3 week old puppies with vomiting and diarrhoea

RE: 3 week old puppies with vomiting and diarrhoea

janine redman — Sat, 30 Apr 2022 21:07:24 GMT

I didn’t resort to steroids or paracetamol in the end as maropitant and metoclopramide seemed effective

RE: 3 week old puppies with vomiting and diarrhoea

janine redman — Sat, 30 Apr 2022 21:06:27 GMT

We didn’t get a specific diagnosis as client did not want to pay for additional tests. Most of the litter had symptoms but four of six were poorly three of which I saw. The emeprid/ metoclopramide syrup seemed to make a lot of difference and I gave in and treated the whole litter with potentiated amoxicillin and everything cleared up. Still not sure if bacterial or coincidence .

RE: 3 week old puppies with vomiting and diarrhoea

David Mills — Sat, 30 Apr 2022 20:17:49 GMT

[quote userid="9515" url="~/001/veterinary-clinical/small-animal/emergency-critical-care/f/discussions/30275/3-week-old-puppies-with-vomiting-and-diarrhoea/237067#237067"]Steroids - but why give at all?[/quote]

See Michael's reply.

This isn't correct. At all.

RE: 3 week old puppies with vomiting and diarrhoea

Michael Woodhouse — Sat, 30 Apr 2022 09:47:11 GMT

We also have sugar free paracetamol on the shelf - if I can be trusted to check the dose and concentration I can be trusted to look for xylitol. Some xylitol ok (Vet Aquadent, *cough*)

Would also consider steroids. Stimulate appetite, anti-emetic, anti-inflammatory. I'd only worry about immunosuppression if not giving antibiotics, and I am.

I would use dex routinely in dogs with GI upset.

janine redman - did we get a disgnosis?

RE: 3 week old puppies with vomiting and diarrhoea

Sarah Keir — Sat, 30 Apr 2022 08:23:30 GMT

[quote userid="8991" url="~/001/veterinary-clinical/small-animal/emergency-critical-care/f/discussions/30275/3-week-old-puppies-with-vomiting-and-diarrhoea/237063#237063"]Vast majority of sugar free suspensions use maltilol not xylitol, non toxic[/quote]

Agree but some do contain xylitol and it is easier to make sure it a NOT a sugar free preparation than checking ingredients.

Steroids - but why give at all? Any dose is likely to have some degree of immunosuppressive effect and as steroids effect on every process and cell in the body, the question is why give at all in this circumstance?

RE: 3 week old puppies with vomiting and diarrhoea

David Mills — Fri, 29 Apr 2022 21:44:04 GMT

Why?

Vast majority of sugar free suspensions use maltilol not xylitol, non toxic

RE: 3 week old puppies with vomiting and diarrhoea

Sarah Keir — Fri, 29 Apr 2022 14:25:51 GMT

I would avoid giving steroids. If you are concerned about pyrexia then paracetamol (oral suspension, check not sugar free) can do this safely in young animals (including young humans).

RE: 3 week old puppies with vomiting and diarrhoea

janine redman — Mon, 25 Apr 2022 22:23:53 GMT

Ok so I used maropitant once then metoclopramide orally and resorted to potentiated amoxicillin injection as wanted to avoid oral route initially. Pyrexia responded within 18 hours and both puppies responded well and went home today

RE: 3 week old puppies with vomiting and diarrhoea

Andreas Ege — Mon, 25 Apr 2022 12:16:19 GMT

Clindamycin should be effective as well and is licensed for dogs. No injectable either. ;-)

Wouldn't normally treat campylobacter with Abs though, unless really ill. Sounds sensible here, though.

[quote userid="3169" url="~/001/veterinary-clinical/small-animal/emergency-critical-care/f/discussions/30275/3-week-old-puppies-with-vomiting-and-diarrhoea/237025#237025"] Meloxicam licenced in calves over a week old with diarrhoea. I'd inject rather than oral in upset GI tract[/quote]

I keep not understanding where the notion comes from that injectable nsaids are less upsetting for the GI tract than oral ones. Especially as in my experience a lot of vets forget that the standard injectable dose is twice the standard (maintenance) dose orally. GI side effects are primarily caused by the blockage of cox1, whichever way you administer them. As far as I am aware the only nsaid with the suspicion of having a direct effect due to acidity on the stomach's lining is aspirin. Happy to be corrected if there's any evidence for that idea. ;-)

RE: 3 week old puppies with vomiting and diarrhoea

janine redman — Sun, 24 Apr 2022 17:28:29 GMT

Pyrexia settled to 38.3 and 38.8

have given maropitant and emeprid has been suggested .

I don’t have erythromycin injection or syrup and doesn’t it cause GI motility anyway ? I have given synulox by injection

taking powdered milk at v small volumes hourly

RE: 3 week old puppies with vomiting and diarrhoea

Richard Carter — Sun, 24 Apr 2022 16:51:47 GMT

I would be using dex if you wanted to reduce the fever

RE: 3 week old puppies with vomiting and diarrhoea

Michael Woodhouse — Sun, 24 Apr 2022 13:49:38 GMT

Usually campy in my experience.

Collect and send sample, start eythromycin.

Would usually hold off on NSAID and maropitant unless getting worse, but think you have no choice if not feeding. Meloxicam licenced in calves over a week old with diarrhoea. I'd inject rather than oral in upset GI tract