Hemorrhagic gastroenteritis symptoms can be distressing and unpredictable.
The symptoms can appear suddenly and can be quite severe.
Vomiting is a common symptom of hemorrhagic gastroenteritis, often accompanied by diarrhea.
In some cases, the vomiting can be so severe that it's a sign of dehydration.
Diarrhea can also be a symptom, but it's often mixed with blood and mucus.
Blood in the stool or vomit is a classic symptom of hemorrhagic gastroenteritis.
The presence of blood can be a sign of a more serious underlying condition.
In addition to vomiting and diarrhea, abdominal pain is a common symptom.
The pain can be crampy or sharp, and it's often accompanied by nausea.
Some people may also experience fever, which can be a sign of an underlying infection.
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Causes and Etiology
The exact cause of hemorrhagic gastroenteritis (HGE) remains unknown, but it's thought to be caused by the bacteria Clostridium perfringens or its enterotoxins.
Dietary indiscretion is a common trigger for HGE, often occurring when dogs eat human foods high in fats or spices, or when they consume too many dog treats.
In some cases, HGE can be linked to a bacterial infection in the intestine, specifically Clostridium perfringens type A.
Large numbers of rod-shaped bacteria have been found on the necrotic mucosal surfaces of dogs with HGE, and these bacteria have been identified as Clostridium perfringens.
A novel pre-forming toxin named net F was discovered in an isolate of C. perfringens from a dog that died of HGE, and a highly significant association was found between the presence of C. perfringens type A strains carrying the gene for this toxin and cases of canine HGE.
Here are some possible causes of gastroenteritis and HGE in dogs:
- Dietary indiscretion (eating something they shouldn’t)
- Bacterial infection (such as Clostridium perfringens)
- Viral infection (such as parvovirus or coronavirus)
- Parasites
- Food allergies
Some studies suggest that clostridial infection is associated with, but may not be the sole cause of, AHDS, and intestinal dysbiosis may be present during the course of disease.
Symptoms and Signs
Hemorrhagic gastroenteritis is a serious condition that can catch you off guard. Vomiting is a common sign, and in 80% of cases, it precedes the onset of diarrhea.
The vomiting can be quite severe and may be accompanied by blood. In fact, the vomiting is frequently hemorrhagic, meaning it contains blood. This can be a frightening sight, especially if you're not prepared.
The severity of clinical signs can vary widely, which makes it difficult to predict the course of the disease. However, it's essential to be aware of the warning signs so you can seek veterinary attention promptly.
Some common signs of hemorrhagic gastroenteritis include vomiting, lack of appetite, stomach pain, tiredness, dehydration, fever, and collapse. These symptoms can appear suddenly, often within 12-24 hours after a dietary indiscretion.
Here are the common signs of HGE:
- Vomiting
- Lack of appetite
- Stomach pain
- Tiredness
- Dehydration
- Fever
- Collapse
It's crucial to seek emergency veterinary attention if your dog experiences acute onset blood in the stools. With early fluid therapy, dogs can recover fully, but delay can be fatal.
Testing and Diagnosis
Testing and diagnosis of hemorrhagic gastroenteritis (HGE) symptoms in dogs can be a bit of a process, but it's essential to rule out other possible causes of vomiting and diarrhea, such as parvovirus.
Your vet will likely start with a physical examination to assess your dog's overall health and look for signs of dehydration and abdominal pain.
A fecal analysis may be necessary to check for parasites, and bloodwork will help determine if your dog's symptoms are related to a gastrointestinal obstruction, cancer, kidney disease, or other serious conditions.
Diagnostic imaging, such as an abdominal ultrasound or X-rays, may also be ordered to rule out other potential causes of vomiting and diarrhea.
A blood test called PCV (packed cell volume) or hematocrit is often used to diagnose HGE, and a reading of greater than 55% with a low to normal protein count is generally considered diagnostic.
To confirm the diagnosis, your vet may recommend additional blood tests, X-rays, and fecal testing to eliminate the risk of misdiagnosis, especially if your dog's symptoms resemble those of parvovirus or pancreatitis.
