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My dog is throwing up and is lethargic. Also he’s not eating…

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My dog is throwing...

My dog is throwing up and is lethargic. Also he’s not eating.

Submitted: 1 month ago.Category: Dog Veterinary
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1/7/2018
Dog Veterinarian: Dr. B., Veterinarian replied 1 month ago
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 22,275
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 have you been seeing these signs?

What does the vomit look like?

Can he keep any water down?

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

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

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

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Customer reply replied 1 month ago
He has been sick for four hours. The vomit is like foam, clear with yellow tint. Not eating or drinking. His gums are pale and sticky. He does not show signs of discomfort in the belly area.
Customer reply replied 1 month ago
My dog doesn’t want to be handled. He’s hiding under beds but his nose is wet and cool. He is a two-year-old
Dog Veterinarian: Dr. B., Veterinarian replied 1 month ago

Hello again,

First, I'd note that his appetite loss will be from the same nausea that has him vomiting. So, we need to address that. That said, if he is very pale (a sign of internal bleeding, anemia or possible gut circulation compromise), we'd want him seen urgently. Else if you are sure he hasn't eaten anything risky and the gums are normal for him, then we'd be suspicious of a bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, or dietary indiscretion. If he is older, then it is possible to also see this with kidney or liver disease and some cancers.

With this all in mind, we can try some home supportive care if again those gums aren't more pale then usual for him To start, if he hasn’t just vomited (since otherwise we’d need to rest his stomach for a few hours first), then you can consider treating him an 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 offering food to allow absorption. Of course, do double check with your vet if he has a known health issues or is on any medications you haven't mentioned.

Afterwards, you can try an 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 signs are settled, and then weaning slowly back to your normal diet.

Finally, as dehydration is a risk in these situations, do keep an eye on his hydration. To check that, there are a few things you can look for. Besides gum moisture, make sure his eyes aren't sunken and that he doesn’t have a "skin tent" when you lift the skin. To see how to check those dehydration signs, here is a good video ( http://www.ehow.com/video_12232503_dog-dehydrated.html ) to look at. If you do see any signs of dehydration already, that's our cue to have him seen before this becomes an additional issue (especially as it is often dehydration that makes them feel unwell).

Overall, his signs do raise some concerns here. Therefore, we’d want to start the above supportive care now. If he 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 his vet involved. They can assess his hydration, rule out fever, make sure there is nothing in his stomach that shouldn't be there or any sinister viruses present. Depending on their findings, his vet can treat him with injectable anti-vomiting medication +/- antibiotics to settle his stomach, and get him back feeling like himself.

Kind regards,

Dr. B.

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

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

Dr. B.
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