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Dr. Andy
Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 30034
Experience:  UC Davis graduate, emphasis in dermatology, internal medicine, pain management
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My dog is vomiting/dry heaving, trembling, panting and lethargic

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My dog is vomiting/dry heaving, trembling, panting and lethargic for nearly 6 hours. What should i do?
Welcome to JustAnswer! I would be happy to assist you. I am a 2003 graduate from UC Davis and a Medical Director of a veterinarian practice.

Prudence is very ill!
The combination of symptoms you have described absolutely warrants the attention of emergency veterinary care.

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Second Link to find an ER

Both the trembling and panting are suggestive of more serious nausea and/or abdominal pain.

To help settle the stomach you can use of the following, but not as a replacement for veterinary examination include 1.Pepcid A.C. (famotidine) comes in 10mg, 20mg, or 40mg tablets.
You can give it every 12 hours. You can give 0.5mg per pound of body weight. So, a 20 pound dog would get 10mg.
2.Prilosec (omeprazole). It comes in 10mg or 20mg tablets.
You can give in every 24 hours. You give 0.5mg per pound of body weight. So, a 20 pound dog would get 10mg
3.Zantac (Ranitidne). It comes in 75mg, 150mg, or 300mg sizes.
You can give it every 8 to 12 hours. You give 0.25 to 1mg per pound of body weight. So, a 20 pound dog would get roughly 1/3 tablet of the 75mg. Even with bigger pets, it is easiest to get the smallest size tablet. Even a 75 pound dog would only need one 75mg tablet.
4.Pepto-Bismol or Kaopectate
You can give it every 8 hours. The average dose is 1ml per pound of body weight, and that is the TOTAL dose for the day.So, if a pet weighs 30 pounds, they would get a total of 30ml a day or 10ml every 8 hours. This is dosing for regular strength Pepto-Bismol. If you use maximum strength liquid, give half as much.

I wish I could ofer more than the suggestions above, but its all I can do with over-the-counter therapy.

My primary concerns for causes include:

- Dietary indiscretion (eating something you do not know about)
- Stomach or intestinal foreign body
- Something that was given to them (new food, new treat, human food)
- Intestinal parasitism (not just the worms, but the microscopic bugs like Giardia and Coccidia). They can cause vomiting also, not just diarrhea
- Toxin exposure would be less likely, unless you have reason to suspect exposure to a chemical.
- Less commonly, endocrine diseases like Addison’s
- stomach bloat or gastric dilatation volvulus (stomach twisting)

Hope that info helps
Good Luck
Dr. Andy

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If there is something I have not covered for you, please let me know.

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This is necessary so I may receive credit for assisting you from JustAnswer. Even if you are a subscribing member, it is important to select a face and click submit.
REMEMBER: Even after you click a happy face and select “Submit”, you can still review our discussion or reply if needed. Unfortunately, I cannot legally prescribe medications or offer a definitive diagnosis without performing a physical examination, which is necessary to establish a client-patient-doctor relationship. I will always try my best to assist you making the best decision for your pet.
After we conclude this question, I can be requested for additional questions through my profile at:
Dr. Andy
Customer: replied 5 years ago.
She is only occasionally trembling and only pants when about to vomit. She is resting comfortably now. Do you think i am ok waiting till the morning if she is still ill?
That is the one answer that I am sure you understand I cannot successfully answer.

The best I can do is provide the following:

Emergency:
If you observe any of the following, you'll want to get into a ER veterinarian for better supportive care:
- persistent vomiting or trying to vomit
- bad diarrhea or bloody diarrhea
- poor appetite that persists
- excessive panting to suggest nausea or pain
- bloated belly appearance or a tense belly

Hope that helps
Dr. Andy

---------------------------------------------------------------------------------------------------------
If there is something I have not covered for you, please let me know.

I greatly appreciate when you click a “Happy/Excited Face” followed by “Submit”, if you have found the advice helpful or informative. Receiving bonuses and feedback is happily welcomed.

This is necessary so I may receive credit for assisting you from JustAnswer. Even if you are a subscribing member, it is important to select a face and click submit.
REMEMBER: Even after you click a happy face and select “Submit”, you can still review our discussion or reply if needed. Unfortunately, I cannot legally prescribe medications or offer a definitive diagnosis without performing a physical examination, which is necessary to establish a client-patient-doctor relationship. I will always try my best to assist you making the best decision for your pet.
After we conclude this question, I can be requested for additional questions through my profile at:
Dr. Andy
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