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My dog wont eat drinks water lethargic threw up foamy matter…

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My dog wont eat...

My dog wont eat drinks water lethargic threw up foamy matter now sitting in back garden staring into space

Submitted: 3 months ago.Category: Dog Veterinary
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Answered in 5 minutes by:
1/9/2018
Dog Veterinarian: Dr. Kara, Veterinarian replied 3 months ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,150
Experience: Over 20 years of experience as a veterinarian.
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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.

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Dog Veterinarian: Dr. Kara, Veterinarian replied 3 months ago

I am sorry that your fellow is lethargic, vomited foamy material, and is staring into space.

Vomiting foam simply is a mix of air and stomach/esophageal mucous made when he retches, it is not indicative of any disease process but tells us he is quite nauseous.

If his gums are a nice bubblegum pink color, and they are smooth then he's not yet dehydrated.

Causes of vomiting include bacterial, viral or fungal infections, eating something he should not including a foreign body (rubber band, bones, something in the yard, or toy piece) or inflammatory bowel disease. Other possibilities are internal organ (kidney or liver) disease that cause a build up of waste products which the organs normally remove that can irritate the gastrointestinal tract, or pancreatitis. Infiltrative cancers like lymphoma or a larger abdominal mass putting pressure on his gastrointestinal tract are possible as well.

Addison's disease, which is a poorly functioning adrenal gland, can lead to diarrhea and vomiting. These dogs cannot handle stress at all because their adrenal gland doesn't produce cortisone when stressed and their electrolytes can be off too if their adrenal gland isn't controlling that normally either. We see vomiting, and/or diarrhea and sometimes physical collapse in severely affected dogs. Testing is an ACTH response test to check adrenal gland function and checking electrolyte levels. Treatment is steroid replacement therapy and electrolyte replacement.

Gastrointestinal parasites are rarely the cause of vomiting.

Does he have a fever (rectal temperature greater then 103F)?

I am most concerned with his inability to keep even water down and his severe lethargy. If he is a young dog, especially a Portuguese Water dog, Duck-trolling retriever, Poodles, Wheaten terriers, Great Danes, or a Westie then Addison's disease is more likely.

If this has been going on for more than 24 hours and/or he seems very weak an examination today is best.

If that isn't possible I would start with an acid reducing medication to try and settle his stomach. You can give either:

1)Pepcid ac (famotidine) at a dose one 10mg tablet per 20 to 40 pounds of body weight every 12 hours

OR

2)Prilosec (omeprazole) at a dose of one half of a 20mg tablet per 20 to 40 pounds of body weight every 24 hours.

These are acid reducers which will decrease irritation of the stomach and esophagus and could help him feel better. They can be used for several days if need be.

Then I recommend a 12 to 24 hour food fast. Water is fine as he needs to stay hydrated but by taking away food we rest his gut and hopefully reset normal gut motions.

In 12 to 24 hours start a bland diet of 1/3 boiled, skinless, white meat chicken minced or boiled, very lean, ground beef mixed with 2/3 boiled, plain white rice or pasta. This is an easily digested bland diet and won't irritate his stomach and intestines. Feed the bland diet mix for several days until his nausea clears, then slowly start mixing in his regular diet. It should take about a week to convert him back, mixing a little more regular and less bland in each meal.

You can also give him probiotics to replace good bacteria in his gut. Fortiflora and Benebac are very good. Your veterinarian or many larger pet stores carry them.

If even with the acid reducing medication, his food fast, probiotics and bland diet he still is vomiting or refusing to eat he should be seen by a veterinarian.

Please let me know if you have any further questions.

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Dog Veterinarian: Dr. Kara, Veterinarian replied 3 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, ***** *****

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