Friday, January 18, 2013
Management of dog vomiting
If no results with clinical history or physical examination that trigger concern, then further tests are necessary. The first of these is usually blood tests for biochemistry and hematology profiles. Urine and feces may also be analyzed, is a bad bacteria or parasites. Additional laboratory tests may be required in certain circumstances, such as evidence of stimulation of bile acid if liver dysfunction is suspected, or an ACTH stimulation test to look for disease adrenal.
The next step of the work consists of imaging. The most useful is abdominal radiography (X-rays), ultrasound and endoscopy, but can also be very important. Radiography and endoscopy both have to be performed under general anesthesia, while ultrasonography can be performed conscious. If the image does not reveal the underlying cause then biopsies can be taken, either endoscopic or guided through exploratory surgery. Histopathology of these samples (studying the tissue microscopically) can give vital clues about the cause, in particular to distinguish between inflammation and cancer.
The final diagnostic option is the therapeutic trial. If the dog gets better with prescribed medication must have been some kind of disease that responds to that drug. According to this reasoning, worming, antibiotics or exclusion diet trial may be chosen.
The drugs used in the treatment of vomiting
1. Protectors and stomach antacids
These medications are useful when stomach ulcers suspected. Examples include sucralfate (acts like a bandage on the wound), H2 antagonists (reduce acid production) and omeprazole (also reduces acidity).