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She has blood coming from her rear and it smells terrible.

She has blood coming...

She has blood coming from her rear and it smells terrible. We tried wiping it with a warm towel and she acted like it hurt.

Veterinarian's Assistant: I'll do all I can to help. What is the dog's name and age?

Her name is ***** ***** she is 14. She's a Shih Zhu

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

Her nose is wet and she ate her dinner and otherwise acts fine

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Answered in 1 minute by:
3/23/2018
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,981
Experience: Over 20 years of experience as a veterinarian.
Verified

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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Has she has loose stools or blood in her stools?

Or have her stools been normal?

Does her perianal area look raw?

Has she been licking her perianal area or scooting on her bottom?

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Customer reply replied 4 months ago
Her stools looked normal until today - it's kind of dark and stringy looking. She's been licking A LOT but the area doesn't look raw.

Thanks very much.

Give me several moments to type up my thoughts/recommendations.

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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. Since she feels great, wants to eat and is active, then that is a good sign.

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. 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 sudden 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 for blood in the stool 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 an anal gland problem should not cause loose stools.

A raw, irritated colon can take a few days to heal.

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 as parasites can cause bleeding, and their eggs/cysts are shed intermittently so they may be picked up on the second sample or third test even if the first is negative.

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

If her appetite was off and her stomach was 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 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 of these can be given for several days if needed. If she doesn't seem at all nauseous you can skip this step.

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

Today if her stools are loose 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 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 1-2 tablespoon of canned pumpkin (not pie filling, just 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 as anything you give orally will just come back up worsening her dehydration.

It has been my pleasure to help you today, and I hope that I have earned my 5 star rating. Please remember to rate my service by selecting the 5 stars at the top of the screen (rating me now does not close your question). You are welcome to ask follow up questions about my response here until you are satisfied, simply use the reply box and let me know. Thank you!

Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,981
Experience: Over 20 years of experience as a veterinarian.
Verified
Dr. Kara and 87 other Dog Veterinary Specialists are ready to help you
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Customer reply replied 4 months ago
Hi - Just to let you know I got Pifer to her regular Vet Friday morning and she had a severly infected uterus. They perfermed emergency surgery and she's recuperating nicely. Thank you so much for your help Thursday night.
Lisa

I am so glad to hear that your girl had surgery and is recuperating nicely. Thanks so much for giving me an update, my best to your little one, Dr. Kara

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