So the color of the stool is pale and I believe that this answers your question. The rash can appear anywhere but is especially common on the elbows, knees, and scalp, according to Dr. Green. A cemetery posted a personal ad for a goose whose mate died. Excess fat in the stool, such as due to a malabsorption disorder, for example, celiac disease. Or perhaps you enjoyed a meal rich in turmeric. That also includes the frequency with which you poop generally, anything less than three times per week is constipation . This is because, gastrointestinal infections, irritation, or inflammation can cause muscles in the gut or abdomen to contract and cause pain. Don't forget potassium, choline and vitamin D with your B vitamins. McGraw Hill; 2020. https://accessmedicine.mhmedical.com. Symptoms of vitamin D deficiency may include: Your liver makes about 500 to 600 milliliters . Yellow stool and abdominal pain are caused by the mix up of excessive Bilirubin in the stools. Use for informational purposes only. He has also had the mucus ones but the "sand poops" as we call them are weird. We have had the same problem. He is allergic to citrus though. how IBS is diagnosed in this in-depth article. https://nutrition.bmj.com/content/early/2019/07/16/bmjnph-2019-000037. Symptoms of steatorrhea can include stools that have an oily or greasy look to them . The fact that DH did not increase might make one look at the malabsorption effect of classic Celiac Disease and the nutrient deficiencies it causes. For example, eating five apples in one day instead of one or two may cause loose or sand-like stool. We couldn't figure out why DD's poop was so gritty until we realized my mom took her to the park a few days and they had sand at the playground and, well, DD is a goat. Bright Yellow Watery Diarrhea: 6 Causes Simplified by a Gut Doctor. old and was diagnosed with celiac disease at 4 1/2 yrs. There are relatively easy tests for both conditions. Medical conditions such as gastroesophageal reflux disease can also lead to yellow poop. Accessed Sept. 28, 2020. These include: Foods with beta-carotene: The compound- beta-carotene found in some vegetables and fruits, including carrots, winter squash, tomatoes, cantaloupe, sweet potatoes, and spinach, can turn stools orange. It's gotten worse in the past couple weeks with explosive diarrhea. Bone pain or achiness Less frequent: constipation (hard stool). "Moreover, recent studies indicate that vitamin D can regulate the adaptive immune response in various inflammatory and autoimmune diseases. Not sleeping well A lack of liquids and a low-fiber diet can lead to constipation. With dark stools one may need to rule out GI bleeding as well, which could again have a number of secondary causes like infections/ inflammations, ulcers, erosions, growths/ masses etc. Enough to be aware but not really significant. It can be the result of a high-fat meal, eating too many nuts or drinking too much alcohol. Posted 11/4/11. When searching these types of poops nothing really comes up. Ate what I normally do except for 2 eggs which I wasnt able to eat this morning. Gastroenteritis, or a "stomach bug". Common dietary triggers of the sand-like stool are :if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'oh_mygut_com-box-4','ezslot_1',178,'0','0'])};__ez_fad_position('div-gpt-ad-oh_mygut_com-box-4-0'); These foods make the stool softer by drawing more water into the digestive tract, speeding up bowel movements, or adding bulk to the stool. Others include chronic pancreatitis, anxiety, stress, bile acid diarrhea, etc. Food intolerance occurs when your digestive system finds difficulty in digesting certain types of food or food components. Drained and sluggish all day. based on the NHANES datasets showed that only around 11% of American adults achieve the IOM AI for choline. I am a German citizen, married to a Canadian 29 years, four daughters, one son, seven granddaughters and four grandsons, with one more grandchild on the way in July 2009. she doesnt think its celiac disease but that the way they both have it and the state of the poo that she thinks its some sort of intolerance and perhaps like samantha b they arent getttin enough fluids and its irritating the problem. You may feel an . In most cases, though, grainy poop is nothing to worry about. The #1 app for tracking pregnancy and baby growth. she doesnt think its celiac disease but that the way they both have it and the state of the poo that she thinks its some sort of intolerance and perhaps like samantha b they arent getttin enough fluids and its irritating the