Mon, Dec 4, 2023

She has not really kept any food down. I did not give insulin shot this morning

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Dr. Brunermer

Your Australian Shepherd's symptoms of vomiting, lethargy, and loss of appetite are concerning, especially given her age and medical history. The yellow color of the vomit suggests that bile is present, which often occurs after a dog hasn't eaten for a while or if they're vomiting on an empty stomach.

Given that she is diabetic and on insulin, it's crucial to monitor her closely. Not administering insulin can lead to high blood sugar levels, which can be dangerous. However, if she isn't eating, giving her usual dose of insulin could cause her blood sugar to drop too low, which is also dangerous. It's a delicate balance that needs to be managed carefully.

Levetiracetam is an anticonvulsant, and it's important to ensure she continues to receive this medication as prescribed to prevent seizures. If she's unable to keep this medication down, this could lead to further complications.

At home, you can try to encourage her to drink small amounts of water or an electrolyte solution to prevent dehydration. Don't force her to eat, but you can offer a bland diet such as boiled chicken and rice in small amounts to see if she can keep it down. It's important to monitor her blood glucose levels if you have the means to do so at home.

Watch for additional symptoms that would require immediate veterinary attention, such as continuous vomiting, signs of pain (whining, restlessness, abdominal tenderness), a distended abdomen, profound lethargy, difficulty breathing, or any neurological symptoms like seizures or disorientation.

If she is unable to keep water down, continues to vomit, or shows any of the above symptoms, she needs to be seen by a veterinarian as soon as possible. Dehydration, electrolyte imbalances, and the risk of hypoglycemia or hyperglycemia are serious concerns for a diabetic dog that is vomiting.

If you have any additional questions, please don’t hesitate to come back to us! Thank you.