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Our dog has thrown up a thick white substance with chunks about…

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Our dog has thrown up...
Our dog has thrown up a thick white substance with chunks about 5 times through the day today. Should we take him to the emergency vet? he is cheerful still but not much of an appetite and has pooped and peed normally
Submitted: 3 years ago.Category: Dog Veterinary
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Answered in 58 minutes by:
5/28/2015
Dog Veterinarian: Dr. Kara, Veterinarian replied 3 years ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,988
Experience: Over 20 years of experience as a veterinarian.
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Hello, my name is***** and I have over 20 years of experience as a veterinarian. I am very sorry to hear about Bruno's vomiting.
Vomiting/retching in a younger dog can be from several causes. Common ones are a quick change in diet, too many treats, especially fatty or spicy treats, eatings things they should not such as things found in the yard, toy pieces or garbage, viral or bacterial or parasitic infections. 
More serious causes include pancreatitis, esophageal reflux, a dietary allergy or sensitivity, inflammatory bowel disease, internal organ failure (kidney or liver disease), a full or partial gastrointestinal obstruction or even infiltrative cancers such as lymphoma (not likely at his young age).
At this point we can try some things at home but he may need to see a veterinarian if he isn't coming along well. Start by taking away his food and water.
To try and settle his stomach now you can try either:
1) Pepcid-ac (famotidine) at a dose of one 10mg tablet per 20 to 40 pounds of body weight
every 12 hours.
 OR
2) Prilosec (omeprazole) at a dose of one 10mg tablet per 20 to 40 pounds of body weight
every 24 hours.
These will reduce stomach acid and should help if this is related to simple nausea and gastrointestinal irritation from eating something he should not have.
I would not feed him any food for 24 hours even after the acid reducers are started.
This should help stop gut spasms and restore normal gut motility.
Starting a couple hours after the acid reducers, if he isn't vomiting, small amounts of water or ice cubes given frequently are fine as he needs fluids after all that he has lost with vomiting.
You can give him pedialyte to replace electrolytes too but Gatorade is much too high in sugar which can make is intestinal irritation worse.
If things are going well after his 24 hour food fast and the acid reducers start a bland diet of 1/3 boiled, lean hamburger (or boiled, white, skinless chicken), all fats and juices drained off the meat, mixed with 2/3 boiled, plain white rice. Feed several small meals a day.
Once he feels better (no vomiting for 48 to 72 hours) start mixing in his regular dog food very slowly. Less bland more regular with each day. It should take a week or so to convert him back.
If Bruno is continuing to vomit and is feeling poorly though, especially if he isn't current on his vaccines, it would be best that he see a veterinarian now as anything you give him orally will just come back up worsening his dehydration.
If he has a tense painful abdomen, becomes very lethargic, begins vomiting again or runs a fever greater than 103.5F then he really must be seen by a veterinarian as soon as possible.
Best of luck with your little one, please let me know should you have any further questions.
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Dog Veterinarian: Dr. Kara, Veterinarian replied 3 years ago
Hi Mei-Lan,

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

Dr. Kara
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