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Dr. B.
Dr. B., Veterinarian
Category: Dog
Satisfied Customers: 16158
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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My dog has been throwing up all night. i don't know if she

Customer Question

my dog has been throwing up all night. i don't know if she ate anything because when i got home i was told that she been vomiting around 4 in the after noon and been throwing up all night since then. when she throw ups last night i found a small clot of blood twice but haven't seen it again but even now she still throwing up. i she still responsive and i believe tired since we been up all night
JA: I'm sorry to hear that. This sounds like it might be serious. I'll let the veterinarian know what's going on ASAP. Is there anything else the veterinarian should be aware of about your dog?
Customer: she 9 years old
Submitted: 27 days ago.
Category: Dog
Expert:  Dr. B. replied 27 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)?

Any diarrhea?

Customer: replied 27 days ago.
the vomit looks foamy, and pale yellow. i can really tell much with her gum because her gums are slightly dark but it doesn't feel dry to me. when i press on he belly is does feel a little tense. there is a possibility that she ate something i wasn't a home when she started getting sick my mother how was at the house told me that she started heaving and then she vomited. she hasn't stop since last night
Customer: replied 27 days ago.
i haven't removed her water should i remove it
Expert:  Dr. B. replied 27 days ago.

Thank you,

First, if there is a chance she could have eaten something harmful and she has belly discomfort, we need to tread with care. Of couse, we can see all of these signs related to bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, or general dietary indiscretion.

With this all in mind, if she is continuously vomiting and cannot keep water down at all, we may need to remove water and offer it as sips for the next few hours. If we can get her a bit more settled, then 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). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. 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, 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. If you think she has gotten into something toxic, we'd want her seen now. If that isn't likely, we can try the above for her to see if we can soothe her stomach. Of course, 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, fluids, +/- antibiotics to get her back feeling like herself.

Please take care,

Dr. B.

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Expert:  Dr. B. replied 24 days ago.
Hi,

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

Dr. B.