suggestions for this heath issue, please ! - Page 2

You have to trust your vet. You said the diarrhea stopped.  i don't know if it is because of the pills and in a few days the diarrhea will be back or the food he recommended is working.  If the diarrhea comes back, then go back and read the posts and the links attached. Show them to your vet. Ask his advice. If the dog does well on that food, then leave all well enough alone.  But I have a sneaking suspicion that your dog may have digestive issues that will need to be addressed. I still think a shot of B-12 would be a good thing in either case.

The food your vet prescribed looks like it is designed for gastro intestinal and malabsorption disorders.  It has a novel protein and carbohydrate and is hypoallergenic. Because it is a vet prescription formula I would imagine the carbohydrate is hydrolyzed, that means that the carbohydrates have been broken down by a process that reduces it down to an easliy digestible unrecognizable protein or carb source, thus your dog can digest and garner the nutrients from the food easily.and allergies are alleviated.  Believe it or not, there is a method to this madness they call Vet prescription diets.  Trust your vet, he was wise to prescribe this diet. After the diarrhea is gone, then you can move on to chapter two, weight gain.
This can be accomplished by buying the canned Eukanuba formula of the same diet and adding it into the moistened kibble.
I am praying for you that this is all that will be needed for your dog to turnaround.

Hello again everyone,
i am gonna post below the updated history from the vet coz the case is explained better than i can describe, honestly I am not happy at all and I don't know what to do so I will post the whole history file so the more experienced members may give me any advice or guide me if I am missing any thing. before posting the history I have another question is it normal that male GSD age around 16 month and doesn't reach puberty yet ?! I am not sure but he still pissing without lifting any leg and I am not sure if there is any other sign. sorry for the long post, I have highlighted the important parts.

Paulo is a black and tan, german shepherd Dog. He is male.Born on 14 Apr 2012, his age is 1 years and 2 months.
 
 
Consultation Date: 16 March 2013
Reason for Visit:    MQ - D++ and Check Hip  (MQ)
MQ       Has diarhhoea > 6 months.  From originally from Italy.
            Dog is thin.  Dewormed 1st of March. Good looking dog. Very
            quick eater, not usually fussy, but was this morning.
            Giardia test -ve
            Poo is green, mucoid and some blood.  Put on TMS and
            metronidazole for 10 days anyway, take blood for TLI/
            folate/b12
            1.00 x Consultation
            1.00 x TLI, folate, cobalamin - canine
            1.00 x Giardia Test
            Weight altered to 29.4Kg.
            20.00 x Trimethoprim Sulf 480mg
            1 twice daily
            15.00 x Metronidazole 500mg
            3/4 tablet twice daily. start tonight
            Switch to dermatosis
            o worried about HD - is cow hocked and bunny hops - so sotical in here - can't really check - adv xray when we sort out the faeces
OP       1.00 x EVD Dermatosis Dry Dog 5kg
            1.00 x Payment by Credit Card
 
Consultation Date: 24 March 2013
Reason for Visit:    Phone Owner
Ozc      stoop: diarrhoea has resolved nicely on meds. o rang to query whether shoudl extend cours euntil results are in as runs out of meds tomorrow. decided to wait and se if diarrhoea returns first. can have repeats of meds if diarrhoea returns before bloods back.
 
Consultation Date: 26 March 2013
Reason for Visit:    Results
TS        Endocrinology
           
            TLI (Canine) - 7.9 ug/L - 6.0-35.0
            Folate - 6.7 ug/L - Low - 6.2-13.5
            Cobalamin - 457 ng/L - >= 275.0
           
            TLI within normal limits rules out exocrine pancreatic
            insufficiency.
           
            Folate and cobalim (B12) are preferentially absorbed in
            different parts of the intestine. Therefore, reduced serum
            concentrations of folate and/or cobalamin may be indicative
            of disease of the proximinal and/or distal small intestine
            respectively, either as a result of mucosal damage or
            hereditary malabsorption (cobalamin). These serum levels
            should be assayed after a 12-hour fast to reduce the
            influence of diet on the results.
           
            Increased folate and/or decreased cobalamin can be
            indicative of small intestinal bacterial overgrowth (STBO,
            or antibiotic responsive enteropathy) or can be associated
            with EPT.
           
            Lisa Tolley BSc
            Clinical Pathology Group
OP       1.00 x EVD Dermatosis Dry Dog 5kg
            1.00 x Payment by Credit Card
 
Consultation Date: 27 March 2013
Reason for Visit:    Phone Owner
KG       ST IDEXX, sugg that the results do not sugg bacterial responsive D, but treat anyway. Otherwise bx.
SMc     DDx of gross intestinal malabsorptive problems are EPI, IBD, bacterial overgrowth.  Path at Idexx advised 2 x months of tetracycline + tylosin if nb.
 
