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Bowie finished her chemo for osteo in August and has been on Piroxicam since Sept. 10mg 1x per day. I've been giving it to her in her evening meal along with 10mg of Pepcid. She also was getting 10mg of Pepcid with breakfast. She started throwing up yellow bile along with small bits of undigested food hours after her meals. At first I thought it was because she had stayed at my friend's house one weekend when I was out of town - she only feeds one meal a day and I thought maybe that had thrown her off. I got her back on her 2 meal a day routine, but the bile vomiting continued to happen intermittently. I increased her Pepcid to 20mg before each meal, added a Probiotic and whole mile Greek yogurt to her food, which seemed to help for a couple of weeks, but she's back to vomiting a small amount of bile with a little bit of undigested food. This is happening about every other day. I called the oncologist and they stop the Piroxicam beginning today through Monday and see if she still brings up bile. If she does, they want her to come in for an examination. If not, they may add another OTC stomach med in addition to the Pepcid and/or have her take the Piroxicam every other day. Has anyone dealt with this? If so, what did you do? What worked/what didn't work? My understanding is that Piroxicam is the best NSAID with anti-cancer properties, so I hate to switch her to another one that doesn't work as well. On the other hand, I don't want her to be miserable. As an aside, they said most dogs tolerate Piroxicam well, but very recently they have had 3 dogs who are having a tough time with it.
I am starting a new thread because Mercury's issue is a little different from previous threads. In a nutshell: Friday morning: out for p & p, in for three small cookies, 5-10 minutes later vomiting. This was truly vomiting, not the regurgitation that comes from eating too fast (though that happens on occasion as well). After a day of very small meals, and watchfulness, all seemed well. Saturday: fine Sunday morning: A repeat of Friday but maybe 1-2 minutes after cookies. Same pattern of vomit: horrendous noisy effort to bring it up. bile, then, cookies, then 2-3 more efforts to bring up yellow, slightly frothy bile. Here's where it's different from other empty-tummy morning vomit threads: (1) This occurs after eating (2) He gets a large milkbone before bed (3) For the first time, he was kenneled. I picked him up Thursday morning. After 2 and 1/2 years together, this is only the second time he's ever really vomited. Thoughts?