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Dr. B.
Dr. B., Veterinarian
Category: Dog
Satisfied Customers: 16236
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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He has diarrhea and not eating but is drinking, Ruben and 8

Customer Question

He has diarrhea and not eating but is drinking
JA: I'm sorry to hear that. What is the dog's name and age?
Customer: Ruben and 8 months
JA: Is there anything else important you think the Veterinarian should know about Ruben?
Customer: He isn't acting like himself
Submitted: 1 month ago.
Category: Dog
Expert:  Dr. B. replied 1 month ago.

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

How long has he been showing signs?

Any retching, gagging, lip licking, drooling, or vomiting?

What does the diarrhea look like? Any blood?

Are his gums nice and pink (not white/pale)? Moist or sticky?

If you press on his belly, does he have any tensing, tenderness, discomfort, or pain?

Could he have eaten anything he should not have (ie bones, toys, plants, chemicals, human meds, etc)?

Customer: replied 1 month ago.
drooling and some vomiting no blood and yes he could have eaten something he's a puppy always chewing on stuff
Customer: replied 1 month ago.
Gums are pink not pale
Expert:  Dr. B. replied 1 month ago.

Thank you,

First, with Ruben being so young and prone to chewing this, we do need to tread with care. That said, I am glad to see that his gums are normal and hopefully that belly isn't sore either. Now in regards ***** ***** for upper and lower GI upset as we have here, we'd have to be wary of 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, since he can keep water down, we can try some home supportive care to try to settle his stomach. To start, if he hasn’t just vomited (since otherwise we’d need to rest his stomach for a few hours first), then you can consider treating him with an antacid. Common OTC pet safe options would be 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 double check with your vet if he has a known health issues or is on any medications you haven't mentioned. Though I'd note that if you give this and he cannot keep it down due to nausea that is usually a red flag that we need to bypass his mouth with injectable anti-vomiting medication from his vet.

Once that has had time to absorb and he is steadier on his stomach, you can try tempting him on a light/easily digestible diet. Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, or scrambled eggs (made with water and not milk). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. 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 continuing this until the signs are settled, and then weaning him slowly back to his normal diet.

Since dehydration is a risk for a pup with these signs, we need to keep an eye on his hydration. To check this and ensure he’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure his eyes are not looking sunken and that he 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 him seen before this becomes an additional issue for him (especially as it is often dehydration that makes them feel unwell).

Finally, as long since there is no blood in those stools, you can consider trying a pet safe anti-diarrheal. As I am sure you appreciate, these would not be a cure for infectious issues; but it can still be of benefit. It will reduce diarrhea load, allow the body to absorb more water/nutrients, and soothe the upset gut. In regards ***** ***** options, the one we most commonly use is Kaolin/Kaopectate (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/kaolin-and-pectin-kapectolin-k-p)). This is available OTC at most pharmacies. Otherwise, Propectalin, Canikur, Fast Balance, and Protexin Pro-Fiber (all OTC at vets, pet stores, and even Amazon) would be another option. All will slow diarrhea and those last ones have the added bonus of providing support to the delicate good GI bacteria. So, these can be used as a short-term means of soothing his upset GI.

Overall, there are a wide range of agents could trigger this GI upset we are seeing Ruben. I suspect his appetite loss is due to the same nausea that caused him to v Therefore, we’d want to start supportive care to settle his stomach. If he 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 his vet involved. They can assess his hydration, rule out fever, make sure there is nothing in his stomach that shouldn't be there or any sinister viruses present. Depending on their findings, his vet can treat him with injectable anti-vomiting medication +/- antibiotics to settle his stomach, and get him back feeling like himself.

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 1 month ago.
No tenderness to the stomache but he's very depressed looking I'm very worried but he is keeping water down
Customer: replied 1 month ago.
When he does have diarrhea he stays there for a while with nothing coming out after he has gone
Customer: replied 1 month ago.
I noticed he seems a bit mucous
Customer: replied 1 month ago.
he is having stringy drool
Expert:  Dr. B. replied 1 month ago.

Hi again,

I am glad to hear that he doesn't have belly pain but I do share you concerns about how depressed he is. This is common if they are suffering with upper and lower but signs. As well, the straining and mucus are typical of colon irritation from diarrhea. So, we'd want to use the above but if he doesn't settle, then a check with his vet would be best.

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 1 month ago.
Would zegred be ok
Expert:  Dr. B. replied 1 month ago.

Hi again,

Zegerid (Omeprazole) can be used for nausea. We usually give this as a once daily dose of 0.25-.5mg per pound of their weight. So, that too is an option here.

Kind regards,

Dr. B.

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If you have any other questions, please ask me – I’ll be happy to respond. **Afterwards, please 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!: )

Expert:  Dr. B. replied 1 month ago.
Hi,

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

Dr. B.