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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 24404
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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My Brittany had a unilateral tie back surgery 8 months ago.

Customer Question

My Brittany had a unilateral tie back surgery 8 months ago. He has been pretty good except he smacks his lips a lot and just threw up some bile. I've researched and know acid reflux is a common issue with laryngeal paralysis patients. How can I treat?
Submitted: 11 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 11 months ago.

You can see how an over the counter antacid such as famotidine (Pepcid) dosed at 0.25 mg/lb twice daily or omeprazole (Prilosec) dosed at 20 mg daily affects George. If you don't see a positive response, don't hesitate to have George's lungfields X-rayed. Bilateral arytenoid lateralization is associated with increased risk of postoperative complications and aspiration pneumonia is one of those complications. Some dogs do better when fed dry food from floor level; try different food consistencies, bowl positions, and feeding strategies to reduce coughing and gagging and slow down food intake.

Please respond with further questions or concerns if you wish.

Customer: replied 11 months ago.
thanks. I had him xrayed 2 weeks ago and they said he might have slight pneumonia though is lungs sounded clear. He is just finishing the antibiotics today. But the last week has seemed worse. A lot of luck smacking, throat clearing, and licking himself incessantly. We do elevated, slow feed bowl with wet kibble and elevated water dish. I don't have a lot of confidence in my regular bet because before the tie back they said it was pneumonia but i knew it was LP. Unfortunately my surgeon is on vacation so was looking for another expert opinion
Customer: replied 11 months ago.
Lip not luck
Expert:  Dr. Michael Salkin replied 11 months ago.

Thank you for the additional information. You're doing everything right. Let's see how an antacid works. I can't set a follow-up in this venue and so would appreciate your returning to our conversation with an update - even after rating - at a time of your choosing.