![]() ![]() Ingestion of blood or bleeding from clotting abnormalities can also cause melena. The most common causes are usually diseases of the gastrointestinal tract that create ulcerations or cause bleeding into the tract. There are many potential causes for melena. It is best to determine the underlying cause and treat the specific problem. The presence of melena generally warrants hospitalization, extensive diagnostic testing, and supportive care. A careful history and thorough physical examination of these patients is essential. Ingestion of blood must be ruled out, including swallowing blood from the oral cavity or respiratory tract, and licking blood from a wound. Melena may be seen as the only clinical sign, although other systemic signs often accompany it. The classic appearance of melena is black, shiny, sticky, foul-smelling feces with a tarry consistency. Melena usually indicates the presence of significant upper gastrointestinal disease, although occasionally other diseases (such as clotting disorders, ingestion of blood, etc.) unrelated to the gastrointestinal tract may present with melena. Additionally, report any other signs to your veterinarian. Observe your dog’s general activity and appetite, and watch closely for the recurrence of melena, and/or presence of blood in any vomitus. Administer any prescribed medications and follow all dietary recommendations as directed by your veterinarian.In severe cases, hospitalization is warranted for intravenous fluid therapy, blood transfusions, and supportive care.\.Drugs that block the production of stomach acid and coat the stomach may be recommended.Avoid all gastrointestinal irritants like corticosteroids, aspirin and other nonsteroidal anti-inflammatory drugs. ![]()
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