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Pet Doc
Pet Doc, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 7524
Experience:  Veterinarian - BVSc
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I am caring for a 5 month old doxin min pin. She started

Customer Question

Hi I am caring for a 5 month old doxin min pin. She started throwing up about 45 min and is slightly shaking her head and seems pretty miserable
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the dog eat anything unusual?
Customer: Dry food Wellness was in back yard and had a piece of something I grabbed from her mouth. It looked like a filter from a cigarette but we don't smoke. My son's friend may have
JA: What is the dog's name?
Customer: Tess
JA: Is there anything else the Veterinarian should be aware of about Tess?
Customer: She has had her vaccinations and is a rescue. She is the puppy of the family I'm a nanny for
Submitted: 4 months ago.
Category: Dog Veterinary
Expert:  Pet Doc replied 4 months ago.

Hi there,

Thanks for your question regarding your girl Tess who has been vomiting for the last 45 minutes or so. 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

Expert:  Pet Doc replied 4 months ago.

Hi again,

Thank you for your patience. There are a number of things that could be going on here with Tess this evening and we need to consider anything from an infectious gastroenteritis, to a toxicity (the cigarette butt would be enough to cause these symptoms), to intestinal worms or even a foreign body obstruction. Hopefully Tess has had all of her puppy vaccinations as we would need to consider parvo virus here if she hasn't. Whatever the possible cause of your girl's symptoms might be, you will definitely need to continue to keep a close eye on her, and if this vomiting continues, then you will need to get her seen by your local ER vet tonight.

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

Over the next few hours, please keep an eye on Tess' mucus membranes, capillary refill time and respiratory rate tonight as follows (do be careful that your girl doesn't try to bite you):

Mucus membranes - flip her lip and look at the color of her gums. They should maintain a nice salmon pink color. Get her 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 her 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 she seems to be panting or breathing rapidly throughout the night, this is a sign of shock and or pain and a signal for a trip to the emergency Vet.

As your girl is likely quite nauseous right now, you may also want to try her 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 Tess and hopefully these symptoms settle in the next few hours. As above, if she can't keep water down, or if any of the parameters above don't seem right, then definitely play it safe and get her 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.

Expert:  Pet Doc replied 4 months ago.

Hopefully your girl's parameters are all currently ok. Let me know if you need any further advice or assistance here.

Dr E