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Intermittent diarrhea in Poodle

Intermittent diarrhea in Poodle - Dogs Health care Articles

Intermittent diarrhea in Poodle : Dogs Health care Articles; Question: Dr. Mike. My 2 yr. old standard poodle has an episodes of diarrhea and some vomiting. I hadn't been too concerned as my other dogs and my friend's dogs were going through the same. Mid July, after a 10 day stay in a vet 's kennel, Sam came down ... Intermittent diarrhea in Poodle


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Intermittent diarrhea  in Poodle

Intermittent diarrhea in Poodle



Question: Dr. Mike.
My 2 yr. old standard poodle has an episodes of diarrhea and some vomiting. I hadn't been too concerned as my other dogs and my friend's dogs were going through the same.
Mid July, after a 10 day stay in a vet's kennel, Sam came down with another bout of diarrhea. After a couple of days he was fine. A week later it recurred. I gave him some diatrim that had been prescribed for him on another occasion for the same symptoms but I didn't need to use it at that time. A week or so after the antibiotic , the same symptoms reappeared. The vet put him on Flagyl thinking he might have picked up Giardia from the kennel. A week or so later the same symptoms came back-- a couple episodes of vomiting and diarrhea. this time the vet weighed him and he had lost 7 lbs so blood work was done. The bilirubin values came back elevated-1.1. Every other value was normal. So, the vet suggested bile acids test. Pretest values were 2.o, post test 2.9. My vet is stumped and is suggesting a major structural problem with Sam's liver. He will be conferring with a "super"vet and getting back to me on Tuesday. In the meantime I'm wondering what your thoughts might be and what direction you suggest we go to get more information aside from a biopsy which the vet has mentioned.
Interestingly enough in the last week, Sam has regained 1 pound which has been confirmed on 2 different scales. While he is a couch potato inside he continues to be full of it outside even during the episodes of diarrhea with exception of the last bout where he was somewhat lethargic.
Thanks so much for any advise you might have.
Sue
Answer: Sue-
Just based on the bile acid response testing, I would tend to think that your poodle's liver is normal, unless the lab has different normal values than I am used to, or is reporting in units that I am not familiar with. According to information in "The Textbook of Veterinary Internal Medicine" by Ettinger and Feldman, the normal values for the baseline serum bile acid test is 2.3 +/- 0.4 uM in dogs and the post feeding value 8.3 +/- 0.3 ---- but I know of no reason to worry if the bile acids are not elevated on the test after eating and our experience has been that this is not highly unusual. The bilirubin level is elevated but that is a less meaningful test result and it isn't elevated very much.
I know that doesn't help much in figuring out what is going on. It can take a lot of diagnostic work to figure out what is causing intermittent diarrhea. It is a good idea to try to rule out giardia, since it is hard to find and frequently present. Metronidazole (Flagyl Rx) is also helpful in inflammatory bowel disease, so a response to it can be an indication that problem is present, if there is a relapse after it is withdrawn. Trying a low fat diet sometimes helps. Using a novel protein diet can help rule out a food allergy or other sensitivity to food. Often it is necessary to do an endoscopic examination to see what is going on in the intestinal tract and to obtain biopsy samples for pathology examination.
It is good that your vet is consulting with a specialist and hopefully you will know more when you get the results of that consultation.
Mike Richards, DVM


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Source:vetinfo.com



Intermittent diarrhea in Poodle

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