Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!
So sorry to hear Maeve is having this issue. It sounds like the entire gi tract is involved. Vomiting indicates upper gi (esophagus/ stomach) upset whereas the mucus in the stools indicates colonic inflammation. Unfortunately if there is an underlying process going on (food allergy, inflammatory bowel disease to name a few) then the gi tract will be more susceptible to giardia, bacterial overgrowth, clostridia, campylobacter which can result in further gi issues
So that leaves you with a few options
1.) Doing a food allergy trial. Surprisingly most food allergies are to the protein in diets not the grains so using a food that is specifically for this purpose, which is where the proteins are broken down beyond the point where the body recognizes the protein as beef, chicken, fish and monitor for improvement in signs. These foods include: royal canin h/p (hydrolyzed protein), hill's z/d ultra
-During the food trial she cannot have anything besides these diets and this can be a two week trial. So no treats nor other foods. This is the best way to rule out food allergies
2.) Starting a probiotic from your veterinarian such as proviable which is a probiotic that has no meat based products in it.
3.) Unfortunately if the diarrhea nor vomiting doesn't improve or diarrhea becomes looser throughout the day then the recommendation is going to be more aggressive. Abdominal ultrasound to evaluate the thickness of the intestinal tract layers throughout and possible endoscopy/ colonoscopy to evaluate and biopsy the layers of the intestinal tract with a camera and without an invasive surgery
4.) Lastly, there is a blood test to ensure the pancreas is not part of the problem and this is a specific test called a tli, folate, cobalamin level that is sent to a lab in Texas to rule out this condition
I have a food allergy dog and this can be quite a challenging situation. She is on the royal canin h/p formula longterm and whenever she gets anything else she breaks with loose stools :(
For now my recommendations would be:
- Omeprazole (prilosec) 0.5 mg/ pound daily to help with possible acid reflux (the throat gurgling) at least 15 minutes prior to breakfast
- Small more frequent meals of a bland diet of white rice and lean boiled meat such as chicken
- Increase leash walks to 20+ minutes three times daily to increase gi motility, reduce nausea and abdominal cramping
I hope this information makes sense but please let me know if you have any additional questions or concerns I can assist with. I am concerned with the chronicity that there is an underlying process such as listed above but hopefully we can get her comfortable with the above until you are able to get more information if needed about further diagnostics...
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