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She is a five year old springer spaniel and since sunday has

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refused to eat, drinks normal...
she is a five year old springer spaniel and since sunday has refused to eat, drinks normal but will vomit green bile at night
JA: I'm sorry to hear that. Hopefully it didn't make a mess. Did the springer spaniel eat anything unusual?
Customer: not that I am aware of unless she got into something while outside going to the bathroom
JA: What is the springer spaniel's name?
Customer: shelby
JA: Is there anything else important you think the Veterinarian should know about Shelby?
Customer: our sheltie (she was raised with) passed in january but it didn't cause a reaction quite like this
JA: I'm sending you to a secure page on JustAnswer so you can place the $5 fully refundable deposit now. While you're filling out that form, I'll tell the Veterinarian about your situation and connect you two.
Submitted: 1 year ago.Category: Dog
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Answered in 8 minutes by:
3/30/2016
Dog Specialist: Dr. B., Veterinarian replied 1 year ago
Dr. B.
Dr. B., Veterinarian
Category: Dog
Satisfied Customers: 22,032
Experience: Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
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Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

Are her gums pink or pale/white? Moist or sticky?

If you press on her belly, does she have any discomfort, tenderness, or tensing?

Could she have eaten something she should not have (ie bones, toys, plants, chemicals, etc)?

Has she had any diarrhea?

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Customer reply replied 1 year ago
No diarrhea pink gums I know she did chew off some cockleburs last week
Dog Specialist: Dr. B., Veterinarian replied 1 year ago

Thank you,

First, I suspect the cockleburs are a red herring and not the cause of her anorexia. Instead, if she is refusing food as well as vomiting, this suggests a severe nausea triggering her signs. In regards ***** ***** for this in dogs Shelby's age, we'd be most concerned about bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, and ingestion of harmful items (ie toxins, plants, non-edible items).

Now hopefully she hasn't eaten anything harmful since that tends to be the cases that need urgent care. Still, with this having gone on for days already, we need to act quickly. Therefore, to start, we will want to initiate some home supportive care to see if we can settle her stomach. To start, if she hasn’t just vomited (since otherwise we’d need to rest her stomach for a few hours first), then you can consider treating her with an antacid. Common pet safe OTC ones we can use include Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid), Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac), or Tagamet (More Info/Dose Here @ http://www.petplace.com/article/drug-library/library/over-the-counter/cimetidine-hcl-tagamet). Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. Of course, do check with her vet before use if she has any known health issues or is on any medications you didn’t mention. As well, if you try this and find her nausea too severe to keep it down, then that is usually a red flag that we need her vet to bypass her mouth with injectable anti-vomiting medication.

Once that has had time to absorb and she is steadier on her stomach, you can try tempting her to eat. Favoites are allowed but we can also try a light/easily digestible diet. Start with a small volume (a spoonful). Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, scrambled eggs, or meat baby food (as long as its garlic/onion free). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. When you offer that spoonful, give her 30 minutes to settle. If she keeps the food down, you can give a bit more and so on. As her stomach stabilizes, you can offer more. The aim of these diets is that they will be better tolerated/absorbed by the compromised gut. Therefore, it should get more nutrients in and result in less GI upset. As long as improvement is being seen, I usually advise that the diet be continued until her signs are settled, and that they are then slowly weaned back to their normal diet.

Since dehydration is a risk in anorexia cases, we need to keep an eye on her hydration. To check this and ensure he’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure her eyes are not looking sunken and that she doesn’t have a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you are seeing any signs of dehydration already, then that would be our cue to have her seen before this becomes an additional issue for her (especially as it is often dehydration that makes them feel unwell).

Overall, a wide range of agents could be triggering Shelby's nausea and anorexia. Therefore, in her case, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down, appears dehydrated already, or doesn’t respond to the above within 12-24 hours (since it has been a few days already and we don't want her losing weight or becoming dehydration); then we'd want to get her vet involved. They can assess her hydration, rule out fever, make sure there is nothing in her stomach that shouldn't be there or any sinister viruses present. Depending on their findings, her vet can treat her with injectable anti-vomiting medication +/- antibiotics to settle her stomach, and get her back feeling like herself.

Please take care,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. *Please make sure to rate my service afterwards, as this is the only way I receive credit for helping you today. Thank you! : )

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Dog Specialist: Dr. B., Veterinarian replied 1 year ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
nekovet
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