problem. Along with following your doctor's recommendations, a glutamine supplement should help. Taking any medications that cause diarrhea. Our content is not intended nor recommended as a substitute for medical advice by your doctor. sandy poop celiac. These results suggest the beneficial effects of vitamin D supplementation in decreasing the risk and adverse outcomes of inflammatory diseases, although the precise effect remains to be elucidated in large clinical trials." An itchy rash with blisters affects many people with celiac disease. But it can occur in older generations up to 70 years. Elsevier; 2021.https://www.clinicalkey.com. Greasy (oily). By Posted student houses falmouth 2021 In jw marriott panama concierge lounge asks from Middle River, MD on February 14, 2012. In infants and young children, extensive diarrhea can lead to severe dehydration, electrolyte depletion, and metabolic acidosis. If it's just a spot or two of . Floating. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. She loves crackers as a snack. Difficulty digesting certain types of food (not immune-mediated allergy). . Diet (beets, diets rich in green vegetables, licorice) Grainy, sandy looking stools may be caused by a number of issues. When stool passes in the form of soft blobs with defined edges, it is a slightly loose stool. Getting sick more easily Diarrhoea is the most common symptom of coeliac disease. An example of data being processed may be a unique identifier stored in a cookie. All cases of fat malabsorption may produce stool changes similar in color and characteristics to celiac disease stool. When I got home I felt like I was literally dying and ate so much food. Fatigue "Potassium (K+) is the major intracellular cation, with 98% of the total pool being located in the cells at a concentration of 140-150 mmol/l, and only 2% in the extracellular fluid, where it ranges between 3.5 and 5 mmol/l. This results in damaged villi and a malabsorption . sandy poop celiachow do you know when a vape pen is charged? can you smoke on royal caribbean cruise ships sandy poop celiac. This . One odd symptom my son has had when on gluten or if he accidentally gets any is he will have bowel movements that look like a pile of sand. 1. He has not been to the beach in 3 weeks. This poop will have a soft and smooth look to it and will resemble soft-serve ice cream. Were you already eating gluten free when you had testing done for celiac disease? Family care physician, Susan Besser, MD, has seen pale or clay-colored stools in people who habitually take calcium supplements and calcium-supplemented antacids. Loss of appetite Learn more about common foods that cause diarrhea. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. " antacids. It can range in severity, but you should never ignore this symptom. Instead, seek medical help only for stool color changes associated with recurrence of other symptoms of celiac disease. Not all cases of celiac disease have diarrhea or loose stool. Today is the 4th (6:00 AM here, for specifics) and late last night to now I've had maybe two bowel movements that looked grainy, or like sand. Our doctor has checked the stool for everything (blood, parasites, etc) and cannot come up with anything. The stool color changes are a result of food malabsorption. Patients with atypical celiac disease symptoms often have delayed diagnosis. Nervous system injury, including numb or tingling hands or feet, balance problems, or changes in awareness. Also, nausea and sick feeling are common after eating. I was also going to suggest eliminating some things for a week or so and introducing slowly and watching for signs. Black Watery Diarrhea: 5 Causes & When To Worry. SIBO (Small intestinal bacterial overgrowth). Will it damage his bowel if it is sand. I never went to the doctor about it, it usually lasts for 1-2 days and then goes away so I never thought to bring it up. These antibodies damage the lining of your small intestine (the mucosa). I have a friend whose toddler has developed sandy poop. A lack of bile salts is one medical reason that can cause orange stool. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947686/#:~:text=Potassium (K%2B) is the,3.5 and 5 mmol%2Fl. Clear White Mucus In stool: 6 Causes (Doctor Explains). The abdomen, perineum, anus, and rectosigmoid. 