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Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16893
Experience:  Over 20 years of experience as a veterinarian.
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My puppy is shaking horribly and is vomiting. What can I do,

Customer Question

My puppy is shaking horribly and is vomiting. What can I do
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did your puppy eat anything unusual?
Customer: No. But she hasn't gotten her shots yet because she is only 7 weeks old. I'm so scared
JA: OK. The Veterinarian will know what to do. Is there anything else important you think the Veterinarian should know about your puppy?
Customer: She is a very small breed. A Schnorkie. Brown and black
Submitted: 4 months ago.
Category: Dog Veterinary
Expert:  Dr. Kara replied 4 months ago.

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Expert:  Dr. Kara replied 4 months ago.

I am sorry to hear that your little one isn't feeling well, shaking, lethargic and vomiting.

Her shaking may be due to dehydration, or her electrolyte and blood sugar being levels being off due to repeated vomiting.

She is likely dehydrated because she is vomiting, but if even water is making her vomit you need to take it away from him for now.

In most cases vomiting is triggered by eating something they should not, too much table food, too many treats or something they find outdoors.

More serious causes of vomiting in puppies include viral or bacterial infections, a dietary allergy or sensitivity, congenital internal organ failure (kidney or liver disease), or a full or partial gastrointestinal obstruction.

In a young dog, especially one that hasn't finished her vaccine series, a viral infection such as Parvo virus or a foreign body leading to a partial or full gastrointestinal obstruction would be the most likely cause and both can be deadly. Not all dogs with viral infections run a fever initially, sometimes they are too weak to mount a fever response. Because she hasn't had any vaccines I would be very worried that this is a viral infection.

Worms can cause loose stools, but rarely cause vomiting and lethargy.

Because she is young, she has vomited several times, and she is shaking ideally she would see a veterinarian now on an emergency basis. Young puppies dehydrate easily and she needs fluids.

If that isn't possible for whatever reason there are some things we can try at home, but we cannot replace in clinic intravenous fluids and injectable medications so if she isn't responding quickly she should see a veterinarian promptly.

To try and settle her stomach you can give either:

1) Pepcid ac (famotidine) at a dose of one quarter of a 10mg tablet per 5 to 10 pounds of body weight every 12 hours

OR

2) Prilosec (omeprazole) at a dose of one quarter of a 10mg tablet per 5 to 10 pounds of body weight every 24 hours

These are acid reducers and may help him feel less nauseous and hopefully could stop the vomiting and improve her appetite. They are quite safe and can be used for several days if necessary.

I would pick up all food for now and water for a couple hours to allow her stomach to settle after giving one of the acid reducers.

In a couple hours when you give her water make sure it is in small amounts only. If she drinks too much too quickly that can lead to vomiting. To get some electrolytes in you can also offer her a 50:50 mix of pedialyte and water.

If there is no vomiting for 6 hours offer a bland diet of 1/3 boiled, minced, white skinless chicken or boiled, lean hamburger and 2/3 boiled, white rice mixed with some low salt chicken or beef broth to make it easy to lap up and swallow and get additional fluids into him. If he refuses that, you can offer a little meat baby food. If he refuses both she needs hands on veterinary care as soon as possible.

But if things go well and she does eat the bland diet and doesn't vomit feed her the bland diet for 3 to 4 days then slowly start to mix back in her regular food, a little more at each meal. It should take about 5 to 7 days to slowly convert her back to her regular diet.

If she continues to vomit even with the acid reducers, runs a fever (more than 103F rectally), or has a lower than normal temperature (less than 99F), has a tense painful belly, or if she refuses to eat even after the acid reducer is given she should see a veterinarian for an examination, diagnostics, injectable anti-nausea drugs, intravenous fluids and supportive care.

Please let me know if you have any further questions.

Expert:  Dr. Kara replied 4 months ago.

Hello, I wanted to make sure that you didn't have any further questions for me, and I'd like to know how things turned out for your pup. If you could give me an update that would be great, thank you, ***** *****