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Category: Canine

Hemorrhagic gastroenteritis
Hemorrhagic gastroenteritis, HGE

AffectedAnimals:
Dogs of all ages and breeds can be affected by hemorrhagic gastroenteritis. Young adult dogs of toy and miniature breeds, especially schnauzers and poodles, may be affected more frequently.

Overview:
There are many causes for bloody diarrhea and vomiting in dogs. Hemorrhagic gastroenteritis, or HGE, refers to a specific syndrome usually seen in young adult dogs of the toy and miniature breeds. In HGE, fever is usually not present, and the main laboratory abnormality is a marked elevation of the hematocrit (concentration of blood cells) due to fluid shifts and intestinal fluid loss. There is no diagnostic test that confirms the presence of HGE. Its diagnosis is made mainly on clinical grounds.

Just as there is no unique diagnostic test for HGE, there is no established cause for the illness. Treatment is similar as that for other causes of vomiting and bloody diarrhea in dogs. However, relatively large amounts of fluid are usually needed to replace the fluid lost into the intestinal tract, and to reverse shock, if present. Antibiotics are also given because bacteria may play a role in causing HGE. Although the signs are sudden and severe, and some dogs do not survive, most animals with HGE recover fully with prompt treatment. Recurrences are possible in an individual dog, but they are not common. Prompt veterinary attention is vital for any dog with severe gastrointestinal signs and depression, whether due to HGE or other causes.