago.

You're quite welcome. 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.

Customer: replied 8 months ago.
To be clear, he is not vomiting gross blood, but there is a small amount of blood in his vomit.
Expert:  Dr. Michael Salkin replied 8 months ago.

Thank you. Any amount of vomited blood is a danger sign.

Customer: replied 8 months ago.
But I will get him to a vet.
Expert:  Dr. Michael Salkin replied 8 months ago.

Sounds good.