Welcome! My name isXXXXX am a UC Davis graduate, and currently, a Medical Director of a veterinary hospital.
I am sorry to hear about this concern for Noodle.
Well, anytime there is the suggestion of blood in the vomit, then absolutely, I would be suspicious for a ulcer present.
The licking lips again certainly would also support nausea.
The problem is that with repetitive vomiting episodes I also start to get nervous about pancreatitis as well.
Vomiting causes can 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
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, which should be divided into two or three doses. So, if a pet weighs 30 pounds, they would get a total of 30ml a day divided. This is dosing for regular strength Pepto-Bismol. If you use maximum strength liquid, give half as much.
Vets will often start a medication called carafate (sucralfate) to help esophagus or stomach ulcers. The medication binds to the ulcer to help it heal.
But, whether you see evidence of an ulcer or not is not relevant, since repeat vomiting is enough of a concern.
Here is a bland diet recommendation:
Boiled boneless, skinless chicken breast OR low-fat cottage cheese
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 includingScience 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.
Please let me know if there is anything I did not cover for you. I hope that information has been helpful.
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