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This answer was rated:

He vomits each morning and then seems ok u til the nrxt.

He vomits each morning...

He vomits each morning and then seems ok u til the nrxt

Veterinarian's Assistant: I'll do all I can to help. Hopefully it didn't make a mess. Did the dog eat anything unusual?

Morming

Veterinarian's Assistant: What is the dog's name and age?

Not really his name is ***** ***** he is ten

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Sirus?

He has a growly tummy a lot, been doing that for many years

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Answered in 4 minutes by:
3/17/2018
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,137
Experience: Over 20 years of experience as a veterinarian.
Verified

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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Customer reply replied 1 month ago
he does his business ok and no blood. appetite is great, buthours later he vomits it up
Customer reply replied 1 month ago
i di not want to speak live

I am sorry to hear that Sirius is vomiting each morning and has increased noise from his stomach. This is definitely not normal and should be addressed.

These noises are the result of ingesta moving through the gastrointestinal tract and gas bubbles. In most cases they are completely normal and seem to cause the dog no distress. But in cases where the dog acts uncomfortable, or is vomiting often, it is likely that the pup is experiencing some reflux or abnormal motility, or painful intestinal spasms that are more than the usual. In severe cases this can be linked to pancreatitis which is a painful inflammation of the pancreas leading to increased enzyme leakage.

Possible causes of his symptoms include a change in diet, dietary sensitivities or allergies, or eating things that they should not like too many fatty table scraps or garbage, bones etc. Metabolic organ failures (kidney or liver disease), Addison's disease (hypoadrenocortisim), pancreatitis, inflammatory bowel disease or even infiltrative cancers are other possible causes.

Ideally I would recommend checking basic blood tests on him including a complete blood count, biochemistry panel and a blood test for pancreatitis called can spec PL (canine specific pancreatic lipase) which is highly specific for pancreatitis. If his electrolyte levels seem unbalanced (high potassium and low sodium) then testing for Addison's disease with a test called an ACTH response test.

If those things are normal then the next step diagnostically would be an abdominal ultrasound when he is showing symptoms and endoscopy to collect intestinal biopsies.

For now to help with gastrointestinal upset and reflux you can give either:

1) Pepcid ac (famotidine) at a dose of 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 and should help him feel more comfortable. They are quite safe and can be used for a few days if needed. In some cases dogs remain on them long term if this is a repeated problem.

Then offer a bland diet mix of 1/3 boiled, minced, white, skinless chicken or boiled, lean hamburger and 2/3 boiled, plain, white rice or pasta mixed with some low salt chicken or beef broth to make it easy to lap up and swallow as well as increase his fluid intake. Probiotics such as Fortiflora, Proviable, or Benebac can help replace appropriate bacteria. You can add those to the bland diet mix.

If things go well and doesn't vomit feed him the bland diet for 2 to 3 days then slowly start to mix back in his regular food, a little more at each meal. It should take about 5 to 7 days to slowly convert him back to his regular diet.

If he continues to vomit, runs a fever (more than 103F rectally), has a tense painful belly then he is not a candidate for home therapy and must see a veterinarian for an examination, diagnostics, injectable anti-nausea drugs intravenous fluids and supportive care.

Since this has been a repeated problem for him if his blood tests come back normal consider cutting out treats and using food pieces as treats to keep dietary changes to a minimum.

If you go back to the original food and stop table food and treats and his episodes continue then you may wish to consider using a using a low irritant food, like Hills i/d or Purina Veterinary Diets EN, or a hypoallergenic food such as Hills z/d or Purina Veterinary Diets HA. He may have a dietary allergy or a sensitive stomach.

It has been my pleasure to help you today, and I hope that I have earned my 5 star rating. Please remember to rate my service by selecting the 5 stars at the top of the screen (rating me now does not close your question). You are welcome to ask follow up questions about my response here until you are satisfied, simply use the reply box and let me know. Thank you!

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Sorry about the offer of a phone call. That is not a requirement, it is an automatic, site generated offer that many licensed veterinarians are unable to fulfill. Many states/province licensing boards do not allow veterinarians to communicate via phone calls, unless they have previously physically examined a pet. The states and Province I am licensed in have that restriction. I could lose my license for doing so. If you would like you can reply and ask any follow-up questions regarding my written response and I will be happy to respond to them here.

Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,137
Experience: Over 20 years of experience as a veterinarian.
Verified
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Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,137
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Experience: Over 20 years of experience as a veterinarian.

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