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Hello, thanks for your question today! I am Dr. Drew, and I am a licensed veterinarian. I'll be happy to help you in any way I can.
I generally don't get terribly worried about a small degree of blood tinge to vomit,
as it's common to have some bleeding of the delicate lining of the stomach or esophagus during a vomiting episode.
I'm more likely to be concerned if the gums are pale, or of there's signs of digested blood (coffee grounds appearance) in the vomit,
as that would be more worrisome as an indicator of serious internal problems.,
For tonight, it might be worthwhile to try a dose of pepto bismol liquid,
approximately 1mL per 10 pounds body weight,
or 1 caplet (not tablet)
given every 8-12 hours as needed,
as this is a good digestive anti-inflammatory product
and is generally regarded as safe.
Right, that's what I was thinking, too, about the blood.
will she eat pepto liquid straight from a spoon? or is it easier to give the caplet?
no, she will not take it from a spoon, you need to use a syringe,
or make her swallow a caplet,
another option is Pepcid-AC or Zantac,
either is safe and effective as an acid blocker to help improve stomach comfort.
ok. at what point should I introduce food? (I have an older Chessie that doesn't always finish his food and she sometimes eats it and from the amount she vomited, I'm thinking she had a double breakfast today)
I generally wait at least 6 hours after the last episode of vomiting,
before offering a small amount of bland food such as white rice
if the vomiting persists, even with an empty stomach, then I'd be more likely to recommend seeing a veterinarian rather than attempting to offer food.
ok, so far no more vomiting. I'll grab some pepto in a few minutes. OK to wait until morning to feed her? Or is getting food in her stomach as soon as tolerable a priority?
sure, for a large dog it's no problem to wait until morning before feeding.
a tiny pup, would be a different story.
OK - great. I just checked her and she has gotten up and moved around. She seems alright.
one more thing -
in a situation like this - what would I look for to indicate an obstruction? (I keep them outside during the day, and they chew on every organic crunchy available to them and although neither has ever had a problem, I worry about it sometimes)
signs of obstruction typically would include repeated vomiting, or a failure to have appetite return after at least 6 hours from last vomiting,
we also look for abdominal pain and lethargy, though not all obstructions show those signs initially.
the most reliable feature is a persistent lack of appetite, or repeated vomiting despite fasting and supportive care.
OK - this dog spins in circles when I have a food bowl in hand so it shouldn't be hard to assess the return of her appetite. In case it doesn't return, say, by tomorrow morning, when (or for what) should I consider taking her to the vet?
i.e. right away? before dinner? etc.
I'd take her in if she's not interested in food by morning, given that it's a weekend... and many vets have limited Saturday hours.
fair enough - anything else?
I think that probably covers the main concerns in a situation like this.
if you have further concerns, feel free to let me know!
Great - I'm good for tonight. You've saved me an ER visit and I'm grateful for that - thank you. --Steven
you're very welcome -- I hope Belle feels like herself by morning!
Me too - thank again.
She's doing great. Thanks for the follow up.