How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask CriticalCareVet Your Own Question

CriticalCareVet
CriticalCareVet, ER/ICU Specialist
Category: Dog Veterinary
Satisfied Customers: 63981
Experience:  Emergency and Critical Care Specialist
Type Your Dog Veterinary Question Here...
CriticalCareVet is online now
A new question is answered every 9 seconds

My dog is just sleeping all day and not eating at all. He is

Customer Question

My dog is just sleeping all day and not eating at all. He is very lethargic. Also he is diabetic.
He has seen the vet and he cannot find anything wrong with him. His heart, temprature is ok, also he is suffering with his ear although that is getting better now. He is on insulin 14gm twice a day. Optimune for his eyes, and the vet has also given him Marbocyl tablets and also Zitac. I am giving him skimed milk to drink instead of water.
Submitted: 2 years ago.
Category: Dog Veterinary
Expert:  CriticalCareVet replied 2 years ago.
Welcome to JustAnswer! I am a licensed veterinarian and would be glad to help!

When you saw your vet, when was that?

What tests were performed?

-
Customer: replied 2 years ago.
We saw the vet yesterday. He checked his heart, his tempreature, felt his bowels,all ok, he had a slight inflamation in his throat. Had a keytone test last week the reults was excellent.
Expert:  CriticalCareVet replied 2 years ago.
Therapies to consider include:

1) Starting a bland diet.

One option would be a veterinary prescription bland diet called Hill’s I/D (LINK HERE)

The second option would be a home-cooked bland diet. A common bland diet is boiled white rice and either boiled white meat chicken or boiled hamburger. Whichever protein source is chosen (chicken or hamburger) it is recommended to offer a mixture of 2/3 rice and 1/3 of the protein source.

If the diet is tolerated, and once clinical improvement is seen, it is recommended to SLOWLY transition back to the normal diet.

When you start to transition to the normal diet, you can initially offer a food mixture with the majority being the boiled rice and meat and have a small amount of normal dog food mixed in.

Each day you can gradually decrease the amount of rice and meat and gradually increase the amount of normal dog food in the mixture.

We recommend a slow transition over 3-5 days to reduce possible stomach upset.

2) Antacids for stomach upset (often one is chosen of the 3 choices below):
- Famotidine (Pepcid A/C) - LINK HERE
- Prilosec OTC (Omeprazole) - LINK HERE
- Rantididine (Zantac) - LINK HERE

3) Prescription medications for nausea from your veterinarian such as:
- Cerenia (LINK HERE)
- Zofran (LINK HERE)

For signs that do not resolve with supportive care alone, tests considered looking for other causes (or confirming the diagnosis) would include:

- Evaluation of the feces for abnormal bacteria or parasites (LINK HERE)

- Bloodwork to check electrolytes and organ values (LINK HERE)

If this does not get better - you will need evaluation again.

With this illness in a diabetic patient, I am very concerned this could be a case of DKA, or diabetic ketoacidosis (LINK HERE) - when they cant get their insulin and are not eating.

Often in these cases (approximately 70 percent of the time), there is a secondary problem that is leading to the body having a very hard time regulating the glucose and insulin.

Secondary problems can include:
- Urinary tract infection
- Pneumonia
- Pancreatitis
- Cushings disease

Moreover, if they are not eating and getting their insulin - these patients need IV fluids, IV antibiotics, and IV medications for nausea as well as special types of insulin until they are feeling better!

I hope this information is helpful.
____________________________________________________________________________________________________________________________
Please click the "GREEN ACCEPT" button if the information I have provided has been of help so I receive credit for helping you. Bonuses are always welcome and appreciated.


This is necessary so that I can get credit for assisting you and compensated for my time.

Once you click accept, your question will not close, and you will still have the opportunity to follow-up if needed.

Please keep in mind that if you do not list all the important information above (medical history, current medications, previous illness, etc) it is harder for me to give you the most complete information.

With this communication - we are here to guide you in making the best decision for your pet. We are not allowed to diagnose and prescribe medications - rather provide a course of action to speak to your veterinarian about - and any medical therapy and treatment should only be performed after an in-person examination with your veterinarian as a professional-client relationship has not been established on the site.

You can always request me through my profile (HERE), bookmark my page for future help, or beginning your question with For CriticalCareVet

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
< Last | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    13796
    UC Davis graduate, emphasis in dermatology, internal medicine, pain management
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    9550
    12 years of small animal, equine and pocket pet medicine and surgery.
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    7758
    DVM, Emergency Veterinarian, BS (Physiology)
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Dog Veterinarian

    Satisfied Customers:

    6598
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    6377
    13 years of experience as a small animal veterinarian
  • http://ww2.justanswer.com/uploads/BI/bigislandvet/2013-2-21_214244_IMG0357.64x64.JPG Dr. Michael Salkin's Avatar

    Dr. Michael Salkin

    Big Island Vet

    Satisfied Customers:

    6049
    University of California at Davis graduate veterinarian with 41 yrs. of experience.