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Westonka Animal Hospital & Laser Surgery Center Mound, MN Phone: (952) 472-4900 “Where Smart Pets Bring Their People” www.westonkaanimalhospital.com CANINE DIARRHEA What causes diarrhea? Diarrhea is not a disease; rather, it is a symptom of many different diseases. Many mild cases of diarrhea can be resolved quickly with simple treatments. Others are the result of fatal illnesses, such as cancer. Even diarrhea caused by mild illnesses may become fatal if treatment is not begun early enough to prevent severe fluid and nutrient losses. How serious is diarrhea in dogs? We attempt to determine how sick the dog has become as a consequence of the diarrhea. When the dog is systemically ill (i.e., more than one body system is involved), some of the following may be noted: (a) Vomiting (b) Dehydration (c) Loss of appetite (d) Abdominal pain (e) High fever (f) Lethargy (g) Bloody and/or watery diarrhea What types of tests are performed to find the cause? If diarrhea is associated with several of the above signs, we perform a series of tests in the hope that a diagnosis can be made. This permits more specific treatment. Diagnostic tests may include radiography (x-rays) with or without barium, blood tests, stool cultures, biopsies of the intestinal tract, and exploratory abdominal surgery. Once the diagnosis is known, treatment may include special medications and/or diets, or surgery. If your dog does not appear systemically ill from diarrhea, the cause may be less serious. Some of the minor causes of diarrhea include stomach or intestinal viruses, intestinal parasites, and dietary indiscretions (such as eating garbage or other offensive or irritating materials). A minimum number of tests are performed to rule out certain parasites and infections. These cases may be treated with drugs to control the motility of the intestinal tract, drugs that relieve inflammation in the intestinal tract, and, often, a special diet for a few days. This approach allows the body's healing mechanisms to correct the problem. Symptomatic Treatment With “Pepto-Bismol” The over the counter human anti-diarrheal medicine labeled regular strength “Pepto Bismol” is safe to use in dogs. We only recommend regular strength and not ‘extra strength’. Please only use this medication if it was recommended to you at the time of the examination. The liquid form is much more effective than the tablet form in dogs. In dogs, the tablets simply may not dissolve in the stomach and may stay there acting like an irritant. Unless your told differently by a staff member, the standard liquid Pepto Bismol dose we recommend is: For small dogs – (dogs less than 20#) a small child’s dose (one teaspoon = 5ml’s) For medium sized dogs – (dogs between 20 and 50#) a medium child’s dose (one tablespoon = 15 ml’s) For large and giant sized dogs – (dogs over 50#), an adult dose (two tablespoons = 30 ml’s) The Pepto Bismol is to be given three times daily for three consecutive days. Note: Pepto Bismol, just like in humans, will impart a black color to the stools within two days. These discolored feces are harmless and the color will return to normal when the Pepto Bismol is discontinued. Note – when NOT to use Pepto Bismol - Because of the salicylic acid (same active drug in aspirin) present in the formula, we do not recommend the use of Pepto Bismol: in cats when a dog is taking a corticosteroid, for example prednisone, prednisolone, Vetalog, or methylprednisolone when a dog is taking another nonsteroidal anti-inflammatory drug (NSAID), for example: Rimadyl, Metacam, Deramax, or Previcox. We expect improvement within 2-4 days; if this does not occur, a change in medication or further tests are done to better understand the problem. Please keep us informed of lack of expected improvement so that we may manage the situation properly. 1