Veterinarian's Assistant: I'll do all I can to help. What is the puppy's name?
Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about CeCe?
She hasn’t been vaccinated yet
Expert: Hello, I'm Dr. Kara, with over 20yrs of veterinary experience. Please give me time to review & type a full response. I can't take phone calls.Any vomiting?Good attitude (playful & active) and normal appetite?
No vomiting and yes normal appetite but she eats really fast
Very playful and active but also whimpers a lot like she’s hurt
Expert: Diarrhea at this age can be due to stress (new home for example), a sudden change in diet, parasites, a viral or bacterial infection, or even a food allergy. It can also be related to congenital metabolic organ disease (such kidney or liver disease) due to organ wastes irritating the gut or a foreign body (toy piece, plant. material) in the intestinal tract.Do you know if she got into anything that may have started all of this?Since she is feeling well otherwise I am less concerned. If not she should be checked by her regular veterinarian if she's not bouncing back quickly with the suggestions that I give you.Well worth checking at least a couple fresh stool samples too as parasites are a common cause of loose stools in young dogs and parasite eggs/cysts are shed intermittently. They may be picked up on the second sample or third test if the first is negative.If she still feels well now though we can try some things at home.I would not feed her any food for 6-8 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 diarrhea. You can give her pedialyte to replace electrolytes too but Gatorade is much too high in sugar which can make her intestinal irritation worse.Today even with the fast you can start Kao-pectate at 1/2ml per pound or 1 teaspoon per 10 pounds of body weight every 8-12 hours. This will coat her irritated gastrointestinal 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 to 48 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 drained off the meat, mixed with 2/3 boiled, plain white rice. Feed several small meals a day. You might wish to add 1 tablespoon of canned or fresh cooked pumpkin (not pie filling, just pumpkin) to each meal if you are seeing mucous in her stool as fiber helps soothe an irritated colon.You can also add probiotics to her bland diet to replace the good bacteria lost with diarrhea. Good brand name products include Fortiflora, Proviable, or Benebac. They can be found online or at pet stores.Once she feels better (no diarrhea for 48 hours) start mixing in her regular puppy food very slowly, less bland more regular with each day. It should take a week or so to convert her back.If she begins vomiting and feeling poorly though it would be best that she see her regular veterinarian now as anything you give her 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!
Expert: Also, I'll check back in with you in 4 days on 3/23/2020. I can also answer any additional questions that may arise. Don't worry, there's no additional fee for this follow-up.
She gets into everything my sister said when she took a poo a green rubber band came out (possibly something she ate before I got her) I did give her a work tablet a few days ago because she does have worms
Expert: So this may be a combination of eating all sorts of things she shouldn't, parasites and the worming medication.I would follow my instructions and see how she comes along. No one medication can treat all parasites. Not all parasites are worms, and not all worms are visible to the naked eye, so ideally she would have a couple fresh stool samples sent out to the laboratory by your veterinarian to look for additional parasites and treat appropriately. Of course at this age we definitely want to get her vaccines started too. Her propensity to put everything in her mouth is natural at this age, but could lead to her getting very sick from a viral infection, or pick up additional parasites.
Yeah I’m getting her vaccinated as soon as possible so if she’s not better by then I will definitely let the local vet know and get her checked out
Expert: Great! Please let me know if I can be of any further help.
Thank you, ***** ***** it
Expert: Glad to help!
I've just woke up and she's had Diarrhea everywhere it does have blood in it now
Expert: I'm sorry to hear that.That can be secondary to some parasite infections, or bacterial infections. In some cases passing foreign material like that rubber band can cause irritation and bleeding too.But unfortunately because she is not vaccinated this may indicate this is related to Parvo virus. Those dogs are generally also refusing to eat, and vomiting too.
She's not vomiting and she is eating
Expert: That's good news, then this could be related to parasites or irritation from eating foreign material. I highly recommend she have a stool sample tested and make sure to feed her the bland diet with added pumpkin.
I'm going to take her into local vet this morning anyway
Expert: That sounds like a great idea, make sure to take a fresh stool sample with you when you go.
Expert: The good news is that this doesn't sound like an emergency tonight.
Thank you for your help, I took her too the vet and he prescribed metronidazol
Expert: Metronidazole is an antibiotic that also has anti-inflammatory effects on the intestinal system, so it is a very good choice for animals with diarrhea. Thanks for checking back in with me & letting me know how things worked out for her.
I do have another question though, She has a rash on the inside part of her back leg
What can I do to make it go away
Expert: I'd love to help but my moderator asks new problems/questions be asked by posting them as a new question. If you'd like me to respond please put "For Dr. Kara" at the beginning of the question.