My Yorkie has loose stool & acid reflux. Omeprazole isn't helping.

I would recommend adding on a Spec CpL test to look for pancreatitis, or you can have her referred to a specialty hospital who can perform ultrasound. Bloodwork doesn't always show changes in light of important diseases like cancer or gastrointestinal disease.

Thank you for contacting Petco Pet Education Center, formerly Petcoach with your question about Milktea. Poor boy! It looks like there is some hair in his vomit. I can give you a home remedy to see if that helps. Withhold food for 12-24 hours, then feed a bland diet of boiled white meat chicken (no bones) and white rice in small amounts several times a day for a couple of days. Then slowly add back in his normal diet. If the vomiting continues in the absence of food, he refuses to eat the bland diet, he vomits the bland diet, develops diarrhea, stops drinking water, starts vomiting water, or becomes very lethargic, he will need to see a vet right away. I hope this helps!

I would recommend restarting the omeprazole and taking Quigley back to this vet when they reopen after the holiday. He may need some pain medication, anti-nausea medication, or further hospitalization to help deal with the pancreatitis. It can be hard to get that under control. If he stops eating, it would be wise to take him to the emergency room over the holiday. Best of luck, I hope Quigley is feeling better soon!

Hi there and thank you for using `Pet Coach to address your concern. I would recommend that Stella be seen by the vet and tested for Parvo just to be on the safe side as she is immunologically immature at this age and is at high risk for contracting viral infections like parvo virus. If she is negative, I would initiate a bland diet as outlined below and feed until the stool returns to normal. I would also have the poop tested for intestinal parasites. Coccidia is a common parasite we see in puppies and is easily treated with the right medication. I hope this helps! Please let me know if you have any other questions or concerns. I am also available for consult if needed. GENERAL INFORMATION A bland diet is a diet that is soft and highly digestible. It is low in fiber, fat and protein and is high in carbohydrates. Bland diets are generally composed of a single carbohydrate source and a single lean protein source. The most common bland diet is boiled rice and boiled lean chicken breast, without skin and bones. Since bland diets are low in fiber, stool production slows and defecation is less frequent. Bland diets are fed to rest the gastric system and to help promote normal stool formation. Animals that are physically sick should not be fed bland diets as a method of treatment. PRIOR TO FEEDING A BLAND DIET Pets should be fasted for 12 to 24 hours. Young animals should not be fasted for more than 12 hours. Fasting will allow the intestinal system to relax and minimize acid secretions that may irritate and inflame the intestinal lining. During the fast small amounts of water or ice chips may be provided. Never fast a sick animal, it may cause disease progression and death. BASIC BOILED RICE AND CHICKEN BLAND DIET RECIPE CARBOHYDRATE SOURCE: Boiled white rice LEAN PROTEIN SOURCE: Chicken breast, no skin and bones BOILED RICE: 1 part white rice with 3 parts water boiled for 20 – 25 minutes or until the rice is easily crushed. BOILED CHICKEN: De-fat chicken breast and boil in water for 10 – 15 minutes or until the chicken meat is easily pulled apart and cooked all way through. MIXING INSTRUCTIONS: Finely chop the lean protein and mix 2 cups carbohydrate source and ½ cup lean protein source. STORAGE INSTRUCTIONS: Bland diets can be premade and stored in the refrigerator for a maximum of 48 hours. The bland diet can be cooked in a batch and frozen in feeding sized portions to minimize preparation time. Thaw and warm the frozen diet prior to feeding. PERMITTED LEAN PROTEIN SUBSTITUTIONS Pork loin, egg whites, low fat cottage cheese. 7% low fat hamburger, plain low fat yogurt. PERMITTED CARBOHYDRATE SUBSTITUTIONS Boiled potatoes, boiled spaghetti, Minute rice. PERMITTED COMMERCIAL BLAND DIETS Science Prescription Diet I/D, Eukanuba Veterinary Diet Low Residue, Royal Canin Veterinary Diet Intestinal HE. FEEDING INSTRUCTIONS Estimate 25% of your animal’s diet and feed that amount of the bland diet every 6 – 8 hours. Smaller animals will require less and larger animals will require more adhering to the same carbohydrate to lean protein source ratio. The bland diet should be fed for 4 -5 days with no treats or other food sources until stools are firm. TRANSITION BACK TO A NORMAL DIET Never transition back to a regular diet rapidly. Transition back to the regular diet over a 1 week period. Start by adding 25% of the regular diet to 75% of the bland diet and feed that combination for 2 days. If stools continue to be firm then continue substituting the regular diet in 25% increments and feeding the combination in 2 day time intervals until the diet is 100% regular diet. Minimize treats for 1 week after moving the diet back to 100% regular diet.

It sounds like it may inflammatory bowel disease but he would need biopsies of his GI tract to diagnose. You could try a hypoallergenic diet like science diet z/d ultra and talk to your vet about low dose steroids (budesonide is a good choice for GI issues) if you haven't tried this already. Also I would have him dewormed with a broad spectrum dewormer if you haven't already. I have had good success with this regimen in some of my IBD patients. It sounds like y'all have ruled out everything else. I hope this helps! if this doesn't work then I think intestinal biopsies are the next step.

You are correct that vomiting and diarrhea are broad symptoms that could be caused by a number of diseases. The most common causes are gastroenteritis (stomach upset from eating something she is not accustomed to), pancreatitis (inflammation of the pancreas, often caused by high fat foods), a foreign body in the gastrointestinal tract, or others such as toxin ingestion or organ dysfunction. You can try to withhold food for 12-24 hours and re-introduce small amounts of a bland diet such as boiled lowfat chicken breast or hamburger with rice. If she continues to vomit and have diarrhea despite being fasted, she should be evaluated.

Hello. Acid reflux can result from several things, not just the production of acid in response to food in the stomach. Esophageal disease/motility disorders, diet, over-secretion of pepsin & non-specific inflammation can all contribute to the problem. It may be as simple as switching to a sensitive skin/stomach formulation of dog food, or an actual GI diet or one geared toward allergies such as Prescription Diet z/d. Adding an acid reflux medication such as famotidine or omeprazole is often a pretty safe option to try. Talk to your vet about what might be the best option for Gemma. Thanks for using Petco Pet Education Center, formerly Petcoach.