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Explosive diarrhea followed by yellow vomit, once cleared he…

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explosive diarrhea followed by yellow...
explosive diarrhea followed by yellow vomit, once cleared he is good for a couple hours until it builds again. 2nd day of this and he is a medium breed
Submitted: 2 years ago.Category: Dog Veterinary
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2/25/2016
Dog Veterinarian: Dr. B., Veterinarian replied 2 years ago
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 22,821
Experience: Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
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Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

What does the diarrhea look like? Any blood?

Can he keep water down?

Are his gums pink or pale/white? Moist or sticky?

If you press on his belly, does he have any discomfort, tenderness, or tensing?

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

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Customer reply replied 2 years ago
it is watery with bits of poup but there is no blood. he is drinking but seems to hold it down for a while. But he is throwing it up. his gums are normal and moist. i know he is in discomfort because he is tensing his belly when he breaths
Dog Veterinarian: Dr. B., Veterinarian replied 2 years ago

Thank you,

First, I am glad to hear that those gums are pink/moist but if that belly is sore, then we do need to tread with care. This could just be related to a severe gastroenteritis or pancreatitis; but with sore bellies we do always have to be wary of ingestion of harmful items (ie toxins, plants, non-edible items).

Now hopefully that is less likely for your lad. And since he can keep water down for a wee bit, there are some supportive care options we can try just now to try to sooth his stomach. To start, if he hasn’t just vomited (since otherwise we’d need to rest his stomach for a few hours first), then you can consider treating him with an antacid. Common OTC pet safe options would be Pepcid, (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid), Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac), and Tagamet (More Info/Dose Here @ http://www.petplace.com/article/drug-library/library/over-the-counter/cimetidine-hcl-tagamet). Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. Of course, do double check with your vet if he has a known health issues or is on any medications you haven't mentioned. Though I’d note that if we try this and he can’t keep it down, then that would be a red flag that we need to bypass his mouth with injectable anti-vomiting medication from his vet.

If he can and steadies, we can then plan to start him on a light/easily digestible diet. Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, or scrambled eggs (made with water and not milk). 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 and diarrhea load for him to pass. As long as improvement is being seen, I usually advise continuing this until the signs are settled, and then weaning him slowly back to his normal diet.

Since dehydration is a risk with both upper and lower GI signs at the same time, we need to keep an eye on his hydration. To check this and ensure he’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure his eyes are not looking sunken and that he doesn’t have a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you are seeing any signs of dehydration already, then that would be our cue to have him seen before this becomes an additional issue for him (especially as it is often dehydration that makes them feel unwell).

Finally, since we’ve not had blood in those stools, you can consider trying a pet safe anti-diarrheal. As I am sure you appreciate, these would not be a cure for infectious issues; but it can still be of benefit. It will reduce diarrhea load, allow the body to absorb more water/nutrients, and soothe the upset gut. In regards ***** ***** options, the one we most commonly use is Kaolin/Kaopectate (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/kaolin-and-pectin-kapectolin-k-p)). This is available OTC at most pharmacies. Otherwise, Propectalin, Canikur, Fast Balance, and Protexin Pro-Fiber (which is available OTC at vets, pet stores, and even Amazon) would be another option. All will slow diarrhea and those last ones have the added bonus of providing support to the delicate good GI bacteria. So, these can be used as a short-term means of soothing his upset GI.

Overall, there are a number of issues that could be triggering the signs we are seeing with your lad. Therefore, in his case, we’d want to start supportive care to settle his stomach. Though if you suspect a harmful ingestion, he is very sore, cannot keep the above or water down, or doesn’t respond to the above within 12-24 hours; then we'd want to get his vet involved. They can assess his hydration, rule out fever, make sure there is nothing in his stomach that shouldn't be there or any sinister viruses present. Depending on their findings, his vet can treat him with injectable anti-vomiting medication, gut safe pain relief, +/- antibiotics to settle his stomach, and get him back feeling like himself.

Please take care,

Dr. B.

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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, as this is the only way I receive credit for helping you today. Thank you! : )

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Customer reply replied 2 years ago
Thank You Doctor
Dog Veterinarian: Dr. B., Veterinarian replied 2 years ago

You are very welcome,

I am glad I could give you a plan of action for you lad and hopefully we can soothe that poor upset gut.

Best wishes to you both,

Dr. B.

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

*Please make sure to rate my service once you have all the information you need, as this is the only way I receive credit for helping you today. Thank you! : )

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Dog Veterinarian: Dr. B., Veterinarian replied 2 years ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
nekovet
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