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What is Hemorrhagic Gastroenteritis?

Amanda R. Bell
Amanda R. Bell

Hemorrhagic gastroenteritis is a disorder that only affects dogs. It's signature symptom, bloody diarrhea, comes on suddenly. While the exact cause of the infection is not known, certain intestinal issues could possibly be bring it about. Hemorrhagic gastroenteritis is diagnosed with a battery of tests and requires extremely quick treatment. If left untreated, a dog can die within hours of the onset of symptoms.

A sudden bout of vomiting, anorexia, withdrawn behavior, and explosive, bloody diarrhea are the most noticeable symptoms of hemorrhagic gastroenteritis. While it can occur in any dog, it is most common in smaller canines that reside in urban settings. It is very rare for a dog under one year old to contract this illness. Due to the rapid progression of hemorrhagic gastroenteritis, it is typically difficult to pinpoint the exact cause of the disease. In general, damage to the intestinal lining, a viral infection, or a bacterial infection are possible causes. It can also result from a hypersensitivity to food.

A sudden bout of vomiting may be a sign of hemorrhagic gastroenteritis.
A sudden bout of vomiting may be a sign of hemorrhagic gastroenteritis.

Once symptoms of hemorrhagic gastroenteritis present, the dog needs to be taken to a veterinarian immediately. To diagnose the disease, a vet typically looks for a higher-than-normal amount of red blood cells as well as testing fecal matter and urine; the vet will also run a general test for any other possible diseases. Once a diagnosis of hemorrhagic gastroenteritis is made, treatment needs to begin immediately.

White rice is one of the first foods given to a dog that is suffering from hemorrhagic gastroenteritis.
White rice is one of the first foods given to a dog that is suffering from hemorrhagic gastroenteritis.

For the first three days following the diagnosis, the dog is given antibiotics and fluid. All food is withheld for two reasons: the dog's stomach needs a chance to settle, and the dog's food itself could be the cause of the illness. During this time, the pet typically needs to stay at the veterinarian’s office for round-the-clock care. After three days, or after the dog stops vomiting, it is given a bland diet of foods it has probably never had before, typically cottage cheese, lamb, tofu, and white rice. Once on this diet, as long as the dog is making visible improvements, the owner will most likely be able to take it home. The bland diet is then administered from home, with the dog's usual food being slowly reintroduced after seven days.

If a dog is presenting symptoms of hemorrhagic gastroenteritis, they should be taken to the vet immediately.
If a dog is presenting symptoms of hemorrhagic gastroenteritis, they should be taken to the vet immediately.

Hemorrhagic gastroenteritis is an extremely serious illness. If left untreated, it is almost always fatal; even with treatment, approximately 10% of dogs do not make it. In some breeds, especially toy poodles and miniature schnauzers, hemorrhagic gastroenteritis may become a recurring illness; this can happen in up to 15% of all cases. If the family vet is unavailable after hours, many communities have animal emergency care available for this type of situation; waiting until normal office hours to seek treatment can greatly reduce a dog's chance of survival. Immediate medical care is a must when a family pet is faced with this disease.

Frequently Asked Questions

What is Hemorrhagic Gastroenteritis in dogs?

Hemorrhagic Gastroenteritis (HGE) is a clinical syndrome in dogs characterized by sudden vomiting and bloody diarrhea. The exact cause is unknown, but it's thought to be related to bacterial infections, dietary indiscretion, or immune-mediated diseases. HGE can lead to severe dehydration and is considered a veterinary emergency.

What are the symptoms of Hemorrhagic Gastroenteritis?

Symptoms of HGE include profuse bloody diarrhea, vomiting, lethargy, loss of appetite, and abdominal pain. Dogs may also show signs of rapid dehydration and shock, such as pale gums, cold limbs, and a rapid heart rate. Immediate veterinary attention is crucial to prevent life-threatening complications.

How is Hemorrhagic Gastroenteritis diagnosed?

Diagnosis of HGE is primarily based on clinical signs and exclusion of other causes of bloody diarrhea. Veterinarians may perform blood tests showing elevated hematocrit levels, which indicate hemoconcentration due to fluid loss. Additional tests may include fecal examinations, ultrasound, and X-rays to rule out other conditions.

What is the treatment for Hemorrhagic Gastroenteritis?

Treatment for HGE typically involves aggressive fluid therapy to combat dehydration and maintain blood pressure. Anti-nausea medications, antibiotics, and gastroprotectants may also be administered. In severe cases, plasma transfusions might be necessary. Early and aggressive treatment improves the prognosis significantly.

Can Hemorrhagic Gastroenteritis be prevented?

Preventing HGE can be challenging due to its unclear causes. However, maintaining a consistent, high-quality diet, avoiding stress, and keeping up with regular veterinary check-ups may help reduce the risk. Prompt treatment of any gastrointestinal upsets can also prevent progression to HGE.

Is Hemorrhagic Gastroenteritis contagious to other dogs or humans?

HGE itself is not considered contagious between dogs or from dogs to humans. However, if an underlying infectious agent, such as certain bacteria or viruses, causes the HGE, that agent could potentially be contagious. Good hygiene and isolation of sick dogs can help prevent the spread of infectious diseases.

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    • A sudden bout of vomiting may be a sign of hemorrhagic gastroenteritis.
      By: Piotr Marcinski
      A sudden bout of vomiting may be a sign of hemorrhagic gastroenteritis.
    • White rice is one of the first foods given to a dog that is suffering from hemorrhagic gastroenteritis.
      By: womue
      White rice is one of the first foods given to a dog that is suffering from hemorrhagic gastroenteritis.
    • If a dog is presenting symptoms of hemorrhagic gastroenteritis, they should be taken to the vet immediately.
      By: Gabriel Blaj
      If a dog is presenting symptoms of hemorrhagic gastroenteritis, they should be taken to the vet immediately.