Meet “Cadie”, she is an 11-year-old Beagle/Dachshund mix. We initially saw Cadie in October for her annual exam and yearly vaccines, Lepto and Bordetella, as well as a stool check and heartworm test. Cadie’s physical exam was normal other than periodontal disease. A dental cleaning and senior work up was recommended.
Two weeks later we saw Cadie for diarrhea, vomiting and blood in the urine. We ran in house bloodwork and it came back normal. We started Cadie on antibiotics for a urinary tract infection and gave an injection of an antiemetic for vomiting. She went home on a bland diet and Loperamide for diarrhea.
Cadie seemed to be doing well until another two weeks passed and she was brought in for acute onset of bloody stool and vomiting. Cadie came in on a Saturday, when we close at noon. We quickly took radiographs and placed an IV catheter. We drew bloodwork to send with her to the emergency clinic so Cadie could receive the care she needed. Cadie was depressed with a subnormal body temperature, pale gums and slow capillary refill time.
Cadie was diagnosed with Hemorrhagic Gastroenteritis (HGE). There is no known cause for HGE, the most likely cause is a bacterial infection with an agent known as Clostridium. It was recommended that Cadie be hospitalized for supportive care for 24 hours with radiographs to confirm that the stomach emptied properly and to monitor her rehydration. Patients suspected of having HGE need to be hospitalized and treated aggressively because clinical deterioration is often rapid and can be fatal.
Cadie responded well to treatment and radiographs were consistent with normal gastric emptying. She was sent home on a bland diet, antibiotics, anti-vomiting medication and an antacid. When we did our callback, the owner stated Cadie was doing great and even wanted to take a bath!