Dog Veterinary

Ask a dog vet and get answers to your dog health questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

This answer was rated:

I have a 4lb 7yr old Maltese. She is on gastrointestinal…

I have a 4lb...

I have a 4lb 7yr old Maltese. She is on gastrointestinal Royal Caniin food due to sensitive stomach. She is not eating and I can hear her belly rumbling. She keeps licking the air, and she stands with a hunched posture with her tail slightly tucked. So far there has been no vomiting or diarrhea. Is this symptomatic of an upset stomach and nausea?

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

Not to my knowledge.

Veterinarian's Assistant: OK. The Expert will know what to do. What is the Maltese's name and age?

Maya 7yrs

Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 5 minutes by:
3/20/2018
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,168
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.

Ask Your Own Dog Veterinary Question

I'm sorry to hear that your girl Maya isn't herself with lots of stomach gurgling, licking the air, hunched over posture, lack of an appetite and lethargy.

The noises that you are hearing 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 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 for this include a quick change in diet, dietary sensitivities or allergies, or eating things that she should not have 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.

Has she gotten anything different to eat or has she gotten into anything that you know of that may have started all of this? I would be concerned that she is having a bout of pancreatitis or inflammatory bowel disease given her history of a sensitive stomach.

I can give you some suggestions but ideally if she isn't coming along quickly over the next couple of days I would recommend checking basic blood tests on her 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 her electrolyte levels seem unbalanced (high potassium and low sodium) then testing for Addison's disease with a test called an ACTH response test would be reasonable.

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

But for now here are some suggestions.

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

1) Pepcid ac (famotidine) at a dose of one quarter of a 10mg tablet every 12 hours

OR

2) Prilosec (omeprazole) at a dose of one quarter of 20mg tablet every 24 hours

These are acid reducers and could help her 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.

I would pick up all food for now and water for a couple hours to allow her stomach to settle after the acid reducers. In a couple hours you give her water or low salt clear broths like low salt beef or chicken broth to drink, but make sure it is in small amounts only.

If she seems to feel better tomorrow morning offer a bland diet mix of 1/3 boiled, minced, white, skinless chicken or boiled, lean hamburger, all fats drained off the meat after cooking, and 2/3 boiled, plain, white rice, mashed potatoes or pasta mixed with some low salt chicken or beef broth to make it easy to lap up and swallow as well as increase her fluid intake. If she refuses that then she likely needs to be seen by your family veterinarian.

Probiotics such as Fortiflora, Proviable, or Benebac can be added to the bland diet mix to help replace appropriate bacteria.

If things go well and she eats and seems more comfortable feed her the bland diet for 2 to 3 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 be lethargic, begins to vomit, runs a fever (more than 103F rectally), or has a tense painful belly then she 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.

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!

Ask Your Own Dog Veterinary Question
Customer reply replied 1 month ago
She has been to the vet on multiple occasions for stomach problems but all blood tests have been normal. I will keep an eye on her and hopefully her tummy troubles will resolve in a day or so. Thank you

My pleasure, glad to help.

I would give one of the acid reducers I recommended a try. One of those may help her feel much, much better.

With primary intestinal disease her bloodwork may look completely normal until the intestinal wall is very damaged, and she starts to lose protein or suffers ulcers.

Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,168
Experience: Over 20 years of experience as a veterinarian.
Verified
Dr. Kara and 87 other Dog Veterinary Specialists are ready to help you
Ask your own question now
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Kara
Ask Your Own Dog Veterinary Question
Was this answer helpful?
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,168
18,168 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian.

