Vet Blog

06/21/08

How Long Should I Treat Coccidia?
Dr. Eric Barchas, DVM

Hi,
We have a new Boston Terrier pup (9 weeks) who
tested positive for coccidia but has no symptoms
yet. Our vet has prescribed a 7 day course of
Albon. However, some other people have told me
that she needs a 28 day treatment regimen. Do you
think that this is necessary or should I just do
the 7 day treatment and follow up with the vet
next month (we see her for vaccines then)?
Also- could my cat catch this from my puppy?
Thanks!

Beth
Stoneham, MA

Coccidia are microscopic parasites that are incredibly common in puppies and kittens. Some animals can tolerate Coccidia infestations without showing any symptoms. Others develop diarrhea. In severely afflicted young pets, profuse diarrhea can lead to dehydration, failure to grow and severe illness.

Sadly, there is no perfect treatment for Coccidia. Albon is used to arrest the reproduction of the organisms within the intestinal tract. However, in the long run it is up to the pet’s immune system to tackle and eliminate the parasites.

Because every pet’s immune system is unique, some pets need to take Albon longer than others. I have known some puppies and kittens who had to take it for a month or more before they were cured. I have known others who cleared the parasite on their own, without any medication whatsoever.

Since your puppy isn’t showing symptoms, I think it is reasonable to start with a less aggressive treatment plan. It sounds like her immune system is already fighting the Coccidia. I’d recommend that you complete the seven day course of Albon. Have her stool tested after the medicine runs out. If parasites are still present, your vet can prescribe more medicine.

If your cat is an adult, it is extremely unlikely that the parasites will spread to her. Adult animals with fully-developed immune systems almost never contract Coccidia.

See related Vet Blog entries:
03/04/08

Can dogs catch Parvo twice?
Dr. Eric Barchas, DVM

Summed up… Miko is 4 months old. We got her at 8
weeks old. One day after we got her she got Parvo
and Coccidia, which of course gave her horrible
diarrhea. She luckily lived through that. She has
since been to the vet several times, had blood
work and fecal tests, and they have come back
clean. She has also had all of her shots now as
well. She still has really watery diarrhea.

Could her stomach or intestines be damaged from
the Parvo, and if so, how long till she starts
having regular bowel movements?

Miko acts perfectly fine, but I can’t imagine
her poor bum feals good. Can you help!!!

ALSO!!! One vet told me that since she had Parvo,
she couldn’t get it again, and another vet told
me that wasn’t true. Can she still get it again
if she’s already had it?

Lindsey
Costa Mesa, CA

Wow. It sounds like Miko’s life got off to a rough start. You have asked several questions, and I’ll try to address them one by one.

First, let’s talk about Parvo. Parvovirus (aka Parvo) is an extremely contagious disease of dogs. It occurs mainly in puppies, or in dogs that have not been vaccinated. The bad news: many dogs that contract Parvovirus die. The good news: dogs that do not die (such as Milo) almost always make complete recoveries. They usually do not suffer long-term health consequences. The intestines should heal quite rapidly.

Also, there are no 100% guarantees about anything in this world, but I can tell you that it is extremely unlikely that Miko could contract parvo again. Most dogs that live through parvo develop permanent immunity.

Now, let’s talk about Coccidia. Coccidia are ubiquitous microscopic intestinal parasites that infect huge numbers of puppies and kittens. They rarely cause serious health problems, but they can lead to long-term, frustrating watery diarrhea. They are hard to treat, and sometimes several rounds of medication are necessary to eliminate the problem.

Based on your description, I am suspicious that Coccidia may be playing a role in Miko’s ongoing diarrhea. You may want to consider treating for the parasite again, or doing a special fecal test (zinc sulfate centrifugation) that is more sensitive than standard fecal tests.

Of course, other parasites (such as worms, which also can be missed by some fecal tests), reactions to foods, inflammatory bowel disease, or (and this is unlikely) lingering damage from Parvovirus infection could be playing a role in Miko’s problems. But my hunch is that the Coccidia are the culprits. I recommend that you and your vet go after them first. If that doesn’t work, it will be time to do an extensive investigation into the problem with comprehensive diagnostic tests.

See related Vet Blog entries: