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Old 11-11-2012, 08:35 PM
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6 month old with Chronic Diarrhea- HELP!

Hi everyone! I'm desperate for some insight and advice. My boyfriends parents have a 6 month old golden puppy that we all adore and has been quite the character since the day he came home at 9 weeks However, in the past month or so he has had chronic diarrhea that they can't seem to get to the bottom of First, they tried the whole pumpkin, rice, and boiled chicken for a few days and chocked it up to some new treats he got at obedience class. But as soon as he went back on his kibble, the runs were back with vengeance getting them up probably every 2 hours during the night. So the vet, without a stool sample, put him on amoxicillin and that seemed to make a minor difference. After the amoxicillin was done, the diarrhea was back so this time the vet wanted a stool sample. He was diagnosed with coccidia a few weeks ago and put him on amoxicillin again and something for the coccidia. That resulted in some pudding poops but at least he slept all night...

Well now, he has had diarrhea for the past week again, up ever two hours at night the whole deal. So the vet put him back on amoxicillin, without a stool sample, and he was ok for a few days but now antibiotics are done and the runs are back. He's on chicken and rice right now but normally he's on Fromm Large Breed Puppy food. He's acting totally fine, ravenous appetite, drinking consistently, not losing weight, and being 100% crazy puppy.

Any ideas anyone?? I've suggested getting a new vet who might dig into this more as putting a 6month old puppy on amoxicillin three times without even running blood tests/stool sample/anything seems a bit extreme to me... but then again, I'm a vet skeptic and think you should educate yourself as well as find a good vet you can trust.
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Old 11-11-2012, 08:43 PM
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I think I would bring in another stool sample. Maybe the first round of meds didn't kill off all of the coccidia. I'd also agree, if your family doesn't completely trust the vet, look for a new one . We love our vet and I would recommend her to you...but I'm sure you aren't interested in driving all the way to Wisconsin for a vet visit . Good luck!
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Old 11-11-2012, 08:49 PM
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Coccidia is really hard to clear and often needs repeated treatment. I'm sure some of our members who have dealt with this will chime in. Takes the right med for an extended time to really get thru it most often.
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Old 11-11-2012, 08:55 PM
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Things that come to mind:
Food allergy, with chicken being one of the most common culprits for Goldens. With an allergy, you have an intial exposure and the reaction can with the second exposure - or it can the the 200th.

Probiotics. There was a study done on humans - kinda gross, but interesting. They took a culture of the normal flora/bacteria in the human intestines before starting antibiotics, then every three months for a year after completion of the antibiotics. It took the full year for the intestinal bacteria/flora to return to normal. So.... But talk to the vet first.

Bailey had an episode of frequent diarrhea this summer - apparently a common complaint during the hotest part of the summer. Our vet said he was seeing it in older dogs, who stress easily (as do young dogs) and treated it with Flagyl for 7 (or 10 days). It cleared up and didn't come back. So maybe a different antibiotic.
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Old 11-11-2012, 08:55 PM
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Thank you both for your advice! I really hope we can get them to listen to us and find a new vet AND continue to treat the coccidia. Their vet told them that the coccidia should have been taken care of with the previous meds and they didn't need to bother with another stool sample. The vet gave them the antibiotics with the explanation that he probably just had a bacteria overgrowth and the meds would take care of it? It just drives me crazy!

Also, do you know of any negative side-effects of having such a young puppy on amoxicillin for so long? I can't believe antibiotics are a good constant treatment...
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Old 11-11-2012, 08:56 PM
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How about metronidazole and a probiotic. Feed a prescription diet for intestinal disease for at least seven days, then gradually mix in the regular diet.... Adding fiber to it all helps as well...
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Old 11-11-2012, 09:11 PM
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I agree, that you should submit a new stool sample, to a vet you feel comfortable with. My understanding is it can take awhile to clear up. I didn't know that amoxicillin was used to treat coccidia. My 2.5 year old golden had problems with diarrhea this summer and was on metronidazole for 2 weeks, as soon as she was off the meds and back on her kibble, she started with the diarrhea again. Like humans antibiotics can wipe out the natural gut flora in your pup, I ended up giving her Jamieson's Acidophilus Probiotic comples tablets, once per day for 2 weeks, this helped a lot. I could have used all-natural yogurt, but she would have had to eat a lot of yougurt to get the same amount of "good" bacteria. Finally, I had to change her food from what would be considered a 4-5 star food, to one that is probably considered a 3-star food, but she has been fine since. I assume the other food was too rich for her.
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Old 11-11-2012, 09:16 PM
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I agree with Sally's Mom. You need an extended 10-14 day round of flagyl (metronidazole) and a probiotic like FortiFlora.


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Old 11-11-2012, 09:30 PM
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I can sympathyze. My boy had months-long bouts of diarrhea. Than he'd suddenly be fine again.

I do not have any answers but can try to suggest some things that helped (and not even in all the cases) but remember that in our case the vet was usually not finding anything at all:
-Boiled potatoes. Feeding nothing for the first 18 hours, then nothing but a decent helping of boiled potatoes (with peel on) until stool was solid again. We then added very small amounts of kibble back in. He was on potatoes for about 2.5 weeks until he was weaned completely back onto kibble.
-Taste of the Wild (Prairie): having gone through many similar foods with limited success TOTW Prairie was tangentially involved every time we solved the problem
-Probiotics: we use Dogzymes
-Hill's Z/D Ultra: this cured him of his puppy diarrhea (4 months) in an instant but did not work 1 year later after a month long bout
-keeping him from scavanging and unfortunately from swimming or exploring puddles. Water sources appear to have been involved with most onsets of diarrhea

What did not help
-pumkin
-rice
-single-source protein foods or protein content in food
-antibiotics (this does not mean you shouldn't pursue antiobiotics if youre vet has diagnosed coccidia!)
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Old 11-11-2012, 09:34 PM
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Sometimes, you have to do a DNA PCR.....
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