Fri Jul 28 11:29:27 PDT 2006

Glindy's Bout of "Traveler's Complaint"

Glindy and I were just in Long Beach, CA for an information security conference. All was going well after our harrowing airport experience, until the poor thing got sick about halfway through our week-long conference.

Glindy's appetite vanished, but she still seemed reasonably active. This isn't terribly unusual for her, as she's often self-regulating and not particularly food-focused to begin with. Also, I've noticed that her stress level often rises a bit when we're traveling and working full-time, and that her appetite often drops accordingly--but never enough to really cause any real health concerns.

However, a day after she stopped eating, she stopped being interested in treats and snacks, too. On our next potty break, she had totally liquid diarrhea, which is rarely a good sign. Physically, she also seemed to be losing steam, so I was definitely becoming more concerned.

Now, normally when a dog has short-term diarrhea, the best thing to do is just limit food intake, keep them drinking water, and wait it out. A working dog doesn't always have that option, though; there's nothing quite like the fear of experiencing uncontrollable diarrhea while halfway up a high-rise hotel to make "better living through chemistry" sound like a really good idea.

So, after a day of trying to wait it out, I decided to give Glindy some loperamide hydrochloride (loperamide being the active ingredient in Immodium and its generic equivalents). The normal dosage for such things is 0.1mg/kg of body weight, but I've never been very good at doing metric conversions, so I ended up giving her too low of a dose, and so the problem continued for yet another day.

When she was still having trouble, I called my vet back home. He pointed out my math errors (doh!) and suggested I put her on the higher dose for one more day, and then see a local vet if the situation didn't improve.

Meanwhile, Glindy was a real trooper. I skipped a large part of the (very expensive) conference so that she could rest up in our room, and I made a point of taking her out more often than usual. What really impressed me, though, was that despite having projectile diarrhea when we went outside, she never once had an accident in the hotel.

I don't know about other human beings, but when I have diarrhea, I make a mad dash for the restroom whenever nature calls. I wouldn't be able to do what Glindy did all week: calmly tell someone I need to go outside, wait while they get themselves dressed, stand quietly while getting vested and leashed, sit patiently while waiting for the elevator, endure the long ride down to the lobby, and then wait until we're safely outside before blowing my heaving guts all over the grass. In this regard, Glindy's performance was superhuman, and quite frankly a little humbling.

However, after another day without results from the loperamide, I decided to take Glindy to a veterinarian. I didn't really know the area, so I called vets at random until one agreed to see her on an emergency basis, and off we went.

The vet was a little farther away than I expected, and Glindy didn't quite make it. About two blocks from the vets, she threw up all over the front seat of the rental car. Now, Glindy never gets car sick, so this was yet another indication of how very sick she was. Luckily, she was sitting on a waterproof pet throw that I often use while traveling to keep the shedding dog hair down to a minimum, so it wasn't nearly as appalling as it could have been.

After a short time at the vet, where the vet agreed that we needed a more rapid-acting intervention for a working service dog--as opposed to taking some cultures and playing wait-and-see--we headed back to the hotel armed with some new medications and a seven-day regimen.

The vet prescribed metronidazole (the generic form of Flagyl), which is both an antibiotic and an antiprotozoal, and may have some anti-inflammatory effects as well according to the vet--although I couldn't verify that last for myself. He also prescribed over-the-counter Pepcid AC (famotidine) and continued use of loperamide until things stabilized. He also suggested that if she would eat at all, that I switch her to a bland diet with white rice as the primary component, even though Glindy doesn't really tolerate carbohydrates well.

So, I dosed her with the various medications, and after she seemed to get a little relief from them, I gave her some white rice with a few cubes of cooked filet mignon left over from my dinner that evening. Normally, carbs of any kind give Glindy intestinal upset, but I figured that it was the lesser evil at that point, and her normal raw diet was probably too "hot" for her already-insulted GI tract.

By the next day, Glindy was definitely on the mend, and back to eating small amounts of her regular food. The day after, she was was in good enough shape that I felt comfortable that we could fly home without incident. This morning, she gets her last dose of metronidazole, and we can put the whole incident behind us.

I still have no idea why she got sick. Maybe she snagged something rotten off the ground while I wasn't looking, or perhaps there was something in the tap water at the hotel. Whatever the reason, I'm very grateful that there weren't any serious repercussions, that I received such good care from the vets at both Baring Boulevard Animal Hospital and the VCA Los Altos Animal Hospital, and that Glindy is all better now.

Posted by Todd A. Jacobs | Permalink