Hemorrhagic Gastroenteritis in Dogs

A Cause of Vomiting, Bloody Diarrhea and Dehydration for Dogs

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Hemorrhagic Gastroenteritis in Dogs - gabrielsaldana
Hemorrhagic Gastroenteritis in Dogs - gabrielsaldana
Hemorrhagic gastroenteritis causes severe and life-threatening vomiting, diarrhea and dehydration in dogs. Fluid replacement is the most important part of treatment.

Though most frequently seen in small breed dogs, hemorrhagic gastroenteritis can be seen in any breed of dog. Hemorrhagic gastroenteritis can become life-threatening.

Symptoms of Hemorrhagic Gastroenteritis in Dogs Include Diarrhea and Vomiting

The most common symptom seen with hemorrhagic gastroenteritis is diarrhea. The diarrhea may be severe and bloody in nature. Vomiting may also be seen with hemorrhagic gastroenteritis.

Dogs affected with hemorrhagic gastroenteritis become dehydrated, often very early in the course of the disease and the degree of dehydration often seems severe compared to the degree of diarrhea and vomiting seen in affected dogs.

Hemorrhagic gastroenteritis is usually an acute disease, with affected dogs becoming quite ill very quickly. Left untreated, hemorrhagic gastroenteritis can become life-threatening.

Dogs most likely to be affected with hemorrhagic gastroenteritis include:

  • King Charles Spaniel
  • Miniature French Poodle
  • Miniature Schnauzer
  • Pekingese
  • Poodle
  • Schnauzer
  • Shetland Sheepdog
  • Yorkshire Terrier

Though these breeds are predisposed to developing hemorrhagic gastroenteritis, the disease can be seen in dogs of any breed, sex or age.

Cause of Hemorrhagic Gastroenteritis in Dogs Unknown

The cause of hemorrhagic gastroenteritis is unknown. Several factors have been implicated as contributing factors and include:

  • allergy to specific foods
  • bacteria, such as Clostridium
  • intestinal parasites
  • hyperactivity
  • stress

Many times a specific cause for the disease in the affected dog is never identified.

Treatment of Hemorrhagic Gastroenteritis in Dogs

The mainstay of treatment for hemorrhagic gastroenteritis is fluid replacement to correct the dehydration associated with the disease. This often involves intravenous fluid therapy. Colloid therapy (intravenous) and plasma transfusions may become necessary for those dogs losing large amounts of protein with the gastroenteritis.

Antibiotics are often used in treating hemorrhagic gastroenteritis because of the possibility of bacteria being a contributing factor in causing the symptoms. Commonly used antibiotics are ampicillin and metronidazole, although other antibiotics may be used as well.

Anti-emetics (such as metoclopramide, maropitant, chlorpromazine and others) are commonly used to control vomiting when necessary.

Gastrointestinal protectants (such as sucralfate, kaolin-pectin or bismuth subsalicylate) are sometimes used if gastric or intestinal ulcers are suspected.

Food and water is usually withheld from dogs which are vomiting until no vomiting has occurred for 12-24 hours. Once the vomiting is controlled, a bland diet which is low in fat and easily digestible is usually substituted for the dog's regular food initially. A gradual transition back to the regular diet is recommended once the dog has recovered from the symptoms of hemorrhagic gastroenteritis.

Prognosis for Dogs with Hemorrhagic Gastroenteritis

The prognosis for dogs suffering with hemorrhagic gastroenteritis depends on the severity of the clinical signs and the extent of the dehydration. Death often occurs if the disease is not treated quickly and effectively.

Most commonly seen in small and toy breeds, hemorrhagic gastroenteritis is a serious and sometimes fatal disease in dogs which is characterized by hemorrhagic diarrhea, vomiting and severe dehydration. Extensive treatment may be necessary to treat dogs suffering from hemorrhagic gastroenteritis. Some dogs may not survive the disease, particularly those left untreated.