Dr. Kara is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

904 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,147 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,315 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,063 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Dr. Bruce

Dr. Bruce

Veterinarian

9,533 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

8,299 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
It seems she may have an upset stomach. crying, walking in
It seems she may have an upset stomach. crying, walking in circles, smell of vomit or may be passing gas … read more
Dr. Schmidt
Dr. Schmidt
Associate Veterinarian
DVM
907 satisfied customers
Dog has upset stomach and is being very finicky about eating
Dog has upset stomach and is being very finicky about eating kibble. Is it okay to give her some plain boiled chicken breast meat with no seasoning?… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,466 satisfied customers
My dog ate pistachio hes got upset stomach eating grass on
My dog ate pistachio nuts hes got upset stomach eating grass on walks lathargic what can i give him to feel better … read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
My Dog has a upset stomach. He has a bit of diahhorea and a
My Dog has a upset stomach JA: I'll do all I can to help. What is the matter with your dog? Customer: He has a bit of diahhorea and a upset stomach JA: Where does your dog seem to hurt? Customer: He d… read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
He has an upset stomach and I am going to give him Pepcid AC
He has an upset stomach and I am going to give him Pepcid AC he weighs 140 lbs I was checking to see how much to give him … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
2,205 satisfied customers
My Shih Tzu seems to have an upset stomach. She is 10 1/2.
Hello,My Shih Tzu seems to have an upset stomach. She is 10 1/2. This is nothing new. Have tried many different dog foods, etc...Tonight, she threw up and it was just bile. She is about 8-9 pounds. We… read more
Dr. Peter
Dr. Peter
Doctors Degree
14,324 satisfied customers
What do I feed a dog with an upset stomach? Runny stool,
What do I feed a dog with an upset stomach? Runny stool, uncontrollable. … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,466 satisfied customers
My golden has upset stomach (for 3 days) wont eat or take
My golden has upset stomach (for 3 days) wont eat or take its seizure meds. … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
9,533 satisfied customers
My 15 year old Labradoodle has inflammatory bowel disease
My 15 year old Labradoodle has inflammatory bowel disease for over a ;year and now I am feeling bony type growths on her ribs. She has continues to lose weight over the past year but otherwise, acts f… read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,983 satisfied customers
She seems to have an upset stomach and has been listless all
She seems to have an upset stomach and has been listless all day. She hasn't been outside to take care of business since a around 4 am (8 hours ago) and has had diarrhea since Sunday. She has eaten, a… read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
He is a 4 year old male Pg. He has an upset stomach and is
He is a 4 year old male Pg. He has an upset stomach and is throwing up. He is otherwise ok … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
8,299 satisfied customers
My dog seems to have an upset stomach. I just noticed that
Hi there! My dog seems to have an upset stomach. I just noticed that his gums are very cold. Is this any kind of symptom I should be concerned about? … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,132 satisfied customers
Upset stomach. No diarrhea. Hasn't eaten all day. He's shaky
Upset stomach. No diarrhea. Hasn't eaten all day. He's shaky and very clingy. Seems very nauseated. … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,466 satisfied customers
He's been having recurring upset stomach and bad gas. As of
He's been having recurring upset stomach and bad gas. As of yesterday he has very loose stool and has lost his appetite … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,051 satisfied customers
My dog is not acting right, he had an upset stomach,i gave
my dog is not acting right, he had an upset stomach,i gave rice and chicken ,which he ate a little, he is very slumpy, not peppy. awake at night, he has a funny sound from his tummy. he s drinking wat… read more
Dr. Kara
Dr. Kara
Veterinarian
18,168 satisfied customers
Can you give a dog "pepto bismol"? Upset stomach. Lots of
Can you give a dog "pepto bismol"? JA: I'll do all I can to help. What is the matter with the dog? Customer: Upset stomach. Lots of noises JA: Where does the dog seem to hurt? Customer: Stomach JA: OK… read more
Dr. Peter
Dr. Peter
Doctors Degree
14,324 satisfied customers
She's having term digestive problems. Upset stomach in the
She's having long term digestive problems. Upset stomach in the morning, refuses to eat, throws up sometimes, had mucousy bloody stools. Treated her with Worm X, and hae had blood, urine tests and ult… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
Hes had an upset stomach and been eating grass the last
hes had an upset stomach and been eating grass the last couple of days … read more
Dr. Kara
Dr. Kara
Veterinarian
18,168 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x