Hemorrhagic Gastroenteritis in Dogs

Hemorrhagic Gastroenteritis in Dogs - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost

Most common symptoms

Anemia / Bleeding / Depression / Diarrhea / Loss of Balance / Vomiting

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Rated as moderate conditon

13 Veterinary Answers

Most common symptoms

Anemia / Bleeding / Depression / Diarrhea / Loss of Balance / Vomiting

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Hemorrhagic Gastroenteritis in Dogs - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost

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What are Hemorrhagic Gastroenteritis?

Hemorrhagic gastroenteritis is a serious medical condition that is characterized by the sudden onset of bloody diarrhea. Though the disease may occur in dogs of any age and breed, it is most prevalent in young dogs of miniature and toy breeds. Small and miniature breeds include, Yorkshire terriers, miniature schnauzers, French poodles (miniature), Pekingese, and the Shetland sheepdog. A dog with hemorrhagic gastroenteritis must be treated immediately to address dangerous levels of dehydration and to prevent death.

Hemorrhagic gastroenteritis is a gastrointestinal disease with no known cause. The main symptom is acute bloody diarrhea, often accompanied by vomiting. If not treated immediately, the condition can be fatal, as diarrhea can lead to severe dehydration and shock.

Symptoms of Hemorrhagic Gastroenteritis in Dogs

The most telling symptom of hemorrhagic gastroenteritis is bloody diarrhea, which is similar in appearance to a jelly-like substance. There will be a large volume of diarrhea, and the diarrhea is likely to be bright red in color. Other symptoms include:

  • Vomiting
  • Dehydration
  • Lethargy
  • Lack of appetite
  • Depression
  • Pain in the abdomen
  • Fever

Though diarrhea and vomiting are common with other gastrointestinal diseases, acute bloody diarrhea, in particular, requires prompt medical attention.

Causes of Hemorrhagic Gastroenteritis in Dogs

There is no known cause for hemorrhagic gastroenteritis though there may be a correlation between stress and the development of the disease. Hemorrhagic gastroenteritis more commonly occurs in young adult dogs and is most prevalent in miniature dog and toy breeds, such as Miniature Poodles and Yorkshire Terriers. However, it may affect dogs of any age and breed.

Diagnosis of Hemorrhagic Gastroenteritis in Dogs

The veterinarian may make a hypothetical diagnosis of hemorrhagic gastroenteritis based on your dog’s symptoms and clinical history. Because hemorrhagic gastroenteritis shares symptoms with many other gastrointestinal diseases, the veterinarian may still perform other tests, such as a urinalysis and complete blood count. These will help eliminate other causes as the source of the diarrhea and vomiting.

The diagnosis is likely to be confirmed with a blood test, which will reveal elevated packed cell volume (PCV) levels. A high PCV indicates that the percentage of red blood cells present in the blood volume is too high compared to the amount of fluid. This, combined with low total protein levels and acute bloody diarrhea, form the basis for a diagnosis of hemorrhagic gastroenteritis.

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Treatment of Hemorrhagic Gastroenteritis in Dogs

Treatment for hemorrhagic gastroenteritis focuses on the symptoms instead of the condition itself. Hemorrhagic gastroenteritis requires immediate medical attention, as the sudden onset of bloody diarrhea can lead to severe dehydration that must be addressed as soon as possible if the dog is to survive. Most dogs with hemorrhagic gastroenteritis will need to be hospitalized so that fluids can be given intravenously. Fluid therapy is continued for as long as the diarrhea persists.

If your dog has gone into shock, steroids may be administered. Your dog may require blood or plasma transfusions if he or she has lost a large enough quantity of blood, and the veterinarian may use antibiotics in order to prevent infection. During this time, food and water will be withheld. Your dog should respond to treatment within 24 to 48 hours, at which point food and water can be slowly reintroduced.

Recovery of Hemorrhagic Gastroenteritis in Dogs

Provide your dog with a quiet, comfortable place in which to recuperate and regain strength, and monitor him or her daily for signs of nausea or other symptoms. The veterinarian may recommend that you continue to limit access to food and water, gradually building back up to your dog’s original diet as the gastrointestinal tract recovers. If the vomiting or diarrhea returns, bring your dog to the veterinarian immediately. Otherwise, a follow-up examination is only necessary at the veterinarian’s discretion.

