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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16315
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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She has been vomiting for about 48 hrs, I haven't seen her

Customer Question

She has been vomiting for about 48 hrs
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the dog eat anything unusual?
Customer: I haven't seen her eat anything out of the ordi
JA: What is the dog's name and age?
Customer: Her name is ***** ***** is about 4 yr
JA: Is there anything else the Veterinarian should be aware of about Clowe?
Customer: Her nose is warm this morning. I did a Nutrient change yesterday. I poorer the old mutes out in the normal place. There is some pasture grass in this area but this started the day bef
Submitted: 16 days ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 16 days ago.

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

What does her vomit look like?

Can she keep water down?

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

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

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

Did you do a quick diet change or did you wean her to the new diet?

Customer: replied 16 days ago.
Her nose is cool again. I pressed around her tummy area.... no pain or discomfort she just wanted me to rub her belly
Customer: replied 16 days ago.
When her throat contracts she licks her lips. She keeps acting like she wants to commit again
Customer: replied 16 days ago.
Vomit again not commit
Expert:  Dr. B. replied 16 days ago.

Thank you,

Now nose temperature isn't really demonstrative of any clinical issues, but I am glad to hear that it may feel more normal now. Furthermore, I am particularly glad her stomach is non-painful and hopefully those gums are pink. If those are all well, we are less likely to have an urgent issue and would be most suspicious that her GI signs are due to a bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, and ingestion of harmful items (ie toxins, plants, non-edible items).

With this all in mind, as long as Clowe can keep water down, we can try some home supportive care to see if we can settle her stomach. To start, if she hasn’t just vomited (since otherwise we’d need to rest her stomach for a few hours first), then you can try 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 check with your vet before use if she has any known health issues or is on any medications you didn’t mention. As well, if you try this and find the nausea just too severe to keep it down, then that is usually a red flag that we need the local vet to bypass her mouth with injectable anti-vomiting medication.

After that has had time to absorb, we can start small meals of a light/easily digestible diet. 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).When you offer these meals, give her 30 minutes after to settle. If she keeps the food down, you can give a bit more and so on. 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 with the length of time she has been vomiting, we need to keep a close 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 do find these dehydration signs, then that would be our cue to have her seen before this becomes an additional issue (especially as it is often dehydration that makes them feel unwell).

Overall, a wide range of agents could trigger the signs we are seeing for Clowe. Therefore, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down at any point, 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, your vet can treat her with injectable anti-vomiting medication +/- antibiotics to get her back feeling like herself.

Please take care,

Dr. B.

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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!: )

Customer: replied 16 days ago.
Pink reddish gums
Expert:  Dr. B. replied 16 days ago.

Good, I am glad to see that and please do read above as I have posted my fully reply just before you posted about her gums.

Kind regards,

Dr. B.

Customer: replied 16 days ago.
Thanks...
Expert:  Dr. B. replied 16 days ago.

You are very welcome, my dear.

If you struggle to see that at all and need it reposted, just let me know. :)

Take care,

Dr. B.

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If you have any other questions, please ask me – I’ll be happy to respond.

**Please rate me by clicking on the **stars** at the top of the page as this is the only way the site credits me for helping you. Thank you!: )