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She hasn’t been lethargic the last two days and today she…

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She hasn’t been lethargic...

She hasn’t been lethargic the last two days and today she peed on the couch, the floor, is barely moving and then she threw up her whole meal from yesterday. She’s house broken and has a doggy door. She’s usually very excited to see my husband come home for work but could barely lift her head to look at him. She’s a shitzhu chihuahua mix about 8 or 9

Veterinarian's Assistant: I'll do all I can to help. This sounds like it might be serious. I'll let the Veterinarian know what's going on ASAP. Is there anything else important you think the Veterinarian should know about the dog?

Has been lethargic

Submitted: 2 months ago.Category: Dog
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Answered in 7 minutes by:
3/23/2018
Dog Specialist: PitRottMommy, Veterinary Nurse replied 2 months ago
PitRottMommy
PitRottMommy, Veterinary Nurse
Category: Dog
Satisfied Customers: 11,859
Experience: 15 yrs experience in vet med, 8 in emergency med. Founder of a non-profit animal rescue
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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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Dog Specialist: PitRottMommy, Veterinary Nurse replied 2 months ago

Have there been any changes to the diet? New food, including a change of flavors or protein source within the same brand? New treats? Bones? Has any human food been fed? Torn up toys or trash? Stressful changes to the environment? Addition of medication?

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Customer reply replied 2 months ago
No, it’s been the same food, nothing has changed. Nothing torn up, environment had stayed the same. It’s just me and her and she sleeps while I’m working. Very calm
Dog Specialist: PitRottMommy, Veterinary Nurse replied 2 months ago

It sounds like she feels very unwell if she's lethargic, not making it to a designated area to use the bathroom and is not moving. The vomiting, as well, is of great concern, too. I would urge you to have her examined and treated by a veterinarian as soon as you possibly can. They will want to perform diagnostics like bloodwork, fecal analysis and x-rays to determine the cause of her symptoms. After this is done, treatment options will be discussed and care rendered.

If this is not possible, 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. If you need help finding a location that can see your pet (even just to keep on hand), I can help. I’ll need you to provide your location as the website does not give us this.

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 hope this information has been helpful. 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 (bottom of the page if using the app). A 5-star rating is appreciated as top notch answers are my focus. If you feel you have received anything less, please reply so that I may help until you’ve received the assistance you need. Until you issue a rating, the website will not compensate me for helping you. You will still be able to chat with me even after issuing a rating at no further charge on this thread.

I will also check in with you over the next few days to be sure you don’t need any additional assistance. 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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Dog Specialist: PitRottMommy, Veterinary Nurse replied 2 months ago

Checking in. How is your companion doing today?

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Dog Specialist: PitRottMommy, Veterinary Nurse replied 2 months ago
Hi,

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

PitRottMommy
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