Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!
It is concerning that he has possibly developed an infection or he could be having a delayed reaction to the antibiotics or anti inflammatories (especially if he is still on them)
First, please remove even the water. If there is continued actively vomiting we want to minimize anything orally to stop the nausea and abdominal cramping resulting in vomiting. I know the thought is he needs to drink to maintain hydration but if he is actively vomiting even water he is becoming more dehydrated with water intake. Second the trembling is often related to pain, whether it be gi, orthopedic, or abdominal it is concerning today especially with the mild fever
If there is no improvement then please consider having your dog seen by a veterinarian sooner rather than later. They can give injectable medications to bypass the intestinal tract and hopefully get the nausea under control. Please retake that temperature every few hours tonight to ensure it is not climbing above 103.5
1- Keep indoors to avoid eating grass/ leaves for 6-8 hours from last vomiting episode or until this evening if he hasn't vomited since yesterday
2- Offer a small amount of water (1-2 teaspoons hourly) for a few hours this evening to test his stomach
3- Start Pepcid (famotidine) 0.25 mg/ pound every 12 hours OR prilosec (omeprazole) 0.5 mg/ pound daily for the next 3 days with the second administration of water (crushed if needed)
4-If no vomiting, offer small amount of white rice and boiled boneless or ground chicken or ground beef. For example, one tablespoon hourly for a few hours then slowly start to increase the amount while reducing the frequency. Keep on this diet for several days then wean into regular diet.
5- If vomiting continues after doing the above, I would encourage having your family veterinarian perform an examination to determine the next step to getting him comfortable and what exactly the underlying cause is.
Indications your dog should be seen by a veterinary er sooner include: sticky gums that are pale, yellow, blue, purple, temperature rectally >103.5, progressive lethargy with less responsiveness to you, vomiting or diarrhea that includes blood, resting respiratory rate (breaths per minute) >60, swollen abdomen.
Please let me know if I can be of any further assistance to you both today. I hope he is feeling better soon...
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