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Dr. Andy
Dr. Andy, Medical Director
Category: Dog
Satisfied Customers: 29992
Experience:  UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management
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My 8 year old German Shepherd bitch has an upset stomach which

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My 8 year old German Shepherd bitch has an upset stomach which she gets on a regular basis every 6 to 8 weeks. It starts with diarrhoea and then if I feed her she is sick bringing up the food in a yellow liquid. Usually I starve her for 24 hours then give her rice, but this time I gave her too much too soon so it started all over again. Today I gave her a tablespoon of white rice and within an hour she had eaten grass and brought it back up. She is starving at the moment, is there anything I can give her?
Welcome! My name isXXXXX am a 2003 graduate from UC Davis, and currently a Medical Director of a veterinary hospital.

I am sorry to hear about this concern for Ebony.
I would think very carefully to any changes in diet, human food given, or new treats about 48 hours before any of this started, just in case there is something is getting every so often that is making her sick.

My primary concerns for causes include:
- Dietary indiscretion (eating something you do not know about)
- Stomach or intestinal foreign body
- Something that was given to them (new food, new treat, human food)
- Intestinal parasitism (not just the worms, but the microscopic bugs like Giardia and Coccidia). They can cause vomiting also, not just diarrhea
- Toxin exposure would be less likely, unless you have reason to suspect exposure to a chemical.
- Less commonly, endocrine diseases like Addison’s
- Generally, in older pets, I am also concerned about organ disease (liver, kidneys) and cancer.

To help settle the stomach you can use of the following, but not as a replacement for veterinary examination include
1.Pepcid A.C. (famotidine) comes in 10mg, 20mg, or 40mg tablets.
You can give it every 12 hours. You can give 0.5mg per pound of body weight. So, a 20 pound dog would get 10mg.
2.Prilosec (omeprazole). It comes in 10mg or 20mg tablets.
You can give in every 24 hours. You give 0.5mg per pound of body weight. So, a 20 pound dog would get 10mg
3.Zantac (Ranitidne). It comes in 75mg, 150mg, or 300mg sizes.
You can give it every 8 to 12 hours. You give 0.25 to 1mg per pound of body weight. So, a 20 pound dog would get roughly 1/3 tablet of the 75mg. Even with bigger pets, it is easiest to get the smallest size tablet. Even a 75 pound dog would only need one 75mg tablet.
4.Pepto-Bismol or Kaopectate
You can give it every 8 hours. The average dose is 1ml per pound of body weight, and that is the TOTAL dose for the day.So, if a pet weighs 30 pounds, they would get a total of 30ml a day or 10ml every 8 hours. This is dosing for regular strength Pepto-Bismol. If you use maximum strength liquid, give half as much.

Pepto is the only one above that can also help some diarrhea a bit.

I would give one of the above at least a few hours before offering any food.
Bland Diet:
Although a veterinary examination is always going to be recommended, especially with vomiting episodes and/or diarrhea, here is a bland diet recommendation:
Boiled boneless, skinless chicken breast OR low-fat cottage cheese
And
Cooked white rice
*Never add on salt, pepper, oils, butter to any of the above
*Ideally, give 1/3 chicken or cottage cheese, and 2/3 white rice
Veterinarians will often prescribe some prescription bland diets as an easy alternative including
Science Diet I/D
*It is important to remember that if improving on a bland diet or prescription food like I/D, when you transition back to the old diet, do so gradually over 3-5 days.

I hope that information has been helpful.
Please remember to select Reply to Expert, if for any reason you need further clarification, have more questions, or were expecting a different type of answer. Prior to leaving a feedback rating, which I greatly appreciate so I am recognized by Justanswer for responding, my goal is to provide you the best answer possible.
Dr. Andy

Customer: replied 3 years ago.

Would any of the causes you have listed, go away for 6 - 8 weeks and then come back again, as this is a regular occurence?

Hi Barbara,
Yes, it is certainly possible. Issues like endocrine problems can come and go, intermittent dietary indiscretions, and even intestinal parasites like giardia or coccidia can issues every few weeks.

Hope that additional information helps. Definitely, reply to me if there is any other way I may assist you. I hope my responses have been satisfactory?
Dr. Andy
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