Mon, Jan 15, 2024

Hello my puppy was just diagnosed with megaesophagus but after consulting with another vet I was told to get another opinion because he is not vomiting his food after eating and is using the bathroom as he should. He has vomited water once but not any food yet, when he moves after drinking water you can hear the water in his body. I will add pictures from his exam and X-ray.

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Dr. Floore

This can lead to regurgitation, which is different from vomiting in that it is usually passive and does not involve abdominal heaving. Regurgitation typically occurs shortly after eating or drinking, as the food or liquid is not properly entering the stomach.

In your puppy's case, the absence of food regurgitation is somewhat atypical for megaesophagus, but the vomiting of water and the sound of water moving could suggest some level of esophageal dysfunction.

At home, you can take some steps to manage your puppy's condition and monitor his symptoms:

1. Feed your puppy in an upright position. You can use a specially designed feeding chair, often called a "Bailey chair," to keep him vertical during and after eating. This utilizes gravity to help move food down into the stomach.

2. Offer small, frequent meals of a food consistency that your puppy can handle. Some dogs with megaesophagus do better with wet food or a slurry, while others may handle solid kibble better.

3. Keep your puppy upright for 15-30 minutes after eating to facilitate the movement of food into the stomach.

4. Monitor for signs of aspiration pneumonia, which is a common complication of megaesophagus. Symptoms include coughing, fever, lethargy, and difficulty breathing. If you notice any of these signs, it is critical to seek veterinary care immediately.

5. Ensure your puppy stays hydrated, but be cautious with how he drinks. Offering water in a raised bowl and in small amounts can help. Some dogs with megaesophagus may need water added to their food to ensure they are getting enough fluids without the risk of regurgitation.

If your puppy begins to regurgitate food frequently, shows signs of weight loss, appears lethargic, has difficulty breathing, or if you notice any change in his condition that concerns you, it is important to seek veterinary care. These could be signs of complications such as aspiration pneumonia or malnutrition.

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