Consultation Date: 28 March 2013
Reason for Visit:    Vet Note
MQ       STO - since had the antibiotics and the dermatosis the faeces has been normal but worried that the dog is not gaining weight - advise reweigh when O back and recheck in 2 more weeks
            Letter: (email) Information from Al Safa Veterinary Clinic
            To: k_sohib@hotmail.com
 
Consultation Date: 01 April 2013
Reason for Visit:    RQ MR - D+  (MR)
MR       Weight altered to 30.3Kg.
            1 week after coming off the meds the D was back - it is
            loose, not watery. No blood or jelly/ light brown/green in
            colour.
            Has some hair loss on L side of face - SS neg.
            plan - go back onto metronidazole and TMS and reck as meds finish in 3w. Stay on dermatosis diet only.
            40.00 x Metronidazole 500mg
            give 1 tablet twice daily.
            40.00 x Trimethoprim Sulf 480mg
            give 1 tablet twice daily
            1.00 x Consultation - 2nd
            1.00 x Skin Scrape
OP       1.00 x Payment by Credit Card
 
Consultation Date: 05 April 2013
Reason for Visit:    Food
LI          1.00 x EVD Dermatosis Dry Dog 5kg
            -1.00 x EVD Dermatosis Dry Dog 5kg
            1.00 x EVD Dermatosis Dry Dog 5kg
            1.00 x Payment by Credit Card
 
Consultation Date: 15 April 2013
Reason for Visit:    Food
EO       1.00 x EVD Dermatosis Dry Dog 5kg
            -1.00 x EVD Dermatosis Dry Dog 5kg
            1.00 x EVD Dermatosis Dry Dog 5kg
            1.00 x Payment by Credit Card
 
Consultation Date: 22 April 2013
Reason for Visit:    D+ ongoing issue
EO       1.00 x Chase and pull dog toy
MR       Weight altered to 31.5Kg.
            1.00 x Consultation - 2nd
Gut       1.00 x Payment by Credit Card
MR       over the past 3 weeks the D has stopped. Dog finished the
            Abs yesterday and has now had them for 4 weeks. Over the
            past 4-5 days he has not been keen to eat the dermatosis and
            O has not tried anything else.
            Plan - stop ABs, over the next couple of days pls try fish
            and potato - home cooked and if eating well he has a decr
            appetite through fussiness!
            If ok then add in potato to the dermatosis and feed this . reck in 2m and if all ok then try challenging the dog - poss with turkey?
 


 

Consultation Date: 28 April 2013
Reason for Visit: Food
KG 1.00 x EVD Dermatosis Dry Dog 5kg
1.00 x Payment by Credit Card

Consultation Date: 30 April 2013
Reason for Visit: kennel cough
Ozc 1.00 x Kennel cough
1.00 x Fort Dodge Bronchishield III
Weight altered to 31.3Kg.
nsf on pe. kc injection as going into kennels.
KG 1.00 x Payment by Credit Card

Consultation Date: 12 May 2013
Reason for Visit: Food
KG 1.00 x EVD Dermatosis Dry Dog 5kg
1.00 x Payment by Credit Card

Consultation Date: 19 May 2013
Reason for Visit: Follow up
MR Weight altered to 30.7Kg.
1.00 x Consultation - 2nd
1.00 x Skin Scrape
1.00 x Fungal test
30.00 x Cephalexin 600mg
1 tablet twice daily start today with food
1.00 x Malaseb 250ml shampoo
bathe every 5 days and leave lathered up for
10 minutes before rinsing well
eating 6 cups of dermatosis /day. Not gaining weight. BAR.
Normal formed stools exc when runs around the beach. Has
lost fur around the muzzle/ SS neg. Take fungal pluck.
Has staph collarettes on ventrum
Home on ceph and malaseb. reck in 2w.
KL 1.00 x Dexamethasone injection
EO
1.00 x EVD Dermatosis Dry Dog 5kg
1.00 x Payment by Credit Card

Consultation Date: 01 June 2013
Reason for Visit: Food
OP 1.00 x EVD Dermatosis Dry Dog 5kg
-1.00 x EVD Dermatosis Dry Dog 5kg
1.00 x EVD Dermatosis Dry Dog 5kg
1.00 x Payment by Credit Card
Letter: (email) History attached
To: k_sohib@hotmail.com

Consultation Date: 02 June 2013
Reason for Visit: Results
ML RW -VE

Consultation Date: 03 June 2013
Reason for Visit: follow up on skin
MR Weight altered to 30Kg.
3.00 x Triworm for Dogs
Give 3 tablets every 3 months
0.33 x Frontline Spotton Lg Dog [pack]
1.00 x CBC - complete blood count
1.00 x GHP - Extended Description
1.00 x TLI, - canine

1.00 x Consultation - 2nd
KL 1.00 x Payment by Credit Card
MR dog losing weight but to complicate matters, he does not eat the dermatosis well but will eat the fish and potato. O took photos of the stool samples - 1 is quite pale. As dogs can dev TLI - adv reck. Also we have never ck GHP/CBC so adv take these. DW today and apply frontline. Dog losing fur on flanks. the hair on the muzzle seems to be regrowing. Plan - tx for ectoparasites and adv gentle hypoA shampoo and await results.
LL Lab: CBC adult dog
Lab: biochem dog

Consultation Date: 11 June 2013
Reason for Visit: Results
KL IDEXX LABORATORIES
Endocrinology

TEST RESULT
TLI (canine) 8.4

ALERT UNITS
ug/L

REFERENCE RANGE
6.0 - 35.0

TLI within the normal limits rules out exocrine pancreatic
insufficiency.

