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Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!
I am so sorry your Golden is suddenly having gi changes. I imagine a fecal evaluation was done as well and that is why the antibiotics were chosen to put her on?My inclination when I have a dog that responds to medications but then relapses is to do a longer course of the antibiotic. I often will do a fecal evaluation the day of the appointment and then on the last day of antibiotics to ensure what I am seeing (clostridia, giardia, spirochetes are what we will treat with metronidazole) has completely resolved before stopping the antibiotics. If I still see evidence of change I will continue the antibiotics for a longer course versus if the fecal is clear. This will minimize the situation that your Golden is currently experiencing.I would also advise a broad spectrum dewormer as a precaution and if there is no change abdominal x-rays +/- ultrasound to evaluate the intestinal tract for any abnormalities (ultrasound is going to be detailed in looking at intestinal wall thickness, lymph node irregularities, liver/ kidney/ spleen morphology to name a few) but is also more pricey and done by a specialist.I also would discuss getting her on a veterinary probiotic to help her normal flora of the intestinal tract be able to fight whatever is going on more naturally and minimize the gi upset of the antibiotics themselves.Lastly, getting started on an antacid for a 2-4 week period to reduce gi acid buildup, another cause for vomiting in some dogs. Dose is 0.25 mg/pound of pepcid (famotidine) every 12 hours or 0.5 mg/ pound every 24 hours of prilosec (omeprazole), both over the counter antacids.I hope this information makes sense but please let me know how else I can assist you both today!
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