9+ Reasons: Why Is My Dog Throwing Up Yellow?


9+ Reasons: Why Is My Dog Throwing Up Yellow?

The presence of yellow-colored vomit in canines often indicates the presence of bile. Bile is a digestive fluid produced by the liver and stored in the gallbladder. It is released into the small intestine to aid in the digestion and absorption of fats. When a dog vomits and the stomach is empty, or nearly empty, the vomitus may consist primarily of bile, resulting in a yellow appearance. This event is not uncommon, and in many instances, is not cause for immediate alarm.

Understanding the cause of bilious vomiting is crucial for canine health management. While occasional instances may be attributed to simple factors like an empty stomach, recurrent or persistent occurrences can signal underlying medical conditions requiring veterinary intervention. Early detection and diagnosis are beneficial, allowing for timely treatment and potentially preventing more serious health complications. Historically, the presence of bilious vomiting has served as an indicator for various gastrointestinal and systemic ailments in canines, prompting further investigation into digestive health.

This article will further explore potential reasons for bile in a dog’s vomitus, differentiate between acute and chronic cases, and provide guidance on when professional veterinary advice is necessary. The aim is to equip canine owners with the knowledge to effectively assess their dog’s condition and make informed decisions regarding their pet’s health and well-being.

1. Empty stomach

An empty stomach is frequently implicated when a canine vomits yellow bile. This occurs due to a physiological process where bile, normally used to digest fats in the small intestine, refluxes into the stomach. When the stomach lacks food, the bile irritates the lining, potentially triggering the vomiting reflex and resulting in the expulsion of yellow-colored fluid.

  • Prolonged Intervals Between Meals

    When a dog goes for extended periods without eating, stomach acids and bile can accumulate, irritating the gastric lining. This irritation can lead to nausea and subsequent vomiting. For example, a dog fed only once a day might experience bilious vomiting syndrome, especially in the early morning hours before its meal.

  • Gastric Motility Issues

    Impaired gastric motility, a condition where the stomach empties slowly or irregularly, can also contribute to the problem. In such cases, even if the dog is fed regularly, food may not be processed efficiently, leading to bile reflux and vomiting. Certain medical conditions or medications can affect gastric motility.

  • Breed Predisposition

    Some canine breeds appear to be more predisposed to bilious vomiting, possibly due to differences in digestive physiology. Smaller breeds, in particular, may be more susceptible because of their faster metabolic rates and relatively smaller stomach capacity. It is important to consult with a veterinarian familiar with breed-specific health concerns.

  • Dietary Factors

    The type of food a dog consumes can indirectly affect bilious vomiting. Diets low in fat may result in decreased stimulation of bile release during digestion, leading to bile buildup in the gallbladder. Conversely, highly processed foods may contribute to digestive upset, exacerbating the likelihood of vomiting in the absence of food.

In summary, the connection between an empty stomach and bile in canine vomitus is multifaceted. While infrequent occurrences may be benign and easily managed through more frequent feeding, recurrent episodes warrant veterinary investigation to rule out underlying gastric or systemic conditions that could be contributing to impaired digestion and bile reflux. Addressing the issue promptly can prevent further discomfort and potential complications for the animal.

2. Bile reflux

Bile reflux, the backward flow of bile into the stomach and esophagus, is a significant factor in the manifestation of yellow-colored canine vomit. The presence of bile, a digestive fluid produced by the liver and stored in the gallbladder, is typically confined to the small intestine where it aids in fat digestion. Its presence in the stomach is abnormal and irritating, often leading to emesis.

  • Physiological Mechanisms of Reflux

    The pyloric sphincter, a muscular valve that controls the passage of contents from the stomach into the small intestine, normally prevents backflow. When this sphincter malfunctions or relaxes inappropriately, bile can regurgitate into the stomach. An increase in intra-abdominal pressure or certain medications can compromise sphincter function.

  • Irritation and Inflammation of Gastric Lining

    Bile acids are caustic and can damage the protective mucosal lining of the stomach and esophagus. Prolonged exposure results in inflammation, known as gastritis or esophagitis. This inflammation contributes to nausea, abdominal discomfort, and ultimately, vomiting of yellow fluid containing bile.

