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I have a 4 year old cavalier she is fixed, she had diarrhea…

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I have a 4 year...
I have a 4 year old cavalier she is fixed, she had diarrhea last night and this afternoon she tried for 15 minutes to poop but, only had little dops of blood came out.
Submitted: 9 months ago.Category: Dog
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12/7/2017
Dog Specialist: Dr. Kara, Dog Veterinarian replied 9 months ago
Dr. Kara
Dr. Kara, Dog Veterinarian
Category: Dog
Satisfied Customers: 19,272
Experience: Over 20 years of experience as a veterinarian
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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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Customer reply replied 9 months ago
Ok thank you Dr. Kara!!
Dog Specialist: Dr. Kara, Dog Veterinarian replied 9 months ago

I am very sorry to hear about Sparkle's loose stools last night, straining to pass stools and now passing droplets of blood.

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. If 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 which causes straining and blood in the stool, 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, although an anal gland problem should not cause loose stools.

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 is off and her stomach is 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 10mg tablet per 20 to 40 pounds of body weight every 12 hours.

OR

2) Prilosec (omeprazole) at a dose of one half of a 20mg tablet per 20 to 40 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 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 his 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 is vomiting and feeling poorly though it would be best that she see a veterinarian now as anything you give orally will just come back up worsening her dehydration.

Best of luck with your pup, please let me know if you have any further questions.

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Dog Specialist: Dr. Kara, Dog Veterinarian replied 9 months ago
Hi Kimberley,
I'm just following up on our conversation about Sparkles. How is everything going?
Dr. Kara
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Dog Specialist: Dr. Kara, Dog Veterinarian replied 9 months ago

Hello, I wanted to make sure that you didn't have any further questions for me, and I'd like to know how things turned out for your pup. If you could give me an update that would be great, thank you, ***** *****

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