I have a 13yr old Shih Tzu X, Oscar. Up until 1.5 years ago, he was full of vinegar and acted like he was 2. He is white/biscuit colour and never had dark eye staining or staining on his muzzle. He also started the gulping/swallowing/hacking around the same time. The vets never thought there was anything wrong. I just wasn’t convinced that the staining was natural if he never had it before. I put him on Merrick Limited Ingredient kibble and wet food. It helped the staining a bit but not the gulping.
In January, the vet recommended to put him on RC Hypoallergenic Kibble. No change, I think it made it worse. We put him back on Merrick. Since mid April, his gulping/swallowing/hacking is happening more and more often. May 18, we took him to a vet (ours wasn’t available) and suggested we give him Zantac 10mg 2X daily. By May 21, the diaherra was horrible. It was pure liquid. So, we rush him to the vet on the Sunday (same clinic that suggested to give him Zantac, but different vet) and he gives us Metronidazole 250mg every 12hrs and Hills Prescription ID Chicken Stew. After a couple days he was getting better and the gulping thing was happening less. Oscar was sleeping better throughout the night. May 25, we took him to our vet for a check to make sure all is going well. He told us to stop giving him the meds as his poop had firmed up and told us to feed Oscar RC Gastrointestinal kibble. I have it to him for dinner with the ID wet stew. 2 hours later the gulping/swallowing/hacking returns to how it was prior to the metronidazole. I stopped giving him the kibble. I took Oscar back and told the vet and showed many videos of what he does. He thinks it’s acid reflux and prescribes Nexium 20mg, giving 1/2 pill daily. Last night and during the night was awful. Every 2-2.5hrs he was having the gulping thing. It only happens when he’s laying down or sleeping. He has never vomited, until this morning. It was a foamy, very pale yellow bile.
I called the vet this morning and have to take him back tomorrow afternoon. So, I’m thinking now he may have IBD as the Metronidazole was starting to clear up his symptoms. I read it can take up to 5-7 days for the meds to totally kick in. I keep a journal and was reading back on my notes and thinking he should be back on the Metronidazole. I have been feeding him boiled chicken, rice with 1/4 can of the ID wet stew 2-3X daily. I prepare his food 3X a day but he doesn’t always eat but does 2X daily. He drinks water and has normal bowel movements.
Does anyone have some advice? Could I be on to something? If it is IBD, will the Nexium even help? Is there anything I can give him tonight to help with the gulping/swallowing/hacking?