  • Association with Empty Stomach

    Bile reflux is more likely to occur when the stomach is empty, as there is no food to buffer the irritating effects of bile acids. During periods of fasting or prolonged intervals between meals, bile accumulates in the stomach, increasing the probability of reflux and subsequent vomiting.

  • Role of Gastric Motility Disorders

    Gastric motility disorders, such as delayed gastric emptying, can exacerbate bile reflux. When the stomach empties slowly, bile has more opportunity to reflux back into the stomach and potentially the esophagus. These motility issues can arise from various underlying conditions, including infections, metabolic disorders, or neurological problems.

In essence, bile reflux plays a central role in understanding the etiology of yellow canine vomit. The irritation and inflammation caused by bile’s presence in the stomach, especially when combined with an empty stomach or impaired gastric motility, directly contribute to the expulsion of yellow fluid. Understanding these underlying mechanisms is crucial for effective diagnosis and management.

3. Pancreatitis

Pancreatitis, an inflammatory condition affecting the pancreas, is a relevant factor when considering the etiology of bilious vomiting in canines. The pancreas, responsible for producing digestive enzymes and hormones, becomes inflamed, disrupting normal digestive processes. This inflammation can lead to a cascade of events, including nausea and vomiting, which may present as yellow due to the presence of bile.

In cases of pancreatitis, the release of pancreatic enzymes is often premature or uncontrolled, causing damage to the pancreas itself and surrounding tissues. This inflammatory response can extend to the gastrointestinal tract, affecting the motility of the stomach and small intestine. Disrupted gastrointestinal motility contributes to bile reflux into the stomach. Furthermore, the pain and discomfort associated with pancreatitis can suppress appetite, leading to an empty stomach, further exacerbating bile reflux and the likelihood of vomiting. For example, a dog with a history of high-fat dietary indiscretion may develop pancreatitis, subsequently exhibiting signs of nausea, abdominal pain, and vomiting yellow bile. The severity of pancreatitis varies, with milder cases potentially resolving with supportive care and dietary management, while severe cases may require hospitalization and intensive treatment.

Understanding the relationship between pancreatitis and bilious vomiting is critical for accurate diagnosis and treatment. While the presence of yellow vomit is not exclusively indicative of pancreatitis, it should prompt veterinary evaluation, especially when accompanied by other symptoms such as abdominal pain, lethargy, and loss of appetite. Early diagnosis and appropriate management of pancreatitis are essential to minimize pancreatic damage and prevent potentially life-threatening complications.

4. Dietary indiscretion

Dietary indiscretion, the consumption of inappropriate or non-food items, is a significant contributor to gastrointestinal upset in canines, often manifesting as bilious vomiting. This behavior introduces substances that the digestive system is not equipped to process effectively, leading to irritation, inflammation, and subsequent emesis.

  • Ingestion of Fatty Foods

    High-fat foods, such as table scraps or greasy remnants, can overwhelm the canine digestive system. The pancreas struggles to produce sufficient lipase to break down the excess fat, leading to digestive distress. This may result in increased bile production and subsequent reflux into the stomach, resulting in the expulsion of yellow vomit.

  • Consumption of Spoiled Food

    Decaying food items harbor bacteria and toxins that irritate the gastric lining. The body attempts to expel these harmful substances through vomiting. The presence of bile in the vomitus may be secondary to the irritation and increased gastric motility caused by the spoiled food.

  • Eating Non-Food Items (Pica)

    Pica, the consumption of non-nutritive substances like grass, dirt, or plastic, can induce gastrointestinal upset. These items may obstruct the digestive tract or irritate the stomach lining, triggering vomiting. While the vomit may not always be yellow, the presence of bile can occur due to gastric irritation or bile reflux.

  • Abrupt Dietary Changes

    Sudden changes in diet can disrupt the balance of the gut microbiome and overwhelm the digestive system. The lack of gradual adaptation to new food sources can lead to inflammation and vomiting. Bile may be present in the vomitus as a result of the digestive disturbance.

