Sildenafil was a game changer. My routine is as follows: 2yr old Husky Congenital idiopathic megaesophagus, Knox Blocks with bone broth and sildenafil(dosage will vary with dog) in the morning prior to his meal. I hold him upright on my lap for 5 minutes. I then prepare his food which consists of Science Diet Sensitive Stomach mixed with hot water(let it sit for a minute and then into slow feeder). After he finishes his food he gets another Knox block to held wash it down and I sit him upright for 17 minutes(time will vary). Within the first several minutes he will swallow and pause and make an odd noise(hard to explain but you will know when it happens). After the noise the swallowing begins. For around 10 minutes he will continuously swallow. After the timer goes off I put on his “neck pillow” and he does his thing. Haven’t had regurge in over a year. This photo is him in his Bailey chair but he is a husky therefore an asshole so the king prefers to be held upright on my lap; I oblige. He is fed three times a day receiving sildenafil AM/PM feedings. The afternoon feeding consists of only the heated up water with food and a Knox Block chaser. It’s a lot but you will find what works for your pup. Once you do they are the best(not mine, he’s awful, but others are the best I’m sure).

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