It does not appear that my entire question made it to you, but only part of the introduction. I asked five specific numbered questions, none of which was answered. The answer you gave was information already known to me and not what I need to know right now. I'm recopying my question below, in case that is the problem.
My dog is a 1-year old male neutered German Shepherd and I'm worried about him.
History: He's had all his shots and takes Sentinel heartworm/flea medicine 1x/mo, last dose June 5. Otherwise he takes no meds or supplements
except as noted below.
After experiencing recurring diarrhea and watery stool during his first 8-9 months and somewhat below expected weight gain, he seems to have
responded well to a change in diet to grain-free dry food, with mostly firm stool now, better appetite and resumed weight gain, albeit slowly. For
the past two-three months he's been eating a Costco brand salmon and sweet potato dry food usually made more interesting with non-fatty juices from
whatever meat or fish we're serving.
He's normally very active and lively. Typically on week-days he spends between 5 and 8 hours at a doggy day care and gets an hour walk in the
evening. On weekends, he spends 1-2 hours a day at a dog park playing very actively, gets about a half-hour each day of chase play at home, and
gets a 1/2 hour to an hour walk in the evening. The weekday schedule gets him home nicely tired and well-behaved. The weekend schedule is the bare
minimum to keep him well-behaved.
He had an episode of aspiration pneumonia at about six months, and an episode of acute gastric disturbance in February, when he was having severe
diarrhea and straining on elimination, became extremely lethargic and stopped eating and drinking. He was treated with metronidazole, rehydrated
overnight at a vet hospital, and bounced back quickly. Parasites, giardia and obstructions were ruled out by testing; pancreatitis and IBD were not
ruled out by testing due to expense, but the diet changes seemed to resolve the problem. He has had three episodes of panosteitis for which I give
him Tramadol. These episodes typically last about 7-10 days and the last one ended about a month ago.
Seemed fine Friday morning before going to doggy day care, but on my return home I did notice two mounds of what looked like diarrhea in the yard
(but might have been vomit) with undigested food in it. Very light in color, grainy and not watery in appearance, no blood apparent.
Within 1/2 hour of return home Friday night and without eating anything, he threw up - mucus and bile, no food particles. Afterwards throughout the
evening seemed to experience a few bouts of nausea (a little drooling, a lot of licking his lips) and did not eat anything or drink much. Slept
through the night though with no further episodes of vomiting. Ate nothing and drank very little.
Saturday morning seemed lethargic, still not eating, would occasionally drink some water if I held the bowl for him and didn't give him much choice.
Mostly just slept.
Saturday afternoon, ate about 1-1/2 cups of food and a piece of duck breast jerky, drank a little more water, but now doesn't seem to want to lie
down, just wanders slowly around the room and mostly stands in place for long periods looking dejected. He will sit down for a treat, but he won't
lie down. In fact, he's started to lie down a couple of times but then stops, like he thinks it might hurt, and gets up again. When I palpate his
abdomen he doesn't seem to experience any pain. He's not vocalizing at all, like he does when he's in pain from the pano. He is still
occasionally acting nauseated but hasn't thrown up again.
My regular vet is closed 'til Monday. There is a vet hospital in the area where he was treated for the pneumonia and to get him rehydrated during
the gastric episode, but frankly they are very expensive and I'm sorry to say I don't necessarily trust them the way I do my regular vet.
1. Is it better to withhold food or encourage him to eat? He could probably be tempted if I put some tuna juice on his food, but should I?
2. Is there anything OTC I can give him for the nausea? I take peppermint tea or ginger tea or both for mild nausea, but I suspect they work (if
at all) mainly through a placebo effect, which unfortunately dogs don't have the benefit of. I think I have some left-over meclizine from an
episode of vertigo, that's not too far past its expiration date. Or I could pick something up at the drug-store if needed.
3. He's obviously in some discomfort, and something is causing him not to want to lie down. Should I give him a dose of Tramadol? He didn't
experience nausea as a side-effect previously, but I understand it is one possible side effect.
4. If there's something I can do to make him more comfortable until Monday, and he is still drinking water and doesn't seem dehydrated, what are
the risks of not taking him in to the vet hospital now and waiting until Monday, and how would I know if his condition is worsening?
5. What else do I need to know?