In summary, dietary indiscretion encompasses a range of behaviors that can induce gastrointestinal distress and bilious vomiting in canines. The ingestion of fatty foods, spoiled items, non-food substances, or abrupt dietary changes can all disrupt normal digestive processes, leading to irritation, inflammation, and the expulsion of yellow bile. Recognizing the potential consequences of dietary indiscretion is crucial for preventing gastrointestinal upset and maintaining canine health.

5. Intestinal blockage

Intestinal blockage represents a serious condition affecting the flow of digestive contents through the gastrointestinal tract. This obstruction can significantly contribute to the presence of bile in a dog’s vomitus, often resulting in a yellow appearance. Understanding the mechanisms by which intestinal blockage leads to bilious vomiting is crucial for timely diagnosis and intervention.

  • Proximal Obstruction and Bile Reflux

    When an obstruction occurs in the upper portion of the small intestine (proximal obstruction), the flow of digestive fluids, including bile, is impeded. The accumulation of these fluids proximal to the blockage increases pressure within the intestinal tract. This elevated pressure can force bile backward into the stomach, leading to bile reflux. Subsequent vomiting expels this bile, resulting in yellow vomitus.

  • Gastric Emptying and Vomiting Stimuli

    Intestinal blockage disrupts normal gastric emptying. The stomach attempts to empty its contents, but the obstruction prevents passage into the intestines. This leads to a buildup of pressure and distension in the stomach, stimulating the vomiting reflex. The vomitus may initially contain food particles but will eventually consist predominantly of bile as the stomach empties and reflux from the small intestine increases.

  • Dehydration and Electrolyte Imbalance

    Persistent vomiting associated with intestinal blockage can lead to dehydration and electrolyte imbalances. As the dog continues to vomit, it loses fluids and essential electrolytes, such as sodium and potassium. These imbalances can further compromise gastrointestinal function and contribute to ongoing vomiting. The color of the vomitus remains yellow due to the persistent presence of bile.

  • Progression to Systemic Illness

    If left untreated, intestinal blockage can progress to a systemic illness. The accumulation of digestive contents and bacteria proximal to the obstruction can lead to intestinal wall damage and perforation. This allows bacteria and toxins to enter the abdominal cavity, causing peritonitis and sepsis. In these advanced stages, vomiting may continue, with bile still present, alongside other systemic signs of illness, such as fever, lethargy, and shock.

In conclusion, intestinal blockage creates a cascade of events that contribute significantly to the presence of bile in canine vomitus. From proximal obstruction and bile reflux to disrupted gastric emptying and potential systemic complications, the mechanisms underlying bilious vomiting in cases of intestinal blockage underscore the severity of this condition. Prompt veterinary intervention is essential to relieve the obstruction, restore normal gastrointestinal function, and prevent life-threatening complications.

6. Liver disease

Liver disease can manifest in canines with a variety of clinical signs, including, in some instances, the presence of yellow bile in the vomitus. The liver’s central role in bile production and processing links hepatic dysfunction directly to the content and appearance of canine vomit. When the liver’s capacity to metabolize bilirubin, a component of bile, is compromised, bilirubin levels in the blood may elevate, leading to jaundice and potentially altering the composition of bile itself. If the dog vomits, the presence of this altered or concentrated bile can result in a yellow coloration of the vomitus. Specific liver diseases, such as hepatitis, cirrhosis, or liver tumors, can disrupt normal bile flow, causing a backup of bile into the bloodstream and subsequently into the stomach, increasing the likelihood of yellow vomit. For instance, a dog with advanced cirrhosis may experience impaired bilirubin metabolism, leading to elevated blood bilirubin levels and the frequent occurrence of bilious vomiting.

