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My dog has vomited a few times. The last time there was pink

Customer Question
My dog has vomited a...
My dog has vomited a few times. The last time there was pink in clear liquid/bile...
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did your dog eat anything unusual?
Customer: No. She's really good about not eating random stuff.
JA: OK. The Expert will know what to do. What is the dog's name and age?
Customer: Maple, 4 years old
JA: Is there anything else the Veterinarian should be aware of about Maple?
Customer: She's an intact 4 year old Nova Scotia Duck Tolling Retriever. No prior history.
Submitted: 2 months ago.Category: Dog Veterinary
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Answered in 1 minute by:
9/9/2017
Dog Veterinarian: Dr. B., Veterinarian replied 2 months ago
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 21,663
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.

How long has she been showing signs?

Can she keep water down?

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

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

Could she have eaten anything harmful (ie bones, toys, plants, chemicals, human meds, etc)?

Any diarrhea?

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Customer reply replied 2 months ago
She vomited twice this morning and twice at noon.
She has had no issues with food or water.
Gums are moist and pink.
No tensing, etc. when pressing on belly.
She's pretty good about not eating random stuff. I guess no.
No diarrhea yet. She's a little gassy...
Dog Veterinarian: Dr. B., Veterinarian replied 2 months ago

Hello again,

First, I would note that the pink you saw likely is a bit of blood from the force of vomiting on her throat. Though usually this will settle as we address the vomiting. Just to note, in regards ***** ***** causes for her signs, if we can exclude odd ingestions then we'd have to bacterial or viral gastroenteritis, pancreatitis, or parasites/protozoa infections.

With this all in mind, we can try some home supportive care to try to 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 consider treating her with a OTC pet safe antacid. [ie 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))]. Whichever you choose, we’d give this 20 minutes before food to allow absorption. Of course, do double check with your vet if she has a known health issues or is on any medications you haven't mentioned. Though if you give this and she cannot keep it down due to nausea that is usually a red flag that we need to bypass her mouth with injectable anti-vomiting medication from her vet.

Afterwards, you can consider starting her on a soft and easily digestible diet like cooked white rice with boiled chicken, boiled white fish, cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). 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 continuing this until the signs are settled, and then weaning her slowly back to her normal diet.

Since dehydration is a risk when dogs vomit, we need to keep an eye on Maple's hydration. To check that she isn't dehydrated, there are a few things you can test. Further to checking for gum moisture, do make sure she doesn’t have sunken eyes 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 are seeing any signs of dehydration already, then that would be our cue to have her seen before this becomes an additional issue for her (especially as it is often dehydration that makes them feel unwell).

Overall, her signs do raise a few concerns here. Therefore, 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; 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, her vet can treat her with injectable anti-vomiting medication +/- antibiotics to settle her stomach, and get her back feeling like herself.

Kind regards,

Dr. B.

******************************************************************************

I aim to provide best care for you just as I do for my own clients & their pets. If you have any other questions, please ask – I’m happy to help but please rate me with the **STARS** (or leave a written rating of 1-5; 5 being great) as this is the only way I am credited for my work by the site & this allows me to continue to help here. This is included in your question fee. Once you rate, your question will not close & you can still ask follow-up questions. Thank you. : )**

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