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My 5 mo old Golden Retriever vomited small amounts of bile 6

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Times in the last 2...
My 5 mo old Golden Retriever vomited small amounts of bile 6 Times in the last 2 hours. The last 3 Times it was pink. His stool is fine. He didn't eat anything out of the norm. He is resting right now & except for nausea, he is OK. Is the light pink-no flecks or streaks of blood, a concern?
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Customer: Do you have an answer?????
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the dog eat anything unusual?
Customer: No
JA: OK. The veterinarian will know what to do. Is there anything else important you think the veterinarian should know about the dog?
Customer: My dog saw our vet Thurs, was fine, had normal baseline blood work, negative stool sample & normal temp
Submitted: 1 year ago.Category: Dog Veterinary
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11/6/2016
Dog Veterinarian: Pet Doc, Dog Veterinarian replied 1 year ago
Pet Doc
Pet Doc, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 7,618
Experience: Veterinarian - BVSc
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Hi there,

Thanks for your question regarding your Golden Retriever puppy who has been vomiting tonight. I am currently typing up a response and will have something for you in the next few minutes.

Thank you for your patience.

Kind Regards,

Dr E

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Dog Veterinarian: Pet Doc, Dog Veterinarian replied 1 year ago

Hi again,

Thank you for your patience. There are a number of things that could be going on here with your boy this evening and we need to consider anything from an infectious gastroenteritis, to a toxicity (hopefully there isn't anything that he could have gotten into), to intestinal worms or even a foreign body obstruction. You will definitely need to continue to keep a close eye on him, and if this vomiting continues, then you will need to get him seen by your local ER or after hours vet tonight. Likewise, if he seems particularly lethargic now, you are best to try and find a local after hours vet to check him over straight away. The streaks of vomit aren't too uncommon after several vomits and this is due to inflammation of the esophagus (food pipe). It is good to hear he was fine at his recent check up on Thursday, and hopefully he is up to date with his vaccinations as well.

For now, make sure he has plenty of fresh water available and encourage him to drink. The biggest concern right now is that he could become dehydrated. If he won't drink or can't keep water down, then you are best to get him seen by your local ER vet tonight where they can start him on some intravenous (IV) fluids. You can with hold his food until the morning now, and from then you can start him on a bland diet of cooked, boneless, skinless chicken breast and boiled white rice. Don't worry about getting him to eat tonight, but definitely encourage him to drink now and over night. If he isn't interested in drinking, then you could try making him up a fresh chicken broth. For this, just boil up some fresh chicken until cooked, scoop off the solids, allow the liquid to cool, then feed him this luke-warm broth.

For now, please keep a close eye on his mucus membranes, capillary refill time and respiratory rate as follows:

Mucus membranes - flip his lip and look at the color of his gums. They should maintain a nice salmon pink color. Get him to the emergency Vet if they appear white or very pale pink, or if they are a dark deep red color.

Capillary Refill time - this measures blood perfusion and test this by putting your thumb on his gum to apply pressure. After you release your thumb you will see the gum blanch. Capillary refill time is the amount of time it takes (in seconds) for the gum to return to a healthy pink color from the blanched white color. If 2 seconds or less don't worry - if it is taking significantly more time, again - off to the emergency Vet.

Respiratory Rate - if he is continuously panting throughout the night, this is a sign of shock and or pain and a signal for a trip to the emergency Vet.

Because he is likely quite nauseous (as you say), you may also want to try him with a little pepcid. The typical dose for this type of situation is 0.25mg per pound of body weight up to twice daily. You can read more about the use of Pepcid in dogs online here: http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid

Best of luck with your Golden Retriever boy and hopefully these symptoms settle in the next few hours. As above, if he can't keep water down, seems very lethargic, or if any of the parameters above don't seem right, then definitely play it safe and get him seen tonight. I hope all of the above makes sense? If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION (I am not compensated in any other way). Bonuses are always welcome. Thanks! I hope to work with you again soon!

Kind Regards,

Dr E

PS: If you have additional questions after you rate the question, you are welcome to request me for additional conversations if I am on-line or by beginning your question "Dr. E..." or "Pet-doc..." and others will leave the questions for me.

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