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Katie has been throwing up, about 5 times since I got home

Customer Question
last night at 5pm. She...
Katie has been throwing up, about 5 times since I got home last night at 5pm. She is drinking a lot of water. Her nose is cold and wet.
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the dog eat anything unusual?
Customer: She first threw up some bologna , small piece from a sandwich
JA: What is the dog's name and age?
Customer: Katie, and she is 7
JA: Is there anything else the Veterinarian should be aware of about Katie,?
Customer: No, she's never had any issues before.
Submitted: 1 year ago.Category: Dog Veterinary
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Answered in 5 minutes by:
10/13/2016
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 21,656
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 today.

Can she keep any water down?

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

If you press on her belly, any discomfort, tenderness, or tensing?

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

Any diarrhea?

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Customer reply replied 1 year ago
Gums are pink, did seem a little dry I guess could be sticky
Customer reply replied 1 year ago
She seems to throw water back up but only awhile after drinking, and no diarrhea
Customer reply replied 1 year ago
Belly seems soft
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago

Thank you,

Now based on the signs we are seeing, we do have a few concerns. 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 at her age).

With this all in mind, since Katie can keep water down for a bit, we can try some home supportive care to see if we can settle her stomach. To start, if she hasn’t just vomited (since otherwise we’d need to rest her stomach for a few hours first), then you can try an OTC pet safe antacid like 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 check with your vet before use if she has any known health issues or is on any medications you didn’t mention. As well, if you try this and find the nausea just too severe to keep it down, then that is usually a red flag that we need the local vet to bypass her mouth with injectable anti-vomiting medication.

After that has had time to absorb, we can start small meals of a light/easily digestible diet. Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). When you offer these meals, give her 30 minutes after to settle. If she keeps the food down, you can give a bit more and so on. 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. As long as improvement is being seen, I usually advise that the diet be continued until her signs are settled, and that they are then slowly weaned back to their normal diet.

Since dehydration is a risk, we need to keep a close eye on her hydration. To check this and ensure she’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure her eyes are not looking sunken and that she 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 do find these dehydration signs, then that would be our cue to have her seen before this becomes an additional issue (especially as it is often dehydration that makes them feel unwell).

Overall, her signs do raise a few concerns here. Still, at the moment, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down at any point, appears dehydrated already, or doesn’t respond to the above within 12-24 hours (since we don’t want this to linger and cause secondary dehydration for Katie); then we'd want to get her vet involved. They can assess her hydration, rule out fever, make sure there is nothing in her stomach that shouldn't be there or any sinister viruses present. Depending on their findings, your vet can treat her with injectable anti-vomiting medication +/- antibiotics to get her back feeling like herself.

Please take care,

Dr. B.

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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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Customer reply replied 1 year ago
Thank you so much
Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago

You are very welcome, my dear.

Best wishes for Katie,

Dr. B.

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**Afterwards, please 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 by the site for helping you. Thank you for your feedback!: )

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Dog Veterinarian: Dr. B., Veterinarian replied 1 year ago
Hi,

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

Dr. B.
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