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nekovet
nekovet, Veterinarian
Category: Dog
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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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My black lab has recovered well from an exploratory

Resolved Question:

My black lab has recovered well from an exploratory operation looking for a blockage two weeks ago and has been eating and toileting normally since. Yesterday he threw up yellow phlegm and today he is eating as much grass as he can find and bringing that up. He is still on Menlo I am, should I stop that and should I feed him?
Philip Seurre
Submitted: 3 months ago.
Category: Dog
Expert:  nekovet replied 3 months ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

Did you mean he is on Metacam or Metoclopramide? Can you tell me the drug name (since that sounds like a brand)?

Can he keep water down?

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

If you press on his belly, does he have any discomfort, tenderness, or tensing?

Could he have eaten anything else he should not have (ie bones, toys, plants, chemicals, etc)?

Customer: replied 3 months ago.
The drug is called Meloxaid oral suspension for relief of inflammation following the operation.
His gums are pink, he does keep licking his lips.
I am nervous to feel his belly due to the op scar not mended.
He doesn't seem to be drinking much but I have seen him drink without bringing it up. He just wants to eat grass the whole time.
I don't think that he has eaten anything else, the only thing that has occurred to me is that he licks the floor at a nursing home and I have no idea what they clean the floor with.
Philip
Expert:  nekovet replied 3 months ago.

Thank you, Philip.

No worries if you aren't comfortable palpating his belly, though 2 weeks on and we should have good healing there. Anyway in regards ***** ***** signs, he is telling us that he is quite nauseous. In this case, it could be something he has licked but the Meloxaid could also be our culprit. This is because it is a non-steroidal anti-inflammatory and they tend to reduce stomach mucus leaving the stomach exposed to stomach acid. That in turn can cause upset and nausea. Therefore, if he isn't overly sore with his surgical site, we'd want to stop the pain relief and consider starting an OTC pet safe antacid [ie 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)]. Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. This will help reduce nausea and also will reduce stomach acid if there is any brewing ulcers from that drug. Of course, do double check with your vet if he has a known health issues or is on any medications you haven't mentioned. Also if you give this and he cannot keep it down due to nausea then we'd want him seen so his vet can bypass his mouth with injectable anti-vomiting medication.

Otherwise, if we can get him settled, then you can plan to try small meals of a light/easily digestible diet. Examples you can use are cooked white rice with boiled chicken, boiled white fish, or scrambled eggs, or meat baby food (garlic/onion free only) There are also OTC vet diets (ie Hill’s I/D or Royal Canin’s sensitivity) that can be used too. 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.

Overall, his Meloxaid could certainly be causing these signs. So, while we'd want to avoid him licking floors, we can use the above plan of action just now. If he settles we are happy and it'd be worth updating his vet to see if they want to change pain relief options. Though if his signs persist then we'd want a post-op check (often that is included in the cost of surgery) to get this all settled for him.

Kind regards,

Dr. B.

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nekovet, Veterinarian
Category: Dog
Satisfied Customers: 17046
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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