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Old 07-28-2012, 12:16 PM   #53
Yorkiemom1
Rosehill Yorkies
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Join Date: Dec 2007
Location: Houston Texas
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Originally Posted by gemy View Post
I am just seeing this post now. Welcome to YT although it is so sad, that it is under such circumstances.

I really truly hope, that Bojo does heal from his surgery; how-ever at this point I'd be asking for a referral to a specialist. I definitely want to know why he is not clotting. That information could literally be a life saver in the future.

I would definitely want to know what diagnostics the vet has done, in order to determine the nature of the problem. And I would push for that info, as well as a referral to a good internal medicine specialist.

I hope Bojo is doing better today

If he is still oozing, he has some kind of clotting problem...this needs to be addressed as to cause...just stopping the bleeding this time is not the solution to the problem...it is only taking care of the symptom of the problem. Time for a specialist or my favorite, a vet school, where you will have people that specialize in blood dyscrasias and clotting factor issues. Infusing platelets keeps coming to me....
CLOTTING DISORDERS
The main clinical sign is bleeding. This can be manifest as small or larger hemorrhages or bruises on the skin, lips, gums and other moist membranes. Bleeding from gums, lips, anus or genitals may occur. Bloody or dark stools may be present. Some dogs may have spontaneous nosebleeds or bloody urine, or blood clots may form under the skin. Dogs may fail to clot when small cuts or cut toenails bleed. Dogs can undergo "routine" surgery and bleed heavily during or after the surgery. In most cases, bleeding is sudden, unexpected and without warning. Many dogs have otherwise been normal.

Diagnosis is based on historical information, clinical signs, blood and platelet counts, serum chemistries, hormone analysis, X-rays, specific serologic tests and clotting tests to determine the specific defects and clotting times. Bone marrow and liver biopsy may be indicated, but consideration is always given to the potential for severe bleeding should this type of surgery be needed.

TREATMENT OF CLOTTING DISORDERS

As always, specific treatment related to any underlying condition is the first approach to curing bleeding disease. For more severe or immediate cases, IV fluids, vitamin K, calcium injections, blood, platelet or plasma transfusions and supportive care are all necessary. B-vitamin/iron supplements to build the blood are often employed. As most dogs have some other dysfunction that leads to clotting problems, most dogs can live a normal life with proper treatment.
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