[Susan]

Hi Bronwyn, there’s one thing you have not mentioned, he’s not on an ant acid medication like Zantac (Ranitidine) or Pepcid (Famotidine)… I had an Endoscope & biopsies done on my boy & he had Helicobacter-Pylori, he was given the triple therapy meds-Metronidazole, Amoxicillin & Zantac for 21 days, after the 21 days his acid reflux returned cause I didn’t know that I needed to change his diet so I’d say the Helicobacter returned & Patch was put on Zantac & I did the triple therapy again & put Patch on a Gluten, Sugar, Dairy free kibble…. he got his appetite back again I had to give 1/3 of a 150mg Zantac tablet 1 hour before breakfast then 8-12 hours later again 1/3 of a 150mg tablet…….
Has he had a blood test to see if he has Pancreatitis??
Most of the foods he’s refusing to eat cheese & oil are high in fat, when you have acid reflux you need a low fat diet…. with kibbles the fat % has to be around 10% in fat %….with wet tin foods 3%fat & under, 5% fat in a wet tin food is about 22% fat when converted to dry matter (Kibble) same with raw & dehydrated….that’s probably why he doesn’t eat wet tin food, the fat was probably tooo high & he got his acid…. if I feed my boy wet tin food with 4-5% min fat, he starts grinding his teeth about 40-60mins after eating the wet tin food….

Your last paragraph, you wrote this morning he decided he didn’t want to eat the kibble…
if you give him a ant acid medication 40mins before breakfast he probably will eat or even liquid Mylanta, I give my boy 3-4mls of the Liquid Mylanta some mornings cause as soon as
he wakes up, I can tell if he has his acid reflux, he starts to grinds his teeth….I hate that sound now cause I know we are going to have a crap day, well he is going to feel like crap & I have to watch him feel like crap all morning, so I have 2 syringes of 3-4mls Mylanta in the fridge already made up, the Mylanta seems to work for Patch, also Slippery Elm is suppose to help with acid reflux, I tried the Slippery Elm it worked the first 2 times, then the next 2 times I gave the Slippery Elm slurry & Patch vomited, so I went back to his Mylanta…

I’d be putting him on either Pepcid or Zantac every morning & every night & you watch, he probably will start eating more & feeling better, he’s a very smart dog, he knows what foods make his tummy worse…..
also I’ve read adding water to kibble can make acid reflux worse…. I’ll try & find the link I saved it, that’s probably why he won’t eat kibble with water in it…..I’ve been giving Patch those Jatz dry biscuits as a treat, I give him 2 at 9pm & a couple thru the day, the Jatz seem to settle his stomach or line his stomach they help..
http://ottawavalleydogwhisperer.blogspot.com.au/2013/12/acid-reflux-gerd-in-dogs-cats-natural.html