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With this degree of vomiting, lethargy, concern for dehydration, and overall illness - if you are able to see the veterinarian, that would be best - as an x-ray can make us feel much better - noting that this would not be a blockage - and then if not a blockage - we can feel much better about treating stomach upset (gastritis or a gastroenteritis) - which can be from eating new treats / people food.

Sometimes in these cases, even if the cause is just an upset stomach from the Pecan Sandies, it is hard to give them medications by mouth as they can vomit that back up before it has a chance to be absorbed and work.

For this reason, if the vomiting continues, sometimes even a short veterinary visit, subcutaneous fluids for hydration and injections for nausea can be enough to stop the cycle of vomiting, help them feel better, and then give you a chance to continue oral medications at home and supportive care to help resolve the issue.

In general, when this happens, for an upset stomach - considerations would include:

1) Removing food for 12-24 hours to give the gastrointestinal tract a chance to rest.

If the vomiting stops - considerations would then be:

1) One option would be a veterinary prescription bland diet called Hill’s I/D (LINK HERE).

The second option would be a home-cooked bland diet. A common bland diet is boiled white rice and either boiled white meat chicken or boiled hamburger. Whichever protein source is chosen (chicken or hamburger) it is recommended to offer a mixture of 2/3 rice and 1/3 of the protein source.

If the diet is tolerated, and once clinical improvement is seen, it is recommended to SLOWLY transition back to the normal diet.

When you start to transition to the normal diet, you can initially offer a food mixture with the majority being the boiled rice and meat and have a small amount of normal dog food mixed in.

Each day you can gradually decrease the amount of rice and meat and gradually increase the amount of normal dog food in the mixture.

We recommend a slow transition over 3-5 days to reduce possible stomach upset.

2) Antacids for stomach upset (often one is chosen of the 3 choices below):
- Famotidine (Pepcid A/C) - LINK HERE (The typical dose administered is 0.25 to 0.5 mg per pound (0.5 to 1.0 mg/kg) every 12 to 24 hours.)
- Prilosec OTC (Omeprazole) - LINK HERE (The typical dose administered to animals is 0.25 to 0.5 mg per pound (0.5 to 1.0 mg/kg), every 24 hours or once daily.)
- Rantididine (Zantac) - LINK HERE (The typical dose administered to animals is 0.25 to 1 mg per pound (0.5 to 2 mg/kg), every 8 to 12 hours.)

3) Pedialyte for hydration - LINK HERE

4) Medications for nausea
- Cerenia (LINK HERE)
- Zofran (LINK HERE)

5) Probiotics can also be considered - LINK HERE or LINK HERE

But in cases similar to this, the concern is vomiting that continues at any time.

Other considerations / concerns include loss of appetite, lethargy, signs of discomfort - or blood in the stool - those would be indications where veterinary evaluation is warranted.

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