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Dr. B.
Dr. B., Board Certified Veterinarian
Category: Vet
Satisfied Customers: 21245
Experience:  General practice veterinary surgeon with extensive experience in a wide range of species.
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7YR OLD SHIH-TZU BEEN EATING GRASS VORACIOUSLY,1ST TIME 10

Resolved Question:

7YR OLD SHIH-TZU BEEN EATING GRASS VORACIOUSLY,1ST TIME 10 DAYS AGO. EATING DRINKING & POO NORMAL. DOES SEEM ABIT DOWN AS THOUGH HE HAS TUUMY ACHE.
Submitted: 1 year ago.
Category: Vet
Expert:  Dr. B. replied 1 year ago.
Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.
Any retching, gagging, lip licking or vomiting?
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 something he should not have (ie bones, toys, plants, chemicals, etc)?
Has he had any diarrhea?
Customer: replied 1 year ago.
LIP LICKING, WATER KEPT DOWN,GUMS PINK BUT STICKY.NO DISCOMFORT MAYBE SLIGHTLY TENSE.NO OTHER FOOD OR ANYTHING UNTOWARD. NO DIARRHEA, STOOLS NORMAL AND REGULAR.
Expert:  Dr. B. replied 1 year ago.
Thank you,
First, I agree that Billy has GI upset here. His grass eating and lip licking are both red flags of nausea. As well, I would note that while its good that those gums are pink, the stickiness is an early warning sign of dehydration creeping in. So, we need to proactive here and get him settled.
Now just to note common causes we need to consider for Billy's nausea include bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, and can also be secondary to age related issues (ie metabolic disease, organ troubles, cancer, etc).
Still, with how sudden this came on, we'd want to start supportive care now. To start, you can consider treating him with an antacid. Common OTC pet safe options would be: Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac) or Milk of Magnesia 0.5 tsp every 8 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. And I would note that if you give this and 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.
Once that has had time to absorb and he is steadier on his stomach, you can consider starting him on a light/easily digestible diet. Examples you can use are cooked white rice with boiled chicken, boiled white fish, cottage cheese, or scrambled eggs (made with water and not milk). 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. As long as improvement is being seen, I usually advise continuing this until the signs are settled, and then weaning him slowly back to his normal diet.
Overall, a wide range of agents could trigger the GI upset we are seeing with Billy. Therefore, in his case, we’d want to start supportive care to settle his stomach. If he cannot keep that or water down, 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 +/- antibiotics to settle his stomach, and get him back feeling like himself.
All the best,
Dr. B.
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