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Old 08-19-2009, 03:08 PM   #1
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Question Empty Stomach Syndrome

Well this was a new one for me. Charley has been vomiting up a small amount of bile in the morning for about the last week. My vet told me it is most likely empty stomach syndrome. I thought he was crazy until I started researching and lo and behold - it's quite common! Apparently while sleeping, the stomach acids will build up and just sit in one spot and will irritate the stomach just in one little spot, especially if they are sleeping very soundly so when they wake up they want to vomit the bile out, to ease the irritation to the stomach. Feeding a snack at bedtime even a piece of bread or toast,a cracker, dog biscuit etc will help absorb some of the acid so it does not become an irritant. We'll try this tonight to see if it helps. He did say that if he starts vomiting any other time of the day or the vomit changes consistency then to call them back. I feed Charley at 8:00 a.m. and 5:30 p.m. This "syndrome" just started, like I mentioned. Very odd, huh? Has anyone else dealt with this?

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Old 08-19-2009, 03:57 PM   #2
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That's one I hadn't heard of either, you learn something new every day! It makes sense though. I guess that fits in with what I do anyway. Critter breakfast is served at 7 AM, critter dinner is at about 6 PM. And I don't take away the food, I put measured amounts in at both feeding times and it's up to them when they want to eat. Then they get a treat of some kind when we eat, which is about 8:30. So their tummies are never empty at my place.
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Old 08-19-2009, 08:00 PM   #3
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I know someone with a chihuahua with this. They also spread the dogs food intake out a little more than usual.
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Old 08-19-2009, 08:18 PM   #4
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oh yeah.. Tasha has it as well... I feed just before bedtime/resting to avoid that she gets it..

Example: morning walk, breakfast, rest for 8 hours while I am at work.. come home more exercise and then food again jsut before bedtime to avoid it as well.. she's very sensitive..
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Old 08-19-2009, 09:56 PM   #5
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My late Calypso had this issue and would hack up in the morning. I too was surprised to learn about it at the vet. But it is at least easy to treat... with a treat!
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Old 08-20-2009, 04:20 AM   #6
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I think it's quite common in some breeds, I know of at least 4 Rough Collies with this problem (Simba is one of them).

If Simba doesn't have something in her tummy, it starts making awful gurgly noises and she'll retch and throw up bile.

If she misses a meal for any reason, she'll throw up lots of goo and make a real point of eating grass herself.

I tend to feed Simba twice a day and give her the odd few biscuits throughout the day and evening, with two bone biscuits before bed, which appears to keep her tummy settled.

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Old 08-20-2009, 08:52 AM   #7
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Yes well a biscuit dipped in some yogurt right before bedtime seemed to do the trick, we had no wretching this morning! You learn something new every day!

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Old 08-20-2009, 10:29 AM   #8
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Never encountered this ever, but it can happen just like my acid reflex does. Here is a link that might also add to your problem to help the stomach heal as this is not a common thing to occur and should be left to heal.

Dietary rest and rehydration for 24 hours are indicated in acute gastritis and
gastroenteritis to allow gastrointestinal “rest” and relief from vomiting; this should
be followed for several days with feeding a highly digestible, “bland” diet before
gradually introducing the patient’s long-term diet.
A very short-term restriction of dietary protein may be helpful in cases of gastritis
but should not be continued long term as it inhibits gastric healing and immune

In chronic gastritis, starvation is not indicated and feeding a novel, “hypoallergenic”
protein is indicated, particularly in lymphocytic-plasmacytic or eosinophilic
gastritis, where there may be an underlying immune-mediated process.

Generally, a low-fat, low-fiber diet is indicated in chronic gastric disease, as fat and
soluble fiber slow gastric emptying and increase acid secretion.

Feeding little and often overcomes the reduced gastric compliance that is common in
gastric disease and may thus reduce vomiting.

Feeding liquid foods little and often may help speed gastric emptying and is
indicated in most gastric diseases; feeding a liquid low-fat diet little and often may
indeed be the only manipulation necessary to control functional delayed gastric
emptying (pylorospasm).

Feeding a more solid diet higher in fat and fiber is indicated in cases where delayed
gastric emptying is beneficial (i.e., with “gastric dumping” syndrome and bilious

vomiting associated with gastroduodenal reflux).

I feel vets should do some extensive testing before telling people just do this or that, I like to know details more into the problem. Second opinions never hurt also. Had my vet checked Girle out good, she would never of lost a pup nor suffered a day? Ticks me off!!! SORRY

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