Now I am glad to hear that the swelling is abating, since that suggests it was just a injection reaction and nothing more worrisome.
Still, I am concerned that she is so nauseous that she is still vomiting and cannot eat. As well, the mention of this bone is quite worrisome. Hopefully she hasn't eaten any of it (as blockages and GI damage would become concerns), but even so just chewing on it could introduce bacterial infection. Otherwise, if that is a red herring, we do have to be appreciate that these signs could also fit with a gastritis (viral or bacterial) pancreatitis
, be secondary to metabolic or organ issues, or due to her having eaten something she should not have.
Just to note, she isn't likely cold but instead shivering in small breeds can be a sign of fever or a non-specific sign that they feel unwell. As well, if she is struggling to get comfortable, this does suggest that her stomach
is very upset and causing her discomfort.
Now Sucralfate is a good gastroprotectant, but it sounds like it hasn't helped enough for her. Therefore, I would note that you could also consider trying her with an antacid now. There are a number of antacids that are available over the counter and pet friendly. I would advise only treating with one, but the ones I tend to recommend are:
*Pepcid (More Info/Dose @ http://www.petplace.com/drug-library/famotidine
* Tagamet (More Info/Dose Here @ www.petplace.com/article/drug-library/library/over-the-counter/cimetidine-hcl-tagamet#.VE4NVBYYBaQ)
*Zantac (More Info/Dose @ http://www.petplace.com/drug-library/ranitidine-hcl-zantac/page1.aspx).
This medication of course shouldn’t be given without consulting your vet if she does have any pre-existing conditions or is on any other medications. Ideally, it should be given about 30 minutes before food to ease her upset gut signs.
Once that is on board, we can then try her with an easily digestible diet. Examples of this would be rice/pasta/boiled plain potato with boiled chicken
, boiled white fish, or scrambled egg, meat baby food (as long as its free from garlic or onion powder). Whichever you choose, we want to offer this as small frequent meals to keep her stomach settled. And if you do think she ate a bit of bone, you can add a spoon of canned pumpkin (a good fiber source) to push out that through the gut. As well, you can also mix a bit of cat hair ball medication into her food to again encourage any thing stuck to slip through the GI and keep moving along.
Finally, just since she is a small dog, I do just want to mention how to check her hydration. To do so, you can check whether her eyes appear sunken, if the gums are tacky instead of wet/moist, and whether she has a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a wee video on this HERE. (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you do see any signs of dehydration when checking this, then it is a red flag that we'd want her vet involved to address this and not let it progress for her.
Overall, her signs are telling us that she is still very nauseous. Therefore, I would advise the above for her at this stage to settle her stomach. If you find that she doesn't settle in the next 12-24 hours, then we'd want to consider ringing her vet about this. They can potentially try her with a stronger treatment but if there is a chance of a bit of bone having been eaten, we need to have them palpate her belly +/- xray to make sure nothing is caught. Depending on their findings, they may just need to treat her with alternative antibiotics and anti-vomiting medications to help settle her stomach and back to feeling like herself.
I hope this information is helpful.
If you need any additional information, do not hesitate to ask!
All the best, *****