Lorie Huston, Feature Writer, Pet Care, Sears Photography Studio

Lorie Huston - Lorie Huston, DVM

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Feb 23, 2011 10:07 PM
Guest :
I just wanted to say to those looking for information on Hemorrhagic Gastroenteritis, My dog had a bout of HGE last year when he was 3. (he is a Bichon/Shih-Tzu mix breed)

It started as a normal day, he was playing with my other dog as usual, he went to the bathroom normally, everything seemed fine till I fed him. Five minutes after feeding time he vomited. It was mostly white mucus and food. 10 minutes later he vomited more food. And 10 minutes after that. I called the vet immediately and they stated to just let him vomit out whatever he ate. he may have ingested something that didn't agree with him, and once he stops vomiting, see what happens.

Soon he started vomiting plain mucus. He kept getting up and laying down every minute as if he was in pain. his vomiting spells were coming every 5 minutes by that point. In 2 hours he started vomiting pure blood. Panicked I called the vet who was on call after hours (we have no 24hr e.r. vet here), she had me meet her at the vet clinic immediately, and did x-rays to see if there was a blockage or the onset of bloat. Nothing showed on the x-rays. Even his internal organs looked normal.

She ran blood tests and everything looked normal except 1 thing... the only thing she found was his hematocrits were elevated very high. This was a sign of HGE. She started him on IV fluids and kept him overnight. The next morning she gave him more fluids and he came home.

The next day I took him back in and his Hematocrits were still a little elevated. So one more treatment, and he was back to normal.

A year later (today) my little guy threw up 2 times. The first time was just yellow bile, the second time a little mucus. He seemed to waddle around, he seemed out of sorts. Usually during dinner time he gets so excited he trips over himself trying to beat me to his feeding bowl. Tonight he didn't seem happy at all for dinner.

I took him in immediately, and sure enough, his Hematocrits were elevated. not as bad as the first time I brought him in... but that could be because I didn't wait for him to start vomiting blood before I insisted on being seen. The vet started him on IV fluids immediately. he's now home resting comfortably, snoring away as I type this. He goes in 8am tomorrow morning to test his hematocrit levels and do another treatment of IV fluids (with potassium)

the reason I write this is for 2 main reasons.

1. No one knows what causes HGE at this time, and there is no known cure. But if you get your dog in quick enough at the first signs of HGE, it is treatable. don't "wait it out overnight and see what happens." You may feel you're over-reacting, but after his first HGE attack, I found over-reacting is better than not reacting at all or having a delayed reaction. The sooner this is treated, the better. (a re-occurrence of HGE is possible in dogs diagnosed previously with HGE as I'm seeing with my little guy right now.)

2. Symptoms for HGE varies. Most will cite bloody and/or explosive diarrhea. The first time my dog had a bout of HGE, as well as today... he didn't poop at all. The only symptoms that told me something was wrong the first time was the constant vomiting, not being able to rest comfortably, and becoming lethargic out of nowhere... followed by vomiting blood. There was no pooping at all. So symptoms may vary.

So please don't wait for bloody diarrhea to be a symptom. That was not a symptom in my dog's case.

if your dog is not acting normal, if your dog begins vomiting or has explosive diarrhea, or if your dog has bloody anything (poop, vomit, pee) GET SEEN RIGHT AWAY! Even if you have to go to a vet in the next town at midnight... get seen!

Even if it's not HGE, there is most likely something wrong, and it's best to over-react and find out it's gas than to not react and find out it's something more serious.

If your dog is diagnosed with HGE... make sure if you need to call the vet or a veterinary E.R. for an emergency, you let them know your dog was diagnosed as having HGE.

I keep a journal that reminds me of the earliest symptoms my dog showed before he started vomiting blood... and the date he was originally diagnosed as well as the dates of each time he was treated for HGE. This could be vital information if you have to see a vet who is not familiar with your pet. I also have my vet print me a copy of his records so I can keep them on file in case I have to rush him to the vet while out of town.

This way a vet unfamiliar with your dog will know when he was diagnosed, how many bouts of HGE they've had... and what treatments were used.
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