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HGE is sort of catch all since there are many reasons it could happen. The challenge right now is hydration with all the vomiting and diarrhea, Did the vet run blood work to check for pancreatitis? Not to be an alarmist but this can be quite serious and is more than "food not sitting well." Even with Tessa, the only times she was sick for more than a day or two was when she was having an adverse reaction to chicken - and it almost killed her.
 

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I agree. Now he has blood in his stool again. More than before. Still throwing up. He really doesnt feel good. I'll get the referral tomorrow and try to schedule an appointment at the internist ASAP.
If he is still sick I would take him to an ER vet right away. I am too much of a worry wart and would rather be safe than sorry. These little guys can get real sick real quick.
 

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Camille,

I am so sorry about Oliver. I have been going through something somewhat similar with Denne (19 months old). He was hospitalized for one day on 1/26 after severe bloody diarrhea and vomiting. He was discharged with dx of gastroenteritis - etiology unknown but the "working dx" was HGE based on his symptoms. With HGE, you usually have a PCV (Packed Cell Volume) blood test of >60. Denne's was lower than that but we caught it very early (he started the bloody diarrhea while at the ER). They could not do a fecal because it was pure liquid. As a precaution, we were sent home with Panacur for 5 days and also 7 days of metronidazole. After being off metro for 9 days, he had another episode of diarrhea and we started another 7 day course of metro. On day 7, he had yet another episode. This happened Wednesday and I took him to the vet who thought that his intestinal flora may have been compromised. She gave us Forti Flora for 30 days. Yesterday, I took him to a holistic vet who was able to get a fecal and they found evidence of Giardia. She prescribed another 14 day round of metro, followed by a fecal 10 days later and then another after that. I am thrilled for this information as I really don't want to live the next 14 - 16 years with food issues. I've been through that with my previous Maltese.

You have gotten ALOT of really good info but I have a few comments that I do not believe have been addressed.

1. In order to be effective, probiotics need to be given apart from antibiotic. I am giving Denne the Forti Flora 2-3 hours after the Metro.
2. The internal medicine specialist that we saw said that he had never had a case of pancreatitis in a dog as young as Denne (19 months old).
3. I agree with everyone about hydration being the most important thing. If he is vomiting and having diarrhea, I would be VERY concerned about keeping him hydrated.

...just thought I would share what we have been going through.

Terre & Denne
 

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Alright, I'm home. Left Oliver at the Vet. All of his bloodwork came back normal or very close to normal. She is sending the fecal off for the ELISA test and should know results tomorrow. But the parvo test came back a faint positive. She brought me the test and there was definitely a blue dot. Not as dark as the control dot but it was definitely there. So I dont know if his first test was a false negative or if it was just so early it didnt show up. I kind of feel like there are multiple things going on. Since the previous owner said she had taken him to the vet 2x for diarrhea and its been an off and on problem for me. He has lost 3 ounces of weight since yesterday. But he wasnt very dehydrated. She said his gums were only slightly tacky.

They are going to keep in touch. Going to call me tonight before they close and then tomorrow afternoon before they close. If he is doing ok then I can pick him up tomorrow and continue at-home care. She said that parvo has an 85% survival rate when hospitalized. He has had 3 of his 4 parvo shots. I dont know if that increases his chances of pulling through.
 

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Did you do x-rays with contrast, just to be sure that there's nothing in his digestive system that shouldn't be there?

I see you got many great pieces of advice here. In case of my Cashmere's tummy issues grain-free, monoprotein food without any poultry and with limited ingredients, adding linseed and probiotics to the kibble + 3 weeks of giving anti acid meds before eating helped (as long as she's not eating nasty stuff from the ground, of course). I think that while problems with digestive system can have many causes, in most cases the treatment is very similar.
 

