Emma -

I have been following your trials and tribulations
with Tatiana with fervent prayers and was so thrilled
when it looked like she was in the clear.

In a recent message, you said that Tatiana had thrown
up about 6 hours after eating, and that sparked
something in me. While he did not have diarrhea, my
Jake started regurgitating a few hours after eating
when he was about 3 months old. Two of his littermates
did the same thing and were diagnosed with
megaesophagus, which is an enlargement of the
esophagus.

The muscles along the esophagus cannot work the food
(or sometimes water) down to the stomach, and the dog
will regurgitate, often just saliva with a couple of
bits of kibble. Is that what you mean by throwing up? 

Megaesophagus is difficult to diagnose on its own,
with the dog usually having to undergo a number of
tests to eliminate causes. However, if you
specifically ask your vet to check for it, a barium
x-ray is all that's required.

If diagnosed, the two drugs of choice are cisapride
and metaclopramide. Both drugs stimulate the muscles
along the esophagus and should be given 20 or 30
minutes before the dog eats. The dog should sit after
eating for 10 minutes or so, and no exercise - not
even a walk - for an hour after eating.

There are literally thousands of pages on the internet
that discuss megaesophagus. Most pages say that an
afflicted will most likely not survive past the age of
two. Megaesophagus itself is not fatal but, if the dog
inhales while it's regurgitating, it could get
pneumonia which must be treated immediately.

Let me stress: do not believe all the horror stories
on the internet. It is often a case of hearing the
worst case scenarios.

Jake was diagnosed with megaesophagus at 6 months; he
is now 21 months and going strong. It is definitely
manageable.

I hope this helps and please continue to keep us
informed.

Maureen Barry
Montreal, Quebec (Canada)

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