My dog won't eat, gurgles, and throws up yellow bile. Is it reflux?

This could be due to acid reflux. You can try an ant acid medication such as omeperazole to see if it helps. If you don’t see improvement in 1 to 2 weeks, you should follow up with your veterinarian for diagnostics including bloodwork and X-rays.

Chronic vomiting can be frustrating especially since everything you have tried so far. I know you have been to the vet a lot but Led does not to go back tonhave radiographs or an ultrasound done to look inside his abdomen and intestines and possibly a biopsy to find the underlying cause instead of symptomatic treatment.

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

Yes, this could be due to acid reflux, but I can't say for certain without seeing Leo in person. In addition, it's illegal for me to recommend taking any OTC medication. I would have him seen by a vet for this problem. The vet can diagnose what is causing his issues and can treat him. Best of luck.

A complete workup from your vet is best to rule out anything more serious such as food allergies, GI problems, etc that could be underlying and are being masked by the medication if the problems are persisting. In some cases, reflux and vomiting bile can happen if your dog has an empty stomach for too long. Feeding smaller meals more frequently, or feeding a treat right before bed/waking up first thing can help keep enough in the stomach to keep your dog from vomiting. However, I would still let your vet know the vomiting is continuing when off the meds and schedule a vet visit to rule out any issues anyway.

A better choice for an antacid would be Pepcid. You can discuss it and get a dose based on Bella's weight from your veterinarian. Legally, we are prohibited from telling you to give it and providing a dose without a physical exam and a VPCR (Veterinarian-Patient-Client Relationship). The bland diet is definitely a good idea. Consider a short fast, 12-24 hours, to give her tummy a rest. Offer the bland diet in small, frequent amounts

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.