The severity and nature of the liver disease directly influence the likelihood and intensity of bilious vomiting. Mild liver dysfunction may not produce noticeable changes in vomit, while severe hepatic failure is more likely to manifest with pronounced jaundice and frequent vomiting of yellow bile. Furthermore, liver disease often accompanies other gastrointestinal symptoms, such as decreased appetite, diarrhea, and abdominal distension, which can further contribute to vomiting. Early diagnosis and management of liver disease are essential to mitigate its effects on bile production and reduce the incidence of vomiting. Treatment strategies typically involve dietary modifications, medications to support liver function, and, in some cases, surgical intervention to address specific liver abnormalities.

In summary, liver disease represents a significant factor to consider when investigating bilious vomiting in canines. The liver’s critical role in bile metabolism and processing means that hepatic dysfunction can directly impact the composition and appearance of canine vomit. While yellow vomit is not solely indicative of liver disease, its presence, especially when accompanied by other signs of hepatic dysfunction, warrants thorough veterinary investigation. Early diagnosis and targeted management of liver disease can help to alleviate symptoms like vomiting and improve the overall health and quality of life for affected canines.

7. Kidney disease

Kidney disease, also known as renal disease, can indirectly contribute to bilious vomiting in canines. While not a direct cause of bile production or reflux, the physiological imbalances resulting from kidney dysfunction can create conditions that promote vomiting, occasionally with a yellow tinge indicative of bile.

  • Uremic Toxins and Gastric Irritation

    In kidney disease, the kidneys’ ability to filter waste products from the blood is impaired. This leads to a buildup of uremic toxins, such as urea and creatinine, in the bloodstream. These toxins can irritate the gastric lining, causing nausea and vomiting. While the vomitus may not always contain bile, the general disruption of the digestive system increases the likelihood of bile reflux, especially on an empty stomach.

  • Reduced Appetite and Empty Stomach

    Dogs with kidney disease often experience a decreased appetite due to nausea and malaise. This results in prolonged periods without food intake, leading to an empty stomach. As discussed previously, an empty stomach is a predisposing factor for bile reflux. The combination of kidney disease-induced nausea, reduced appetite, and bile reflux contributes to the occurrence of yellow vomit.

  • Medication Side Effects

    Many medications used to manage kidney disease, such as phosphate binders or anti-nausea drugs, can have gastrointestinal side effects, including vomiting. While these medications are intended to improve the dog’s overall condition, they can inadvertently contribute to vomiting, potentially with bile present. It is important to discuss potential side effects with a veterinarian and monitor the dog closely during treatment.

  • Electrolyte Imbalances and Dehydration

    Kidney disease often leads to electrolyte imbalances and dehydration, which can further disrupt gastrointestinal function. Electrolyte disturbances, such as hypokalemia (low potassium), can impair gastric motility and increase the risk of vomiting. Dehydration can also exacerbate nausea and reduce the production of protective mucus in the stomach, making it more susceptible to irritation from bile.

While kidney disease itself does not directly cause bile to enter the vomitus, it creates a systemic environment that increases the likelihood of vomiting, sometimes with a yellow appearance. The accumulation of uremic toxins, reduced appetite leading to an empty stomach, medication side effects, and electrolyte imbalances all contribute to the occurrence of bilious vomiting in dogs with kidney disease. Managing these contributing factors through appropriate veterinary care can help to alleviate vomiting and improve the overall quality of life for affected animals.

8. Medication side-effects

The administration of certain medications to canines can induce adverse gastrointestinal effects, occasionally manifesting as the presence of yellow bile in the vomitus. This phenomenon arises from the disruption of normal digestive processes caused by specific drug formulations or their inherent pharmacological actions.

  • Direct Gastric Irritation

    Certain medications, particularly non-steroidal anti-inflammatory drugs (NSAIDs), can directly irritate the gastric mucosa, leading to inflammation and ulceration. This irritation promotes gastric emptying and bile reflux, resulting in the expulsion of yellow-tinged vomit. Prolonged NSAID use, for instance, may compromise the protective mechanisms of the stomach lining, predisposing the animal to bilious vomiting.

  • Disruption of Gut Microbiome

    Antibiotics, while crucial for treating bacterial infections, can disrupt the delicate balance of the gut microbiome. This disruption can lead to digestive upset, altered bile acid metabolism, and increased intestinal permeability. These changes can facilitate bile reflux into the stomach, contributing to yellow vomit. A course of broad-spectrum antibiotics may, therefore, be followed by episodes of bilious vomiting.

