How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. B. Your Own Question
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16274
Experience:  Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
60269376
Type Your Dog Veterinary Question Here...
Dr. B. is online now
A new question is answered every 9 seconds

Our dog has been vomitting bile and grass and has gone off s

Customer Question

Our dog has been vomitting bile and grass and has gone off his food
He is also quite unlike him the vomitting started yesterday and he hasn't eaten this morning and again tonight
Submitted: 11 months ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 11 months ago.

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

How old is he?

You noted that he is off food, but is he drinking? Can he keep any water down?

Are his gums nice and pink (not white/pale)? Moist or sticky?

If you press on his belly, does he have any tensing, tenderness, discomfort, or pain?

Could he have eaten anything he should not have (ie bones, toys, plants, chemicals, human meds, etc)?

Customer: replied 11 months ago.
I think he is keeping his water down but I haven't seen him drinking much water
He is 1 year and 3 months old
He isn't tender around the stomach
Expert:  Dr. B. replied 11 months ago.

Thank you,

First, I am glad to hear that Coco does have a comfortable belly, as we can see tenderness in cases where they eat something they should not have. That aside, we do need to appreciate that his loss of appetite will be linked with the vomiting since both are side effects of nausea. In regards ***** ***** for what we are seeing, our main suspects would be a bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, and ingestion of harmful items (again hopefully less likely here).

With this all in mind, as long as you think he can keep water down, we can try some home supportive care to try to settle his stomach. To start, if he hasn’t just vomited (since otherwise we’d need to rest his stomach for a few hours first), then you can consider treating him with an antacid. Common OTC pet safe options would be:

*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)

* Tagamet (More Info/Dose Here @ http://www.petplace.com/article/drug-library/library/over-the-counter/cimetidine-hcl-tagamet)
Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. Of course, do double check with your vet if he has a known health issues or is on any medications you haven't mentioned. And I would note that if you give this and Coco cannot keep it down due to nausea that is usually a red flag that we need to bypass his mouth with injectable anti-vomiting medication from his vet.

Still if he can and steadies once that has taken effect, we can then start him on a light/easily digestible diet. 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. The aim of these diets is that they will be better tolerated/absorbed by the compromised gut. Therefore, it should get more nutrients in and result in less GI upset.

Of course if he refuses to be tempted, then we do sometimes need to syringe feed. It’s a bit early to do so here, but just in case you need to I do want to briefly mention what we can use. Specifically, we can water down calorie rich diets (ie Hills A/D, Royal Canin Recovery diet, even canned puppy food) or use a liquid diet (ie Clinicare, Dogsure). As well, there are paste supplements (ie Nutrical) that can also be used. And these will all get more into her per bite even if we cannot get much in.

Since dehydration is a risk here, we need to keep an eye on his hydration. To check this and ensure he’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure his eyes are not looking sunken and that he doesn’t have a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you are seeing any signs of dehydration already, then that would be our cue to have him seen before this becomes an additional issue for him (especially as it is often dehydration that makes them feel unwell).

Overall, a wide range of agents could trigger the GI upset we are seeing. Therefore, in his case, we’d want to start supportive care to settle his stomach. If he cannot keep that or water down, appears dehydrated already, or doesn’t respond to the above within 12-24 hours (since he is quite young); then we'd want to get his vet involved. They can assess his hydration, rule out fever, make sure there is nothing in his stomach that shouldn't be there or any sinister viruses present. Depending on their findings, his vet can treat him with injectable anti-vomiting medication +/- antibiotics to settle his stomach, and get him back feeling like himself.

All the best,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. Please remember to rate my service once you have all the information you need. Thank you! : )

Expert:  Dr. B. replied 11 months ago.
Hi Kim,
I'm just following up on our conversation about Coco. How is everything going?
nekovet