skinnydipper
Well-Known Member
I would be thinking inflammatory bowel disease especially as you say Metronidazole helped. This was one of the long term medications my last dog was on for lymphocytic plasmacytic IBD, it is anti inflammatory in addition to anti bacterial. It can be used as the sole drug to treat IBD but also in combination with steroids as was the case with my dog. Metronidazole also treats giardia.
I also gave him VSL#3 which is used to treat Crohns and ulcerative colitis in people.
If it is IBD and he is having diarrhoea then endoscopic biopsy is not likely to be helpful (they can't get far enough down). Rather than have surgery to obtain full tissue biopsies from the intestines you could maybe ask for a trial of treatment without biopsy.
IBD can be due to allergy so I would also ask for IgG and IgE food allergen testing. I asked for testing by 2 different labs to cover more foods as labs offer different panels, ie one might test for potato specific allergen and another not.
I hope you are able to access the necessary veterinary expertise in the near future.
I also gave him VSL#3 which is used to treat Crohns and ulcerative colitis in people.
If it is IBD and he is having diarrhoea then endoscopic biopsy is not likely to be helpful (they can't get far enough down). Rather than have surgery to obtain full tissue biopsies from the intestines you could maybe ask for a trial of treatment without biopsy.
IBD can be due to allergy so I would also ask for IgG and IgE food allergen testing. I asked for testing by 2 different labs to cover more foods as labs offer different panels, ie one might test for potato specific allergen and another not.
I hope you are able to access the necessary veterinary expertise in the near future.