Blood in the mouth

Swarupmay Majumdar ‎6months old Female Labrador, off feed 2 days. owner finds blood in its mouth. H/O retching. vaccinated. no cycles yest. no loose motion. not medicated.
PE finding: mm-pale, blanced, dehydrated, abd enlarged but no fluid thrill, ln-not enlarged, H/R 86/min,respiration- thoracic. Blood report: Hb 5.4,TLC 32500, N-79,L-17,...

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02 May at 16:54 · Comment · · Flag

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    Anoop Sahu saying hb is 5.4 and still giving DNS, What about iron prep.

    02 May at 16:59 · ·
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    Nassem N. Naimi what about feces, Temp. ?
    I am thinking about Gastric ulcer actually but still i am not sure?
    

    02 May at 17:03 · ·
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    Swarupmay Majumdar ‎@ nassem:temp -102.2*F, faces need a check up.
    @ anoop: plz suggest fluid.

    02 May at 17:07 · ·
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    Swarupmay Majumdar the case is on the table. fresh case.

    02 May at 17:09 · ·
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    Nassem N. Naimi ok Fluid R.lactate for now if u have plasma

    02 May at 17:11 · ·
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    Anoop Sahu ‎25% dextrose, Imferon iv preparation, rest is fine, avoid too much liquid in food prefer solid and in small quantity, increase frequency+ Sarcoferol Iron prepaartion(Alembic)

    02 May at 17:11 · ·
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    Swarupmay Majumdar thank you Anup and Nassem

    02 May at 17:12 · ·
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    Nassem N. Naimi now we should treat the Anemia this is not a new thing check the feces for Melina.
    Iron Supplement would be good, Vit.K also and multivitamin.
    

    02 May at 17:13 · ·
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    Nassem N. Naimi try also rantidine or Cemetidine

    02 May at 17:14 · ·
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    Swarupmay Majumdar ranitadine , vitamin bcomplex with C is going. with D25. I am worried do I need to arrange blood for him at this HB level.

    02 May at 17:16 · ·
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    Anoop Sahu body weight of pet

    02 May at 17:17 · ·
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    Nassem N. Naimi

    Personally i would look at the animal.
    Like if he is still able to move , and here the temp. is a good indication that he is managing , so what we are doing is good even though blood wont be wrong but i prefer to give the animal a chance to ...See more

    02 May at 17:19 · ·
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    Swarupmay Majumdar ‎17kg

    02 May at 17:19 · ·
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    Anoop Sahu ok, Blood is not so emergency, provide proper rest, restriction on movement, least body activity is good for recovery

    02 May at 17:22 · ·
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    Swarupmay Majumdar shall add one more antibiotics? or just use alone. I got Iron sucrose inj , as Iron dextran not abl. it is for Iv use. how much can I give?

    02 May at 17:24 · ·
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    Swarupmay Majumdar how frequently do I need to use iron Iv?

    02 May at 17:25 · ·
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    Anoop Sahu thrice a day, Iron sucrose never use so cant say, Imferon is human preparation, will get on any human chemist shop

    02 May at 17:28 · ·
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    Nassem N. Naimi Antibiotic is good to be used as there are few research increminating H felis and pylori in Peptic ulcers in dogs and cats.
    so I recommend Metronidazole or Amoxicilline for 10 days

    02 May at 17:32 · ·
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    Swarupmay Majumdar thank you both for all these suggestions. And Dr Gautam for his advice over Phone

    02 May at 17:57 · ·
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    Gautam Unny also awlays check for occult blood in the stool for its a more reliableindicator of intestinal bleeding.

    03 May at 07:31 · ·
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    Swarupmay Majumdar stool will be sent for lab testing today

    03 May at 10:44 · ·
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    Swarupmay Majumdar

    update: Blood test 4.5.2010: Hb 5.8, TLC 24000, Creatn-0.7, SGoT 50,SGPt 42.
    presently she is on Jectofer ( iron), Ceftriaxone, Gentamicin,Tribivet, D25,Rantac. Condition is far better and stable but he had not started on usual food.
    suggest...See more

    05 May at 09:54 · ·
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    Nassem N. Naimi

    I suggest you stop using Gentamicin (Personally I hate this drug).
    Blood is not getting back as expected the anemia didn't change a lot from 5.4 to 5.8 in about 4 days I think.
    keep the dog warm and maybe think about blood transfusion
    
    Had not ...See more

    05 May at 11:39 · ·