My dog with IBD is vomiting. How to stop BVS and entice him to eat?

I'm not sure this vomiting is related to the new food. One would expect that the colon and the stomach should be one the same page since they are all part of the same tract. So if a food upsets the stomach, it is likely it will upset the colon. The fact that the KO fixed the colon (ie the poop issues) but now Jack is vomiting is not expected and is unusual. I don't recommend to switch the food unless your vet advises it. Instead, call your vet. They may recommend steroids or another medical treatment for the IBD. They may also recommend an abdominal ultrasound to rule out a cancer like GI lymphoma. If you do want to try a food, I recommend a hydrolyzed diet since it will diagnose all types of adverse food reactions. The formula I recommend is Royal Canin Ultamino. I hope this helps to guide your decision and please feel free to post any additional questions.

Honestly we rarely have to put these dogs on a special diet but if I had to pick a diet I would say high fiber which may help with GI motility. A prescription diet from your vet like Hill's w/d would be best. I would use the canned version. I am a bit worried that the diagnosis is not correct. There are many other reasons why a dog could be vomiting bile (parasites, partial GI obstruction, GI motility disorder, cancer, endocrine disorder, food intolerance/allergy, etc). Did he have any blood testing done? X-rays? I think you have already done what should be tried for simple bilious vomiting syndrome. Since he hans't improved and is actually worse, I strongly recommend you consult with your vet about more testing. I am also concerned as this is a diagnosis usually seen in older dogs; Earl is young to have this issue. In the meantime you can try giving him some over the counter antacid (famotidine) 10mg once a day but only give this until you can get him back to your vet. ( https://www.walmart.com/ip/Equate-Maximum-Strength-Acid-Reducer-Famotidine-Tablets-20mg-200-Ct/24360533 ) Hope this helps. Best wishes.

I think that sounds fine! There is always a fair bit of trial and error in managing inflammatory bowel disease. Every dog is a little different, and we always strive to get the symptoms under control with what ever combination of meds that work. Omeprazole works to reduce stomach acid, and Metoclopramide works to improve GI motility. Keep talking to your vet, and let them know how the new meds are working. And, if there is any concern about the new food bag, you could always purchase a new bag, in case there is a bad batch. Best of luck!

Poor Baron! I'm sorry to hear that he's having so much trouble. It is indeed surprising that things are getting worse and he is vomiting so frequently on his current combination of medications, which makes me concerned that something more serious may be going on. I'm not sure how his IBD was originally diagnosed, but if he has not had an exploratory surgery with biopsies of his stomach and intestines, I would strongly recommend that at this point - he may actually have something more serious, such as GI lymphoma or some other type of stomach or intestinal cancer. An endoscopy with biopsies would also be an option, if this is available in your area.

Suddenly switching foods can cause digestive upset which can lead to vomiting. Not eating often enough can also lead to vomiting for the opposite reason -- not enough food in the stomach can cause a buildup of bile and acid which leads to digestive upset and vomiting. If you switched Finn's food too quickly, returning to his old food and gradually switching over a period of 7-9 days can help ease the transition. If he's not eating enough, offering several smaller meals throughout the day can help keep him eating (without it being too large of an amount at once) without his stomach emptying completely. If he continues to vomit even with the above adjustments, or other signs and symptoms appear, a full workup at your vet is best.

I would recommend talking to your vet about different kibble options or additives since they are more familiar with Jack's medical history. Often, using human foods to "flavor" dog food to encourage eating just allows the dog to start choosing what they want to eat. Jack is training you that if he doesn't eat his food, he can have something even more tasty. There are lots of different prescription diets that can be tried if Jack truly doesn't want to eat the KO anymore.

If your pet has vomited this much in the past 45 minutes I would be very suspicious of a foreign body or a very intense dietary indiscretion (eating something he shouldn't have). I would recommend you start supportive care (like Famotiidne 05-1.0mg/kg every 12 hrs and a bland diet like Purina EN Gastrointestinal canned food OR boiled plain chicken and rice or cottage cheese. However there is a big possibility that this could have been a toxicity and if any more symptoms start to arise (such as ataxia (staggering) or shaking, crying out) then I highly recommend you seek a personal veterinarian for a physical examination and further diagnostics. - Dr. H