11 answers. Includes Address (16) Phone (11) Email (11) When your thyroid is overactive and makes too much thyroxine hormone, it's possible to have loose stools. Certain medications, such as large doses of bismuth subsalicylate (Kaopectate, Pepto-Bismol) and other anti-diarrheal drugs. Continued use is acceptance of our Terms of Use and Privacy Policy. Celiac disease is genetic. Hard or infrequent stools. Today, we will discuss (in-depth) all the possible poop changes in patients with celiac disease. As B.C. Effects of Weight Loss Speed on Kidney Function Differ Depending on Body Mass Index in Nondiabetic Healthy People: A Prospective Cohort, @bechariWelcome to the forum. He never complained of belly pain but it did protrude. brian murphy reliaquest net worth; harriman reservoir boat launch; snapchat product manager interview. Bleeding in the upper gastrointestinal tract, such as the stomach. Sometimes the protein gluten, such as in breads and cereals. banana. information is beneficial, we may combine your email and website usage information with
Lambeau Field Lego Set, If it's just a spot or two of . Does sandy poop mean anything? People with celiac disease often improve when they eliminate gluten from their diet. Even artificially colored yellow foods can turn your stool yellow. Consistency wise, can be diarrhea, just loose, or even constipation. Choline is the only single nutrient for which dietary deficiency is associated with the development of cancer (Newberne and Rogers, 1986). Please review your list to avoid medications that can cause mushy stool and gas. pain when pooping. Most common symptoms of Celiac disease include abdominal bloating, pain, gas, diarrhea, pale stools, and weight loss. mango. Copyright 1995-2023 Celiac.com. Dr. Heidi Fowler answered. Celiac disease is an inherited autoimmune disorder that causes a reaction in your body to the protein, gluten. Infection is the most common cause ofthe ACUTEonset of loose or watery yellow stools that may look like sand. Indigestion of a large fatty meal. For Example:if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'oh_mygut_com-leader-2','ezslot_9',198,'0','0'])};__ez_fad_position('div-gpt-ad-oh_mygut_com-leader-2-0'); Celiac disease is an extreme form of food allergy. Celiac disease (also known as celiac sprue or gluten-sensitive enteropathy) is a digestive and multisystem disorder. Common mimics of celiac disease stool (greasy, foul-smelling, loose stools): The celiac disease treatment is simple, stop eating gluten, and everything will be back to normal (including your stool). I have been eating a good amount more of fiber lately to help get things moving. health information, we will treat all of that information as protected health
The result is called steatorrhea, which is bulky, smelly, and pale-colored stool that often floats in the toilet instead of sinking to the bottom due to its fatty or oily content. Gluten is a protein found in wheat, rye, and barley. He was mainly just sick on and off for several months with various things like really bad ear infections, strep, ad . amis publics hommage iris; tertiary progressions calculator; 81st regional support command birmingham al; hilton aruba concierge email; sandy poop celiac. borderlands 2 trespasser gibbed code; lexington clinic staff This site places cookies on your device (Cookie settings). DS gets this sometimes. Cirrhosis of the liver and hepatitis reduce or eliminate bile salts that help the body . Bile, which has a yellowish-green color, plays many roles in your digestion process. Short stature. I was going to suggest pears. All rights reserved. In Europe it has also been found that average choline intakes are below AI thresholds set by the IOM.23In Alberta, Canada one study28showed that only 23% of pregnant women and 10% of lactating mothers (n=600) met the choline AI recommendation and that the main dietary sources of choline were eggs, dairy products and meat. He usually has a good bit of 4 to 5 or more sandy poops a day. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070857/#:~:text=Beyond its critical function in,which are crucial for the No I am on somewhat frustrating journey to go gluten free. Ate what I normally do except for 2 eggs which I wasnt able to eat this morning. Effects of Weight Loss Speed on Kidney Function Differ Depending on Body Mass Index in Nondiabetic Healthy People: A Prospective Cohort, @bechariWelcome to the forum. These are finger-like projections that line the small intestine and absorb nutrients. 21 years old, diagnosed with non celiac gluten sensitivity, Post Diagnosis, Recovery & Treatment of Celiac Disease, Gluten and rice causing neurological issues, Celiac.com Community Latest Posts RSS Feed, Celiac.com Disease & Gluten-Free Diet Support Since 1995 - Articles. . 