Ruptured duodenal ulcer dog now regurgitating

Re: Ruptured duodenal ulcer dog now regurgitating

Anthony Dennison — Wed, 18 Jun 2014 14:38:40 GMT

It's more used in cases of megaoesophagus, but would a Bailey Chair be useful in this situation?

https://www.youtube.com/watch?v=ez710k3796c

Re: Ruptured duodenal ulcer dog now regurgitating

nikki — Tue, 17 Jun 2014 22:28:25 GMT

Thanks for your help - really useful as always. Long chat with the owner today but she has point blank refused to put the dog through any more investigation. The dog is happy eating soft food and small biscuits slowly and only regurgs if eating big balls of food. She is a choc lab so inclined to inhale her food! We decided on a plan of getting the dog to eat slower by using small meals and something in her food bowl to slow her down so she has to work around it to eat slower and to continue with the omeprazole/ranitidine. The owner is happy with this so fingers crossed it doesn't get any worse. The dog is otherwise doing really well and very happy in herself.

Re: Ruptured duodenal ulcer dog now regurgitating

Evelyn Barbour-Hill — Tue, 17 Jun 2014 10:06:59 GMT

You could always use an aqueous iodide contrast medium if worried about aspiration.

Re: Ruptured duodenal ulcer dog now regurgitating

Andrew Kent — Tue, 17 Jun 2014 08:53:40 GMT

If they don't want to GA then send somewhere with fluoroscopy for a barium swallow, we do them quite routinely on regurgitating dogs and can often give a diagnosis. There is minimal chance of aspiration with this approach as dog is standing rather than having to lie on an x-ray plate.

If it looks like a stricture then endoscopy can definitely help but ideally the dog would be somewhere that could perform a dilation if identified.

Otherwise an oesophagitis is still possible, maybe try to source some Gastrocote as an alternative to the antepsin?

Andy

Re: Ruptured duodenal ulcer dog now regurgitating

Tim Charlesworth — Tue, 17 Jun 2014 08:31:45 GMT

Timing and signs would be most suggestive of oesophageal stricture I'm afraid esp if dog had sig regurg during GA. As per Evelyn's post, endoscopy would be sensible next step. Barium may show up the stricture but I'd be careful using this in a regurgitating dog due to the risk of aspiration. If you do scope the dog then it's worth chatting to a medical specialist first as strictures can be surprisingly hard to identify.

Best of luck,

Tim

Re: Ruptured duodenal ulcer dog now regurgitating

Evelyn Barbour-Hill — Mon, 16 Jun 2014 21:56:02 GMT

Well, the barium swallow probably would enable you to diagnose or rule out oesophageal stricture; and the barium "meal" could do the same for gastric deformity or similar (could be nothing to do with the previous disease, you never know!) and would give you some reassurance about the duodenum too.

I'm sure the owner understands that if you are to do anything for the dog you'll have to find out what's wrong. Stricture of oesophagus or cardiac sphincter has to be high on the list.

Re: Ruptured duodenal ulcer dog now regurgitating

nikki — Mon, 16 Jun 2014 21:42:37 GMT

The owner is really reluctant to put her through another GA for any reason but I might be able to persuade her to do barium with conscious rads. I just wondered what the problem might be likely to be?

Re: Ruptured duodenal ulcer dog now regurgitating

Evelyn Barbour-Hill — Mon, 16 Jun 2014 21:39:23 GMT

Sorry if I'm teaching granny to suck eggs, but:

endoscopy?

barium swallow?

barium "meal" (liquid)?