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I'll try to answer all questions I think you are going to ask me:
I have a 2 year old Cavalier/poodle mix. Adorable, sweet dog.
Never has been excited about food. Been complaining to vet ever since she was a puppy.
She frequently vomits bile in the morning on an empty stomach.
Sometimes it has tiny specks of blood in it.
So,:
No she has not gotten into anything she should not be eating.
Yes, she has been seen by the vet frequently and also by an internist.
She has had xray and sonogram, which looked completely normal.
She has been on prescription food forever - but mostly doesn't want it.
The internist put her on Pepsid.
Seemed ok for a few days, then vomited in the morning with red specks again.
Then specialist changed her to Prilosec. Ok for a few days, then dog quit eating and had diarrhea.
I quit giving her the Prilosec.
Did some reading and suggestion was not to have an empty stomach at night, so only thing she would eat was piece of cheese.
This worked for few nights.
Now today she vomited and won't eat, won't eat anything. Not cheese, not cookies, not several different high end dog foods I tried to tempt her with.
Internist and regular vet had told me that the next step is scope her intestines.
Would you agree? And what if that shows nothing, which I understand could also happen?
Then what?
Whew.
Submitted: 3 months ago.Category: Dog Veterinary
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Customer reply replied 3 months ago
I just got her to eat some Instinct kibble out of my hand. I was pleased she would eat it. Of course I am
aware of her eating something new could also cause more diarrhea. But she wouldn't
even eat her cooked chicken, which she will usually eat. Damned if you do, damned if you don't.
Answered in 19 hours by:
3/26/2018
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 34,354
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 3 months ago

I'm sorry that your question wasn't answered in a timely manner. Yes, scoping and biopsy is the next test of choice and is likely to be diagnostic of inflammatory bowel disease (IBD) whcich may or may not be accompanied by food intolerance. IBD is usually addressed with a glucocorticoid (steroid) such as prednisone +/- the immunomodulary antibiotic metronidazole while a food intolerance is addressed with presumptive hypoallergenic diets. Food intolerance/allergy is addressed with prescription hypoallergenic diets. These special foods contain just one novel (rabbit, duck, e.g.) animal protein or proteins that have been chemically altered (hydrolyzed) to the point that her immune system doesn't "see" anything to be allergic to. The over the counter hypoallergenic foods too often contain proteins not listed on the label - soy is a common one - and these proteins would confound our evaluation of the efficacy of the hypoallergenic diet. The prescription foods are available from her vet. There are many novel protein foods and a prototypical hydrolyzed protein food is Hill’s Prescription Diet z/d ultra (a hydrolyzed protein diet is my preference because it avoids the possibility of my patient being intolerant to even a novel protein). A positive response is usually seen within a few weeks if we’ve eliminated the offending food allergen. Food intolerance can arise at any age and even after our patient has been eating the same food for quite some time.

If pathology isn't seen, presumptive therapy for IBD or food intolerance will be suggested. Please respond with further questions or concerns if you wish.

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