1997-2023 BabyCenter, LLC, a Ziff Davis company. Celiac disease is a complex immune-mediated disorder, one in which the immune system causes damage to the small bowel when affected people eat gluten (a protein in some grains . at 5:47 pm. bleeding while passing stool. Also, I am considering eliminating lactose/dairy after doing some research that it can irritating to the gut due to inability to digest it. Some anti-hypertensive medications include Enalapril (Vasotec) and Lisinopril (Zestril, Prinivil). Resides in Kansas City, MO. Acute or chronic infections of the digestive system. An immune-mediated reaction to certain foods or food components. Read More. On a personal note, over the summer I lost 25 pounds of belly fat. Stools that are pale, white, or look like clay or putty may result from many things. View HONcode Certificate. Celiac disease is sometimes mistaken for other digestive conditions, including . Medications such as metformin, laxatives, stomach ulcer medications, etc. People who eat more significant food often experience bulkier stool with celiac disease.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'oh_mygut_com-leader-4','ezslot_11',172,'0','0'])};__ez_fad_position('div-gpt-ad-oh_mygut_com-leader-4-0'); Floating means that your stool contains micro air-bubbles making it less dense than water. The onset of celiac disease is often associated with a persistent change in the stool odor. Antidepressants such as Citalopram (Celexa) and Escitalopram (Lexapro). The fact that DH did not increase might make one look at the malabsorption effect of classic Celiac Disease and the nutrient deficiencies it causes. Roger Lord Of The Flies Physical Description, For Coupons, Giveaways, and Free Games to play with your family, advantages of filipino nurses working abroad, is it okay to take melatonin after covid vaccine, memorial funeral home hopewell va obituaries, how many cars were destroyed in the a team, largest auto parts distributors in europe, nepali heart touching status in nepali language, Roger Lord Of The Flies Physical Description. 21 years old, diagnosed with non celiac gluten sensitivity, Post Diagnosis, Recovery & Treatment of Celiac Disease, Gluten and rice causing neurological issues, Celiac.com Community Latest Posts RSS Feed, Celiac.com Disease & Gluten-Free Diet Support Since 1995 - Articles. People who have celiac disease cannot tolerate gluten, the protein found in wheat, rye, and barley. On a personal note, over the summer I lost 25 pounds of belly fat. The intolerance to a protein called gluten results in severe intestinal inflammation and interferes with the absorption of various nutrients. As a result, these foods accumulate in the digestive tract, acted upon by the gut bacteria, leading to gas, cramps, bloating, and other symptoms of food intolerance.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'oh_mygut_com-banner-1','ezslot_3',179,'0','0'])};__ez_fad_position('div-gpt-ad-oh_mygut_com-banner-1-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'oh_mygut_com-banner-1','ezslot_4',179,'0','1'])};__ez_fad_position('div-gpt-ad-oh_mygut_com-banner-1-0_1');.banner-1-multi-179{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:250px;padding:0;text-align:center!important}. A fine regulation of the intracellular-extracellular gradient is crucial for life, as it is the main determinant of membrane voltage; in fact, acute changes of K+plasma levels may have fatal consequences." Powered by Invision Community. The rash can appear anywhere but is especially common on the elbows, knees, and scalp, according to Dr. Green. 4 4.Why Does My Kids Poop look like Kinetic Sand? Celiac disease erodes this lining so the body can't absorb the nutrients that your child needs to grow. The unabsorbed fat reaches your colon (large intestine) in excess amounts. Clear White Mucus In stool: 6 Causes (Doctor Explains). It can also be a symptom of celiac disease. polk county sheriff's office georgia. Causes recurrent acute or chronic attacks of diarrhea, so much gas, and bloating. Celiac disease causes PERSISTENT foul-smelling stools. Gas and bloating are frequent in people with IBS. Blood On The Outside Of The Stool: 7 Causes & When To Worry. Use for informational purposes only. Dr. Just looking for advice about this as well. Acute digestive tract infections cause acute onset diarrhea with mucus discharge (loose or watery stool with mucus). Nausea. "It ranges from people who are very sick to people who are asymptomatic." eGFR is calculated from creatinine levels in the blood, so may not really reflect GFR during rapid weight loss. Gluten intolerance (in celiac disease): found in wheat, rye, and barley. If this describes what you're used to seeing when you go to the bathroom, then congrats! Giardiasis may induce weight loss. