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Hi, this is Dr Hill It sounds like Shatzi may be trying to throw up and is dry heaving just before a final gag. This is typically due to a gastrointestinal irritant or pancreatitis. Has she had any high fat treats, meats, cheese or marrow bones recently? Could she have ingested foreign material?
If possible, can you post a short video of the episodes. It can be difficult to discern between a cough with a terminal retch or dry heaving. Is she breathing any faster than normal? I would withhold food and water for at least a few hours and see if she is able to settle down. You can also safely give Pepcid AC 1 mg per 2 pounds body weight to try and settle her stomach. I apologize for the delay in getting back to you. I lost my internet for about an hour.