My 3 month old puppy started throwing up after breakfast this morning, I just opened a new can of wet food as I put that

Hello! Welcome to Just Answer! My name is***** please give me a moment while I check your conversation with Pearl. May I have your name please?

Hi Elisa! I am happy to help you with this question. I understand how important an answer is to your question, so I will work on this for you until it is resolved.

First, may I please know if you have observed any loose stool or diarrhea as well?

That is very good to hear! One of the biggest concerns we have when vomiting happens in a puppy is the risk of dehydration. This could require treatment by a veterinarian, so I am going to recommend a few ways to measure the hydration status.

There are two methods to check the hydration level. The more accurate method is to feel the upper gums. They should feel wet and slippery normally. If they feel dry or sticky, then that is a sign of dehydration. The second method is called the "skin tent test." This is performed by gently pulling up on the skin behind the shoulders and letting go when you feel resistance. Count how long it takes for the skin to return to a normal position. Normal is less than 2 seconds. Please let me know what you find.

Thank you for doing that. As long as the hydration test is normal, then you can continue to treat at home. There are many causes of vomiting, but some of the most common reasons are a sudden change in diet, swallowing a foreign object, intestine parasite, or infection. A veterinarian might need to be seen. In the meantime, there are some over-the-counter treatments we can try first.

Treatment for vomiting is first recommended to withhold all food for the next 4 to 6 hours. Water should be withheld for at least 20 to 30 minutes. This allows the stomach to rest. You can also give an over-the-counter remedy to help reduce nausea. A good over-the-counter medication you can give is Prilosec (i.e. omeprazole) or Pepcid AC (i.e. famotidine). The amount to give is 2.5 mg. That is equal to 1/4 tablet of famotidine.

If no vomiting occurs after 6 hours, then you can offer the regular diet. If you have a canned food option of the regular food, then that is preferable to kibble. Offer this in small amounts. Water can always be offered, but only allow to drink it in small amounts at a time. Pedialyte is safe to give. Keep monitoring the hydration status 1 to 2 times per day. If vomiting continues, or if you notice a worsening of the hydration status, then a veterinarian should be seen.

It is my pleasure! Do you have any other questions about this for now?

You are most welcome. I hope I have given you a satisfactory answer. If you have any follow up questions, please reply here and I will be happy to assist you.

This should be OK. It is not the same thing as Prilosec, but it is similar to it. It has not been approved for use in dogs, but empirically it appears to be safe to use at the same dose.

If her stool is getting soft, then parvovirus should be considered as a differential as well. It could still be one of the other reasons we talked about, but if she is not eating or drinking normally, or still vomiting, then a veterinarian should be seen to evaluate for parvovirus.

That is good. It would be unlikely for parvovirus to be the reason since she has had most of her vaccines on schedule, but if this progresses into diarrhea, then that should be considered.

We do not change the at home approach to this right now. Continue giving a low fat diet until it improves. It might take 3 to 5 days for the stool quality to improve.

It is my pleasure! I am happy to help.