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'oh_mygut_com-large-mobile-banner-1','ezslot_6',173,'0','0'])};__ez_fad_position('div-gpt-ad-oh_mygut_com-large-mobile-banner-1-0');So, a completely gluten-free diet is the definitive treatment for celiac disease stool changes such as diarrhea, color change, and the foul-smell. Continued use is acceptance of our Terms of Use, and Privacy Policy. People with celiac disease often improve when they eliminate gluten from their diet. Yen has specialty training in colon cancer . Poop is normally brown. According to the Crohn's and Colitis Foundation (CFF), a person with UC may also . You may have celiac disease if you are sensitive to gluten. In non-classical celiac disease, patients may have mild . Share; Tweet; Pin; Celiac Disease Foundation. Food intolerances such as lactose or FODMAP intolerance. The condition is called (steatorrhea). 11th ed. It's not always easy to tell, as symptoms of the disease vary from person to person. 27/06/2012 at 9:38 pm. My yds gets it with pears and when he eats too much bread but he does not have gluten intolerance. Is Acrylic Yarn Safe For Babies, If you are a Mayo Clinic patient, this could
The inflammation eventually leads to a loss in the ability of your small intestine to absorb nutrients. Doctors frustrate the heck out of me! Bleeding in the lower intestinal tract, such as the large intestine or rectum, often from hemorrhoids. Many people find that if they don't consume enough fiber . He was mainly just sick on and off for several months with various things like really bad ear infections, strep, ad . based on the NHANES datasets showed that only around 11% of American adults achieve the IOM AI for choline. There is a problem with
Malabsorption can also lead to stools (poo) containing abnormally high levels of fat (steatorrhoea). Accessed Sept. 28, 2020. Only rarely does stool color indicate a potentially serious intestinal condition. Diarrhea-predominant IBS may present with sand-like (yellow and loose) stools. If you have celiac disease, eating gluten triggers an immune response in your small intestine. Diarrhea (watery or loose frequent bowel motion) is one of the most common symptoms of celiac disease. When I got home I felt like I was literally dying and ate so much food. Most types of foodborne illnesses (food poisoning). Owasso Apartments All Bills Paid, If you also . Stool may appear yellow because you've had a large quantity of carrots, sweet potatoes, or other beta-carotene-rich produce. went to the docs today and she said it is most likely a dietary problem. Usually causes acute attacks related to the ingestion of offending food. apricots. Register now Mumsnet Logo. Food may be moving through the large intestine too quickly, such as due to diarrhea. And what tests were done? Pale skin 8 8.Sandy Bowel Movements - Celiac.com You should contact your doctor any time your child's stool changes . "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. So yeah, no idea whats going on but being gluten free doesnt seem to be improving anything atm, Enough to be aware but not really significant. . Got celiac disease? I was recently diagnosed in January with celiac disease. greasy, fatty stools. You can learn more about. Red food coloring, beets, cranberries, tomato juice or soup, red gelatin or drink mixes. IBS has four subtypes according to the predominant symptom. Update: For some reason I was absolutely drained today. My weight loss seems to correlate with supplementing 500 mg each of vitamins B1, B3, B5, and choline. Pale skin Then the stool should change back to normal color. When ds eats wheat bread or crackers, his poop has little grainy bits that look like hulls from the wheat. Extraintestinal symptoms like rashes, urticaria, swollen lips or face, or severe life-threatening allergic reactions. Related To Thomas Clark, Russell Clark, Misty Clark. Our son is 21 mos old. A lack of bile in stool. If you have celiac disease and eat foods with gluten, your immune system starts to hurt your small intestine. My just turned 2 year old has been having issues for a while with a really acidic, irritable rash on his butt and what seems like sand in his poop when he hasn't been around sand at all. Potentially coeliac disease. I also ate what I normally eat. Bone pain or achiness You also may have constipation or diarrhea or both at different times. According to the World Gastroenterology Organization, celiac disease may be divided into two types: classical and non-classical. (reference). Speeding up of intestinal contents (diarrhea, loose stool). Posts : 33234. . sandy poop celiac. They are a common cause of diarrhea and sand-like stools in people with IBS. Your doctor often excludes these causes during the workup for diagnosing celiac disease. In this article, I am going to explain the specific causes of IBS yellow stool ordered by the commonest first. Review/update the
