Thank you, Shannon.
First, I am glad to hear that her gums are still pink, but generally speaking here we are going to have to tread with great care. The reason, as I am sure you can appreciate, is that this severity of nausea will greatly limit what you can do at home for her. Therefore, if she has just vomited again, we are going to either need to rest her stomach
by withholding food for the next few hours or may need to think about having your local vet treat her with injectable anti-vomiting medication to bypass her mouth/stomach and get her settled quickly. And I have to say that the latter is our treatment of choice in dogs too nauseous to even keep water down.
Of course, if you did want to try home care at this stage (if her vet isn't open just now), you can again rest her stomach. If she is more settled after a few hours fast, then you can then try her on antacid therapy. There are a number of antacids that are available over the counter and pet friendly. I would advise only treating with one, but the two I tend to recommend are Pepcid (http://www.petplace.com/drug-library/famotidine
-pepcid/page1.aspx) or Zantac (http://www.petplace.com/drug-library/ranitidine-hcl-zantac/page1.aspx). This medication of course shouldn’t be given without consulting your vet if she does have any pre-existing conditions or is on any other medications. Ideally, it should be given about 30 minutes before food to ease her upset stomach
If she does manage to keep that down and is more settled afterwards, then we'd want to start her oh a light/easily digestible diet. Examples of this would be rice boiled chicken
, scrambled eggs
(made with water and not milk), meat baby food (do avoid the ones with garlic powder in the ingredients) or there are also veterinary prescription diets that can be used here (ie Hill’s I/D or Royal Canin’s sensitivity.) These are all better tolerated by upset stomachs and are easy to digest. When feeding
these to nauseous dogs, we tend to start with a spoonful and then offer more only if they can keep the last bit down for at least 30 minutes. As they stabilize, we can of course offer more and then wean them slowly back to normal food once they are settled.
On top off all of this, you do need to keep an eye
on her water intake and hydration if she is vomiting this much. To check her hydration status to make sure she is not becoming dehydrated there are a few things we can test at home. One is whether the eyes appear sunken, if the gums are tacky instead of wet/moist, and whether she has a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a wee video on this here. (http://m.youtube.com/watch?v=giTyuiF_slw). If you are seeing any signs of dehydration already, then you do want to have your wee one seen by her vet before this gets out of control for her (especially as we cannot syringe fluids in vomiting dogs).
Overall, I am quite concerned about Maggie. The blood just sounds related to throat irritation/erosion from the force of her vomits (which will settle as the vomiting does), but her severity really limits how we can help her and raises real worries of potential dehydration. Therefore, we'd want to rest her stomach right now and try the above if she can tolerate it. But if she cannot even keep that down, then that would be a red flag that we need her local vet to administer anti-vomiting medication by injection to break her nausea cycle and give her a chance to settle and us a chance to clear the cause of her GI upset for her.
Please take care,