Based on an article that first appeared at

As a pet owner, you’ve probably asked, “How do I know if my dog isn’t feeling well?” Imagine looking at your dog and seeing bruising all over their abdomen without any obvious cause! That was the case for Slink, a sweet 7-year-old long-haired Dachshund whose story shows how quickly a serious medical condition can develop and how an owner’s keen awareness can save a pet’s life. 

Slink hadn’t been injured and seemed like his usual self, but his owners found unusual bruising on his belly and bright redness in his eyes. They quickly took him into the emergency clinic, where his bloodwork revealed the answer: Slink’s platelet count was dangerously low.

Slink’s Story: A Dog’s Difficult Diagnosis of IMTP

Slink was diagnosed with immune-mediated thrombocytopenia (IMTP), a condition where the immune system mistakenly attacks the dog’s own platelets, which are vital for blood clotting. When platelet levels become too low, even simple activities may cause bruising, nosebleeds, or internal bleeding. 

Initially, some dogs show subtle signs, while others, like Slink, may develop bleeding inside the gastrointestinal tract. IMTP can be categorized as primary, where the immune system directly causes the disorder, or secondary, triggered by another disease, medication, infection, or inflammation. Often, the exact cause remains unidentified.

Slink, a dog diagnosed with IMTP at Belton Veterinary Clinic

What IMTP Looks Like in Dogs

When a dog develops IMTP, their platelet count drops to a level where normal blood clotting becomes difficult. Because platelets are responsible for controlling bleeding, even everyday bumps or minor internal issues can lead to noticeable symptoms. Some signs are subtle at first, while others can appear quickly, like Slink’s, and may seem alarming if you don’t know what to look for. 

Pet parents often notice changes in their dog’s energy, unusual bruising, or small pinpoint spots on the skin before realizing something more serious is happening. Below are some of the most common symptoms of IMTP seen in dogs:

  • Bruising on the skin or belly
  • Red spots on the gums or whites of the eyes
  • Nosebleeds
  • Blood in urine or stool
  • Lethargy or weakness
  • Pale gums from blood loss

These symptoms happen because the body can't form stable blood clots, which causes bleeding to occur on its own or after small bumps.

How Blood Transfusion Saved Slink’s Life

Immediately after diagnosis, veterinarians typically start patients on high-dose steroids to help support their immune system and prevent platelet destruction. In Slink’s case, he had a follow-up a few days after his diagnosis and steroid regimen with his veterinarian, and his blood work only showed slight improvement. And now he was also anemic because of the ongoing bleeding. Later that day, he started passing large amounts of blood in his stool, indicating active gastrointestinal bleeding.

Because of the serious risk of dangerous blood loss, Slink needed to be hospitalized and receive a vital blood transfusion. This transfusion replenished his red blood cells and gave him support while his medications began to work. He was watched carefully with repeated blood tests and close monitoring for any new bleeding. Luckily, Slink was stable and showed signs of getting better.

Immune-Mediated Thrombocytopenia Treatment Therapy

Once a dog is diagnosed with IMTP, treatment focuses on stabilizing the dog, stopping active bleeding, and aiding the immune system in stopping the destruction of platelets. Since each dog may present differently, veterinarians customize therapy based on the severity of the platelet count, the presence of bleeding, and the dog's overall response. Some dogs need hospitalization for intensive care, while others can start treatment as outpatients with close monitoring. The following therapies are commonly used to help dogs recover and restore safe platelet levels.

  • High-dose steroids to suppress the immune system
  • Additional immunosuppressive medications in severe cases
  • Hospitalization for monitoring
  • Blood transfusions when bleeding becomes significant

Many dogs respond well, though some may require long-term medication or experience relapse. Careful follow-up and early intervention give them the best chance at a full recovery.

What Recovery Looks Like for a Dog With IMPT

When a dog is recovering from IMPT, it’s important to follow strict activity restrictions and a carefully managed medication plan. Taking extra care to prevent injuries is crucial during IMTP recovery, because even minor bumps can cause bleeding. It’s imperative to be watchful for nosebleeds, bruising, bloody urine or stool, or sudden weakness.

Over the following weeks, Slink returned regularly for bloodwork. His bruising faded, his energy returned, and his platelet count steadily increased. Once stable, his steroid dose was slowly tapered to limit side effects while still controlling his immune system.

The Lifesaving Impact of Canine Blood Donors

Slink survived because donor blood was available when he needed it. Many pet owners are surprised to learn that dogs can donate blood, just like humans, and their donations save countless lives each year. Blood is used for emergency trauma cases, immune-mediated diseases like IMTP, toxin exposures, anemia, surgeries, and more.

Could Your Dog Be a Blood Donor?

Many veterinary clinics need blood donors to maintain a supply for emergencies like Slink’s. Contact your local animal hospital to see if your dog could be a candidate for blood donation. The requirements can vary by clinic, but the standard needs usually include specific health and age:

  • Friendly and easy to handle
  • Weigh at least 50 lbs
  • Male or spayed female that has never been pregnant
  • Between 1 and 6 years old
  • Up-to-date on vaccines and on year-round heartworm prevention

IMTP is a serious condition, but many dogs recover with quick action, proper treatment, and ongoing monitoring. Slink’s progress is a reminder of how resilient pets can be—and how much of a difference early veterinary care and canine blood donors make.

If you have questions and you'd like to reach out to us, you can call us directly at (954) 722-2100, or you can email us at [email protected]. Don't forget to follow us on social media Facebook, Instagram.