Bilious Vomiting Syndrome - Havanese Forum : Havanese Forums
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post #1 of 17 (permalink) Old 03-08-2019, 06:50 AM Thread Starter
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Bilious Vomiting Syndrome

My 6-year-old Havanese was recently diagnosed with bilious vomiting syndrome. When his stomach is empty, he vomits up bile. We have been working to fix this by adjusting his food schedule Ė we have been feeding him his daily portion of food spread throughout the day in 4 separate meals. It initially seemed to work, but then his vomiting just went back to the same frequency. He generally vomits up bile at least once every other day, if not daily. Usually in the middle of the night when his stomach is empty, but sometimes before dinner too. So frequency of meals hasn't helped. With his vet's advice, we put him on 5mg of Pepcid AC daily. That has helped somewhat, now he only vomits about twice per week. It's still not good enough and needs to stop completely. His vet just prescribed him a prescription food (we're waiting for it to be delivered, so haven't started on it yet), Hills Z/D. I am desperate for this to work, as I'm sure my pup is.

Has anyone had experience with bilious vomiting syndrome that has any insight?
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post #2 of 17 (permalink) Old 03-08-2019, 07:38 AM
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I don’t know anything about the disease, but I know a little about the meds for human reflux because my son has severe reflux and a motility disorder. If it’s anything like treating humans, it may just take a little time to find the right meds. Pepcid is in a group of meds along with Zantac that is notorious for not working at all or working temporarily for some people. I think it can change the acid production of the stomach but it doesn’t always prevent throwing up. But it’s pretty traditionally the first med prescribed. DS threw up continuously on it but just didn’t cry about it when he was a toddler. He had better results from other meds, and a Nissen procedure.

I hope you find the right thing and he feels better soon!

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post #3 of 17 (permalink) Old 03-08-2019, 10:17 AM Thread Starter
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Thank you EvaE1izabeth. I appreciate your response. I will definitely ask his vet about an alternative medication to Pepcid/Zantac. Thanks for the suggestion!
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post #4 of 17 (permalink) Old 03-08-2019, 10:59 PM
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I know nothing, just wanted to wish you luck with the new food and to let us know how it goes.







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post #5 of 17 (permalink) Old 03-09-2019, 06:40 AM
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Bodie doesnít have the bilious vomiting but he would throw up a little bile early in the morning due to an empty stomach. I adjusted his meals and instead of feeding him twice a day I feed him at 7 am, 1 pm and 7pm then give him a little snack right before bed. It has done the trick. Heís on Hills ID digestive care food as he has a sensitive stomach. I hope you can find a solution, it took me a while to figure out what worked for Bodie. Good luck!

[SIGPIC][/SIGPIC]
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post #6 of 17 (permalink) Old 03-09-2019, 09:28 AM
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If more frequent feedings are not helping, I would try increasing the quantity and feeding a snack before bed. I do not think suppressing a dogís stomach acid production is a long term solution and could cause other problems down the road. To me, this is just suppressing the symptom and not getting to root cause which is typical of many vets. I would also question the quality of food and whether it is adequate to keep him satisfied long enough. I would also suggest talking to an animal naturopath or nutritionist so your dog can get off Hillís which is not really a high quality food.
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post #7 of 17 (permalink) Old 03-09-2019, 09:37 AM
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Quote:
Originally Posted by JulieB View Post
Bodie doesnít have the bilious vomiting but he would throw up a little bile early in the morning due to an empty stomach. I adjusted his meals and instead of feeding him twice a day I feed him at 7 am, 1 pm and 7pm then give him a little snack right before bed. It has done the trick. Heís on Hills ID digestive care food as he has a sensitive stomach. I hope you can find a solution, it took me a while to figure out what worked for Bodie. Good luck!
I just looked up the ingredients in Hills ID digestive care...the second main ingredient is corn. Does your vet really think this is good for your dog? I only mention this because long ago the vet had me put my cat on Hills food because he had some issues and it caused him all sorts of problems.
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post #8 of 17 (permalink) Old 03-09-2019, 10:09 AM
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Quote:
Originally Posted by brendagates View Post
His vet just prescribed him a prescription food (we're waiting for it to be delivered, so haven't started on it yet), Hills Z/D. I am desperate for this to work, as I'm sure my pup is.

Has anyone had experience with bilious vomiting syndrome that has any insight?
Please note that the main ingredient in this food is corn starch.
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post #9 of 17 (permalink) Old 03-09-2019, 10:57 PM
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Quote:
Originally Posted by mudpuppymama View Post
If more frequent feedings are not helping, I would try increasing the quantity and feeding a snack before bed. I do not think suppressing a dogís stomach acid production is a long term solution and could cause other problems down the road. To me, this is just suppressing the symptom and not getting to root cause which is typical of many vets. I would also question the quality of food and whether it is adequate to keep him satisfied long enough. I would also suggest talking to an animal naturopath or nutritionist so your dog can get off Hillís which is not really a high quality food.
If the diagnosis is bilious vomiting syndrome, isnít that the root of the problem? Itís important to consider that the problems down the road from suppressing acid production may far outweigh things like poor growth, gastrointestinal side effects from throwing up on a daily basis, etc.

I donít think it ever hurts to seek out a second opinion. I would be very careful about any diet changes without the help of a nutritionist in this situation, especially in the middle of the vetís diagnostic and treatment process.
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post #10 of 17 (permalink) Old 03-09-2019, 11:00 PM
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You might also ask the vet to clarify what reasonable treatment goals look like if you havenít already. I donít know about this disease, but it may be that occasional vomiting is inevitable and the goal is to minimize it and make sure the dog isnít traumatized and it isnít overwhelming to you. Not to keep compare two very different situations and anatomies but we learned to keep an extra shirt and wet wipes in the trunk of our car, not to give our son certain foods without a drink, etc. Even with medication he vomited from whatever is below his stomach (duodenum?) when he was sick. It wasnít painful for him, just inconvenient. We learned these things over time and as we adapted it became easy to manage. If treatment is expected to completely resolve the problem, thatís great news, and it means you know when he needs to see the vet.
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