my 6 yr old shih tzu threw up 4 hours after she ate, and then again two hours later, then hour later she pooped, was soft, not quite diarhea, then right after that she threw up some more but is was yellow bile, I believe she has nothing left in her... not sure what to do now?
Pet's Gender: Female
Pet's Age: 6
Type of Animal: Shih Tzu
Name of Animal: Millie
left water down for her, and tried holding her and wiping her face and mouth with a cool wet, washcloth
Hi,I'm sorry to hear that Millie's having this vomiting. Why is she having the vomiting could be due to a couple different reasons. It could be due to her having eaten something that is just not sitting well - ate some table scraps, got into the garbage, found something in the yard, new food, etc. It could also be due to something being stuck - a foreign body such as a sock, rock, stick, piece of plastic, etc. It could be due to pancreatitis. It could be due to other metabolic issues such as kidney, liver or adrenal issues. Being able to tell what of these it is due to requires a physical exam, x-rays, and some blood work. At this time, I would recommend having her seen as soon as possible to determine what is going on and how best she can be treated.If a veterinary visit isn't possible here today / tonight, I'd pull up food and water from her for 10 hours. This literally means nothing - no treats, no food, no sips of water, nothing. Be sure to close toilet lids, pick up other pets water bowls, and monitor if goes outside so nothing can be ate or drank out there. The goal here is to let the stomach rest. If anything is ate or drank during this time, it has a very good chance of upsetting the stomach more. After we get past this time frame of having nothing, then we can start to allow access to water making sure not too much is drank at once. This is done by giving 1/8 cup to 1/4 cup of water every 20 minutes for 1 hour. If no vomiting occurs with this, then after one hour of having the water available, you can start to offer bland food. The bland foods that you can prepare at home pretty easily are boiled hamburger / skinless chicken breast and white rice mixtures. This is prepared by mixing 3/4 cup white rice and 1/4 cup of the boiled hamburger or skinless chicken. You can then give 1 cup of this combination per 20 pounds every 8 to 12 hours. I would over the next couple days then progressively get her back onto her regular food. The huge hurdle for her to get over is the vomiting. If this continues, if she gets very weak, if she has obvious abdominal pain, or is not starting to eat and drink after 24 hours - she absolutely needs a veterinary exam. She at that point hasn't responded to at home care and needs a physical exam and testing to see what further therapy is needed. I hope this helps!!
12 years of experience in emergency, surgery and medicine