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Jennifer Lee wrote 02/24/2011 11:03 PM

Re: Vomiting and Black Tarry Stool [Re: Sheila Buckley ] #318562 - 02/24/2011 11:03 PM

Jennifer Lee
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I am so glad that it seems to be something easily treatable!

I admit that I would totally freak out if my dog ever sprayed blood while going to the bathroom, so I am actually really glad I read this so.

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Connie Sutherland wrote 02/24/2011 11:15 PM

Re: Vomiting and Black Tarry Stool [Re: Sheila Buckley ] #318571 - 02/24/2011 11:15 PM

Connie Sutherland
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Quote: Sheila Buckley

Thanks so much for all the support! We are home and Thor is resting peacefully after receiving a liter of fluids under his shoulder. He is off all food and water until tomorrow (may need more fluids) to give his digestive tract a chance to chill. He has been diagnosed tentatively with HGE (Hemorrhagic Gastroenteritis).

I say tentatively because my vet and I decided to treat before performing more invasive tests that may not be necessary. The stool sample was basically all blood and there was also traces of blood in the vomit.

The good news. His blood work is normal and there are no growths or obstructions in his intestinal tract based on xrays. He is off the metacam until further notice. If there is not a marked improvement over the next two days or the lab finds something else in the stool sample then he will need to have further testing with an ultrasound and an endoscope.

My vet gave me her cell phone number in case there are any changes and told me to check in tomorrow for further instruction based on how he is doing. She is off tomorrow and Saturday but will make herself available for Thor....which I am so greatful for but makes me a little nervous that he's maybe sicker than she let on.... Thanks again! I swear this dog has species confusion and thinks he's a cat with nine lives. That's not a bad thing he has a few more to go. smiley for :)

Oh thank goodness! Yes, it's serious, but it's also what I was hoping (because of the much scarier alternatives that your vet pretty much ruled out).

Don't get nervous. He needs you calm, and you need you calm, and this really is a relief.

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Sheila Buckley wrote 02/24/2011 11:25 PM

Re: Vomiting and Black Tarry Stool [Re: Connie Sutherland ] #318574 - 02/24/2011 11:25 PM

Sheila Buckley
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Quote: Connie Sutherland

Don't get nervous. He needs you calm, and you need you calm, and this really is a relief.

Wise chips, Brigham's Ice Cream and now a Bailey's Irish Cream... I think the nerves are well under control at this point.

Too bad I don't have any poitin. smiley for :)

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Connie Sutherland wrote 02/24/2011 11:27 PM

Re: Vomiting and Black Tarry Stool [Re: Sheila Buckley ] #318575 - 02/24/2011 11:27 PM

Connie Sutherland
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Quote: Sheila Buckley

Quote: Connie Sutherland

Don't get nervous. He needs you calm, and you need you calm, and this really is a relief.

Wise chips, Brigham's Ice Cream and now a Bailey's Irish Cream... I think the nerves are well under control at this point.

Too bad I don't have any poitin. smiley for :)

Yeah! You could lower your blood pressure to zero over zero! Talk about calm .... smiley for :grin:

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Sheila Buckley wrote 02/24/2011 11:31 PM

Re: Vomiting and Black Tarry Stool [Re: Connie Sutherland ] #318576 - 02/24/2011 11:31 PM

Sheila Buckley
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:laugh: :laugh: :laugh:

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Betty Landercasp wrote 02/25/2011 07:07 AM

Re: Vomiting and Black Tarry Stool [Re: Sheila Buckley ] #318599 - 02/25/2011 07:07 AM

Betty Landercasp
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Keep us informed, we are all thinking of you!

http://s922.photobucket.com/albums/ad67/Grasvaly/

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Dana Martin wrote 02/25/2011 07:40 AM

Re: Vomiting and Black Tarry Stool [Re: Sheila Buckley ] #318600 - 02/25/2011 07:40 AM

Dana Martin
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Reg: 09-13-2010
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Quote: Sheila Buckley

Quote: Michael_Wise

If he goes to the bathroom and sprays blood, stay calm.

Can you be more descriptive so I know what to expect? smiley for :grin:

I kind of hope he just gets fluids again tomorrow and no food or drink because he's empty now...nothing to spray. WIMP that I am.

Thor is digging that he and Turbo have the HGE in common he feels so cool now; part of an elite group.

Hi Sheila,

I'm going to weigh in with my human GI nurse opinion here, again smiley for :grin:

Don't be surprised if Thor passes more tarry stools or even vomits a bit more of it. Old blood in the GI tract is VERY nauseating. As the areas in his stomach begin to heal depending on the size of the areas that were bleeding, they will develop small clots which will slowly dissolve as the areas stop bleeding. This is what you'll see him pass. This most likely will happen today and possibly tomorrow. But the amount should significantly decrease.

What you need to watch for is any sign that he's passing bright red blood either by vomiting or in his stool. This is a sign that he could be actively bleeding and needs to be treated ASAP. If this happens call your vet immediately! If he has developed a gastric ulcer (which is quite common with NSAID's) and the clot that has formed becomes dislodged, it can cause that ulcer to begin bleeding again. This is something that is usually EASILY TREATABLE using an Endoscope.

Has you vet said whether Thor can have anything today in the way of fluids? In my human patients we normall recommend fluids for at least the first 24hrs and then slowly increase their diet. This gives the areas in the stomach a chance to begin to heal.

The active bleeding would definitely be a worse case scenario. I completely agree with your plan to treat this symptomatically and forego the Endoscopy unless things change. I would have done the same exact thing. The only downside is that we don't really know if Thor was bleeding from multiple small irritations in his stomach, or if the Metacam did possibly cause a larger ulcer. But again, I would have done exactly what you are doing. Ulcers can be treated without being positively diagnosed via Endoscope (plus I can imagine how $$ that would be).

But, just so you know, if for some reason Thor does require an endoscopy, I want to assure you that the procedure itself is quite simple and painless and usually only takes maybe 10-15 minutes even if they need to treat an ulcer or something else.

I'm glad that Thor is doing well. Please let me know how things go and if you have any questions I'll be happy to answer them if I can.

And again, just my HNO (human nurse opinion).

Dana

Here Decoy, Decoy, Decoy!

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Lynne Barrows wrote 02/25/2011 07:47 AM

Re: Vomiting and Black Tarry Stool [Re: Dana Martin ] #318601 - 02/25/2011 07:47 AM

Lynne Barrows
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Reg: 09-22-2007
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Dana, what a great post...

Sheila, sending healing thoughts Thor's way...

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Dana Martin wrote 02/25/2011 07:59 AM

Re: Vomiting and Black Tarry Stool [Re: Lynne Barrows ] #318603 - 02/25/2011 07:59 AM

Dana Martin
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Reg: 09-13-2010
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Quote: Lynne Barrows

Dana, what a great post...

Sheila, sending healing thoughts Thor's way...

Here Decoy, Decoy, Decoy!

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Joyce Salazar wrote 02/25/2011 08:28 AM

Re: Vomiting and Black Tarry Stool [Re: Dana Martin ] #318605 - 02/25/2011 08:28 AM

Joyce Salazar
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It really is a great post Dana, you helped me learn something I did not know, so thanks for that. smiley for :cool:

Do they know what causes HGE?

Joyce Salazar

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