  • Alteration of Gastric Motility

    Some medications can affect the motility of the stomach and intestines, either slowing or accelerating the digestive process. Changes in gastric motility can disrupt the normal flow of bile, increasing the likelihood of reflux into the stomach. For example, certain opioid analgesics can slow gastric emptying, allowing bile to accumulate and subsequently be vomited.

  • Hepatic and Renal Impairment

    Certain drugs possess the potential to induce hepatic or renal impairment, indirectly contributing to bilious vomiting. Impaired hepatic function can disrupt bile metabolism, while renal dysfunction can lead to the accumulation of uremic toxins. Both scenarios can exacerbate gastrointestinal upset and promote vomiting, often with a yellow appearance due to bile content. The long-term use of certain anticonvulsants, for example, may necessitate monitoring of liver and kidney function to mitigate potential adverse effects on digestive health.

The gastrointestinal consequences of medication administration, including the presence of yellow bile in canine vomitus, underscore the importance of careful medication selection and monitoring. Veterinarians consider potential drug interactions and side effects when prescribing medications, striving to minimize adverse impacts on canine digestive health. The appearance of yellow vomit following medication administration warrants veterinary consultation to assess and manage potential drug-induced gastrointestinal distress.

9. Parasitic infection

Parasitic infections can disrupt canine gastrointestinal function, potentially contributing to the presence of bile in the vomitus. The mechanisms by which parasites induce vomiting involve direct irritation of the gut lining, inflammation, and interference with normal digestive processes. The impact of parasitic infection on the color and content of canine vomitus warrants careful consideration.

  • Intestinal Irritation and Inflammation

    Intestinal parasites, such as roundworms, hookworms, or whipworms, physically attach to the intestinal wall, causing irritation and inflammation. This inflammatory response can disrupt the normal absorption of nutrients and fluids, leading to digestive upset and vomiting. The irritation can also stimulate increased mucus production and altered intestinal motility, potentially contributing to bile reflux into the stomach. For instance, a heavy hookworm infestation can cause significant inflammation and bleeding in the small intestine, leading to vomiting that may contain blood and bile.

  • Disruption of Gut Microbiome Balance

    Parasitic infections can disrupt the delicate balance of the gut microbiome. The presence of parasites alters the composition and function of the microbial community, leading to dysbiosis. This imbalance can impair digestive function and increase the risk of secondary bacterial infections, further exacerbating gastrointestinal symptoms. The altered gut microbiome may also affect bile acid metabolism, potentially increasing the amount of bile present in the digestive tract. For example, Giardia infections are known to disrupt the gut microbiome and impair nutrient absorption, leading to vomiting and diarrhea.

  • Obstruction of the Intestinal Tract

    In severe cases, a heavy parasitic burden can physically obstruct the intestinal tract, particularly in puppies or smaller breeds. Large numbers of worms can form a mass that blocks the flow of digestive contents, leading to a buildup of pressure and distension. This obstruction stimulates the vomiting reflex, and the vomitus may contain bile due to the reflux of intestinal contents back into the stomach. Roundworm infestations are a common cause of intestinal obstruction in puppies, resulting in vomiting and abdominal discomfort.

  • Toxins and Metabolic Waste Products

    Some parasites release toxins or metabolic waste products that can irritate the gastrointestinal tract and induce vomiting. These toxins may directly stimulate the vomiting center in the brain or indirectly affect gastric motility and secretion. The presence of these toxins can also exacerbate inflammation and damage the intestinal lining. For example, certain protozoan parasites, such as Coccidia, release toxins that can cause severe intestinal inflammation and diarrhea, often accompanied by vomiting.

In summary, parasitic infections can contribute to the presence of bile in canine vomitus through various mechanisms, including intestinal irritation and inflammation, disruption of the gut microbiome, obstruction of the intestinal tract, and the release of toxins. While parasitic infections are not the sole cause of bilious vomiting, they represent a significant factor to consider, particularly in young or immunocompromised animals. Proper diagnosis and treatment of parasitic infections are crucial for restoring gastrointestinal health and preventing further complications.

