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My puppy has white gums and diarrhea. Is it an an emergency?

Updated on September 23rd, 2025

Pet's info: Dog | Mixed Breed Medium (23 - 60lb) | Female | unspayed | 3 lbs

I found this puppy a few days ago with white gums. I have dewormed her but she has watery diarrhea and no signs of worms in her poop. I am giving her moist food because she won't eat dry food. And water and also replacement milk so she doesn't dehydrate. What should i do?

4 Answers

Most Helpful Answer

Lauren Kennedy, DVM

Answered By Lauren Kennedy, DVM

Veterinarian

Published on July 9th, 2017

Just because you don't see worms doesn't mean they aren't there. In fact, hookworms are the worms that cause anemia (and subsequently white gums) and they are so tiny you cannot see them with the naked eye. There are other intestinal parasite, like coccidia, that are microscopic as well. I would recommend bringing a fecal sample to your vet to have it analyzed so you can make sure you are treating all the parasites the puppy may have. Also, keep in mind, most puppies need multiple dewormings to get all of the parasites. Giving her moist food is fine, it will also help hydrate her since she isn't drinking great. Good luck with the little guy.
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Related Answers from Veterinarians

  • Answered By Emily, DVM

    Veterinarian

    With gums that pale a life threatening anemia is very possible. This could happen due to severe fleas, an infection or even a bone marrow problem. I recommend she be seen by a veterinarian as soon as possible as anemia can be fatal in puppies. In the meantime keep Redd warm but not hot, continue to offer fresh water and food and monitor her closely for signs of breathing difficulties and abdominal pain.

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    1Pet Parents found this answer helpful

  • Answered By Mirissa Duncil, DVM

    Veterinarian

    Hi there. This is an absolute emergency. Reds needs to be seen by a vet right away. White gums mean anemia (low blood) and he can potentially die from this very soon if not addressed. He may very well need a blood transfusion and diagnostics to see what is causing his blood loss.

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    1Pet Parents found this answer helpful

  • Answered By Andrea M. Brodie, DVM

    Veterinarian

    Published on August 24th, 2018

    This is very serious. White gums point to anemia, there are various reasons for anemia in a small puppy, the most likely being a hookworm or other worm infection. Your puppy needs to see a vet tonight, especially if he is lethargic and/or dehydrated from the diarrhea. Please take him to an out of hours vet or Pet ER

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    1Pet Parents found this answer helpful

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