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nekovet
nekovet, Veterinarian
Category: Dog
Satisfied Customers: 21464
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 dog hasn't eaten or drunk anything so far today, he's

Resolved Question:

My dog hasn't eaten or drunk anything so far today, he's been sick and has diarrhoea. He's been very lethargic and his stomach seems to be making a lot of noise.
Submitted: 28 days ago.
Category: Dog
Expert:  nekovet replied 28 days ago.

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

What does his vomit and diarrhea look like?

Can he keep any water down?

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

If you press on his belly, any tensing, tenderness, discomfort, or pain?

Could he have eaten anything harmful (ie bones, toys, plants, chemicals, human meds, etc)?

Customer: replied 28 days ago.
Hi,His vomit was a sort of white foam. His stool was a light browny/yellow colour.His gums look a normal pink colour but are a little sticky. He hasn't drunk any water today and has no interest.He doesn't seem to be in discomfort when I press on his stomach. It's unlikely he could have eaten anything like that.
Expert:  nekovet replied 28 days ago.

Hello again,

First, I am glad to see that Jamie hasn't those urgent signs I asked about. Though given what we are seeing here, we do need to be proactive since our pups are high risk for dehydration, lethargy and weight loss as a side effect of these signs. Now common causes for what we are seeing would include bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, or dietary indiscretion. And given how young he is, we do need to always keep odd item ingestion just in the back of our minds, though its good that he isn't a known foreign body ingester.

With this all in mind, we can try some home supportive care to try to settle his stomach. To start, if he hasn’t just vomited (since otherwise we’d need to rest his stomach for a few hours first), then you can consider treating him an OTC pet safe antacid [ie Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac),Milk of Magnesia (0.5 tsp every 12 hours)]. Whichever you choose, we’d give this 20 minutes before offering food to allow absorption. Of course, do double check with your vet if he has a known health issues or is on any medications you haven't mentioned. Though if he cannot keep it down due to nausea, that is usually a red flag that we need to bypass his mouth with injectable anti-vomiting medication from his vet.

Afterwards, you can consider starting an easily digestible diet like 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. 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/diarrhea. Fiber (ie canned pumpkin from the international aisle of your local large grocery store) and OTC probiotics (ie Benebac, Fortiflora) can be added to these meals to firm those loose stools quicker and support digestion. As long as improvement is being seen, I usually advise continuing this until signs are settled, and then weaning slowly back to your normal diet.

Furthermore, you can consider trying a pet safe anti-diarrheal. As I am sure you appreciate, these would not be a cure for infectious issues; but it can still be of benefit. It will reduce diarrhea load, allow the body to absorb more water/nutrients, and soothe the upset gut. In regards ***** ***** options, the one we most commonly use is Kaolin/Kaopectate (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/kaolin-and-pectin-kapectolin-k-p)). This is available OTC at most pharmacies. Otherwise, Propectalin, Canikur, Fast Balance, and Protexin Pro-Fiber (all OTC at vets, pet stores, and even Amazon) would be another option. All will slow diarrhea and those last ones have the added bonus of providing support to the delicate good GI bacteria. So, these can be used as a short-term means of soothing his upset GI.

Finally, as dehydration is a risk for Jamie, we need to keep an eye on his hydration. To check that he isn't dehydrated, there are a few things you can test. Further to checking for gum moisture, do make sure he doesn’t have sunken eyes and that he 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 him seen before this becomes an additional issue (especially as it is often dehydration that makes them feel unwell).

Overall, his signs do raise some concerns here. Therefore, we’d want to start supportive care to settle his stomach. If he cannot keep that or water down at any point, appears dehydrated already, or doesn’t respond to the above within 12-24 hours; then we'd want to get his vet involved. They can assess his hydration, rule out fever, make sure there is nothing in his stomach that shouldn't be there or any sinister viruses present. Depending on their findings, his vet can treat him with injectable anti-vomiting medication, fluids, +/- antibiotics to settle his stomach, and get him back feeling like himself.

Kind regards,

Dr. B.

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Customer: replied 28 days ago.
Thank you for your detailed response. 5 stars.
Expert:  nekovet replied 28 days ago.

You are very welcome, my dear. :)

Have a lovely day,

Dr. B.

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