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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16202
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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My dog threw up yesterday night and is not eating or drinking.

Customer Question

My dog threw up yesterday night and is not eating or drinking. He had diarrhea last night (very liquid and very small amount). He is lethargic. He threw up clear and mucus
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 the Veterinarian should be aware of about your dog?
Customer: Was just at vet for annual shots and check up on the 6th
JA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Veterinarian about your situation and then connect you two.
Submitted: 6 months ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 6 months ago.
MALEHello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.How old is he?Will he drink at all? Can he keep even a sip of 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)?
Customer: replied 6 months ago.
he is almost 6 years old, english mastiff
if he drinks, he kept it down for a while then threw up later (1-2 hours later)
gums are pink and moist but not his usual wet
stomach does not appear to be tender or cause discomfort
I do not think he ate anything wrong
Expert:  Dr. B. replied 6 months ago.
Thank you, ***** ***** am very glad to hear that your lad isn't the kind of dog to eat harmful or non-edible items. As well, pink gums are very positive though the drier feel is an early stage hint of dehydrated creeping in. So, we need to tread with care. Especially since his anorexia is likely due to the same severe nausea that is causing his vomiting. Now based on those upper and lower GI 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, and general dietary indiscretion. As well, we can see this linked at times to underlying metabolic disease, organ issues, IBD, and cancer. 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’d 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. Though if he keeps that down and steadies, we can plan to tempt him to eat. Favorites are allowed, but you could also 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 diarrhea. You can even add some canned pumpkin or all bran to this to help bulk up his stools quicker. As long as improvement is being seen, I usually advise continuing this until the signs are settled, and then weaning him slowly back to his normal diet. Since dehydration is a risk with upper and lower GI signs together, 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). Finally, since his diarrhea hasn’t had blood in it, you can consider trying a pet safe anti-diarrheal. As I am sure you appreciate, these would not be a cure for infectious issues; but it can still be of benefit. It will reduce diarrhea load, allow the body to absorb more water/nutrients, and soothe the upset gut. In regards ***** ***** options, the one we most commonly use is Kaolin/Kaopectate (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/kaolin-and-pectin-kapectolin-k-p)). This is available OTC at most pharmacies. Otherwise, Propectalin, Canikur, Fast Balance, and Protexin Pro-Fiber (which is available OTC at vets, pet stores, and even Amazon) would be another option. All will slow diarrhea and those last ones have the added bonus of providing support to the delicate good GI bacteria. So, these can be used as a short-term means of soothing his upset GI.. Overall, a wide range of agents could trigger the anorexia we are seeing with your lad. Though it is likely a side effect of nausea from this severe GI upset. 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; then we'd want to get his vet involved. They can assess his hydration, check a blood sample to ensure his organs are working as they should be, 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, fluids, appetite stimulants, +/- antibiotics to settle his stomach, and get him back feeling like himself. Please take care,Dr. B. -----------------------------------------------------------------------------------------------------------------If you have any other questions, please ask me – I’ll be happy to respond. **Afterwards, I would be grateful if you would rate my service by clicking on the "Rate my Expert' button at the top of the page as this is the only way I am credited for helping you. Thank you for your feedback!: )