Experienced and professional animal trainer provide their insights in answering this question :
A. If is what your vet prescribed you is OK. We normally use antiacids in kidney disease because they tend to have the gastric ulcers because of different toxins raised on blood.

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Our sources include academic articles, blog posts, and personal essays from experienced pet care professionals :

Famotidine should be used with caution in dogs with kidney and liver disease. Because it is metabolized by these organs, toxicity is possible. With that being said, famotidine is very commonly recommended, but a lower dose or frequency may be used in some dogs.
In the study, published February 19, 2019 by Scientific Reports, the team found that patients who took PPIs were more likely to experience kidney disease than people who took histamine-2 receptor antagonists, another form of antacid that treats the same conditions and includes the brands Pepcid and Zantac.
Pepcid® Original Strength in the 10 mg dosage is safe for dogs. Avoid purchasing Pepcid® Complete or Pepcid® Maximum Strength, which contain additional ingredients and stronger dosages that could upset your dog`s stomach.
Dogs with kidney disease may also benefit from omeprazole as it can help to reduce stomach irritation caused by toxins from kidney disease. Omeprazole for dogs is a safe medication when given at the correct dose prescribed by your veterinarian.
Aluminum hydroxide (brand names: Alternagel®, Amphojel®) is an over-the-counter oral antacid and phosphate binder, most commonly used to treat high phosphate levels secondary to kidney dysfunction (abnormal or impaired function of the kidneys). It can also be used to reduce stomach acid production.
In addition to feeding a lower protein diet, you also need to avoid giving high protein treats such as meat, jerky treats, cheese, rawhides, pig ears, etc. High salt (sodium) diets may increase blood pressure and may worsen kidney damage, so diets designed for pets with kidney disease are low in sodium.
Best choices

Ranitidine (Zantac®) › Take 75 mg a day (after dialysis on dialysis days). Calcium carbonate (Tums® Antacid) › You may also need this for phosphate binding.

Famotidine (Pepcid) and ranitidine (Zantac) — two related heartburn medications — do not cause the same false elevations of serum creatinine.
When giving the injectable form of famotidine your veterinarian may note a low heart rate. Other possible side effects extrapolated from human studies include gastrointestinal effects such as vomiting, diarrhea, or lack of appetite, headache, dry mouth, and dry skin. Rarely, a low white blood cell count can occur.
Antihypertensive and antiproteinuric drugs, phosphate binders, antiemetic and antacid medications are usually administered to manage the clinical signs and long-term complications related to renal failure [5,6,7].
In short, omeprazole and famotidine work to create the same effect—blocking acid production. However, omeprazole tends to be the more effective antacid because it has longer-lasting effects. Omeprazole can be given every 24 hours while famotidine is typically repeated every 12 hours in dogs.
Alternatively, diuretics may be used in combination with vasodilators such as dopamine. Furosemide has been the most commonly used diuretic in canine and feline patients with oliguric kidney disease because it is relatively safe, readily available, and familiar to most veterinarians.
Although most dog are unable to fully recover from chronic kidney failure, this condition can often be successfully managed, allowing pets to enjoy a good quality of life for a number of months or years.
A special diet – Nutrition is one of the cornerstones in the effective treatment of dogs with chronic kidney failure. The ideal diet for a dog in the advanced stages of kidney failure is lower in protein, low in phosphorus, and is not acidified.
PEPCID® is an FDA approved, safe and effective remedy to relieve symptoms of occasional heartburn when used as directed.
Drink plenty of fluids

Regular, consistent water intake is healthy for your kidneys. Water helps clear sodium and toxins from your kidneys. It also lowers your risk of chronic kidney disease. Aim for at least 1.5 to 2 liters in a day.

Those with kidney and liver diseases, having heart problems, or high blood pressure should avoid antacids as some contain high levels of sodium, which could make you feel unwell.
How long does it take famotidine to work for dogs? If your veterinarian recommended famotidine to reduce stomach acid and the symptoms of acid reflux, the medication could take about 1 to 2 hours to begin working.
Is There A Natural Antacid For Dogs? There are soothing herbs that are natural antacids. They include ginger, slippery elm, licorice, marshmallow root. These can calm irritation of the lining of the esophagus and stomach.
The following is for reference only: Never exceed half a milligram (0.5mg) per pound of the dog`s body weight. Consensus Pepcid AC dosing is 0.25mg to 0.5mg (1 half) for each pound, once or twice daily. Closely follow your vet`s directions.
The adult Pepcid dosage for heartburn treatment is 10 mg to 20 mg with a glass of water. For heartburn prevention, take 10 mg to 20 mg about 10 to 60 minutes before eating or drinking something that`s likely to cause heartburn. Don`t take more than 2 doses (up to 40 mg) within 24 hours.
You can take up to two doses of famotidine complete (Pepcid Complete) per day, but you shouldn`t use it for more than 14 days at a time.
Famotidine is a histamine type 2 receptor antagonist (H2 blocker) which is commonly used for treatment of acid-peptic disease and heartburn. Famotidine has been linked to rare instances of clinically apparent acute liver injury.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. Whenever I take my dog on walks he always barks at people and others dogs in my neighborhood. What should I do to resolve the problem
ANSWER : A. The very first thing to do is to make sure your dog is getting sufficient physical and mental exercise every day. A tired dog is a good, happy dog and one who is less likely to bark from boredom or frustration. Depending on his breed, age, and health, your dog may require several long walks as well as a good game of chasing the ball and playing with some interactive toys.

