As a veterinarian, you often hear people say, “My dog has diarrhea and is vomiting—should I be worried?”
The short answer is: Sometimes yes, often no.
Diarrhea, with or without vomiting, is one of the most common reasons for a visit to the vet. In many cases, the cause is harmless and the symptoms disappear quickly. However, these symptoms can sometimes be signs of a serious illness. In this article, you’ll learn what might be causing it, what you can do at home, and when you should definitely visit a vet.
very often
no breed predisposition
young animals
loose to watery stool
Appetite and general condition: normal to reduced
Bloating, abdominal pain
possible traces of blood in the stool
may need to strain when passing stool
possibly a fever or low body temperature
a bland diet
Dietary supplements
Further treatment depending on the cause
In veterinary medicine, various forms of diarrhea are distinguished. In cases of small-intestinal diarrhea, the stool is usually very watery, with large volumes being passed, while the frequency of bowel movements often remains normal. The high fluid loss can quickly lead to dehydration and electrolyte imbalance, especially if the dog is also vomiting or has reduced food intake.
In cases of large intestine diarrhea, the stool is typically soft to mucous-like; the dog passes small amounts very frequently and often strains heavily. Occasional fresh, bright red blood in the stool is typical. In some cases, a mixed form may occur, exhibiting signs of both types of diarrhea.
Dogs' digestive systems are more sensitive than many people realize. Common causes of diarrhea, with or without vomiting, include:
It is not always easy to pinpoint the exact cause. Especially in cases of recurring or chronic symptoms, the diagnostic process is a step-by-step one and may require several tests.
Blood in the stool is always a warning sign, but not necessarily an emergency. What matters is what the blood looks like and how the dog is doing overall. A small amount of fresh, bright red blood, often mixed with mucus, is more likely to indicate inflammation of the large intestine and does not necessarily require immediate veterinary attention. Large amounts of blood or very dark or black stool may indicate bleeding in the upper gastrointestinal tract and should always be evaluated by a veterinarian as soon as possible.
Not sure if you need to see a vet right away? Calingo customers have free access to our telemedicine service. Your questions will be answered 24/7 by veterinary professionals, all from the comfort of your own home.
Based on a discussion with you and a thorough clinical examination, the veterinarian will first assess whether the diarrhea is uncomplicated or complicated. In cases of uncomplicated diarrhea, the dog’s general condition is usually only slightly affected or not at all; the dog has an appetite and otherwise appears lively.
In complicated cases, the dog is significantly affected, eats poorly or not at all, and loses so much fluid that it cannot be replenished through drinking and food. Severe bloody diarrhea, puppies, or very small dogs also fall into the category of complicated cases.
Depending on the situation, blood and stool tests may be necessary, and sometimes imaging procedures such as ultrasound, X-rays, or endoscopies may also be required.
Treatment always depends on the cause and can range from a bland diet to medication and intravenous fluids.
If you have mild diarrhea and are feeling generally well, a bland diet for a few days can be very helpful. This includes easily digestible foods such as skinless, steamed chicken breast, rice cooked until very soft and mushy, or some cottage cheese. The well-known carrot soup can also be helpful, but should not be the only thing you eat.
Completely withholding food for 24 hours is not really recommended for diarrhea without vomiting, as the gut bacteria need energy to regenerate. Probiotics for animals and fiber (soaked psyllium husks or cellulose) can also help. You should never give your dog medications intended for humans, as many of them are dangerous or even toxic to dogs.
Not always, but there's a lot you can do:
Diarrhea is not a disease in itself, but a symptom of an underlying condition. It is often harmless, but can sometimes be serious. It is always crucial to consider the dog as a whole and to notice any changes early on. If you’re unsure, the veterinary rule of thumb is: it’s better to see a vet once too soon than once too late.
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