Fenbendazole has worked much better for me in treatment in giardia.
You mention that the stools are pointing towards coccidia. What mg dose, how often and how many days was the treatment you have administered of Albon? How much do your pups weigh?
What are you feeding? Be specific.
Here is a link to shelter medicine use of ponazuril, but I have not used it myself. There are posts on this forum about a compounded version from Roadrunner and other pharmacies. Search Ponazuril or Marquis.
http://www.sheltermedicine.com/node/394
Perhaps add some kaolin/pectate solution to give you and the pups some relief. I find that dumbing down the food with some white carbs, such as rice, baby rice cereal or even mashed and boiled plain white potatoes can help. When things are as bad as you describe I'd go to a bland diet, even canned Hills i/d with boiled chicken added, since pups need more protein to calm things down. One can also use baby food rice cereal as the carb if making your own bland diet.
Also, with Forta Flora, I find a packet per dogs that size too much sometimes. I prefer Pro Pectalin tablets, as it has the gut soothing clay and pectin plus the probiotic. I use less of the Pro Pectalin than they recommend.
You may also need to shampoo the pups and their mom.
When cleaning, remember that coccidia disinfection involves steam and/or quat. ammonia compounds, NOT BLEACH. The protozoan thrives in the acid environment that kills most other crud.
Good luck! This too shall pass.
Metronidazole is no longer effective for coccidia. Panacur (fenbendazole)for 5 days in a row. You can get Safegard from Tractor Supply, it is in liquid form, and give 1 ml/ 5 lbs by mouth once a day for five days.
Look at the Revival Animal website. They have lots of info on coccidia and treatments.
I will second the ponazuril, works like magic!!!!! One dose and they are all better! I was told to buy mine from a horse place, just google it. The dosage I was told is .1 (a tenth of a cc) per 1 lbs. for adults and puppies.
Any throwing up? Fever? Are they drinking?
Has your vet actually considered parvo?
Good luck, will be praying that they feel better soon!!!
To make a long story short. . . one of my litters was fed Wellness puppy and started unremitting diarrhea at 5 weeks. My vet and I attempted every known treatment for diarrhea. At 7 weeks, I gave up on high-end Wellness and went back to ProPlan Puppy. In two days, they were completely better. One puppy boy went home weighing 9 pounds but he regrouped and ended up weighing 95.
Just a heads up, that sometimes we can overlook the obvious culprit for the problem.
Cut out the yogurt. Just give Fortiflora on the food. Don't over water the food. Fenbendazole for sure.
I second the Pro Plan Puppy for starters. You can also pick up Benebact, worked wonders for loose stools for my pups. Won't cure coccidia, but sometimes they just have tummy problems.
Try to get the probiotic Protegrity. It kills allot of the pathogens that cause diarrhea. It is a chew. I use a nutmeg grater to make it a powder. It turns diarrhea around in 24 hours. It's a WOW product. Available from Vets and from willowtreenaturals .
Stop the yogurt! This alone can cause your issues. Wash the puppies using a 50/50 solution of Dawn dishwashing liquid (original blue). Fortiflora has more than just probiotics in it, another probiotic only supplement would be better and don't overdue it, too much can cause diarrhea. Feed the ID and medicate for coccidia. Good Luck!
We had more stool samples tested yesterday. Again the vet found nothing. No worm, no parasites, no nothing.
So the vet decided to dose the pups up with Ponazuril, Flagyl and drontal to see if anything has any effect. I have bathed them using blue dawn and scrubbed, and scrubbed the puppy area. I am even staying up all night with them so I can clean up as soon as they poop.
Today, some are firm, sadly though, some still have the puddle poops.
Has your Vet ruled out Campylobacter?
Try Ponazuril for 2 days for coccidia and flagyl for 10 days for giardia. You can treat both at the same time. Many, many times coccidia and giardia do not show up in stool samples and vets go in another direction because they rely on test results. I have found that these two drugs always work.
We had a litter a while ago with cows milk allergy. He couldn't eat yogurt cheese or milk. This could be your problem.
If they are negative for coccidia and giardias this is what I have tried. I boil white rice one cup dry to two cups liquid low sodium chicken broth. Adjust to your puppies. I buy plain Pedialyte and mix with some chicken broth for them to drink. We have also used the canned pumpkin.
If it is still loose I have used the old time remedy of boiling five or six cloves down in water and giving them each a dropper with some of the cooled liquid.
receipe for more sleep.
to keep our puppies clean when they are about 5-6 weeks. we put up a childrens pool, and put pine chips in the pool, and an ex pen around the pool. when the puppies go to the bathroom, it does not make a big mess, and it keeps the puppies cleaner, and you can sleep.
the next morning, we change the pool out, and use a fresh clean pool, and pine chips, and change it out again when needed. you can get the pools at walmart and k-mart in the summer time.
at the same time, the puppies get a new environment, coccodia is in the earth, i believe it takes very HOT water to kill it.
this can give you time to clean the area where the puppies, and mom have been living, and rince with boiling hot water,
My guess is it was Coccidia as the Ponazuril firmed some of the stool.
At this point, I'd give Peptobismol at .5ml per pound of pup weight to firm stool. I'd give it before bedtime and again 12 hours later. Pups' intestinal flora has taken a beating. Even excess probiotics add to the diarrhea. Pepto will firm stool until all is in balance again.
I've dealt with this situation too many times. My pups go outside for socialization periods at 5 weeks. Coccidia is in bird poop, rabbit waste, etc. It rarely shows on stool tests. I now give DiMethox (liquid Albon) in pups' water at 5 weeks for a week, then again at 7 weeks old for a week. I've never had the issue since starting the DiMethox.(Dosing on this forum and online.)
I had a litter like this. There was nothing in the multiple fecal and there was no evidence of it being a virus. I had the pet families waiting to get the puppies and as soon as they were good enough, I let the local ones go with a big warning to the new owners. As soon as they were out of the environment they got 100% better and never went back to be sick again. With that, I let the ones that were still having puddles, and they got over it as soon as they were in their new homes. I have not have the same problem ever again. It was just that one 10 puppies litter. A total nightmare.
Merck manual lists various species of coccidia protozoans. Some can infect dogs and cats, with rodents as intermediate hosts, apparently. If the rodents are intermediate hosts, can't their scat pass it to the dogs? How, if not by poop, do rodents pass it to carnivores--in muscle? or in intestines, which of course have poop? I wonder if OP also has cats on the property, her own or ferals?
http://www.merckmanuals.com/vet/digestive_system/coccidiosis/coccidiosis_of_cats_and_dogs.html
"Hammondia has an obligatory 2-host life cycle with cats or dogs as final hosts and rodents or ruminants as intermediate hosts, respectively. Hammondia oocysts are indistinguishable from those of Toxoplasma and Besnoitia but are nonpathogenic in either host. (see also Besnoitiosis, see Sarcocystosis, and see Toxoplasmosis.)
"The most common coccidia of cats and dogs are Isospora. Some Isospora spp of cats and dogs can facultatively infect other mammals and produce in various organs an encysted form that is infective for the cat or dog. Two species infect cats: I felis and I rivolta; both can be identified easily by oocyst size and shape. Almost every cat eventually becomes infected with I felis. Four species infect dogs: I canis, I ohioensis, I burrowsi, and I neorivolta. In dogs, only I canis can be identified by the oocyst structure; the other 3 Isospora overlap in dimensions and can be differentiated only by endogenous developmental characteristics."
Note that insects are also listed as needing control to control the protozoan. Flies are nasty!