My dog has a pyloric sphincter issue. What medications can I give?

You could talk to your vet about a GI specific diet, as this may help reduce inflammation in the GI tract. It also won’t hurt anything to deworm him, and may help if he has Physeloptera (a stomach worm). If he is well controlled on his medications (omeprazole) and a GI diet, it’s probably fine to leave it at that. Regurgitating once every few weeks is not a huge deal... if it becomes more frequent or other symptoms (including weight loss) develop, talk to your vet about further diagnostics and treatment. Thanks for asking Petco Pet Education Center, formerly Petcoach!

Thanks for using Petco Pet Education Center, formerly Petcoach! I would talk to your vet about daily anti-nausea medicine like Cerenia (from your vet) or famotidine (Pepcid- over the counter). They can give you a dose and how often to give. Good luck and kisses to Tommy!

Thanks for using Petco Pet Education Center, formerly Petcoach! I'm sorry to hear your dog is having stomach issues on a medication. Typically, a bland diet (such as boiled white meat chicken and white rice) can be helpful for medication-induced GI upset. If your dog isn't eating, vomiting, having diarrhea or otherwise feeling ill, then I would recommend having him evaluated by his veterinarian, as something more than just a medication reaction may be going on. Good luck!

Thanks for using Petco Pet Education Center, formerly Petcoach! While that could help, it is still unlikely to result in resolution of his vomiting and it is crucial to find out what is causing his severe vomiting. I hope he starts feeling better soon! Good luck and have a great day!

Hello, sorry to hear about Pablo. In dogs that have a GI ulcer that has perforated, they typically require surgery to remove the abnormal portion of the stomach or small intestine. However, if he has not perforated, then considering medications such as with omeprazole and other gastro-protectants is adequate. Hope this helps and best of luck.

In the past in the UK we used to prescribe Antepsin syrup or tablets for gastric ulcers, in addition to analgesic medications (no antinflammatories !) and antiacids. It used to be a human medication so needed informed consent from the owners and compliance to the cascade (it could be used in cases where no other authorised animal medication was available). Unfortunately then there was a shortage in his availability and other medications had to be used on their own.. Antepsin, or sulcralfate, created a barrier between the ulcer and the acid content of the stomach. The antiacids now are still used, and their active drug is either omeprazole and/or ranitidine.

Wow, this is quite a complicated case, so the answer will not be straightforward and is very involved. I'm assuming that you are trying to present an impressive report, but I'd recommend scaling this back, because the more complications you add, the more you will be accountable for. There are a few fundamental things that I'd like to point out about your report that are already erroneous and may result in reduced points. First, you need to understand the difference between symptoms and signs. Symptoms are what the patient is feeling and telling you. Examples of this are the patient feels tired, pain or dizzy. Since animals cannot talk, we can only base these things on observations (aka signs). This means that you can never truly refer to anything as a symptom in animals. They are all signs. Megaesophagus is a sign. You should also be aware of the difference between ammonia and pneumonia. Ammonia is a nitrogen-containing molecule and is often used as a cleaning product. Pneumonia is a condition where the lungs are diseased/inflamed. If you have not been taught these concepts, then I doubt your instructor expects you to know what medications to give for this condition. To make it easier, but still impressive, I would say that the pup has a persistent right aortic arch (PRAA) and that you need to place a stomach tube while he awaits surgery for the PRAA. Keep the SOAP simple to the level of education you are at. There is no way your instructor could expect you to know how to diagnose and treat these conditions. This is graduate veterinary level of work. I know I still haven't answered you question, so I'll give you a few treatments below for pneumonia secondary to megaesophagus, which would be secondary to Mysthenia gravis. If he had this along with anemia and a stomach tube, then there would be no take-home meds, because this dog would need to be hospitalized. IV enrofloxacin and metronidazole for the pneumonia Oral (through the stomach tube) pyridostigmine for the Megaesophagus. Blood transfusion depending on the severity of anemia When dog recovers from pneumonia, it should go on oral prednisone for the Myesthenia Gravis. I hope that helps and the project turns out well.