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Hemorrhagic Gastroenteritis Average Cost

From 19 quotes ranging from $500 - $3,500

Average Cost

$1,100

Hemorrhagic Gastroenteritis Questions and Advice from Veterinary Professionals

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Mill

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American Staffordshire Terrier

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6 Months

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Moderate condition

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0 found helpful

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Moderate condition

Has Symptoms

Vomiting
Bloody Diarrhoea

My dog was just diagnosed with HSE. She had all symptoms. We just got her back after one day and one night of being hospitalised and the vet advised us to a diet for the next 3-4 to help the diarrhoea stop. They always told us the blood has stopped coming out, however today I got home from work and fed her the food specifically set for her treatment and she did diarrhoea (which I expected) but still had blood come out. Although it wasn’t a lot of blood as previously as all that came out before was only blood and no steel. Should I be concern that after a day of her treatment she still has a little bit of blood of will this get better over time?

Aug. 7, 2018

Mill's Owner

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3320 Recommendations

Recovery from hemorrhagic gastroenteritis doesn’t happen overnight, you will notice improvement over the next week or so as the condition improves; continue to monitor her and if there is no improvement or symptoms get worse visit your Veterinarian again for review. Regards Dr Callum Turner DVM

Aug. 7, 2018

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Harvey

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Labrador Retriever

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9 Years

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Serious condition

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Serious condition

Has Symptoms

Sickness Diarrhoea

Hello. My dog was stung on Tuesday. Could be wasp or bee. Face was swollen on one side and became very itchy. I gave piriton , that night was very sick. Next day he seemed ok , gave another piriton as still a little swollen. By the afternoon was having diarrhoea , took him to vets. Gave him anti sick injection and omaprazole , Friday seemed a lot worse , diarrhoea, . We took him to the vets Agsin They ran bloods , he has anemia. Losing albumin in blood. Gave him more meds. He got worse that afternoon. Starting passing a small amount of blood in his diarrhoea. Was drooling , and refused any kind of food. Never had he done that. He is a lab.i thought the worst .. he is so much better today. Eating , drinking. Having ultrasound on Tuesday to see what’s going on. Would you have any idea why he has anemia. This is so worrying ..

Aug. 5, 2018

Harvey's Owner

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3320 Recommendations

Haemolytic anaemia may occur secondary to envenomation by bees (among other sources including snake bites and others); in these cases immune-mediated haemolytic anaemia may develop. However, you should follow up with your Veterinarian and see whether there are any other underlying causes. Regards Dr Callum Turner DVM

Aug. 6, 2018

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Rubee

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mini schnauzer

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10 Years

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Moderate condition

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Moderate condition

Has Symptoms

Lethargy
Coughing
Diarreha
Sleep

My schnauzer has HGE since the 6th of July 2018, she stopped eating then and drinking, had vomiting and diarrhea, which turned bloody. I took her to the vet, she got antibiotics and fluids and went home, 2 days later she still wasnt drinking and still no food, took her to get blood work and more fluids. Early next morning a large amount of blood can from her back end, 4 times in 4 hours. She did drink some water but still no food. She sleeps all day and night and has not eaten in 5 to 6 days. How do i get this to pass for her?

July 11, 2018

Rubee's Owner

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3320 Recommendations

The specific underlying cause of hemorrhagic gastroenteritis is still not fully understood; however treatment includes aggressive fluid therapy, antibiotics, supplementation along with other supportive and symptomatic care. If you’re not seeing any improvement in the condition you should return to your Veterinarian as Rubee may require some inpatient treatment and monitoring especially if she is getting dehydrated. Regards Dr Callum Turner DVM www.msdvetmanual.com/digestive-system/diseases-of-the-stomach-and-intestines-in-small-animals/hemorrhagic-gastroenteritis-in-small-animals

July 12, 2018

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Millie

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Labrador

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4 Years

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Serious condition

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Serious condition

Has Symptoms

Hemorrhagic Gastroenteritis

Hi my dog has recently had a bout of Hemorrhagic Gastroenteritis and vomiting blood which was treated with IV fluids, 2x antibiotics, Omeprazole, Buscopan and Methadone (1 off) over night. I have since had her home from the vet and she has been prescribed Calavseptin (500mg 1 tablet 2x daily) Metrobactin (500mg 1 Tablet 2x Daily), Omeprazole (10mg 2 tablets 2x daily) and Buscopan (10mg 1x daily when required). I was advised to give her food little and often so her meals have consisted of scrambled egg or chicken and rice 4 times a day. I understand she is going to be weak and sleepy due to the severity of the gastroenteritis. I was told by the vet I should expect her to have diarrhoea for up to 5 days. She has only had diarrhoea once when leaving the vet and has not had a bowel movement since. Should I be concerned about this or is it normal for this to occur?