As noted by Dr. O'Connor, certain drugs and supplements can cause the stool to appear pale or clay-like. Join our like-minded, private community and share your story, get encouragement and connect with others. However, the most common types are types 6 and 7 in the Bristol stool scale. Common forms of food intolerance are:if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'oh_mygut_com-large-leaderboard-2','ezslot_5',180,'0','0'])};__ez_fad_position('div-gpt-ad-oh_mygut_com-large-leaderboard-2-0'); On the other hand, food allergy is an immune-mediated response to certain foods which can produce intestinal symptoms (stool changes, diarrhea, colics, nausea) and other allergic symptoms such as rashes, swollen lips, etc. It's a result of the poor absorption of nutrients. the unsubscribe link in the e-mail. High fat in the stools also helps poop float as it prevents stools from being soaked by water. Blood in your toilet is always a sign of an unhealthy poop. celiac disease stool changes in this article. Stress. Sweet potatoes and other yellow pigments in food may cause temporary yellowish stool. I was recently diagnosed in January with celiac disease. pretty much any citrusis this what hapens to your ds? Lactose intolerance: found in milk, ice cream, yogurt, and other dairy products. As noted by Dr. O'Connor, certain drugs and supplements can cause the stool to appear pale or clay-like. mozzart jackpot winners yesterday; new mandela effects 2021; how to delete a payee on barclays app More than 700 medications can cause diarrhea or loose stool: The list is. While it doesn't seem serious and hasn't affected his mood, we are worried. Gluten is present in:if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'oh_mygut_com-leader-3','ezslot_10',600,'0','0'])};__ez_fad_position('div-gpt-ad-oh_mygut_com-leader-3-0'); Celiac disease is a relatively common condition. Stool can become dark if it's discolored by blue or black food pigments, though. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. You have found your celiac tribe! Through this process I have found that I have a sensitivity to maltodextrin, and I was wondering if anyone else has had this? I did do a basic Google search, but most people were discussing this in the case of infants or their stool was black, whereas mine is brown, and looks like a fairly decent/normal color. See answer (1) Best Answer. The normal stool (poop, feces) usually is light to dark brown. View HONcode Certificate. 1. Your doctor or dietitian often does a good job explaining what a gluten-free diet. If we combine this information with your protected
Can also be green as far as color goes. Diet (beets, diets rich in green vegetables, licorice) Abdominal cramping under your ribs. green beans. 7 Causes Of Blood In Stool With IBS & When To Worry. Sometimes a lack of bile or a blockage in the bile ducts can result in light-colored stools. Several health conditions can cause yellow stool, also called pale stool. You take calcium supplements or calcium-supplemented antacids. "Potassium (K+) is the major intracellular cation, with 98% of the total pool being located in the cells at a concentration of 140-150 mmol/l, and only 2% in the extracellular fluid, where it ranges between 3.5 and 5 mmol/l. Answer (1 of 9): For some reason, your food is not spending enough time in the large intestine for the liquid to be absorbed and the stools to become more formed. privacy practices. This is because the unabsorbed fat accumulates in your digestive system. Although changes in stool color or texture may be normal, most changes should be evaluated. This should happen within 48 hours or 2 stools . We report the results of stool blood loss measurement by using such a method. Welcome to the forum, bechari! All Rights Reserved. Celiac disease is a severe intolerance to gluten (a protein found in foods like wheat, rye or barley) that causes inflammation and leads to malabsorption of nutrients in the small intestine. Bright Yellow Watery Diarrhea: 6 Causes Simplified by a Gut Doctor. Shichon Puppies Oregon,