Consult with FirstVet

My inputs are great; my outputs, not so good. And so a video call to a vet.

Consult notes…

Clinical history

  • Had Breezy 5 weeks
  • Fed wet and dry by the rescue
  • Fed Pure pet food - turkey and salmon
  • Her stools have varied in consistency
  • Got worse past 2 weeks
  • There is some fresh blood
  • Started training, getting more treats
  • Rehomed in the UK
  • Vaccinated
  • Simparica Trio and Droncit
  • No vomiting

Current status

  • Normal energy levels
  • No weight loss/gain
  • No bloating

Differential diagnoses/assessment

  • Dietary
  • Dysbiosis
  • Parasites - Protozoal parasites for example
  • Infectious disease
  • Bacterial infection
  • Pancreatitis
  • Foreign body
  • Viral infection

What you should do now:

  • You can use a paste for dogs with soft faeces/diarrhoea, it contains kaolin and good bacteria to return their gut flora to normal. Brand names include Protexin Pro-Kolin Advance, Probind, Canikur, Nutrabio or VetPro. It is available from any vets, online and bigger pet shops

  • Stop her own food and treats at the moment

  • You can feed her easy to digest food for 3 to 5 days. Please do not feed her any treats or other food sources until she has fully recovered. Offer her easy to digest food little and often, feed her every 2 to 3 hours small amounts. If she vomits food, please wait 3 to 4 hours post vomiting before feeding her

  • You can buy ready made gastrointestinal or sensitivity diets in wet or dry form for your dog and this is often easier and it is a complete diet. Gastrointestinal diets include Royal Canin Gastrointestinal or Sensitivity, Hill’s i/d, Hill’s Gastrointestinal Biome or Purina EN or HA. Your vets will usually stock at least one of these diets or you can purchase them online.

  • Homemade easily digestible diet options are not balanced so it is not advisable to feed this for more than a few days: Carbohydrate - Boiled white rice, cooked pasta, sweet potato or boiled potato (no skin) Protein - Grilled or poached chicken breast (no skin or bones), turkey, white fish (no skin or bones) or pork loin (no fat). Plain cottage cheese can also be used Mix two parts carbohydrates to one part protein (make sure the protein source is well chopped up so that she struggles to pick out only the tasty bits).

Feed her the equivalent amount of her normal food so if you feed her 200g per day please feed her 200g of the easy to digest diet and increase by 50% if she is still hungry. You can increase further if needed

  • Once she has recovered, slowly transition her back to her normal diet over 5 to 7 days. Start by adding no more than 20% of her diet to the bland diet for 2 to 3 days. If stools continue to be firm and no vomiting, slowly continue substituting the normal diet in 20% increments over the next few days.

  • Make sure that she stays well hydrated, if you are concerned then try to increase her water intake by adding water to her food. You can purchase Royal Canin Rehydration Support or Oralade.

  • If she is not drinking enough you can make a basic broth either from poaching your chicken or from low salt stock (needs to be without onions as well).

  • Monitor her faeces - contact FirstVet if any concerns. Expect a smaller amount when fed chicken and rice and it to change to a paler colour.

  • Collect a faecal sample if there is no improvement in her faeces. You need a small amount from various episodes (over 3 days ideally) to ensure that you get an accurate sample.

  • She may benefit from a 3 to 5 day course of Panacur or your vets might recommend a different treatment for example Metronidazole if there is no improvement in her faeces

  • Reduce her walks/exercise until she is back to normal

  • If you would like to use a probiotic to try to ensure good gut health, I would recommend that you try Purina Canine Fortiflora, Vetruus Enteromicro, Protexin Veterinary Synbiotic D-C or Protexin Pro-Kolin Enterogenic Sachets which you add to her food.

Things you should look out for:

Breezy requires a vet appointment if…

  • She declines food or water
  • She vomits the easy to digest food
  • She vomits water
  • She is lethargic or not responding to you as normal
  • If she seems painful around her stomach when you touch her or when she lies down/stands up etc.
  • Restless and not able to get comfortable
  • There is blood or dark specks in the vomit
  • No improvement in diarrhoea in 24-48 hours
  • Diarrhoea is pure blood (looks like raspberry jam)

Emergency level:

  • Vet visit if no improvement or gets worse