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My dog is a Yorkie - I am not with her at the moment, but my

Customer Question
Customer: Hi, my dog is...
Customer: Hi, my dog is a Yorkie - I am not with her at the moment, but my mother just called me and told me she has vomited repeatedly this morning -
JA: Thanks. Can you give me any more details about your issue?
Customer: she was taken to the vet on an emergency basis on christmas morning and was diagnosed with pulmonary edema and cardiac disease - she's been on medication ever since - she was on oxygen and diuretics for approx. 3 days - she continued to take her heart and lung medication as prescribed we also regularly monitor her breathing, per dr's order, and count her breathing for a minute - so far, it has been normal according to dr's note of 35 breaths per minute or less
JA: OK got it. Last thing — JustAnswer charges a fee (generally around $19) to post your type of question to Dog Veterinary Experts (you only pay if satisfied). There are a couple customers ahead of you. Are you willing to wait a bit?
Customer: sure
JA: OK. Now I'm going to take you to a page to place a secure deposit with JustAnswer. Don't worry, this chat is saved. After that, we will finish helping you.
Submitted: 1 year ago.Category: Dog Veterinary
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Answered in 25 minutes by:
1/8/2016
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 21,663
Experience: Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
Verified

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

Did your mother mention if her breathing was stable?

How long has she been vomiting?

Has she been able to keep anything down? Water?

Can you ask your mom if her gums pink or pale/white? Moist or sticky?

Or if she presses on your wee lass's belly, does she have any discomfort, tenderness, or tensing?

Could she have eaten something she should not have (ie bones, toys, plants, chemicals, etc)?

Has she had any diarrhea?

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Customer reply replied 1 year ago
Thank you. Breathing has increased - she's panting, restless in general. At first she was drinking a lot of water - not so much now. She has vomited two more times since my initial question.
Customer reply replied 1 year ago
The vomiting has been this morning
Customer reply replied 1 year ago
No diarrhea
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago

Thank you,

If they do drink a lot that will trigger vomiting; but can she keep small sips down just now?

Did your mum mention if her gums are still as pink as normal?

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Customer reply replied 1 year ago
Gums are pink
Customer reply replied 1 year ago
She has calmed down a bit big is now licking her paws constantly and her rectum according to my mom
Customer reply replied 1 year ago
but
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago

Thank you,

First, I would note that her current signs won’t be related to her heart but we do need to address this for her as quickly as we can to ensure we avoid dehydration, general stress on the body, and are able to keep giving her heart treatments. As well, the licking behavior can be related to nausea and stress with having GI upset (some dogs even lick floors when nauseous)

With this all in mind, as long as she can keep a bit of water down, we can try some home supportive care to see if we can settle her stomach. To start, we tend to need to first rest their stomachs for a few hours. Food should be withheld and water can be offered in small sips or as ice cubes.

Once she is a bit more steady, we can try an antacid. Common pet safe OTC ones we can use include Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid) or Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac). Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. Of course, do check with her vet before use if she has any known health issues or is on any medications you didn’t mention. As well, if you try this and find her nausea too severe to keep it down, then that is usually a red flag that we need her vet to bypass her mouth with injectable anti-vomiting medication.

Still if she can keep this down and settles once it absorbs, we can then start her on a light/easily digestible diet. Start with a small volume (a spoonful). Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). When you offer that spoonful, give her 30 minutes to settle. If she keeps the food down, you can give a bit more and so on. As her stomach stabilizes, you can offer more. The aim of these diets is that they will be better tolerated/absorbed by the compromised gut. Therefore, it should get more nutrients in and result in less GI upset.

Overall, a wide range of agents could trigger the GI upset we are seeing. Common causes would be bacterial or viral gastroenteritis, pancreatitis, general dietary indiscretions, and ingestion of harmful items (hopefully less likely at her age). Therefore, at the moment, we need to tread with care. We’d want to start by resting her stomach and then taking the above steps. Of course, if she cannot keep that or water down, appears dehydrated already (sticky gums, skin tenting, sunken eyes), has paling gums, or doesn’t respond to the above within 12-24 hours; then we'd want to get her vet involved. They can assess her hydration, rule out fever, make sure there is nothing in her stomach that shouldn't be there or any sinister viruses present. Depending on their findings, her vet can treat her with injectable anti-vomiting medication +/- antibiotics to settle her stomach and get her back feeling like herself.

Please take care,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. Please remember to rate my service once you have all the information you need. Thank you! : )

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Customer reply replied 1 year ago
Thank you!!
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago

You are very welcome, my dear.

Take care,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. **Please remember to rate my service once you have all the information you need. Thank you! : )

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Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
nekovet
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