Diarrhea/vomiting after deworming

[SkellysPet]

Hello, 

Our lovely greyhound (9 yrs old) has been experiencing some tummy upset. She went off of her food last werk and had a pot bellied appearance as well as losing weight so we put her on some deworming which has definitely helped. We gave her the deworming on Monday. Her stomach is less swollen (but it's clear there's still some inflammation) and her demeanor is back to normal. She's roaching, sleeping, not panting or in any distress. However, she still has quite watery stools and throws up about once a day (usually just watery bile but sometimes there's undigested rice as well). Her vomits are also more like burps/regurgitations rather than heaving and retching. We've been giving her white rice and tuna for the past 3 days (she has a poultry sensitivity so chicken is a no go). 

Really I just want some reassurance that she's on track to getting better and that the continued watery stools and infrequent watery vomits are just her stomach and intestines calming down after inflammation. Do you think this could be the case? I don't want to have to take her to the vet unnecessarily and have them poke and prod her when all she needs is a bit more time to recover. She has a full bloodwork and clean bill of health when she had her check up in September as well. 

Any advice and comments are really appreciated! 

 

[macoduck]

Some questions:
Have you changed her food recently?
Has she been drinking water out of any ponds, puddles, rivers, or bird baths?
Are you in the US? Then add the possibility of hookworms which can persist despite negative tests.
What worming medicine did you give her? Over the counter or prescription? Are these known side effects listed on the worming medicine? How many days is it to be given, per the label?
Did the September vet tests include checking for fecal parasites?
White rice and tuna shouldn't be continued unless your vet checks her and okays it.
Recent vet publications say to fast for a day, then return to the dog's normal food.
You could try giving only *one dose* of GasX in pill form and checking to make sure it does not contain xylitol or sugar birch in it.

She definitely needs to return to the vet. Even though she doesn't appear to be in distress, the pot bellied appearance + losing weight is very concerning. The pot belly could mean ascites (an indicator of liver disease) which could be determined by ultrasound or xray. She may need Cerenia and/or something prescribed to calm her intestines.

Please keep us posted.

[SkellysPet]

 

26 minutes ago, macoduck said:

Some questions:
Have you changed her food recently?
Has she been drinking water out of any ponds, puddles, rivers, or bird baths?
Are you in the US? Then add the possibility of hookworms which can persist despite negative tests.
What worming medicine did you give her? Over the counter or prescription? Are these known side effects listed on the worming medicine? How many days is it to be given, per the label?
Did the September vet tests include checking for fecal parasites?
White rice and tuna shouldn't be continued unless your vet checks her and okays it.
Recent vet publications say to fast for a day, then return to the dog's normal food.
You could try giving only *one dose* of GasX in pill form and checking to make sure it does not contain xylitol or sugar birch in it.

She definitely needs to return to the vet. Even though she doesn't appear to be in distress, the pot bellied appearance + losing weight is very concerning. The pot belly could mean ascites (an indicator of liver disease) which could be determined by ultrasound or xray. She may need Cerenia and/or something prescribed to calm her intestines.

Please keep us posted.

Hi 

Thanks for getting back to me. 

- When she initially lost interest in her food we did start changing her kibble. She still had an appetite and was interested in whatever we were eating but just seemed picky about her kibble but the switch definitely gave her an rash on her belly and paws (which are now gone). She tends to want a switch of kibble every 2 or 3 years so we thought it was the same and decided to change her food. Her tummy issues increased after this so we switched to the rice and tuna. 

- We live in London, UK so she's a real city dog. She never scavanges or drinks water outside her bowl. 

- We gave her vet prescribed dewormer and flea treatment called Prinovox. These are listed as side-effects in rare occurrences and that they can last upto 7 days. 

- We have sent out for a fecal test and are waiting results. 

- Also just fyi she is a sensitive/allergy prone girl. 

I'll try fasting her, I was just worried that since she was vomiting mostly bile she had an empty stomach. But I'll give it a go and keep you updated. 

Will also book her in at the vet's for tomorrow too. 

Thanks again for your response and let me know if you think of anything else.

 

 

 

 

[greysmom]

There can be a LOT of causes for persistent vomiting and diarrhea, some are more benign and some are really serious.  In general, if symptoms persist beyond 3-4 days you dog should be scheduled for a vet visit, as the chance of them getting seriously dehydrated is worse than anything else.

The tuna she's getting should NOT be packed in oil, as that can cause pancreatitis (which causes vomiting and diarrhea).  And it should be rotated with other low fat options like cooked and rinsed ground beef, or poached white fish.   If she can handle turkey you can also rotate with that (not all dogs with chicken intolerence can do turkey, but many can).  Tuna is a really rich protein source, and can cause problems on its own.

[macoduck]

This is a recent article that may or may not apply to your situation.

https://www.wormsandgermsblog.com/2023/10/articles/animals/dogs/do-all-dogs-with-diarrhea-need-antibiotics-spoiler-alert-hell-no/?fbclid=IwAR3tD5dgEhF2BsOZEDDEgirbBd_P2BtHjtpPw3NkukH0f7gxYSbRj7r-Iys

[Time4ANap]

We've had our share of dogs with persistent hookworms. In almost every case we needed a couple of rounds of metronidazole to get the tummy back to normal during the hook worm treatment. The hookworms in dogs coming of fthe track here in the states can take up to a year to get rid of with monthly treatments approved by your vet. The current strain of hooks here is largely resistant to all but a few treatments, so it's a long term treatment, not a sprint to get rid of them. One clean fecal only means that there were no hooks in that particular sample. We don't stop treating until we get 3 clean fecals in a row, and even then we test at least once a year or if we see tummy symptoms that are unexplained for any length of time. We've been there, done that with just about every hound. 

Hope your dog is feeling better soon, but definitely consult your vet to keep metronidazole or something similar on hand for diarrhea/tummy upset when you are deworming.