My dog is still vomiting after vet visit and medicine, what now?

Poor Snickers! He's so cute and I'm sorry he's so ill. You did the right thing by taking him into the vet yesterday. It's a small improvement that he has eaten something and drank some water, and the IV fluids he got likely helped with any dehydration. When a dog is very sick, it can take a couple of days for them to regain their appetite. I would continue monitoring him very closely, and if he starts vomiting food and water again, stops eating, and/or stops drinking water, I would rush him back into a vet right away. At that point, I'd recommend further tests such as an x-ray to rule out a foreign body obstruction. Keep offering him boiled chicken and water. If you have any concerns about how he is doing, rush him back into a vet right away. Good luck, I hope this helps!

Hello, sorry to hear about Waffle. Some GI signs may persist for up to 5 days. In addition to the medication you were given, you may try to feed your dog a bland diet of plain white rice, skinless and boneless boiled chicken, and low fat cottage cheese for 3-5 days. If his signs are not improving, or if he develops bloody diarrhea, vomiting, lethargy, or a decreased appetite, then he should be evaluated by his veterinarian again as he may need additional medications. Hope this helps and best of luck.

The bilirubin is a bit high, as is the ALP (alkaline phosphatase) but neither of these values is super specific in terms of what the cause or the best treatment is. We can see the ALP be elevated with stress, age, and sometimes even normal cell regeneration within the liver. The bilirubin can be slightly elevated when the blood sample is what we call "hemolyzed," which can sometimes happen when blood is spun down for a blood test to be run. Therefore, if he is still showing symptoms of illness, I would echo what Dr Ana said; it may be time to consider imaging. Either X-rays or an abdominal ultrasound maybe helpful in identifying the problem and therefore identifying the best way to treat it. Take him back to the vet if he's still having troubles, as he probably is in need of some more fluids as well. Thank you for asking Petco Pet Education Center, formerly Petcoach, I hope he's feeling better.

Thanks for using Petco Pet Education Center, formerly Petcoach! If you are concerned that she is not doing well even after a visit to your veterinarian, I highly recommend that you have her reevaluated for further assessment. Keep in mind though that therapy sometimes can take a bit to take effect. I am keeping my fingers crossed for a speedy recovery!

Thanks for using Petco Pet Education Center, formerly Petcoach! Vomiting in dogs can have a variety of causes, including intestinal parasites, dietary indiscretion, foreign material ingestion, or gastroenteritis, among others. If the vomiting hasn’t improved on a bland diet, I would recommend Puchiwilly be evaluated by a veterinarian to determine the underlying cause for his vomiting, have any necessary testing done (X-rays, bloodwork), and start any treatment that he may need to resolve the issue. Good luck!

Thanks for using Petco Pet Education Center, formerly Petcoach! I think at this point it would be ideal to have him re-evaluated since things have not improved or resolved. They could check for possible things causing this such as gastroenteritis, pancreatitis, among other possibilities and treat accordingly. Good luck and have a great day! Hoping for a quick recovery!

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. I would recommend initiating a bland diet as outlined below. As long as she is not lethargic then this is fine to monitor for at least 24 to 48 hours. If there is no improvement or the symptoms worsen then I would recommend having a veterinarian examine her so that the most appropriate Diagnostic and treatment recommendations can be made. I hope this helps guide you in the right direction. Please let me know if you have any further questions or concerns and I will be more than happy to help you further. 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.