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Alright, I'm home. Left Oliver at the Vet. All of his bloodwork came back normal or very close to normal. She is sending the fecal off for the ELISA test and should know results tomorrow. But the parvo test came back a faint positive. She brought me the test and there was definitely a blue dot. Not as dark as the control dot but it was definitely there. So I dont know if his first test was a false negative or if it was just so early it didnt show up. I kind of feel like there are multiple things going on. Since the previous owner said she had taken him to the vet 2x for diarrhea and its been an off and on problem for me. He has lost 3 ounces of weight since yesterday. But he wasnt very dehydrated. She said his gums were only slightly tacky.

They are going to keep in touch. Going to call me tonight before they close and then tomorrow afternoon before they close. If he is doing ok then I can pick him up tomorrow and continue at-home care. She said that parvo has an 85% survival rate when hospitalized. He has had 3 of his 4 parvo shots. I dont know if that increases his chances of pulling through.
I will say a prayer for little Oliver. Poor little guy.
 

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Praying for Oliver and for You. I do hope that your vet gets to the bottom of this. Having dealt with HGE and bloody diarrhea it does not take long for their system to get out of whack and into dangerous areas. Hope that you get a definite diagnosis that is treatable. He is in the right place to get the help that he needs and hope that he is home soon. Lots of prayers and (((HUGS)))
 

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Mindi - I'm so sorry that you're both going through this. It's so hard to deal with. Is there going to be anyone overnight with Olliver at the vet's? Please find out whether there will at least be a vet tech on duty. It worries me if there isn't. He really should be monitored. Sending prayers.
 

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Discussion Starter #54
Mindi - I'm so sorry that you're both going through this. It's so hard to deal with. Is there going to be anyone overnight with Olliver at the vet's? Please find out whether there will at least be a vet tech on duty. It worries me if there isn't. He really should be monitored. Sending prayers.
No, they close up and leave around 7pm and open the doors at 7am. I just called to check in on Oliver before the Vet got ready to close for the night. They said he hasn't vomited since 11am. He has perked up and is pacing around whining and barking. That breaks my heart to know he is in a tiny cage calling for us to come save him, but I guess that means he is feeling a little better. If he is feeling ok tomorrow I think I am going to pick him up right before they close. I dont feel comfortable with him being there all day Sunday while they are closed. The Vet said she comes and checks in 1-2x a day but I'm not comfortable with that. She said she would show me how to give him sub.fluids and his meds.
 

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No, they close up and leave around 7pm and open the doors at 7am. I just called to check in on Oliver before the Vet got ready to close for the night. They said he hasn't vomited since 11am. He has perked up and is pacing around whining and barking. That breaks my heart to know he is in a tiny cage calling for us to come save him, but I guess that means he is feeling a little better. If he is feeling ok tomorrow I think I am going to pick him up right before they close. I dont feel comfortable with him being there all day Sunday while they are closed. The Vet said she comes and checks in 1-2x a day but I'm not comfortable with that. She said she would show me how to give him sub.fluids and his meds.
I know it might be inconvenient (and too late for tonight) but if they want to continue monitoring, drop him off first thing in the morning and pick him up right before closing. The way if there's a problem during the night you can call an ER vet. When Tessa was so sick this is what my vet had me do because they didn't want to take a chance on her having a crisis in the night and no one was around to help.
 

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I'm so sorry Oliver is still so sick! After tonight I would definitely not leave him overnight with none to monitor him. He will be better at home with you. Prayers for a swift recovery.
 

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Poor Oliver, I hate that he is alone all evening and night but it is done now. I hope this gets sorted soon.

How long is it since he had his last parvo vaccination? a weak positive is a bit suspect as you and your vet feel. Not something to mess about with though.

Glad you will get the ELIZA back tomorrow. I kinda hope it is that, as it is more easily treatable than anything else.
 

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Camille,

I am sorry you and Oliver are going through this. I don't want to worry you but the albumin level worries me. Have you run a bile acid test on Oliver. I agree with Sue and Maggie, if you can avoid leaving Oliver somewhere overnight when there is not a tech there, you should.

Good luck and keep the faith. If this does not resolve soon, an internist can really help.
 
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