My dog vomits blood, gas, and stomach noises. What's next?

Question

My dog zeek was at vets for vomiting bile with flecks bright red blood. Stomach making loud noises u could her across the room and very bad gas. She diagnosed him with acid reflux put him on pepcid ac 10mg twice a day. Didnt do much. So changed to prilosec 20 mg in morning. Worked for few days. Then he started vomit with blood in morning and gas at night he refused to eat this morning but ate some this afternoon.i called to see what else to do or if i should bring him in.she said try new diet? Pet's info: Dog | Mixed Breed Medium (23 - 60lb) | Male | neutered | 5 years old | 55 lbs

Rodrigo Roca, DVM · Accepted Answer

Hello, sorry to hear about Zeek. There are multiple causes for Zeek's signs. Given his history and the specs of blood, I would be most concerned with gastritis. This could be caused by multiple reasons to include food sensitivities, infections, ingestion of foreign material, pancreatitis, kidney, or liver disease. You should speak with you veterinarian about obtaining further diagnostics to rule these diseases out. Diagnostics may include bloodwork, abdominal ultrasound, radiographs, and endoscopy. Alternatively, you may need to see an internist to further evaluated Zeek's intermittent vomiting. In the interim, you may try a diet change, however, it may take several weeks to see a response to a new diet. Hope this helps and best of luck.

My dog vomits blood, gas, and stomach noises. What's next?

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