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He ate one 200 mg ibuprofen yesterday around 5pm, early this…

He ate one 200...

He ate one 200 mg ibuprofen yesterday around 5pm, early this morning he started vomiting. He is drinking lots of water. No diarrhea

Veterinarian's Assistant: I'll do all I can to help. The Expert will know if the dog will be able to digest that. What is the dog's name and age?

Milo, he is 11, about 15 pounds, mini doxie

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about Milo?

Just that he's a pretty healthy dog..no issues..

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Answered in 2 minutes by:
1/22/2018
PitRottMommy
PitRottMommy, Veterinary Nurse
Category: Dog
Satisfied Customers: 10,432
Experience: 15 yrs experience in vet med, 8 in emergency med. Founder of a non-profit animal rescue
Verified

Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.

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Good morning, JACustomer.

The minimum toxic dose for a dog Milo's size is roughly 170mg. Since 200mg has been consumed we would expect to see symptoms like nausea, vomiting, diarrhea, abdominal discomfort, GI ulcer, etc. Since you are seeing symptoms, it would be ideal to have Milo treated by your vet. They will likely want to administer injectable medication for nausea and also give gastric protectants to avoid further complications.

If you're unable to see your vet today, I can give you some steps to take at home to help your companion’s stomach feel better. However, if you do not see a marked improvement from your pet or you see worsening of symptoms, they absolutely must be examined by a veterinarian.

It often helps to give medication to calm the stomach and a bland diet with higher fiber a few hours later once the medication has been given time to work. This can help to reduce the instance of nausea/vomiting, restore/improve the appetite, avoid or address changes in the stool, help to move ingested items through the GI tract, etc.

The first step is to administer a dose of regular pepcid (famotidine) every 12-24 hours. This should help with GI symptoms. You will want to give 0.5mg/pound of body weight (a 10# ***** would receive 5mg, a 5# ***** would receive 2.5mg, etc). For this, you can visit any human pharmacy and buy the OTC brand name Pepcid, or you can use the cheaper, off-brand “famotidine” that’s available. Either will be useful. If your companion is avoiding taking medication, you will likely need to using a pilling technique like this one: https://www.youtube.com/watch?v=-P6NfbxeLX0 (this video is of a dog as it shows the finer details of how to complete the action, this method can be used in dogs, cats and other mammals needing oral medications). [Note: once symptoms have resolved for at least 48 hours, discontinue the famotidine.]

2 hours following a dose of famotidine, the time needed for the medication to begin working, you can offer a bland diet. To make the bland diet, you’ll combine white or brown rice, boneless, skinless chicken breast and sufficient water for cooking in a stock pot (note: if your companion is allergic to chicken you can use a protein source they can have such as ground turkey, a filet of salmon, etc). Boil on medium until it turns to mush and the breast is easily flaked. To avoid nausea, start with small amounts to begin with and offer the amount every 2-4 hours. A few teaspoons to start is typically sufficient and you can work your way up every 2-4 hours in incremental increases until you’re sure no vomiting will be seen. If your companion requires a more palatable food, try adding in pureed baby food in chicken, turkey and similar flavors. Avoid those that contain onion or garlic in the ingredient panel. Work up to feeding exclusively until at least 3 days following the resolution of symptoms. After this, work on slowly switching back to the regular food that your companion typically eats over 10 days. My recommendation is a 10% switch every day. Day 1: 10% new food, 90% old food; Day 2: 20% new food, 80% old food; Day 3: 30% new food, 70% old food, etc. This slow switch process should minimize any risk of GI upset from changing food.

I will be standing by if you have other questions. Let me know if I can help further. Also, before signing off today, please take the time to use the star rating system at the top of the page to leave a rating for me. Until this is done, the website will not compensate me for helping you. You will still be able to chat with me even after issuing a rating.

I will also check in with you over the next few days for updates on your companion to be sure you don’t need any additional assistance. Letting me know how your companion is doing would be greatly appreciated. If you would like to request me in the future for pet-related questions, you can do so by accessing this page: http://www.justanswer.com/pet/expert-pitrottmommy/?rpt=3800

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Customer reply replied 28 days ago
Ok thank you

Good morning, JACustomer.

