How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Michael Salkin Your Own Question

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Vet
Satisfied Customers: 26200
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
55012488
Type Your Vet Question Here...
Dr. Michael Salkin is online now

My 5 yrs old male whippet has had sensitive stomach all his

Resolved Question:

Hello my 5 yrs old male whippet has had sensitive stomach all his life vets treated for ulcer no effect at all, has had different types of drugs to no effect ' we feed him chappie wet and chappie dry, on vets advice , but it's just ongoing problem his belly squeaks and gurgles not always vomiting but pooh sloppy and dark, can't eat chicken so only eats chappie. Please help
Submitted: 5 months ago.
Category: Vet
Expert:  Dr. Michael Salkin replied 5 months ago.

You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply.

Expert:  Dr. Michael Salkin replied 5 months ago.

Steve, I'm sorry to hear of this with Sooty. It's easy to be overwhelmed by such a chronic problem unresponsive to therapy but a methodical approach to these dogs should clarify the underlying disorder and narrow down how to approach it. The following is a synopsis of how I would approach Sooty. The order in which I've listed the various diagnostics isn't written in stone and can be varied predicated upon Sooty's vet and your preferences.

1) Presumptively treat for gastrointestinal parasites with 7 consecutive days of fenbendazole. Fenbendazole is effective against all of the common nematodes (roundworms, hookworms, whipworms) as well as the protozoan Giardia. It's available over the counter in pet/feed stores as well as at Sooty's vets hospital. Routine fecal ova and parasite exams are too often falsely negative; hence, the need for presumptive treatment. If a positive change isn't seen...

2) Have a diagnostic panel of blood/urine tests performed. The panel should contain a specCPL blood test which is the most specific of the blood tests for identifying the presence of pancreatitis. It should also contain a TLI blood test which is the gold standard for detecting exocrine pancreatic insufficiency - a failure of the pancreas to produce enough digestive enzymes (maldigestion). To be very complete, serum vitamin B12 and folate levels should be performed as well. Malabsorption disorders (digested food isn't being absorbed properly) are suggested by lower than normal serum levels of these micronutrients. If nothing untoward is found...

3) Consider a food intolerance. Food intolerance/allergy is addressed with prescription hypoallergenic diets. These special foods contain just one novel (rabbit, duck, e.g.) animal protein or proteins that have been chemically altered (hydrolyzed) to the point that Sooty's immune system doesn't "see" anything to be allergic to. The over the counter hypoallergenic foods too often contain proteins not listed on the label - soy is a common one - and these proteins would confound our evaluation of the efficacy of the hypoallergenic diet. The prescription foods are available from his vet. There are many novel protein foods and a prototypical hydrolyzed protein food is Hill’s Prescription Diet z/d ultra (my preference because it avoids the possibility of his being intolerant to even a novel protein). A positive response is usually seen within a few weeks if we’ve eliminated the offending food allergen. Food intolerance can arise at any age and even after our patient has been eating the same food for quite some time. If such a dietary trial isn't helpful...

4) Abdominal ultrasound (which is particularly sensitive in evaluating the gastrointestinal tract itself) and/or scoping and biopsy of her gastrointestinal tract is indicated. We don’t perform scoping and biopsy soon enough in too many of these patients. We're mainly looking for inflammatory bowel disease (IBD) or lymphangectasia - a protein-losing enteropathy (intestinal disorder) but also need to be concerned with infiltrative malignancy such as lymphoma and solid tumors such as gastrointestinal adenocarcinoma.

Please respond with further questions or concerns if you wish.

Customer: replied 5 months ago.
Ever since he was a puppy when taken for wee he licks other dogs wee I just can't stop it , this problem can't be any good can it . But he seems to love it, he has terrible flatulence the smell is horrible,
Expert:  Dr. Michael Salkin replied 5 months ago.

As disgusting as that behavior is, it's not likely the cause of his chronic gastrointestinal distress. His flatulence is another symptom of that distress but doesn't clarify the etiology of it. The risk factors for flatulence to arise are diets high in nonabsorbable oligosaccharides, carbohydrates, fiber, or poorly digestible protein; gastrointestinal disease; and low activity or exercise level. Flatulence is controlled using long-term management stategies affecting diet, feeding habits, and exercise. The underlying GI tract disease needs to be corrected.

Please continue our conversation if you wish.

Dr. Michael Salkin, Veterinarian
Category: Vet
Satisfied Customers: 26200
Experience: University of California at Davis graduate veterinarian with 44 years of experience.
Dr. Michael Salkin and other Vet Specialists are ready to help you
Expert:  Dr. Michael Salkin replied 5 months ago.

Thank you for your kind accept. I appreciate it. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr Scott Nimmo

    Dr Scott Nimmo

    Small Animal Veterinary Surgeon.

    Satisfied Customers:

    135
    BVMS, MRCVS. { Glasgow UK }
< Previous | Next >
  • http://ww2.justanswer.com/uploads/VE/VetAnswers/2013-4-5_8257_prof10.64x64.jpg Dr Scott Nimmo's Avatar

    Dr Scott Nimmo

    Small Animal Veterinary Surgeon.

    Satisfied Customers:

    135
    BVMS, MRCVS. { Glasgow UK }
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    2572
    2003 Graduate
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Veterinarian

    Satisfied Customers:

    1840
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    865
    15 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/DR/DrRalston/2011-10-18_1611_Vet.64x64.JPG DrRalston's Avatar

    DrRalston

    Veterinarian

    Satisfied Customers:

    169
    Over twelve years of internal medicine, surgery, and preventive care.
  • http://ww2.justanswer.com/uploads/VE/vetdeb/Debbie Headshot 500.64x64.jpg Dr. Deb's Avatar

    Dr. Deb

    Veterinarian

    Satisfied Customers:

    103
    I have been a practicing veterinarian for over 30 years.
  • http://ww2.justanswer.com/uploads/PE/petdoctor09/2011-12-14_51529_Picture1.64x64.jpg petdoctor09's Avatar

    petdoctor09

    Board Certified Veterinarian

    Satisfied Customers:

    72
    Veterinarian, General Practitioner
 
 
 

Related Vet Questions