June 17, 2018

Millie's Owner

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3320 Recommendations

Normally we would continue to expect to see diarrhoea due to the inflammation of the gastrointestinal tract for some time after the start of treatment, if there is no stool but Millie continues to eat and drink I wouldn’t be too concerned for know; however keep an eye on her and ensure that she is hydrated and not in any more discomfort than you would expect her to be (i.e. not straining to defecate etc…). If she doesn’t produce any stool by Monday I would suggest visiting your Veterinarian for an examination. Regards Dr Callum Turner DVM

June 18, 2018

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Apollo

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basset coon hound mix

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5 Years

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Mild condition

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1 found helpful

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Mild condition

Has Symptoms

Slight Blood In Stool
Mild Diahrea

My dog has a sensitive tummy often. The other night (wednesday) he ate a few papa johns chicken poppers (about 2 or 3) and Thursdays he had diahrea, late thursday he had bright red blood with the stools and it would come and go in smaller or streaked amounts (never just outright blood). I called the vet to get some help but they're closed on the weekend and I will go Monday. But in the meantime he's on some rice and chicken raw/bland diet with probiotic powder (which seems to help his stools but not the blood completely). He doesn't have any other symptoms. He's got an appetite, he's playful and the same old pupper I love! What could be wrong? Is it possible because of his sensitive stomach he's just having a harder time and tore his rectum a bit ? Likewise, what are some estimated costs for the standard tests for Hemorrhagic Gastro? Thanks~

Jan. 28, 2018

Apollo's Owner


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3320 Recommendations

Papa John's Chicken Poppers list the following ingredients: “Boneless skinless chicken breast, water, seasoning, sodium phosphates, Breading / Batter: Enriched wheat flour, potato starch, vital wheat gluten, salt, leavening, spices, garlic powder, onion powder, dextrose, sugar, extractives of paprika, yeast.” Despite the blood in the stool, the ingredients also list garlic powder and onion powder both of which are toxic to dogs and may cause anaemia, there shouldn’t be enough in the batter to cause severe symptoms but check for pale gums. It is most likely a case of gastritis which should pass with time and a bland diet; however you should visit your Veterinarian or an Emergency Veterinarian regardless especially if there is a worsening of symptoms. Ig you see symptoms of raspberry jam/jelly consistency or the gums are pale treat as an emergency. Regards Dr Callum Turner DVM www.papajohns.com/company/papa-johns-ingredients.html

Jan. 28, 2018

Silver T, thank you for posting. I think my puppy has hge and I’m taking her to the vet tomorrow.

March 2, 2018

Christian C.


My dog had hge and had iv of fluids for 16 hours,antibiotics and a bland diet (boiled chicken and rice)he is fine now.Eating cat food could have been a contributing factor in the cause of this and the treatment cost was $600.00

Feb. 28, 2018

Silver T.

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Ranger

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Mix

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2 Years

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Serious condition

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious condition

Has Symptoms

Vomiting
Blood In Stool

My dog ranger has had HGE twice in 6 months. First time we brought him to the vet after coming home from work and finding vomit and poop all over the house which is extremely unusual for him. They treated him with subdermal fluids and told him to rest. This time was much more severe, he vomited in the morning, and within 30 minutes he was vomiting blood. We rushed him to the ER where they kept him all day, overnight, and most of the next day. ($2,200) he was then sent home and has been slowly coming around, no vomiting and his stool was getting better. He Then today (day 5 of being home) he pooped and at the very end there was a drop or two of blood but he's still eating and drinking and still no vomit and the stool was 60% solid and he doesnt seem uneasy. Should I be concerned and take him back to the vet or is this the medication running it's course? He finished his cerenia and is and is still taking his metronidazole.