The minimum toxic dose for a dog Milo's size is roughly 170mg. Since 200mg has been consumed we would expect to see symptoms like nausea, vomiting, diarrhea, abdominal discomfort, GI ulcer, etc. Since you are seeing symptoms, it would be ideal to have Milo treated by your vet. They will likely want to administer injectable medication for nausea and also give gastric protectants to avoid further complications.

If you're unable to see your vet today, I can give you some steps to take at home to help your companion’s stomach feel better. However, if you do not see a marked improvement from your pet or you see worsening of symptoms, they absolutely must be examined by a veterinarian.

It often helps to give medication to calm the stomach and a bland diet with higher fiber a few hours later once the medication has been given time to work. This can help to reduce the instance of nausea/vomiting, restore/improve the appetite, avoid or address changes in the stool, help to move ingested items through the GI tract, etc.

The first step is to administer a dose of regular pepcid (famotidine) every 12-24 hours. This should help with GI symptoms. You will want to give 0.5mg/pound of body weight (a 10# ***** would receive 5mg, a 5# ***** would receive 2.5mg, etc). For this, you can visit any human pharmacy and buy the OTC brand name Pepcid, or you can use the cheaper, off-brand “famotidine” that’s available. Either will be useful. If your companion is avoiding taking medication, you will likely need to using a pilling technique like this one: https://www.youtube.com/watch?v=-P6NfbxeLX0 (this video is of a dog as it shows the finer details of how to complete the action, this method can be used in dogs, cats and other mammals needing oral medications). [Note: once symptoms have resolved for at least 48 hours, discontinue the famotidine.]

2 hours following a dose of famotidine, the time needed for the medication to begin working, you can offer a bland diet. To make the bland diet, you’ll combine white or brown rice, boneless, skinless chicken breast and sufficient water for cooking in a stock pot (note: if your companion is allergic to chicken you can use a protein source they can have such as ground turkey, a filet of salmon, etc). Boil on medium until it turns to mush and the breast is easily flaked. To avoid nausea, start with small amounts to begin with and offer the amount every 2-4 hours. A few teaspoons to start is typically sufficient and you can work your way up every 2-4 hours in incremental increases until you’re sure no vomiting will be seen. If your companion requires a more palatable food, try adding in pureed baby food in chicken, turkey and similar flavors. Avoid those that contain onion or garlic in the ingredient panel. Work up to feeding exclusively until at least 3 days following the resolution of symptoms. After this, work on slowly switching back to the regular food that your companion typically eats over 10 days. My recommendation is a 10% switch every day. Day 1: 10% new food, 90% old food; Day 2: 20% new food, 80% old food; Day 3: 30% new food, 70% old food, etc. This slow switch process should minimize any risk of GI upset from changing food.

I will be standing by if you have other questions. Let me know if I can help further. Also, before signing off today, please take the time to use the star rating system at the top of the page to leave a rating for me. Until this is done, the website will not compensate me for helping you. You will still be able to chat with me even after issuing a rating.

I will also check in with you over the next few days for updates on your companion to be sure you don’t need any additional assistance. Letting me know how your companion is doing would be greatly appreciated. If you would like to request me in the future for pet-related questions, you can do so by accessing this page: http://www.justanswer.com/pet/expert-pitrottmommy/?rpt=3800

Ask Your Own Dog Question

You're welcome. If you need additional help, please let me know.

PitRottMommy
PitRottMommy, Veterinary Nurse
Category: Dog
Satisfied Customers: 10,432
Experience: 15 yrs experience in vet med, 8 in emergency med. Founder of a non-profit animal rescue
Verified
PitRottMommy and 87 other Dog Specialists are ready to help you
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Customer reply replied 27 days ago
Just wanted to update you on Milo, he was finally able to keep the pepcid down, still drinking lots of water and the vomiting has decreased tremendously. He slept all night and only got up once to spit up...

I'm glad to hear he's improved. Thanks for the update!

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Hi,

I'm just following up on our conversation about your pet. How is everything going?

PitRottMommy
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