Figure out what he gets out of barking and remove it. Don’t give your dog the opportunity to continue the barking behavior.

Ignore your dog’s barking for as long as it takes him to stop. That means don’t give him attention at all while he’s barking. Your attention only rewards him for being noisy. Don’t talk to, don’t touch, or even look at him. When he finally quiets, even to take a breath, reward him with a treat. To be successful with this method, you must wait as long as it takes for him to stop barking. Yelling at him is the equivalent of barking with him.

Get your dog accustomed to whatever causes him to bark. Start with whatever makes him bark at a distance. It must be far enough away that he doesn’t bark when he sees it. Feed him lots of good treats. Move the stimulus a little closer (perhaps as little as a few inches or a few feet to start) and feed treats. If the stimulus moves out of sight, stop giving your dog treats. You want your dog to learn that the appearance of the stimulus leads to good things.

Teach your dog the ‘quiet’ command. Oddly, the first step is to teach your dog to bark on command. Give your dog the command to “speak,” wait for him to bark two or three times, and then stick a tasty treat in front of his nose. When he stops barking to sniff the treat, praise him and give him the treat. Repeat until he starts barking as soon as you say “speak.” Once your dog can reliably bark on command, teach him the “quiet” command. In a calm environment with no distractions, tell him to “speak.” When he starts barking, say “quiet” and stick a treat in front of his nose. Praise him for being quiet and give him the treat.

As in all training, always end training on a good note, even if it is just for obeying something very simple, like the ‘sit’ command. If you dog regresses in training, go back to the last thing he did successfully and reinforce that before moving on again. Keep sessions short, 15-20 minutes max, and do this several times a day.

Q. What can I do to stop my dog from barking at people and front doors?
ANSWER : A. Ignore your dog’s barking for as long as it takes him to stop. This means don’t give him any attention at all while he’s barking. Your attention only rewards him for being noisy. Don’t talk to him, don’t touch him, and don’t even look at him. When he finally quiets down, even to take a breath, reward him with a treat. To be successful with this method, you must wait as long as it takes for him to stop barking. If he barks for an hour and you finally get so frustrated that you yell at him to be quiet, the next time he’ll probably bark for an hour and a half. Dogs learns that if they bark long enough you’ll give them attention.

Teach your dog the ‘quiet’ command. It may sound nonsensical, but the first step is to teach your dog to bark on command. Give your dog the command to “speak,” wait for him to bark two or three times, and then stick a tasty treat in front of his nose. When he stops barking to sniff the treat, praise him and give him the treat. Repeat until he starts barking as soon as you say “speak.” Once your dog can reliably bark on command, teach him the “quiet” command. In a calm environment with no distractions, tell him to “speak.” When he starts barking, say “quiet” and stick a treat in front of his nose. Praise him for being quiet and give him the treat.

When your dog starts barking, ask him to do something that’s incompatible with barking. Teach your dog to react to barking stimuli with something that inhibits him from barking, such as lying down in his bed.

Make sure your dog is getting sufficient physical and mental exercise every day. A tired dog is a good dog and one who is less likely to bark from boredom or frustration. Depending on his breed, age, and health, your dog may require several long walks as well as a good game of fetch and playing with interactive toys.

Q. How do I determine how much my overweight pet should weigh?
ANSWER : A. There are many tools to determine overweight and obesity levels in pets. A new tool, morphometric measurements and body fat index, are available to accurately determine a pet’s ideal weight; this will allow an accurate determination of the amount of food a pet should receive to achieve weight loss. Feeding the correct amount will lead to greater weight loss success.

There are many weight loss food options to help pets reach their ideal weight. Your veterinarian can help make a ideal weight recommendation. Here are some tips to help your dog lose weight in a healthy and safe way:

1. Diet: Providing a healthy and well balanced diet is essential to your pet’s overall health. Finding the right food for your dog can be a challenging process. For those overweight animals many commercial dog companies offer weight loss diets, but it is important to evaluate food labels for adequate nutritional content.

You want to ensure you are not missing other essential vitamin or mineral content. Volume of food is also important and the amount of food that works for one breed of dog may not be the same for another breed of dog. Portion control as opposed to free-choice feeding can help your dog to drop a few unnecessary pounds.