Here's a summary of the diagnostic process:
- Physical examination
- Bloodwork
- Fecal analysis
- Diagnostic imaging (Abdominal ultrasound, X rays)
- PCV (packed cell volume) or hematocrit blood test
- Additional blood tests, X-rays, and fecal testing (if necessary)
Treatment and Survival
Timely detection and treatment are crucial for dogs with hemorrhagic gastroenteritis (HGE) to survive. In most cases, dogs with HGE will need to be hospitalized for at least 24 hours.
Fluid therapy is a key component of treatment, with crystalloid fluid boluses of 10 to 20 mL/kg rapidly infused to monitor changes in heart rate, mucous membrane color, and mentation. Fluid resuscitation continues until perfusion parameters normalize.
The survival rate of HGE in dogs is about 90%, but unfortunately, about 10% of dogs diagnosed with HGE will not make it.
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Treatment
Treatment is a crucial aspect of helping your furry friend recover from gastrointestinal issues. Aggressive IV administration of balanced crystalloid fluids, such as lactated Ringer's solution, is essential for marked fluid loss to prevent acute decompensation and death.
Fluid resuscitation should continue until perfusion parameters normalize, and serial body weight monitoring is helpful for determining fluid balance. This is especially important in cases where gastrointestinal losses are difficult to estimate.
The goal of continued fluid therapy is to correct dehydration, replace ongoing losses from vomiting and diarrhea, and provide daily maintenance water needs. In some cases, synthetic colloids may be required to support fluid resuscitation.
In most cases, dogs with AHDS do not require antibiotic therapy, as their immune system remains normal and effectively clears intestinal bacteria from the portal bloodstream. However, leukopenic, hypotensive, and hemodynamically unstable patients may benefit from antimicrobial treatment.
To control vomiting, parenteral antiemetic therapy, such as maropitant or ondansetron, is often administered. This can help reduce the discomfort and stress associated with gastrointestinal issues.
Here's a summary of the typical treatment options for gastrointestinal issues in dogs:
- Fluid therapy
- Correction of electrolyte imbalance
- Supportive feeding
- Probiotic treatment
- Antiemetic medication
- Pain relief
With timely and aggressive treatment, your dog should be able to recover from gastrointestinal issues.
HGE Survival Rate
Dogs with HGE will need to be hospitalized for at least 24 hours.
Timely detection and treatment are crucial to a dog's survival, but even then, about 10% of dogs diagnosed with HGE will not make it.
Risk Factors
The speed of diagnosis and treatment is crucial in determining the severity of hemorrhagic gastroenteritis symptoms. Quick action can make a big difference in how well your dog recovers.
Young dogs often have mild symptoms, which is a good sign, but it's still essential to seek veterinary care if you suspect your dog has hemorrhagic gastroenteritis.
Dogs with poor immune systems or underlying conditions are at a higher risk of developing severe dehydration, which can be fatal if left untreated.
Dogs that lose large amounts of blood from the condition are at risk of developing shock, a rapidly fatal condition if left untreated.
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Is it Common?
AHDS is a common presentation in dogs. This means that if your dog is diagnosed with Hemorrhagic Gastroenteritis, also known as Acute Hemorrhagic Diarrhea Syndrome, you're not alone.
The symptoms of AHDS can be quite severe, but thankfully, the condition is usually not life-threatening if treated promptly and properly.
Frequently Asked Questions
Will hemorrhagic gastroenteritis go away on its own?
Yes, most milder cases of hemorrhagic gastroenteritis can resolve on their own in a few days without treatment. However, it's essential to seek medical attention if symptoms persist or worsen.
What is the new name for hemorrhagic gastroenteritis?
The new name for hemorrhagic gastroenteritis is Acute Hemorrhagic Diarrhea Syndrome (AHDS). This name change corrects the misconception that the condition causes stomach inflammation.
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- VetMedResource (cabi.org)
- Hemorrhagic Gastroenteritis in Dogs - Spot Pet Insurance (spotpet.com)
- Gastroenteritis in Dogs: Symptoms, Causes, Treatment ... (petmd.com)
- Hemorrhagic Gastroenteritis (Acute Hemorrhagic Diarrhea ... (vetster.com)
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