Hello, I am Dr. Andrea Russo and I'd like to answer your questions. I am in New York, so the time difference means you may have already been in contact with your vet this morning. I am so sorry to hear about all that Kulfi has been through overnight. I am worried that the possible foreign object that showed up on the x-ray has caused all these symptoms. Today I'd recommend follow-up x-rays to see if it is still visible. In addition, you might consider a course of intravenous fluids - it is possible that despite the oral fluids you were able to get into him, that he is dehydrated at this point. Bloodwork would be helpful to check for electrolyte imbalances and they could be corrected with intravenous fluids. It the object is still visible, he may need surgery. Please let me know how he is doing later today.
Ok, I am certainly hoping that this was a foreign object he ate and it will pass and he will recover without complications. I do think any kind of fluid therapy would be helpful regardless and intravenous fluid therapy best, XXXXX XXXXX not there to really know the circumstances. If he continues to act lethargic and won't eat or drink on his own, then he may need more intensive treatment to get him past this. Keep me posted I'll be gone for awhile later this morning but back this afternoon and would like to know how he is.
I'm sorry you and he had to go through all of this. These things always seem to happen on nights and weekends. Sometimes if I know a client has a sick dog that might continue to have problems requiring overnight emergency care, I will lend them their x-rays and copies of their lab results and records to they have them on hand. Fluids can be given under the skin (subcutaneously) as well, this method doesn't work as well but is easier to do and might be helpful. Continue with 50 ml/hr - that can only help. When he is feeling well enough to eat and isn't vomiting, you can try small jars of baby food - like strained meats they start babies with. He might need some anti-nausea mediation such as Cerenia which doesn't affect motility.
I'm so glad to hear that he is more responsive and livelier!
I think Cerenia is available in the UK...it is made by Zoetis (Pfizer) for dogs and cats only.
I never want to make a judgment about care from another vet without knowing the circumstances but I'm not sure why your vet hasn't wanted to give your dog IV fluids. Some dogs are too lively and bounce around in the cage a lot and will bite out or dislodge their catheters but we'll often put Elizabethian collars on them or use other means to help keep the IV fluid line open. Since you are a physician, you understand how IV fluids can be helpful in so many ways. Imagine the care we would get with these symptoms - IV's are hooked up immediately in the ER or even on the ambulance. Cerenia is a great drug, I'm glad to hear it was available. Keep me posted - I'll be in and out today.
You are so welcome. Speak with you later.