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Dr. Andy
Dr. Andy, Medical Director
Category: Veterinary
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Experience:  UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
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my dog is passing and vomiting bile. seems fine and is eating

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my dog is passing and vomiting bile. seems fine and is eating well...
Submitted: 1 year ago.
Category: Veterinary
Expert:  Dr. Andy replied 1 year ago.
Welcome! My name isXXXXX am a 2003 graduate, and currently a Medical Director of a veterinary hospital.

I am sorry to hear about this concern for Joy.
She should not be continuing to vomit at all, and it does concern me some that there was diarrhea as well.

Vomiting and diarrhea causes can include:
- Dietary indiscretion (eating something you do not know about)
- Stomach or intestinal foreign body
- Something that was given to them (new food, new treat, human food)
- Intestinal parasitism (not just the worms, but the microscopic bugs like Giardia and Coccidia). They can cause vomiting also, not just diarrhea
- Toxin exposure would be less likely, unless you have reason to suspect exposure to a chemical.
- Less commonly, endocrine diseases like Addison’s
- Generally, in older pets, I am also concerned about organ disease (liver, kidneys) and cancer.

To help settle the stomach you can use of the following, but not as a replacement for veterinary examination include
1.Pepcid A.C. (famotidine) comes in 10mg, 20mg, or 40mg tablets.
You can give it every 12 hours. You can give 0.5mg per pound of body weight. So, a 20 pound dog would get 10mg.
2.Prilosec (omeprazole). It comes in 10mg or 20mg tablets.
You can give in every 24 hours. You give 0.5mg per pound of body weight. So, a 20 pound dog would get 10mg
3.Zantac (Ranitidne). It comes in 75mg, 150mg, or 300mg sizes.
You can give it every 8 to 12 hours. You give 0.25 to 1mg per pound of body weight. So, a 20 pound dog would get roughly 1/3 tablet of the 75mg. Even with bigger pets, it is easiest to get the smallest size tablet. Even a 75 pound dog would only need one 75mg tablet.

Bland Diet:
Although a veterinary examination is always going to be recommended, especially with vomiting episodes and/or diarrhea, here is a bland diet recommendation:
Boiled boneless, skinless chicken breast OR low-fat cottage cheese
And
Cooked white rice
*Never add on salt, pepper, oils, butter to any of the above
*Ideally, give 1/3 chicken or cottage cheese, and 2/3 white rice
Veterinarians will often prescribe some prescription bland diets as an easy alternative including
Science Diet I/D
*It is important to remember that if improving on a bland diet or prescription food like I/D, when you transition back to the old diet, do so gradually over 3-5 days.

Not sure I would wait a few days. Perhaps 24-48 hours at most. If persisting, you'll want to request some basic testing like abdominal x-rays and the fecal test.

Also, ask about cerenia, a wonderful once a day anti-vomiting/anti-nausea medication. Quite effective.

Not sure what medication for diarrhea, but flagyl (metronidazole) is a good one.

I hope that information has been helpful.
Please remember to select Reply to Expert, if for any reason you need further clarification, have more questions, or were expecting a different type of answer. Prior to leaving a feedback rating, which I greatly appreciate, my goal is to provide you the best answer possible.
Dr. Andy

Dr. Andy, Medical Director
Category: Veterinary
Satisfied Customers: 28716
Experience: UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
Dr. Andy and 6 other Veterinary Specialists are ready to help you

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Dr. Andy
Dr. Andy
Veterinarian, Medical Director
2662 Satisfied Customers
UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management