There are also prescription weight loss foods designed by veterinary nutritionists, such as Hill’s r/d (http://bit.ly/1AoENSd). Some pet owners find that home cooking is the best option for helping to provide a well-balanced and realistic diet plan. There are websites such as balanceit.com that offers recipes to fit your dog’s specific needs. Consulting with your veterinarian or a veterinary nutritionist to find the appropriate diet is a great way to help your dog be as healthy as possible.

2. Exercise: Another great tactic for weight loss for your dog is exercise. Whether this is through running, walking or playing with a favorite toy all of these are wonderful types of exercise to help keep your dog at a lean and healthy weight.

For those pet owners with busy schedules utilizing professional dog walking services or playtime through dog daycare services is another option. It has been shown that those pet owners that exercise regularly with their pets generally live a healthier lifestyle.

3. Physical therapy: As animals age pet owners offer encounter their favorite canine having more difficulty walking and have a dwindling desire to play with toys. Physical therapy, specifically hydrotherapy is a wonderful way to help older and arthritic animals gain more mobility and lose weight. Hydrotherapy has been proven to have several therapeutic effects on the body including, muscle strengthening, relief of swelling, decreased joint pain, less stiffness in limbs, improved circulation, weight loss, and increased tissue healing to name a few. For more information on the benefits of hydrotherapy:
http://bit.ly/1w1qqoy

4. Veterinary visit and blood work: Weight gain can also be related to underlying health concerns such as hypothyroidism or other endocrine disorders. Scheduling a veterinary evaluation and routine blood work can be another important component in increasing the longevity of your dog’s life. Conditions such as hypothyroidism that predispose dogs to gain weight can be treated with a daily medication to improve hormonal balance. If feel that your dog is unnecessarily overweight there can be an underlying health condition that needs to be addressed.

5. Healthy treats: Pet owners love the chance to reward their favorite canine companion with treats and most dogs jump at the chance to consume these delicious products. The problem is many treats, which can include commercial dog treats or table scrapes can add many unnecessary calories to your dog’s daily intake. Reading labels and making note of the calories in these treats is an important component of understanding your dog’s overall health. Treats should not exceed more than 10 percent of your pet’s daily calories. There are healthier treats that can be offered to your pet to keep calories lower yet provide a fuller sensation. A pet owner can add steamed or pureed vegetables, such as carrots, green beans or sweet potato to add more fiber and thus a fuller feeling for your dog.

Q. How do I desensitize my dog to squirrels and stray cats in the neighborhood?
ANSWER : A. It depends on the goal that you have in mind. I am going to assume that you would prefer that your dog not chase squirrels or stray cats in the yard/street. In this case, your options include: (1) training your dog on a “Leave it ” cue using positive reinforcement methods, (2) training your dog not to pull on its leash when it sees a squirrel/stray cat, and (3) training your dog to perform a more desirable behavior when it sees a squirrel/cat.
Training your dog on a cued “leave it” command is useful because it will give you the ability to tell your dog to stay away from any number of undesirable objects on your command. Training your dog to perform a more desireable behavior when it sees a squirrel or cat will substitute a behavior you find acceptable (sitting, laying down, coming to the door, etc.) with a behavior you dislike. Your dog can still react, just in a positive way. If your dog pulls on the leash every time you see a squirrel/cat, training not to pull will make your walk safer and more pleasant.
The ideal training method to use with dogs, or any animal for that matter, is positive reinforcement training, particularly a method called “clicker- training.” The basic concept of positive reinforcement training is to pair a reward (reinforcement) with a behavior you want to increase in frequency. In other words, when your dog performs the behavior you desire, it receives an award, which reinforces the desired behavior so you get more of that behavior. There are many excellent books in stores or on-line that describe positive reinforcement training in detail and many give step-by-step instructions for training common commands like “leave it”. Look for books that specifically mention positive reinforcement training or clicker-training. You can also take dog training classes to learn the techniques, find a mentor who already uses clicker-training, or request a consult from one of the pet experts on this site to guide you.

Q. Rescued a dog almost two weeks ago, and now that her kennel cough is gone her personality shines!! No previous training, how should I start?
ANSWER : A. POST FOUR:

After your dog is familiar with the behavior you lured from scratch, and taught to your dog, you can start to use the “no-reward marker” I talked about. What you do is ask the dog to perform the behavior, and if the dog does not perform the behavior, you simply say your no-reward marker (choose one: eh-eh, hey, uh-oh, oops) show them the treat, put it behind your back, and BRIEFLY ignore your dog. Just turn your back for a second or two, before turning back to your dog and saying, “let’s try that again.” When you’re ready to start over with your dog, make sure you move around. If you are repeating the same cue while in the same position, while your dog is in the same position, you are likely to receive the same results. The more you move around, and start fresh, the better your chances are of having your dog listen to your cue the second time around. BIG rewards when they dog it successfully! Lots of praise and treats.

