ROTT N CHATTER, January 1993, Volume 1 Number 6 THE DOCTOR'S BAG Gaea Mitchel D.V.M. After a holiday, I always get ready for an onslaught of calls about dogs with vomiting and/or diarrhea. When I am the Veterinarian at our local dog show, a two day affair in the middle of a major circuit, I go armed with a variety of medications to combat the same complaints. These two situations provide the causes of about 95% of diarrhea and vomiting that I see in my practices, dietary indiscretion and stress. Dietary indiscretion can result from a variety of dog and owner behaviors, the holiday ones usually caused by the tender-hearted owner who just has to share a special meal with the dogs. From Thanksgiving turkey to Fourth of July hotdogs, Christmas roast to Easter ham, the results are the same. Even the best human meal can cause enough changes in the dog's diet to throw the intestinal flora, or resident bacteria, out of balance. The shift is toward an increase in the numbers of more irritating organisms, and soon there are enough of these to cause symptoms. Most commonly these are initial constipation followed by vomiting or diarrhea. The stools may contain large quantities of mucus and blood. Some intestinal bacteria even produce toxins which may, if they reach a high enough concentration, cause enterotoxemia. This condition may produce lethargy, abdominal pain, and ataxia, or a staggering gait. The dog is actually being poisoned, temporarily, by the heavy growth of bacteria in the gut. If the dog's holiday meal includes a lot of fat, poultry skin (fat again) or bones, the range of symptoms can broaden to include pancreatitis, perforation of the GI tract, of constipation due to the amount of hard dry bone in the stool. Most knowledgeable owners don't voluntarily provide that much fat, and bones of any kind should not be fed, but during the holidays any free ranging dog will have access to all the stuff spilling out of every garbage can in the neighborhood. These cases we refer to as garbage poisoning, and they can be quite severe, even life threatening. Dogs taken out of their familiar environment and subjected to disruption of their routines often develop stress gastroenteric symptoms. Those traveling on a show circuit may spend several weeks in a van, crated, often with a handler other than the owner, and the diarrhea they often develop has much less to do with a change in the water than with the stress. Even a family pet on vacation diet varies from what s/he is used to . The stress doesn't have to be a negative one. Pleasurable excitement may be just as much to blame. Of course some dogs have more tolerance than others to change, and some can develop a stress diarrhea right at home if there is enough stress in the family. We see plenty of problems on the occasion of family reunions, weddings and other chaotic situations. If a dog experiences a change in stool, or vomits, and the condition lasts more than 12 hours, we usually start the diagnostic process with a fecal examination. This will rule out intestinal parasites and will often reveal a bacterial overgrowth. Deeper investigation might include bloodwork or radiographs. Of course, if the symptoms are severe, the visit shouldn't wait even half a day. Once the cause of the problem is identified, appropriate treatment can be initiated. However, diarrhea due to dietary indiscretion or stress can often be prevented just by regulating the dog's food intake, and providing a refuge from stressful situations. Being sure s/he has some quiet time away from the excitement and in a familiar place (the dog's own crate will help on the road) may be all a well socialized dog needs to avoid a bout with stress diarrhea.