replied 1 year ago.
Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today. Poor lass!Based on the signs you have reported, it sounds like this little one has a lower GI infection (potentially bacterial, viral, parasitic or protozoal) that is causing irritation to her colon (causing both the blood and nausea -- which could be affecting her appetite) and her rectal region (which can make them scoot on its own but can also be associated with her anal glands not being expressed by the loose stool).With this all in mind, we do need to tread with care; especially as she is quite young and won't have the body reserves of an adult. Still, for tonight as long as her gums are pink and she hasn't any belly discomfort, we can try to soothe these signs for her. To start, since nausea is commonly seen when the colon is inflamed, we can start her on an OTC antacid. Common OTC pet safe options would be: Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac), Calcium carbonate (60-120mg every 8 hours; this can be purchased at some larger pet stores as well as the chemist), or Milk of Magnesia (0.5tsp every 8 hours). These are given 20 minutes before food and of course, do check with her vet before use if she has any known health issues or is on any medications you didn’t mention. As well, if you try this and find her nausea too severe to keep it down, then that is usually a red flag that we need her vet to bypass her mouth with injectable anti-vomiting medication. Once that has had time to absorb and she is steadier on her stomach, you can consider starting her on a light/easily digestible diet. Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. The aim of these diets is that they will be better tolerated/absorbed by the compromised gut. Therefore, it should get more nutrients in and result in less GI upset and reduce her diarrhea. As long as improvement is being seen, I usually advise that the diet be continued until her signs are settled, and that they are then slowly weaned back to their normal diet. Since dehydration is a risk here, we need to keep an eye on her hydration. To check this and ensure she’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure her eyes are not looking sunken and that she doesn’t have a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you are seeing any signs of dehydration already, then that would be our cue to have her seen before this becomes an additional issue for her (especially as it is often dehydration that makes them feel unwell). Finally, you can consider trying a pet safe anti-diarrheal. As I am sure you appreciate, these would not be a cure if the cause were infectious; but it can still be of benefit. It will reduce diarrhea load, allow the body to absorb more water/nutrients, and soothe the upset gut. In regards ***** ***** options for your wee one, the one we most commonly use is Kaolin/Kaopectate (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/kaolin-and-pectin-kapectolin-k-p). This is available OTC at most pharmacies. Otherwise, Propectalin, Canikur, Fast Balance, and Protexin Pro-Fiber (which is available OTC at vets, pet stores, and even Amazon) would be another option. All will slow diarrhea and those last ones have the added bonus of providing support to the delicate good GI bacteria. So, these can be used as a short-term means of soothing this upset GI. Overall, a wide range of agents could trigger the GI upset we are seeing with this wee lass.. Therefore, in her case, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down, appears dehydrated already, or doesn’t respond to the above within 12-24 hours (since she is young and the risk of dehydration is high); then we'd want to get her vet involved. They can assess her hydration, test a stool sample, make sure there is nothing in her stomach that shouldn't be there or any sinister viruses present. Depending on their findings, her vet can treat her with injectable anti-vomiting medication, fluids, appetite stimulants, +/- antibiotics to settle her stomach, and get her back feeling like herself. Please take care,Dr. B. -----------------------------------------------------------------------------------------------------------------If you have any other questions, please ask me – I’ll be happy to respond. **Afterwards, I would be grateful if you would rate my service by clicking on the "Rate my Expert' button at the top of the page as this is the only way I am credited for helping you. Thank you for your feedback!: )