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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16215
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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Gave m (german shepherd) a marrow bone last night and he's

Customer Question

gave him (german shepherd) a marrow bone last night and he's thrown up 3 times starting at 5:00 this morning.
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the dog eat anything unusual?
Customer: not that i know of
JA: OK. The Veterinarian will know what to do. What is the dog's name?
Customer: Blu
JA: Huh?
Customer: the dog's name is Blue
JA: Is there anything else the Veterinarian should be aware of about Blue?
Customer: no
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: 5 months ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 5 months ago.

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

What did the vomit look like?

Did he break the bone into shards?

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?

Customer: replied 5 months ago.
No he didn't break bones into shards. Vomit was yellowish. Gums are pink and no tenderness in belly. Hasn't really had much water..just a little.
Expert:  Dr. B. replied 5 months ago.

Thank you,

Did he eat it whole then?

How large was it?

Customer: replied 5 months ago.
No he didn't eat it whole just the marrow out of it but it was 2 bones stuck together.
Expert:  Dr. B. replied 5 months ago.

Thank you for clarifying tha,t as I tend to have patients that eat these whole and cause themselves serious issue.

Now since Blue only ate the marrow from the bone, this is a much lesser worry and we can consider stomach supportive care to soothe his nausea.

To start, if he hasn’t just vomited (since otherwise we’d need to rest the stomach for a few hours first), you can consider treating with an OTC pet safe antacid like 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. Also 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 he is more settled, you can plan to try small meals of 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 (ie Hill’s I/D or Royal Canin’s sensitivity) that can be used 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. As long as improvement is being seen, I usually advise continuing this until the signs are settled, and then weaning slowly back to what you normally feed.

Since dehydration is a risk here, we need to keep an eye on his hydration. To check this and make sure dehydration isn’t an issue, there are a few parameters 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, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you do see any of these signs already, then that would be our cue to have him seen before this becomes an additional issue (especially since its often dehydration that makes them feel unwell).

Overall, if he only ate the contents and not the bone, we likely have nausea secondary to gastroenteritis or a possible pancreatitis. Therefore, we’d want to start supportive care to try to settle his stomach. Though 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, determine which is present, and start 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 5 months ago.
Hi,

I'm just following up on our conversation about your pet. How is everything going?

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