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What to give a dog for vomiting

What to give a dog for vomiting


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What to give a dog for vomiting?

What to give a dog for vomiting?

If your dog vomits, you may want to give them a pain relief injection for the stomach, the area may also be bleeding, and your dog may be in shock, if in the last stages of life (which is when they vomit black bile).

First thing is the most basic thing: clean the vomit off, and if necessary give the dog paracetamol (Paracetamol can cause liver and kidney damage if not administered correctly, and is not recommended in dogs over 6 years of age). Check for blood, if bleeding is present - use a light source to make sure the blood does not come out of the mouth, but comes out of the nose (in which case it is more likely from a broken blood vessel).

If the pain is bad enough that your dog has to be in pain (ie can't stand up) then you should be putting it out of pain first. Paracetamol may not be sufficient for this, and instead we need to use an opioid analgesic. If you've just been through the process of checking for blood, clean the vomit, then administer a 1/2 tablet of tramadol (or equivalent opioid) in a dose of 1mg/kg (give the smallest possible dose for the smallest dog). Tramadol is a much safer drug to give than a stronger opioid, like morphine, and you can dose it up to 4 times a day. The amount of the pill you need to give depends on the size of your dog, and the amount of vomiting.

Analgesic doses should not be given too frequently (ie not every time your dog vomits), but they can be given more often than other painkillers (more on this later).

If your dog vomits regularly you may want to discuss using an opioid for the rest of their life (so as not to induce vomiting), or they may just want to get through the acute vomiting. This is a personal choice, but most owners choose to use the opioid for the rest of their dog's life. To get an idea of the cost of long term opioid use, the price of the tablet I give my dogs is about £15 per day, and my dogs live to be about 13 years old. That adds up to £300 in a lifetime, and the tablets I give last for a couple of months (the longer the better).

The downside of using an opioid is the time it takes to get to your vet's, and to get back to your house (if you have a mobile one, as many do now). A dog who's lost weight through vomiting may be in pain and in poor condition, and we have to be extra vigilant about monitoring them and ensuring they don't get into trouble. So getting your dog to your vet is important, but they'll need to be seen as soon as possible if they're having a problem, and be watched for any signs of vomiting as this could mean they're not breathing properly.

Once a dog has stopped vomiting, but is still taking tablets, we usually do a blood sample and a urine sample to check the levels of the opioids. You can give your vet this information if you think it would be of benefit.

A dog's pain tolerance

If you have a new puppy or a young dog with a history of being naughty, then the veterinary surgery where you bought them can help you decide if your puppy has a pain tolerance. This information can be used by your vet to help determine which of the pain relief medications they use would work best for your puppy. There is more information on this in chapter 8.

### Nonsteroidal anti-inflammatory drugs

NS Ds are the mainstay of pain relief for dogs, and there are quite a few around at the time of writing. I use a vet specialised in pain relief that sells a range of options under the brand name _Vivette_. They also have some over-the-counter options available, so your vet will be able to recommend the right drug for your dog.

The good thing about NS Ds is that they tend to work within 24 hours, and as with all pain relief treatments, we have to be vigilant in ensuring your dog doesn't injure itself in the interim. We use injectable NS Ds, which are available in the same kind of way that we'd give them to people, so we administer the shot into the base of the tail, or between the shoulders. We can also give a pill, which has to be crushed and mixed in with food, to help them be active and alert after we've given them the drug.

_Vivette_ is made up of a combination of three NS Ds. One is diclofenac, which is a very effective NS D. There are two others that are also highly effective, but there are very few options available in Australia for them. That's because, in Australia, you can only buy diclofenac. Even though we can legally import it, most vets don't feel the financial pressures to allow the use of more expensive drugs such as tramadol or meloxicam. These latter two drugs tend to be used in Europe and America.

The other two ingredients in _Vivette_ help with gastro-intestinal upsets and inflammation in the stomach and bowel. The last ingredient is an anti-depressant, which helps your dog feel more relaxed after having the other medications.

### Topical analgesia

Topical analgesia includes gels, creams and ointments.

One of the most common options, which are used as a base before the pain-relieving medications, is the product called _Dipyrone_ (pronounced _DIP-ee-ron_ ). It's a broad-spectrum anti-inflammatory that's good for all sorts of conditions affecting the joints, and it is often used in conjunction with corticosteroids to reduce inflammation.

Another common option is a gel that's designed to be rubbed into the joints. It is called _Nuprin_ , and it contains a range of topical NS Ds (which are less effective than the ones used in injectable medications).

## CRADLE CAPSULES

**K** id _Capsules_ (usually called _C_ ** _h_** _amlets_ ), are made up of crushed tablets or pellets and are designed to be broken down by the stomach before being digested. Because of this they don't need to be swallowed whole.

The type of tablet used for _Capsules_ varies between different manufacturers. Some are not dissolvable in your dog's stomach, so they need to be chewed or crushed first. Other types are designed to break down more quickly.

It's important to work out what type of _Capsules_ your dog should take, and the correct amount, before you give them to him. This should always be done by your vet.

There are specific _Capsules_ for treating puppies, older dogs and puppies and older dogs, so be sure to check the information on the package insert. You can't just buy them off the shelf and assume they're safe for your dog.

**HELPING THE DOG**

• Read all the information on the package insert. Do not let anyone, even your vet, give your dog _Capsules_ unless they're told what they are and they're checked to ensure that they're suitable for your dog.

• Be very careful that your dog does not choke on a _Capsule_ during or after eating. Use specially designed pieces of plastic


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