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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16171
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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He threw up three times in a row about 2 hours ago. He

Customer Question

He threw up three times in a row about 2 hours ago. He seemed lethargic since then. Sat with him and rubbed him for half hour then took him for 20 min walk. He still seems lethargic and wobbly still
JA: I'm sorry to hear that. This sounds like it might be serious. I'll let the Veterinarian know what's going on ASAP. Is there anything else important you think the Veterinarian should know about the dog?
Customer: He was left unattended today in a family members house with fenced backyard. Hoping he didn't eat something bad there
JA: OK. Got it. I'm sending you to a secure page on JustAnswer where you can place your fully refundable $5 deposit (plus $14 after the Veterinarian responds). While you're filling out that form, I'll tell the Veterinarian about your situation and connect you two.
Submitted: 8 months ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 8 months ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today. I do apologize that your question was not answered before. Different experts come online at various times; I just came online, read about your wee one’s situation, and wanted to help.

Again I do apologize that my colleagues could not aid you sooner, but can you tell me:

What did he bring up in his vomit?

How old is he and how much does he weigh?

Can he keep water down?

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

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

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

Has he had any diarrhea?

Customer: replied 8 months ago.
Appreciate the follow upHe slept through the night and was good on his morning walk. Still not eating his dog food but will nibble on his favorite snack cheeSe.Questions:
Syrupy/Mucus discharge. No chunks
18mos 14lb Norwih terrier
Assume he is drinking as he urinated quite a bit this AM. No messes in house though.
Pink gums
His belly was a bit bloated last night. No signs of discomfort when touched.
Don't know about foreign foods from yesterday as I did not supervise all day.
No diarrhea
Expert:  Dr. B. replied 8 months ago.

Thank you,

First, I am glad to hear that he is willing to have a nibble on cheese, even if he feels too nauseous for his regular food. As well, its positive to hear that his belly is comfortable, and gums are pink as changes to these tend to be hints of urgent issues. Though if we aren't sure whether he could have eaten something he should not have, we would need to monitor closely and tread with care as we try to soothe his upset GI.

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 (hopefully less likely).

With this all in mind, as long as 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), or 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. Though I would note that if you give this and he 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.

Once that has had time to absorb and he is steadier on his stomach, you can consider starting 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. And if we can get some nutrition into him and he can keep it down, I suspect his lethargy and wobbliness will settle (since they are likely related to this GI upset).

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. Still, 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 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.

Please take care,

Dr. B.

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Expert:  Dr. B. replied 8 months ago.

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