Mariana Serra DVM MRCVS

Consultation Date: 16 June 2013
Reason for Visit: Results
MR as TLI normal - adv tylosin for 4 weeks.
1.00 x Tylosin - pot
give 1.5 scoops in food twice daily for 4 weeks

Consultation Date: 17 June 2013
Reason for Visit: Food
EO 1.00 x EVD Dermatosis Dry Dog 5kg

Consultation Date: 06 July 2013
Reason for Visit: follow up
MQ Weight altered to 27Kg.
Dog has lost weight - itchy ears, around eyes, muzzle. O has tried some Taste of the Wild . I am not convinced that we have got it 'right' with the food. Try hypoA?
1.00 x Consultation - 2nd
30.00 x Prednisolone 20mg
1 daily for 2 weeks then 1/2 daily
Short of doing a GI biopsy, I am not sure what else to do.
Difficulty with GI bx is not getting an adequate result.
Advise give 1 sample of Hypo tonight with the dermatosis,
then both pkts tmrw morning and see - if no sign of D+ or
anything else (borborygmi etc) then continue hypoA
Start a short steroid trial, reweigh in 2 weeks
LI 1.00 x Payment by Credit Card

Consultation Date: 08 July 2013
Reason for Visit: Food
Gut 1.00 x RCW Hypoallergenic Dog 2kg
1.00 x Payment by Credit Card

Consultation Date: 12 July 2013
Reason for Visit: Food
KL 1.00 x RCW Hypoallergenic Dog 7kg
3.00 x RCW Hypoallergenic Dog cans 1 x 400g
1.00 x Payment by Credit Card

P.S. the dog has bad diarrhea since yesterday with drops of blood, I am taking him to the vet today and again sorry for the long post.

What did your vet say about the blood in the stool?

I wonder if this ate something that is stuck in his bowels?

he gave him metronidazole again and he is better now but honestly I am very frustrated, he is 16 month now and he weighs from 27 to 31 in best days and I don't know what to do

Hello Khaled, this is so shocking for your beautiful German Shepherd....when I picked up my GSD from quarantine, he had lost 6 kg from when he left Germany, He was in excellent condition prior to leaving Germany and this is the truth, he was in 2012 seiger show, and looked magnificent....his weight in Germany was over 35 kg.

When I bring him home, he was very very fussy with food, he also had green foetus, his weight when we collected from quarantine was 31.2 kg -- he looked shocking....

I took him to the vet and he gave him very strong antiobiotics which lasted 10 days the green foetus stopped.., and i changed his diet to a natural dry food product (Black Hawk ) which is manufactured in Australia and used by many German Shepherd Breeders in our Country - this is not an advertisement I am just telling you what I use, mixed with water to soften my vet also told me to add bakers yeast 2 teaspoons mixed in dry food and water meal, my vet also told me to give him alfalfa tablets and Muscle tone tablets which I bought from health shop I give him these one tablet of each after morning and night feed (twice per day), and also feed him cooked chicken. The cooked chicken I give him at lunch instead of the dry food mix just as a change, maybe 4 time a week. He loves the cooked chicken meat - no bones I just boil the chicken until cooked. These are not large meals, but medium about 3 cups dry food covered in water, add bakers yeast only once per day....

His weight today is 37-38 kg, this has taken me 7 months to get him where he is today, I treat only once per month with Revolution.
He is on this diet today, his coat is excellent and his overall health is excellent.

Maybe this might help, I hope for you it does, and your german shepherd....I think of you both and pray he will come good....

He had 3 meals per day,

He loves cheese as a treat, and sometimes raw meat (lamb flaps).

When I eat my breakfast, I have porridge (oats), and he likes this also ----this is good fibre....but this is more a treat, sometime he likes sometime he doesn't up to him on the day....

Lyn

Sorry I had a male GS that would squat and not lift his leg to pee up to 2 years old sometimes he would lift his leg, he was mature but just lazy I think , he had puppies fine...

Start by giving your dog B-12 capsules. I think this may be a digestion issue so the food you should be feeding should be grain free. Or try the Royal Canin ( i know we are supposed to boycott it) gastro intestinal high energy both kibble and canned. Go to the health food store and get some digestive enzymes or go to Mercola.com under the pets section and order their dog digestive enzymes and try them mixed in the food. Then find a good probiotic and give this at night 2 hours after any antibiotics. Soak the kibble first so it is mushy then add a bit of the canned then add the enzymes then mix up and wait for a bit then feed. This is my best advice to help your dog gain some weight. In the meantime, no treats or table scraps until you can see if the enzymes are working.
you could ask your vet to give weekly B-12 shots as well, vitamin b-12 is critical for proper digestion. It seems dogs with either allergies or digestion issues are low on the b-12, perhaps because they have no fat stores on their body.
I give Maya her probiotic at night, in a tablespoon of coconut oil.