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Question
My dog has epilepsy and has been on pheno for the past 1.4 years. 2ml every 12 hours. He hasn't had a seizure in a year. Last week he had 3 small seizures in a week.  I took him to the vet who did his pheno levels (16.1) and CBC  blood panel. He doubled his pheno. Now 3 days later after his morning tissue he became lethargic dnd vomited his breakfast.  He has now vomited a total of 4 times.  I took him to a nearby vet who said fhr needed a liver bile test snd other things (463.0) ehich i dont have she told me to reduce the pheno by 1ML.  She never addressed his vomiting. I called back they were closed. He keeps trying to sleep bit wakes up to vomit. Twice. Should I take him to ER? I really don't have another 100.00. But I will if I have to.  The vet prescribed do meds
Please help.

Answer
Well I am not a vet but it sounds to me like he is having some pancreatic issues. Liver and bile are part of that but vomiting over and over is usually from gastritis, pancreatitis or a liver toxicity.

He may have eaten something unusual for him. If he did, that will start a bout of vomiting like this.

Gastritis and pancreatitis are both pretty serious conditions that do require a vet's care. The increase in the phenobarbital could cause the vomiting as well, but it is more unlikely that it is the cause.

The vet did address part of the vomiting issue because she must have felt that his vomiting was a result of his bile tests being high. But that can also be from eating fatty foods when they are not used to eating them.

So you need to figure out what he has eaten in the last few days that could have caused this. The constant vomiting is also dangerous because he will become dehydrated. For that reason you need to make sure he gets some fluids into him such as Gatorade. Water isn't enough.

But if he keeps vomiting he will need to see an ER vet for some fluids. That might be all he will need to get him through the night.

I would say that if he vomits twice more tonight you need to get him to a vet and get some fluids into him.

That's what I would do if he were my dog.
I hope that he feels better soon.  

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Jana Connell RVT, CVT

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PLEASE READ BEFORE SUBMITTING TO ME: I am NOT a vet and do NOT diagnose diseases. That is only for a licensed Veterinarian to do. I will give you suggestions and steer you toward calling your vet for help. You can call the vet's office and talk to the technician there or the vet at times. Don't be afraid to call them! If you have a serious issue with your pet please post it to one of the veterinarians in here- I will tell you the same thing in my answer. IF your pet is injured or in an emergency situation, CALL YOUR VET- Do not wait and post in here. Just call the vet's office and get them in to see the vet right away. Critical treatment time is lost if you seek answers here when you should have your precious pet at the vets!! Don't sit at home waiting for an answer when your pet is critically ill or injured!! I can answer most questions about small animal and wildlife care as well as small animal nutrition. I can also answer questions about all phases of dental care for small animals. I DO NOT answer questions about birds (unless it is wildlife or songbirds) or HAMSTERS/GERBILS/CHINS/GUINEA PIGS/REPTILES/FROGS/RABBITS/PET BIRDS OF ANY KIND so please submit these questions to the appropriate sections. I, as well as other experts in here, do NOT do homework questions- that is for YOU to do! Please respect these rules for all of us. Thanks!

Experience

I have over 35 years experience in the field of veterinary medicine. I specialized in small animals and did wildlife rehab for over 25 years, mostly raptors, squirrels and opossums. I am a Small Animal Nutritional Consultant with 6 certificates from Hills Pet Foods, CNM and Purina. I also specialized in Small Animal Dentistry which is a field I truly love.

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Audubon,World Wildlife Federation, American Society of Veterinary Dental Technicians.

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Licensed with California and Oregon, RVT and CVT. Certified Veterinary Dental Technician Have over 500 logged hours of Continuing Education Credits(that means I keep up to date!).

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Nominated for Expert of the Month for the last 5 years.

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