Monday, February 15, 2010

GUE - post NSAID therapy

Swarupmay Majumdar 10yrs old Dobermann Intact Male with a H/O limping since yesterday morning, owner gives paracetamol + diclophenac 2 times since then and reports now the dog is vomiting since today morning, tarry motion, not getting up and not taking food.vaccination uptodate.
P/E findings: L.N very enlarged, T-100.2*5,mm pale,HR< RR< ...normal. there is some external wounds on legs with some swellings. dehydration is moderate+. Poor maintenance.

DDX: Malena,HGE due to NSAIDs,E.Canis.
Tx: RL,DNS, Tribivet,Rantac,Ceftriaxone.
Adv: DIADOG 1Tab Bid, Syp Rantac 1Tsp bid after 12 hrs. Syp Sucralfate 5ml bid po

evening Blood report: TC 40000, Platelet 1.75 lakh other all normal
Any one has a suggestion:

See more22 January at 18:34 · · · Report
Gautam Unny
Gautam Unny
treat symtomatically for bactremia. avoid oral diclofenac in dogs.
22 January at 19:19 · Report
Swarupmay Majumdar
Swarupmay Majumdar
I never use them, even meloxicam is also used with caution when I know dog is dehyrated. can u suggest me some antibiotic choice for this case. The testes of the dog is also swollen alot.
22 January at 19:22 ·
Gautam Unny
Gautam Unny
if the renal function is good, then ceftriaxone sulbacin would be my choice along with metrogyl i/v
22 January at 19:28 · Report
Swarupmay Majumdar
Swarupmay Majumdar
renal function is ok & normal. I will do this.
22 January at 19:35 ·
Saurabh Saxena
Saurabh Saxena
vomitus color?? double check kidney n liver profile?? if no such thg then fluid therapy (RL)mor ,eve for 2 days with no per os intake shd resolve d matter.
22 January at 20:17 · Report
Swarupmay Majumdar
Swarupmay Majumdar
vomiting is normal, his major proble is he has some injuries which may be the reason of swelling on lt leg and testicle. NPO is difficult, as I can visit them only once. and vomited only once.
22 January at 20:36 ·
Vetrimalai Kutty
Vetrimalai Kutty
The Dob might have developed severe gastritis after giving the Para+diclofenac, it is better to treat the pet with antiulcerative drugs such as pentaperazole with appropriate fluid and gradually treat the primary problem with meloxicam after ascertain the cause of swelling ...injury , arthritis ?
22 January at 21:49 · Report
Cyril Roy
Cyril Roy
Fluids(because he will be loosing lot of fluids in the gut), do a accult test if the vomiting or stools has blood. If so botropase.... antibiotics, antinflammatory and antiemetics with caution..I suppose..I am not an expert..so take it with a pinch of salt..The last time i touched a dog is few years ago
23 January at 00:18 · Report
Swarupmay Majumdar
Swarupmay Majumdar
update: the dog is better except not eating. swellings are drastically reduced. there is no more black starry stool. Today Tx: ceftriaxone 500mg iv,RL 500ml+DNS 500ml iv, catosol,and rantac. want to continue the ceftriaxone again. he is also on Syp Gryptol + syp Rantac.
23 January at 19:47 ·
Vetrimalai Kutty
Vetrimalai Kutty
u can continue ceftriaxone for 2 days along with fluids , syp Rantac o.k. what r catosol , Gryptol , please mention the generic name so that everybody can understand.
23 January at 21:57 · Report
Swarupmay Majumdar
Swarupmay Majumdar
catosol is " Butaphosphan & Cyanocobalamin injection" marketed by Bayer AH avl in 30 ml vials. Gryptol is " Ciprofloxacin+tinidazole combination syrup"
24 January at 09:41 ·
Vetrimalai Kutty
Vetrimalai Kutty
thank u , replying u very late due to telephone cable problem, rectified now.
09 February at 18:14 · Report

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