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Updated on September 23rd, 2025
Pet's info: Dog | Labrador Retriever | Female | spayed | 75 lbs
My 11 year old lab has been anorexic and has vomited several times in the past 10 days. Abdominal xrays, stool exam and bloodwork normal except for slightly elevated alkaline phos. She was placed on Cerenia and Flagyl. Vet mentioned ultrasound as next step. Any thoughts on what this could be or other tests that could be done?
2 Answers

Answered By Dr. Melanie, BVSc MS
Veterinarian
Published on February 11th, 2019
Answered By Jennifer Summerfield, DVM CPDT-KA
Veterinarian, Certified Dog Trainer
Published on November 18th, 2016
I'm sorry to hear that Charlie is sick! It can be frustrating when something is obviously wrong, but testing comes back normal. It would help to be able to actually look over her lab results (and even her x-rays, if you have copies of them) - sometimes there are clues to what the problem may be, even if the values aren't technically "abnormal." If you want to request a one-on-one consultation, you can upload copies of everything - I would be happy to take a look at them and see if I see anything that might help.
If everything is truly "normal" and nothing looks suspicious at all on any of her testing so far, the next step that I would consider would be an abdominal ultrasound. This will often show things that can't be seen on x-rays, and unfortunately an abdominal tumor of some kind is fairly high on the list of possibilities for a 12 year old dog with these symptoms and normal blood work. Depending on the ultrasound results, exploratory surgery or endoscopy may ultimately be needed to get a diagnosis.
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