Good morning, I’m Dr. Gates and I’m happy to assist you today. I am sorry to hear that you are having trouble with your little one, I can understand how stressful it is for you. I will do my utmost to assist today and to see if we will be able to resolve this quickly for you.
My job here is to assess whether or not your pet needs to be examined and diagnostic tests run or if we can manage things safely at home.
I will do my best to go through everything with you and give you my professional advice based on the history and clinical signs. The more information I have the better the job I can do to help get you some answers for your pet.
I'm so sorry that Giorgio is having issues. Has he had any diet changes, new chews, new treats, table scraps, etc.?
If his eyes are moving side to side, then I'm concerned that he may have gotten into something toxic. This generally requires emergency care at a local ER.
I would look around the house and yard as the ER will need to know what he may have gotten into to best determine traetment. Otherwise, they have to run diagnostics (tests) which will make it more expensive.
Ok, then you're just going to have to try to treat symptoms as they arise and we'll hope that he didn't get into anything serious.
Here is some information in the event that he starts to develop seizures.
What to Do
Protect the pet from injuring herself during or after the seizure. Keep her from falling from a height and especially keep away from bodies of water.
Remove other pets from the area as some pets become aggressive after a seizure.
Protect yourself from being bitten.
Record the time the seizure begins and ends, and if it started with a certain body part (such as twitching of an eye).
If the seizure or convulsion lasts over 3 minutes, cool the pet with cool water on the ears, belly and feet, and seek veterinary attention at once.
If your pet has two or more seizures in a 24-hour period, seek veterinary attention.
If your pet has one seizure that is less than 3 minutes and seems to recover completely, contact your veterinarian’s office for further instructions. A visit may or may not be recommended based on your pet’s medical history.
If the pet loses consciousness and is not breathing, begin CPR.
What NOT to Do
Do not place your hands near the pet's mouth. (They do not swallow their tongues.) You risk being bitten.
Do not slap, throw water on, or otherwise try to startle your pet out of a seizure. The seizure will end when it ends, and you cannot affect it by slapping, yelling, or any other action.
I'd recommend fasting him for 6 to 8 hours, including water.
What to Do
Remove all food and water.
Check for signs of dehydration.
If the diarrhea and/or vomiting continues or the pet acts ill, seek veterinary attention. Diarrhea and vomiting can quickly lead to serious fluid loss and electrolyte imbalance, especially in very young and very old animals.
If no vomiting occurs for 6 to 8 hours, begin to frequently give small amounts of clear liquids (water, Gatorade, Pedialyte, or other electrolyte solution). A rule of thumb is to give 1 teaspoon per pound of body weight every 2 or 3 hours throughout the day and night. If your pet does not vomit the fluid, the following day offer small frequent meals of boiled hamburger and rice or boiled chicken and rice. If your pet does not want to eat, starts to vomit, or continues to have diarrhea, go to the veterinarian for medical care.
Isolate the sick pet from other pets.
What NOT to Do
Do not administer any over-the-counter or prescription medications to your pet without talking to a veterinarian first.
Do not allow the pet to eat or drink anything until there has been no vomiting for 6 to 8 hours.
The most common mistake with a vomiting pet is to encourage food and water intake while the pet is still vomiting. This actually makes matters worse by not allowing the stomach and intestinal tract time to rest, and can cause additional vomiting and water loss. Removing access to food and water for a short period of time may seem like it would make dehydration worse, but it can help your pet avoid further dehydration. Dehydration makes your pet feel lethargic, and can potentially cause severe problems with the kidneys and other internal organs if untreated.
Dehydration often accompanies symptoms like vomiting, diarrhea, hypothermia (low body temperature), fever, no access to water, and other conditions. It can be detected by several tests:
Mouth: Are the tongue and gums moist or dry? If they are dry, there is a chance your pet may be dehydrated. Is the saliva thick or ropey? Normally, saliva is quite watery and hardly noticeable.
Eyes: Are they normal, or do they sink into the sockets? Sunken or dry eyes may indicate dehydration, and warrant veterinary attention.
Skin: Do the skin turgor test outlined in the Physical Exam Checklist. If the skin is slow to return to position, the pet may be moderately to severely dehydrated. If the skin does not return fully to its position, your pet may be severely dehydrated and may be in critical condition. Seek veterinary attention immediately. The skin turgor test is not always accurate and several factors such as age, weight loss and condition of the skin can give misleading results. A veterinary professional can help you determine how dehydrated your pet is, what the cause may be, and the best course of treatment.
If no vomiting occurs after 6 to 8 hours of fasting, you can give Pepcid AC (famotidine) or Prilosec (omeprazole) which can be picked up in a pharmacy of grocery store.
The usual dosage of famotidine or omeprazole for dogs is 0.25 mg to 0.5 mg per pound of body weight. Prilosec is once daily and famotidine can be given twice a day and is sold as over-the-counter medication.
Pills usually come in a strength of 10 mg, though they also come in amounts of 20 mg. You should continue treatment for 7 days.
If he continues to improve, then you can start a small amount of a bland diet. Instructions can be found here: https://www.arlingtonanimalhospital.biz/storage/app/media/BLAND_DIET.pdf
Ok, if not dehydrated or only mildly dehydrated, wait 6 to 8 hours and then follow these guidelines and those above.
If dehydration is mild and the pet is not vomiting, give frequent, small amounts of water by mouth; that means in the range of 1 tsp for a cat or small dog to 1 tbsp to 1/4 cup for a medium to large dog every few hours.
I hope this information was helpful and that Giorgio is back to normal soon. You can provide updates and ask follow-up questions by picking up the chat in the window and I will answer when I am next online. Thank you for using Just Answer and have a wonderful evening!
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