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Ferdi

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Beagle

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6 Years

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Moderate condition

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate condition

Has Symptoms

Diarrhea
Lethargy
Vomiting
Shock
White Gums

On Sunday morning Ferdi turned his nose up at his breakfast and seemed a bit 'off'- being a very greedy beagle this was completely out of character so I knew something was definitely up. I opened his mouth and it was totally white - there was no colour at all in his gums and I freaked as I'd seen this before when my previous dog was dying from a ruptured spleen tumor. We rushed straight to the emergency vets and were seen around 25 mins later, by this time his gums were the normal healthy salmon pink colour again and he was quite perky, I'd even say back to his normal self, the vet examined him and the only thing of note was that his temperature was slightly low (37.2C), she did attempt to get a blood sample but there was no way on earth he was going to allow her to do that (as I said back to his normal self). This now didn't seem like an emergency so I was quite happy to take him home. When we got back he ate his breakfast which was still down, just without the usual gusto. Later on Sunday the vomiting started (I didn't notice any blood), his poos were still regular. The vomiting continued into Monday when I took him to my normal vet who ran some blood tests. The bloods were unremarkable apart from a slightly raised red blood cell count. I insisted that something was really wrong and booked him to be admitted first thing on Tues to do further bloods and have an abdominal ultrasound to check for any growths or blockages. On Tues morning before we left for the vets he had his first bout of explosive watery diarrhea (I didn't notice any blood). The vet rang me Tues lunchtime to say that the tests were all absolutely fine, he was doing well and it was probably just a tummy bug - they weren't at all concerned about anything serious but they'd keep him in until the end of day to monitor him. Half an hour later I got a 2nd phone call to say there had been a development, he'd had another bout of explosive diarrhea and this time it was completely bloody, they started him immediately with an iv shot of metrobactin. I collected him later that day with 5 days of oral metrobactin. On Weds he slept all day with no interest in anything only lifting his head occasionally with a whinge, it was a struggle getting the tablets into him as still no appetite but I somehow managed it. It's now Thurs (day 5) and this morning he asked for more food (hurrah!), he still has abdominal pain (he's doing downward facing dog stretches) and the raspberry jelly diarrhea but as it's infrequent (4-6 hourly) and he's drinking plenty I've decided not to stress him by taking him back to the vet for fluids. I'm hopeful he's on the mend. I wanted to share my story as I believe his first symptom was actually shock, the signs of which resolved very quickly (by the time we got to the emergency vets) and could easily have been missed. For Ferdi the shock happened a good 48hrs before the onset of any bloody symptoms and from what I've read of this illness early treatment is the key so I would urge any dog owner to always check your dogs gums even when there's the slightest behavioural change, if I hadn't done this I would've assumed that he just had a normal upset stomach - I definitely wouldn't have taken him to the vets until I'd seen blood (like all dogs he's had normal sickness and diarrhea before, I wouldn't have been worried). As it happened I'm lucky he was already under investigation for something serious when the telltale signs of HGE emerged. But I am left wondering whether the HGE was caused as a result of shock (in which case what caused the shock?) or whether the shock is symptomatic of the disease itself but rarely gets reported because it's not obvious it's happening.

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Kaden

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Caripoo

dog-age-icon

9 Years

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Critical condition

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical condition

Has Symptoms

Vomiting, Bloody Diarrhea

My poor dog, Kaden, died from HGE. I am horrified by the onset of this and the lack of information I had to ensure his treatment was swift. He was in the ER with very bad diarrhea 3 weeks prior. He was given probiotics and something for upset stomach. I was told he had inflamed bowels and the diarrhea would run its course. Within a week or so he had one stool with blood in it. I called the vet and was given an antibiotic for it. I gave him 2 doses and there was no more diarrhea. About a week after this he dislocated his hip and tore a tendon while playing outside. He had surgery for the hip, FHO, and 11 days later died from HGE. I am so traumatized from this. I wish I had known about HGE. No one at the vet every mentioned to keep an eye out for this. I saw him have a lot of diarrhea but it was at night and I couldn't see the blood. I pick up his stool 99% of the time. I didn't this time. He was not acting right and since he was diabetic I gave him some caro syrup and a dose of the antibiotic that stopped the diarrhea before. I was going to wait until the morning to bring him to the vet if he was still sick. I found him dying. He died in my car on the way to the vet. He was only 9 years old. He had a long road to recovery for his hip but he was patient with the physical therapy I did, the icing, and exercises. I am totally heartbroken.

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Cujo

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Redbone Coonhound

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27 Months

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Mild condition

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Mild condition

Has Symptoms

Stomach Pain
Raspberry Jelly Poop

My 75 lb. Redbone ate a single grape yesterday without my knowledge, and today I noticed the infamous "raspberry jelly" mixed in with his stool. He has been very gassy and I can hear his stomach rumble, but I'm wondering if I need to take him to the vet tomorrow or wait another day and observe his stool. He's so big I would hope 1 grape wouldn't be too harmful, but I don't want to risk him getting worse/needing hospitalization. Thanks in advance

Hemorrhagic Gastroenteritis Average Cost

From 19 quotes ranging from $500 - $3,500

Average Cost

$1,100

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