[Susan]

Hi Holly,
what has Rooney been eating when these gulping episode started?
With Omeprazole (Prilosec) it needs to be taken daily same time is best given in the morning before breakfast, I give Patch 1 x 20mg Losec as soon as he wakes up, by the time I make my cuppa, feed the cat & prepare Patches breakfast he has waited 20mins so the Losec has had time to dissolve in stomach & send msg to brain, do not release hydrochloric acid into stomach, just make sure when you do give any tablets you use a syringe filled with water & put the Losec tablet on back of tongue down his throat then put syringe in the side of his mouth & push water out of syringe into moouth so the tablet goes into the stomach & doesnt sit in his throat & dissolve….
When Rooney seems to be having bad acid reflux give the Prilosec for 3-4 days then if you want to stop giving the Losec stop but once he takes the Prilosec more then 15-20 days you need to reduce slowly 2 days give then 1 day none etc, in the beginning I use to give Patch Losec for 3-4 days on, then 3 days off the Prilosec depending if he started his gulping, then I realised he was heaps better while taking his Losec so he’s been on Losec 2yrs now but last week I changed him over to 20mg-Somac (Pantropazole) another Proton Pump Inhibitor (PPI) as Patches lower esohageal Sphincter flap isnt closing properly now & the acid is washing back up into his throat & wind pipe, certain foods make it worse he can NOT eat wet can foods or cooked food now only kibble seems to sstay down…

I havent read your post properly but if your dog is taking Apoquel (a drug I wouldnt give Patch after reading the bad side effects), Apoquel can cause bad side effects with some dogs, I’ve read alot of dogs vomiting, nausea, diarrhea, sleeping all day etc the company that makes Apoquel has brought out Cytopoint Injection now, Cytopoint Injection has less side effects, the injection is given every 4-8 weeks depending on the dog.
I would also start your dog on a limited ingredient diet, 1 carb & 1 lean meat protein, just in case he has food sensitivities & is reacting to a few ingredients & getting itchy skin, smelly yeasty ears/paws or intestinal problems, keep the fat around 10 to 14% for a dry kibble, with wet can foods around 3% & under for fat when you convert 3%min fat in wet/raw can foods it’s around 8%min to 12%max fat…
The vet diet Hills I/d may have ingredients he’s sensititive too & he’s reacting also vet diets are very high in omega oils that can cause bad acid reflux, Patch & a few other dogs that have IBD, IBS etc don’t do too well on vet diets….
Do you belong to any face book groups for Canine IBD or “Canine Pancreatitis support group” has a few dogs with IBD, IBS, Food sensitivities, or “Dog Issues, Allergies & other Information Support group” has dogs with food senitivities, allergies, itchy skin, paws, ears etc dogs with most health problems…
Have you tried the “Natural Balance” LTD dry -Sweet Potato & Bison or Potato & Duck or Sweet Potato & Fish formula’s? I dont know which wet Natural Balance LTD can food has 3% & under for fat here’s the conversion calculator so you can save & convert the fat protein fiber in wet can foods raw foods if you buy them the etc http://www.k-9kraving.com/resources/calculator.php