[Susan]

Hi Shari,
I would be stopping the Carafate (Sulcrate) it lines the stomach so you can only give it when the stomach is completely empty so if there’s any food in his stomach the Carafate lines the food instead of his stomach & can make things worse, why has the vet got him on 3 a day? the food may not be completely digested, if he already has very low stomach acid the Carafate could be making things worse… Has he had any more gulping attacks since starting the Sulcrate or is he the same?

If you have the money have an Endoscope & Biopsies done to see what is happening in the stomach, the Biopsies will give your vet some answers, your vet must think his mouth licking & swollowing has something to do with the stomach for him to prescribe these types of drugs..
Ask your vet about “Gabapentin”?? it is used for seizures, pancreatitis, IBD, stomach problems, nerve pain, Gabapentin capsules covers a few health problems maybe see if he settles after taking the Gabapentin…

Even though you have change his food to a low fat food, how high is the fiber & carbs?? Is he on a vet dry diet kibble?? the carbs will be high & so will the fiber if its a vet diet, alot of vets prescribe the Hills W/D for dogs with Pancreatitis why I’ll never know the Insoluble fiber is 28%… Dry kibble is no good when dogs have Pancreatitis, the dry kibble could be causing acid reflux in the first place, have you tried feeding a lean meat like chicken or turkey low fiber, low carb, cooked meal, chicken breast & sweet potato & just give him the Losec 20mg every morning for 1-2 weeks & see how he goes?…. that’s what my Boxer was put on a home cooked diet by the new vet but it was too late by then, her old vet had her on the Hills vet diet it made her worse but vets never blame it’s the vet diet that’s causing the gulping swllowing drolling…..

Maybe best to have the Endoscope + Biospies done so the vet can see the stomach &
see is there’s any stomach ulcers or anything else, the biospsies will give some answers to whats happening…could be Helicobacter-Pylori, they eat & eat like they are starving, droll, swollow gulp as well..