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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 17045
Experience:  Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
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What causes my 6 month old puppy to vomit up foamy vomit

Customer Question

what causes my 6 month old puppy to vomit up white foamy vomit
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 1 year ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

How long has she been vomiting?

Can she keep water down?

Are her gums pink or pale/white? Moist or sticky?

If you press on her belly,does she have any discomfort, tenderness, or tensing?

Could she have eaten something she should not have (ie bones, toys, rocks, plants, chemicals, etc)?

Has she had any diarrhea?

When was she last wormed?

Customer: replied 1 year ago.
been vomiting on and off 2 weeks gums pink belly not tense or tender has been wormed no diarrhea could have eaten rocks or plants when I take her for walks
Customer: replied 1 year ago.
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Expert:  Dr. B. replied 1 year ago.

Thank you,

Now based on the signs we are seeing, we do have a few concerns. Common causes we need to consider include bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, and ingestion of harmful items (ie toxins, plants, non-edible items). And I would note that if she has been eating rock or plants, you need to tread with care. We need to keep her away from such things but if you are sure she has had a rock, you will need to consider having her seen +/- xrayed to confirm this since she may not improve until it is removed.

With this all in mind, as long as she can keep water down,we can try some home supportive care to see if we can settle her stomach. To start, if she hasn’t just vomited (since otherwise we’d need to rest her stomach for a few hours first), then you can consider treating her with an antacid. There are a number that are available over the counter and pet friendly. I would advise only treating with one, but the ones I tend to use are:

*Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid)
*Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac)

Whichever you choose, we’d give this 20 minutes before offering food (to allow absorption) and of course you want to double check with your vet if she has a pre-existing condition or is on any medications you haven't mentioned. And I would note that if you give this and she cannot keep it down due to nausea that is usually a red flag that we need to bypass her mouth with injectable anti-vomiting medication from her vet.

Once that has had time to absorb and she is steadier on her stomach, you can consider starting her on a light/easily digestible diet. Start with a small volume (a spoonful). Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, or scrambled eggs (made with water and not milk). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. When you offer that spoonful,give her 30 minutes to settle. If she keeps the food down, you can give a bit more and so on. As her stomach stabilizes, you can offer more. The aim of these diets is that it will be better tolerated and absorbed by the compromised gut.Therefore, it should get more nutrients in and result in less GI upset. As long as improvement is being seen, I usually advise that the diet be continued until her signs are settled, and that they are then slowly weaned back to their normal diet.

Overall, a wide range of agents could trigger the GI upset we are seeing. Therefore, in her case, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down, appears dehydrated already, or doesn’t respond to the above within 12-24 hours; then we'd want to get her vet involved. They can assess her hydration, rule out fever, make sure there is no rock in her stomach that shouldn't be there or any sinister viruses present. Depending on their findings, her vet can treat her with injectable anti-vomiting medication +/- antibiotics to settle her stomach.

I hope this information is helpful.

If you need any additional information, do not hesitate to ask!

All the best,

Dr. B.

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