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. Gary Your Own Question
Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 19595
Experience:  DVM, Emergency Veterinarian, BS (Physiology)
15010675
Type Your Dog Veterinary Question Here...
Dr. Gary is online now
A new question is answered every 9 seconds

Having dark coloured vomiting with mucous in it. Having

Customer Question

Having dark brown coloured vomiting with mucous in it. Having cough. Some vimitus appears to have blood clot in it.
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the dog eat anything unusual?
Customer: No.. He is having this problem for a while
JA: What is the dog's name and age?
Customer: Kutti and Age : 7 years Male Labrador . Having this problem for last 3-4 months
JA: Is there anything else important you think the Veterinarian should know about Kutti?
Customer: Shown to local vets...lots of studies done...no diagnosis yet
Submitted: 6 months ago.
Category: Dog Veterinary
Customer: replied 6 months ago.
I want to add photos of his vomitus ...how to do it?
Customer: replied 6 months ago.
Want to add that this problem is for about 1 years.
Customer: replied 6 months ago.
Just added a photo of his vomit material for your review.
Expert:  Dr. Gary replied 6 months ago.

Hello. Thanks for the question.

The occasional vomiting can be due to gastric reflux or IBD (inflammatory bowel disease). The coughing is more worrisome. Coughing up brown fluid is often a sign of pneumonia or bronchitis or cancer in the lungs. I would get some chest x-rays to make sure the lungs are clear.

If the problem of occasional nausea has been going on a while, you could try adding an antacid in the evenings or morning or both. I usually go with Famotidine (Pepcid). You can give 20 mg 1-2 times daily.

If the antacid doesn't help and the lungs are clear, I would get intestinal biopsies to rule out IBD. From there, dietary management with a hypoallergenic diet and often times immuno-suppressant steroids can help with the signs.

I hope this helps, let me know if you have any other questions.

Customer: replied 6 months ago.
Chest X-ray is already done ...it showed mild cardiomegaly (mild enlargement of heart)..otherwise it is Ok . I have also added photos of recent vomit material for your review..some local vets told that it could be PANCREATITIS ...some told it's due to HEART-Worm...what's your opinion?
Customer: replied 6 months ago.
Added the recent prescription given for your perusal. Please let me know your comments.
Customer: replied 6 months ago.
Added Laboratory reports done as per advise including Hematology report, Liver function tests ,Thyroid tests, Serum urea, creatinine and Plasma glucose
Expert:  Dr. Gary replied 6 months ago.

That bloodwork looks pretty normal.

I would wonder if that vomiting is from one of a few things:

Gastric reflux

Food allergy

IBD

GI ulcers

GI tumor (less likely given the time frame)

I really think I would start with a hypoallergenic diet and Pepcid daily. A diet of Hill's Z/D or Purina HA are the two more common hypoallergenic diets. If that doesn't resolve the signs over 2-4 months, then I would do biopsies/ scoping of the gut at that time.

Customer: replied 6 months ago.
What's the reason often he is having a hacking cough...which is often followed by some vomitus material . What's your opinion about the vomitus?
Expert:  Dr. Gary replied 6 months ago.

If there is heart enlargement, that in itself can lead to coughing as the heart presses on the smaller bronchi of the lungs.

Expert:  Dr. Gary replied 6 months ago.

That vomitus looks like fluid with some digested blood in it giving it that dark look.

Customer: replied 6 months ago.
in context of heart-enlargement...what's your next advice?
Expert:  Dr. Gary replied 6 months ago.

I recommend x-rays of the chest every 6-12 months to monitor for size enlargement that is worsening. Once clinical and having respiratory signs, I send them to a cardiologist for an Echo (ultrasound of the heart). That gives us a better idea of the heart function and a prognosis going forward.

Expert:  Dr. Gary replied 6 months ago.
Hi,

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

Dr. Gary