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Dr. Andy
Dr. Andy, Medical Director
Category: Veterinary
Satisfied Customers: 30036
Experience:  UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
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I have a 9 year old male pug. Hes been throwing up occasionally

Customer Question

I have a 9 year old male pug. He's been throwing up occasionally today. His vomit is white foam and the last time he threw up there were speckles of what looked like dark red blood. What do I do?
Submitted: 6 years ago.
Category: Veterinary
Expert:  Dr. Andy replied 6 years ago.
Chat Conversation Started
Dr. Andy :


Dr. Andy :

I am sorry to hear about this concern.

Dr. Andy :

My primary concerns for vomiting include:

- Dietary indiscretion (eating something you do not know about)

- Stomach or intestinal foreign body

- Something that was given to them (new dog food, new treat, human food)

- Intestinal parasitism (not just the worms, but the microscopic bugs like Giardia and Coccidia). They can cause vomiting also, not just diarrhea

- Toxin exposure would be less likely, unless you have reason to suspect exposure to a chemical.

- Less commonly, endocrine disease like Addison’s (where the body produces insufficient steroids from the adrenal glands)

- Generally, in older pets, I am also concerned about organ disease or failure (liver, kidneys) and cancer.

To help settle the stomach you could try one of the following drugs. My favorite product is Pepcid (an over-the-counter antacid).

Pepcid comes in 10mg or 20mg tablets. You can give it every 12 hours.








Dr. Andy :

As you can see, my list of concerns is a bit more worrisome with older pets. The blood is suggestive of some ulceration in the stomach and esophagus. This does not make the prognosis worse, but it does really infer that you need to get him into a vet, and sooner than later.

Dr. Andy :


1. Abdominal x-rays to look for foreign bodies, masses, and intestinal wall changes.

2. A basic blood test for an overall health assessment (very important at this age)

3. A fecal test to check for intestinal parasites (not just worms, but also microscopic bugs like giardia and coccidia)

Dr. Andy :

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JACUSTOMER-7irkwo01- : Thank you. I'm going to continue to monitor Otis and if he's not any better in the morning I will take him to vet. I pulled his water bowl away. Is that a bad idea?
Dr. Andy :

No, pulling water and food for 8 or so hours is a good idea. I would at least consider the Pepcid. Great at settling the stomach.

Dr. Andy :

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