My no-reward marker is “hey.” When my dog does something wrong I say, “hey” and she immediately understands that she needs to offer a different behavior. This is clear to her. I don’t have to say it in a mean way, I simply say, “hey” in a normal tone of voice and she understands what the word means.

Once you’ve built up that connection and communication with your new dog, you can work on all kinds of fun behaviors! I personally enjoy the more zen-like behaviors: https://www.youtube.com/watch?v=ruy9UMcuGh8

I like to teach my dog fun tricks that offer her a “job” to do of sorts like object retrieval: https://www.youtube.com/watch?v=I4iertZSva8

(object retrieval training completed; what it looks like: https://www.youtube.com/watch?v=jx0Dml28FGY)

Scent-games are fun too! Very confidence building. Hide a REALLY smelly treat in a box, and place that box in a line of boxes. Let your dog go in the room while saying something like “search!” or “find it!” and watch them hunt for that smelly treat! Lots of rewards when they find it!

Q. My Beagle listens to me, but cries & whines when I’m gone & doesn’t listen to my parents. I adopted him just a couple days ago. Any tips for my folks?
ANSWER : A. I really highly doubt that your Beagle listens to you and has formed a connection with you in just a couple of days. It takes months to build up any kind of serious connection with your dog. You need to work on communication with your dog through training them to understand different cues. For instance the Leave-It cue: https://www.youtube.com/watch?v=R1TS5nA7z5Q

You have to work on bonding with your dog through mental stimulation. Training is very important. Luring each new behavior from scratch, and training using treats is how you form a strong bond with your new dog. No scolding is ever necessary… work on being calm, and positive, all the time.

If your dog is crying/whining when you leave, this may be separation anxiety. You’re going to have to separation train this dog from scratch. This dog needs to learn that separation can be a good thing! Tell your “folks” to NOT scold the dog when he is crying/whining after you leave, because that will make your dog MORE anxious when you leave next time. Your dog will be dwelling on the negative if your parents fuel your dogs negative feelings towards you leaving. FUN things should happen when you leave. Your parents should pull out the treats and start doing some basic obedience training with your dog. Your parents should stuff a Kong filled with awesome treats (peanut butter) and give it to him so he feels happy when you leave.

I have some excellent separation anxiety exercises you can work on. If you’d like, you can purchase a consultation with me, and I will go over how to separation train from scratch. It will make your dog comfortable being alone, guaranteed.

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Q. My dog has Addison’s Disease and is panting alot, is this normal?
ANSWER : A. I don’t typically associate panting with Addison’s disease. I do see panting (it’s a primary symptom) of the disease that’s the opposite of Addison’s disease, which is Cushing’s disease. Cushing’s disease involves having an overactive adrenal gland, as opposed to a non-active or under active adrenal gland. Panting can also happen with steroid administration. If you’ve upped the dose of prednisone that your dog normally takes to combat holiday stress that may be the cause of the panting.

Panting can be a sign of stress, so evaluate the environment and see if there’s something that could have your dog agitated – fireworks, small children visiting, etc. This is especially important with an addisonian dog, as I’m sure you know.

Other causes of panting could include primary respiratory problems or heart disease, since low oxygen states can trigger panting. Definitely mention this to your vet (a phone call isn’t a bad idea) for this reason, just to see if he’ like to examine your dog to make sure everything’s OK>

Q. Why does my dog eat grass?
ANSWER : A. As another user mentioned, dogs can eat grass when they want to vomit. Sometimes, when a dog has an upset tummy, they will eat grass. If you notice your dog eating grass frantically, you can assume vomiting will shortly follow. Grass does not digest and pass normally. If your dog eats too much grass, it can cause serious issues with pooping. Your dogs poop can end up all tangled inside of her, and it can need veterinary assistance to remove it. The same goes for celery, so avoid feeding celery to your dog.

The other day my boyfriend accidentally left the laundry room door open where we were keeping the trash that was filled with cooked chicken bones. She ate one of the chicken bones lightning fast. We had to induce vomiting by feeding her some hydrogen peroxide. After we had fed her the peroxide, she immediately began frantically eating grass because her tummy was upset.

If there is something lacking in your dogs diet, it could be that your dog is eating grass to make up for it. I am sure that my dogs diet is extremely well balanced (I do not only feed her an air-dried raw food-type diet (Ziwipeak), but a wide variety of safe, healthy foods), so when she eats grass, I know that it is because she has an upset tummy.

That is why I think it is important making sure your dog has a very well balanced diet. If your dog is on a low quality kibble, your dog may be trying to let you know by eating grass (or eating poop).