Bloody diarrhea and intermittent vomiting
While I do have a GSD puppy, this post concerns a senior Welsh Springer Spaniel that I have. In July of this year, she began with some bloody diarrhea and was treated with Flagyl 500 mg. twice daily for seven days. It resolved and returned again and again and again. Now, in November, I took her back to my vet and he did a complete blood chemistry. Everything was normal with the exception of a low normal albumin level. He thinks that she might have protein losing enteropathy. However, we need more time to pass to do a second complete blood chemistry to see if her albumin level decreases further. In the meantime, he talked to a peer at NC State, and it was recommended that we treat for intestinal bacterial overgrowth in order to rule that out. The "kitchen sink" of antibiotics was started (yuck) and she was on Flagyl 250 mg. once daily, Cipro 250 mg. twice daily and Cephalexin 500 mg. twice daily. I also placed her on a diet of just boneless skinless boiled chicken breasts and boiled rice. For tummy comfort, she was placed on Zofran for nausea, Reglan for motility and Carafate for coating. Five days later, no improvement whatsoever. She has continued with bloody stool and had one episode of vomiting this past weekend. I spoke with my vet last night and he suggests that we change her diet to see if she has developed a food intolerance over the years. This morning, I went and purchased a limited ingredient venison kibble and the corresponding canned food with which to give her the tummy comfort medications (a meatball to place the pills in). All of the food that I have given her in the past has either been fish or chicken-based. I also purchased FortiFlora and will start her on this as well tonight.
Does anyone have any thoughts or suggestions? Does this sound familiar to anyone? Advice?
The "good news" here is that, while this has been going on, the dog is active, happy, playful and otherwise normal in appearance and her activity level.
I had a previous GSD, Max, with SIBO and Tylan was a dream medication for him. It did not work for this particular dog when tried earlier this summer during one of her repeated episodes. My vet has two other options for us if the novel protein limited ingredient diet does not work and they are a veterinary hypoallergenic diet or a trip to Virginia Tech for an endoscopic exam and biopsies. Another option for me is to switch this dog to raw feeding to see if that makes a difference. I also just found out about Dr. Jean Dodds' NutriScan dog food intolerance/sensitivity panel and am thinking about having this done to rule out or verify a food challenge.
Sorry to throw so many different ideas out, but after four months of this, I thought that I would ask others for some guidance and suggestions.
Thank you in advance.
Sabra - female GSD - born April 30, 2012
Sargeant - rescued senior GSD male/foster failure - approximately ten years old (August 2013)
Max - rescued GSD - Dec 22, 2010 to March 7, 2012 - at the bridge
Sable - rescued GSD - at the bridge