I've forgotten, but have you tried greek yoghurt/prebiotics?
Omeprazole has its place, but it doesn't seem to be the solution for Homer.
With my doctor hat on, which is
not the same as a vets hat, I would be using some kind of prokinetic, like metoclopramide and Gaviscon, once my patient had 4 to 6 weeks of omeprazole to heal any acid damage.
The yoghurt works in part like gaviscon. I have also read that raw ginger can help, too, and is safe for dogs, but no idea of the quantity or the best way to give it.
Of course, hoping surgery will just fix it all.



