Chronic Vomiting In Hypothyroid Beagle
I have a patient that is a 4 yr old MN Beagle that is hypothyroid and being treated with soloxine. He had 2 seizures in August and October for the 1st time and none since. No meds for seizures. He started vomiting 1-2 times per day in October 2008. The vomiting has now decreased to every few days. He has had extensive workups at referral with normal cortisol levels, Cpli,fecal, ultrasound and barium series all being normal. He did have some improvement on freq of vomiting since on z/d. He has a great appetite and usually vomits up food several hours after eating and occasionally eats the vomitus. Past few months he has been more anxious and wants to go in and out. He frequently licks his lips and chews at his groin.
All normal on exam. Pulse is deep and wiry. Tongue is pink/slightly lavender. Great appetite. Likes to lie in sun, sleep in owners bed. Groans frequently when lying down. Dreams a lot.
I think he is blood deficient with some stasis based on tongue. I was thinking of Ping Wei San for the vomiting and maybe add in Dang Gui Shao Yao San for the hypothyroidism.
Thanks-
Erica