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Dr. B.
Dr. B., Veterinarian
Category: Dog
Satisfied Customers: 20928
Experience:  Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
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My female doxie is 11 years old, about 4 days ago she passed

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My female doxie is 11 years old, about 4 days ago she passed some real runny brown black stool. then she quit eating seemed lethargic. We took her to our Vet well substitute vet. She thought my dog had Pancreatitis from eating some steak ( lean only) blood test pretty ok, liver a little off but not to bad. She gave her some antibiotics,sent home some antibiotic pills,some probiotics,some special gastrointestinal dog food...Now 2 days later she drinks a little but still won't eat. 4days no stool no eating!! She won't eat so none of the pills or food stuff is doing any good!
JA: I'm sorry to hear that. Could be a lot of things that cause lethargy. The Veterinarian will know how to help your dog. What is the dog's name?
Customer: Isabella
JA: Is there anything else important you think the Veterinarian should know about Isabella?
Customer: No

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today. I do apologize that your question was not answered before. Different experts come online at various times; I just came online, read about your wee one’s situation, and wanted to help.

Again I do apologize that my colleagues could not aid you sooner, but can you tell me:

Any retching, gagging, lip licking, drooling, or vomiting?

Are her gums pink or white/pale? Moist or sticky?

If you press on her belly, any tensing, tenderness, discomfort, or pain?

Could she have eaten anything she should not have (ie bones, toys, plants, chemicals, human meds, etc)?

Customer: replied 7 months ago.
1st question no gagging,licking,drooling or vomiting.
2nd question gums mostly pink some white hard to tell,feels sticky.
3rd no tensing tenderness or pain
4th guess it is possible she ate something she shouldn't have. only the bones make sense. other things are not available to her.

Thank you,

Now I am quite concerned about Isabella.

Her signs do support a possible underlying nausea (even without vomiting) but if she had black stool that is something we can see with gut bleeding (from stomach ulcers, trauma, or masses). So, we need to tread with care here.

With this in mind, it'd be ideal to ring the vet about their starting symptomatic care. Ideally, we'd want her on an appetite stimulant and can also try her with gut safe pain relief and anti-nausea medication (ie Zofran, Cerenia, Metoclopramide) to rule that out. At the same time, if you think her gums are paler then usual for her and with those gut bleeding concerns, we may also want her stomach scoped, an ultrasound or contrast xrays to make sure that isn't an issue we need to be addressing for her.

Otherwise, any delay in discussing those modifications to treatment and we'd want to at least consider treating her with an antacid. Common OTC pet safe options would be: Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid), Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac), or Milk of Magnesia (0.25 tsp every 12 hours). Whichever you choose, we’d give this 20 minutes before food to allow absorption. Of course, do double check with your vet if she has a known health issues or is on any medications you haven't mentioned.

Afterwards, we need to keep tempting her to eat (as I know you have). Favorites are allowed or you can try an easily digestible diet like cooked white rice with boiled chicken, boiled white fish, cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). Though if she cannot be tempted and since she isn't vomiting, we can even offer or syringe feed watered down Hill's A/D, Royal Canin Recovery, canned puppy food, Dogsure, or Clinicare Canine/Feline Liquid Diet. All of these are calorically dense, so a little goes a long way nutrition-wise.

Overall, I share your concerns for Isabella. Pancreatitis could cause what we are seeing, but the black stool doesn't fit with that. So, we could have the vet check for pancreatitis via blood sample or ultrasound. But it sounds like we need to be using symptomatic care for both concerns as I have noted above but also need to make sure we don't have one of those stomach bleed inducing issues here for her.

Kind regards,

Dr. B.

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