Senior dog vomiting and burping after pancreatitis and pneumonia?

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!

Poor Quinton! Pancreatitis can become a chronic issue. Switching the diet to the Low Fat food may help. You will also need to make sure he does not eat ANY human food or get into the garbage. Any treats need to be extremely low fat. Some dogs with chronic pancreatitis benefit from daily antioxidants for dogs. Some may need a daily steroid but most don't. Make sure Quinton drinks lots of water daily. Here is a link about pancreatitis: https://www.petcoach.co/article/pancreatitis-inflammation-in-dogs/ If this trend continues, your vet may want to look for an underlying condition such as Cushing's Disease. I hope this helps and that he starts feeling better quickly.

This presentation associated with pneumonia is quite concerning as it could be the result of an aspiration pneumonia. A clinical examination at your local veterinarian is immediately essential to confirm these clinical suspicions and treat appropriately. Antibiotics and possibly further investigations (like abdominal imaging as ultrasound or radiographs) may be needed. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!

Oh my, poor Max has been through a lot lately! As you know, the butter ingestion could certainly exacerbate his pancreatitis. I don't personally recommend using hydrogen peroxide to induce vomiting because more recent studies have shown that it causes damage to the linings of the esophagus, stomach and intestines in nearly all dogs that receive it. I'm glad that you've stopped giving the peroxide at this point. If he isn't vomiting after 8 tablespoons, it's unlikely that it will cause him to vomit at all. Since he's received so much peroxide and is now coughing, I would recommend taking him to the vet. Your vet may want to take some chest x-rays to be sure that Max didn't aspirate (inhale) anything, that could be causing his coughing. Likewise, they may need to prescribe antacids and medication to coat his esophagus and stomach to protect him against ulceration. As far as the butter and pancreatitis situation goes, time will tell. Your vet will likely recommend continuing a low fat or bland diet for a longer period of time than he would have otherwise needed and may also extend the course of any anti-nausea medications. Since the treatment for pancreatitis is supportive, his supportive care measure may just be extended longer. I hope this helps and that Max feels better soon!

Acute pancreatitis and gastrointestinal inflammation/infections are still possible as well as foreign body ingestion with material not visible on X rays (ultrasound in these cases might be more sensitive). Given the lack of improvement, I would suggest to have her checked again and have a test for pancreatitis (it is a blood test called cPLI) performed. If not eating and probably in a sort of abdominal discomfort, nutritional support and pain relief meds are needed.

Hi there and thank you for using pet coach to address your concern. It is difficult to say for sure what the problem is since I do not have the lab work in front of me. If she is having symptoms of pancreatitis she most likely needs medications to help relieve these symptoms along with initiating a low fat diet. I would also want to know why she is now developing pancreatitis and at her age, I would strongly recommend an abdominal ultrasound if she is not improving. Prescription diets like Hills low fat I/D might be the best for her long term. If you have not initiated a bland diet, please follow my guide below. If there is no improvement or she worsens, you should take her back to your veterinarian for a recheck, further diagnostics and treatment. I hope this helps! Please let me know if you have any other questions or concerns. I am also available via consultation 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.

If Pixi is being treated for pancreatitis, this vomiting could still be related to it. Pancreatitis makes a dog very sick. I think she needs to see a vet immediately, as she sounds very sick. Please take her into a vet now. Best of luck.