30/04/2016
Hemorrhagic Gastroenteritis:
As FB friends will know my lovely Jess was hit suddenly with this recently. In 'lean' breeds the condition takes a hold very quickly and if it weren't for the advice of friends I may not have reacted quickly enough to save her. I thought it might be helpful for some to know the signs and treatment...
In Jess the symptoms began as mild then progressing to severe diarrhea over a 24hr period after which I began to notice drops of blood in the diarrhea. A vet check the following morning (c. 36hrs) showed some mild internal tenderness but no raised temperature.
By 48 hours the stools had turned to a much darker red and Jess began to vomit. We made up rehydration salts to try to keep her fluids up but the continued vomiting made it difficult to keep fluids in her. Within another 4 hours the diarrhea had become just bloody water and mucus. Skin was feeling loose and gums had become tacky instead of wet. She was very lethargic.
At this point, on lean dogs particularly, hydration is key to avoid organ failure and blood clots so the best option is IV fluid therapy. We returned to the vets and by this time she was very sore inside (flinching on palpation) and her temperature had dropped slightly..
Treatment combined IV fluids over 24 hours, precautionary antibiotics, pain relief (not rimadyl as this further irritates the bowel), possible use of anti-nausea tablets. Once stabilised this was then replaced by continued oral metronidazole antibiotics, Zantac to settle the intestines and prebiotic powders once she began to eat again.
Following IV stabilisation it took another 4-6 hours to accept food. We fed small soft meals 4-5 times per day for the next 2 days to ensure her stomach could cope - mainly fish and chicken. We believe that she lost around 4kg just in that short period of illness.
Although she was treated with antibiotics this was mainly to prevent secondary infection. Neither of my two other dogs were affected despite living closely with Jess. There was no obvious cause or trigger in her case and cases can occur very out of the blue. It is an unusual auto-immune disorder. Exactly one week after onset I am able to walk her again and she is eating normally.
More information can be found on the following pages - this condition can be fatal so worth knowing the signs
http://www.vcahospitals.com/main/pet-health-information/article/animal-health/hemorrhagic-gastroenteritis-in-dogs/764
Hemorrhagic gastroenteritis (HGE) is an acute disorder characterized by vomiting and bloody diarrhea. Learn the treatments or contact a VCA Veterinarian.