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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16269
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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About 4 hours ago out 8 year old Black Lab started throwing

Customer Question

About 4 hours ago out 8 year old Black Lab started throwing up. It is white with chunks of dog food from last night and is very slimy. She has thrown up 5 times in 4 hours. Won't eat her food yet.
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the dog eat anything unusual?
Customer: The only thing I can think of was a very small peace of chicken (about 1 bite for a human). Other than that it was just her dog food.
JA: What is the dog's name?
Customer: Remi
JA: Is there anything else important you think the Veterinarian should know about Remi?
Customer: She has a slight skin problem and itches sometimes. Since we have had her (8 years) she has only stopped eating 2 other times but our vet said it might be because of the itching.
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.

Can she keep water down?

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

If you press on her belly, does she have any discomfort, tenderness, or tensing?

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

Has she had any diarrhea?

Customer: replied 5 months ago.
No diarrhea. Gums are pink and moist. No discomfort. I have not been able to get her to drink any water since this started. It is possible she ate something it the yard late last night when we let her out. This morning she pooped twice and peed once. All looked fine.
Customer: replied 5 months ago.
Here is a pic of it
Expert:  Dr. B. replied 5 months ago.

Thank you,

First, I am glad to hear that Remi has normal gums and is comfortable; as these make our more urgent concerns less likely here. As well, her vomit isn pretty standard and there are no signs of gut bleeds or anything sinister there. So, in her case, we'd be more concerned that her nausea is secondary to a bacterial or viral gastroenteritis, pancreatitis, secondary to metabolic or organ issues (though less likely as this was sudden in onset), general dietary indiscretions, and ingestion of harmful items (ie toxins, plants, non-edible items).

With this all in mind, if she hasn’t just vomited (since otherwise we’d need to rest her stomach for a few hours first), then you can consider treating her with an antacid. Common pet safe OTC ones we can use include 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 check with her vet before use if she has any known health issues or is on any medications you didn’t mention. Though if you try this and find her nausea too severe to keep it down, then that is usually a red flag that we need her vet to bypass her mouth with injectable anti-vomiting medication.

Once that has had time to absorb and she is steadier on her stomach, you can consider starting her on a light/easily digestible diet. Start with a small volume (a spoonful). Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. When you offer that spoonful, give her 30 minutes to settle. If she keeps the food down, you can give a bit more and so on. As her stomach stabilizes, you can offer more. 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 that the diet be continued until her signs are settled, and that they are then slowly weaned back to their normal diet.

Since dehydration is a risk for Remi, we need to keep an eye on her hydration. To check this and ensure she’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure her eyes are not looking sunken and that she 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 her seen before this becomes an additional issue for her (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 her case, we’d want to start supportive care to settle her stomach. If she 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 her vet involved. They can assess her hydration, rule out fever, make sure there is nothing in her stomach that shouldn't be there or any sinister viruses present. Depending on their findings, her vet can treat her with injectable anti-vomiting medication +/- antibiotics to settle her stomach, and get her back feeling like herself.

Please take care,

Dr. B.

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Expert:  Dr. B. replied 4 months ago.

Hello again,

How is everything going with your wee one?

Dr. B.