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Dr. Matt... Our dog fig has been vomiting since last night.

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He is now just dry...
Dr. Matt... Our dog fig has been vomiting since last night. He is now just dry heaving it seems. He seemed to have no trouble eating... He also has diarrhea. Should we go to a vet at this point?
Submitted: 1 year ago.Category: Dog Veterinary
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4/29/2016
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 22,034
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, I am afraid that the expert you have requested is not currently available. Still I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today. What does his vomit and diarrhea look like?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 1 year ago
Hi
His gums are dark red near his teeth and pink above. They are moist. His vomit was yellowish and foamy. He has been drinking water but now is dry heaving on and off. When I press on his belly he's ok. I saw him eating grass on his walks
Customer reply replied 1 year ago
His stool was watery
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago
Thank you, ***** ***** am glad to hear that he has a comfortable belly; though Fig's grass eating is a significant nausea sign on top of his vomiting and heaving. As well, to see diarrhea too suggests that we have an ongoing issue that is irritating the stomach and intestines. Therefore, common causes we need to consider include bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, and ingestion of harmful items (hopefully less likely for him). With this all in mind, as long as he can keep water down, we can try some home supportive care to try to settle 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), or 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 you give this and he cannot keep it down due to nausea that is usually a red flag that we need to bypass his mouth with injectable anti-vomiting medication from his vet. Though if we can get his stomach a bit steadier and stop his heaving, we can then try him with small meals of 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. 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 here, 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, as long as there is no 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, a wide range of agents could trigger the upper and lower GI upset we are seeing with Fig. Therefore, in his case, we’d want to start supportive care to settle his stomach. If he cannot keep that or water down at any point, appears dehydrated already, 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, test a stool sample, 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, fluids, +/- antibiotics to settle his stomach, and get him back feeling like himself. Please take care,Dr. B. -----------------------------------------------------------------------------------------------------------------If you have any other questions, please ask me – I’ll be happy to respond. **Afterwards, I would be grateful if you would rate my service by clicking on the "Rate my Expert' button at the top of the page as this is the only way I am credited for helping you. Thank you for your feedback!: )
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Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago
Hi Gene,

I'm just following up on our conversation about Fig. How is everything going?

nekovet
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