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Treatment

Esophagitis needs to be treated immediately and aggressively so that a stricture does not form. Strictures can form in 7 days.

  • Proton pump inhibitors (PPIs): Prilosec (aka Omeprazole) 1–2 mg/kg/day (0.5–0.9 mg/lb/day). This can be crushed up and put in cream cheese as most dogs will have a difficult time swallowing. Start this immediately! Give 30 minutes prior to each meal.

  • Administer Sucralfate 0.25 g (cat) or 1 g (large dog) PO q8h, ideally in liquid form. Orally 3-4 times a day to help coat the mucosal lining. Start immediately! Should be given 2 hours after or 1 hour before food or water. Use a syringe and open the side of the animals mouth and push the liquid into the mouth. Close their mouth and hold there head high so they swallow this. It doesn't taste great so it will be difficult, don't get frustrated. 

  • Prokinetic drugs, Cisapride 0.5 mg/kg (0.2 mg/lb) PO q8h., should be administered to help with gastric emptying. 

  • Lidocaine approximately 0.1 mL/kg (0.05mL/lb) of 4% lidocaine or 0.2mL/kg (0.1 mL/lb) of 2% lidocaine. Start immediately! This will help numb and alleviate the pain in the esophagus.

  • Aluminum or magnesium hydroxide antacids: 0.5 mL/kg (0.2 mL/lb) of regular-strength formulations PO q4–6h for first 24–48 hours of PPI therapy. Should be administered orally to reduce discomfort associated with severe forms of esophagitis. 

  • Blend your dogs food with water in a blender and give in smaller meal volumes and fat restriction can help enhance gastric emptying and reduce gastric acid production. Look for food high in protein and low in fat. I think cooking ground turkey or chicken and rice with Dr. Harvey's Paradigm Superfood and blending it could be beneficial.

  • Consider gastric feeding tube for animals with poor body condition that are not eating well or if esophagitis is severe and the pet is not expected to eat within next 3–5 days. 

DISCLOSURE

This site is based on our personal experience and research we have done to try to inform the general public. It should not be used as professional veterinary advice. Please consult with your veterinarian if you suspect your pet is experiencing any of these issues so that they can address it as soon as possible. 

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