Frequently Asked Questions

The following section addresses common inquiries regarding the presence of yellow bile in canine vomitus. It aims to provide clear and informative answers to assist owners in understanding this phenomenon.

Question 1: Is yellow vomit always a cause for concern in dogs?

An isolated incident of yellow vomit may not warrant immediate alarm, particularly if the dog is otherwise acting normally. However, recurrent episodes, especially if accompanied by other symptoms such as lethargy, inappetence, or abdominal pain, necessitate veterinary evaluation.

Question 2: What is the significance of bile in canine vomit?

Bile is a digestive fluid produced by the liver and stored in the gallbladder. Its presence in vomit suggests that the stomach is either empty or that there is reflux from the small intestine, where bile normally resides. This can indicate various underlying issues, ranging from an empty stomach to more serious medical conditions.

Question 3: How does an empty stomach contribute to yellow vomit?

When a dog’s stomach remains empty for prolonged periods, bile can irritate the gastric lining, leading to nausea and subsequent vomiting. This is often referred to as bilious vomiting syndrome and may be resolved by adjusting feeding schedules.

Question 4: Can dietary changes cause a dog to vomit yellow bile?

Abrupt dietary changes can disrupt the balance of the gut microbiome and irritate the digestive system, potentially leading to vomiting. It is advisable to transition to new foods gradually to minimize digestive upset.

Question 5: What underlying medical conditions can cause a dog to vomit yellow bile?

Several medical conditions can contribute to bilious vomiting, including pancreatitis, liver disease, kidney disease, intestinal obstruction, and parasitic infections. These conditions require veterinary diagnosis and treatment.

Question 6: When should a veterinarian be consulted regarding a dog’s yellow vomit?

A veterinarian should be consulted if the dog exhibits recurrent episodes of vomiting, displays other symptoms such as lethargy or abdominal pain, has a history of underlying medical conditions, or if the vomitus contains blood. Prompt veterinary attention can help identify and address any underlying health concerns.

In summary, while an occasional instance of yellow vomit may not be alarming, persistent or recurring episodes, especially when accompanied by other concerning symptoms, necessitate veterinary investigation to determine the underlying cause and ensure appropriate treatment.

The subsequent section will provide guidance on preventive measures to minimize the occurrence of bilious vomiting in canines.

Mitigating Canine Bilious Vomiting

The following guidelines are designed to assist in reducing the frequency and severity of canine bilious vomiting. Adherence to these recommendations can promote gastrointestinal health and overall well-being.

Tip 1: Implement Scheduled Feeding Regimens

Consistent feeding schedules are crucial for maintaining stable gastric acid levels and preventing prolonged periods of an empty stomach. Dividing the daily food ration into multiple smaller meals, typically two to three, helps minimize bile accumulation and subsequent reflux.

Tip 2: Provide a Balanced, High-Quality Diet

The dietary composition should be carefully considered to ensure adequate nutrient intake and minimal digestive upset. A diet formulated with easily digestible ingredients and a moderate fat content can support optimal gastric emptying and reduce the likelihood of bile reflux.

Tip 3: Avoid Abrupt Dietary Changes

Sudden alterations in the diet can disrupt the gut microbiome and irritate the digestive tract. Any dietary transition should be implemented gradually, over a period of several days to weeks, to allow the gastrointestinal system to adapt.

Tip 4: Restrict Access to Inappropriate Food Items

Preventing dietary indiscretion, such as the ingestion of fatty table scraps, spoiled food, or non-food items, is essential for minimizing gastrointestinal upset. Securing garbage containers and closely supervising the dog during outdoor activities can help reduce the risk of inappropriate ingestion.

Tip 5: Manage Stress and Anxiety

Stress and anxiety can contribute to gastrointestinal dysfunction. Establishing a predictable daily routine, providing ample opportunities for exercise and mental stimulation, and addressing underlying behavioral issues can help minimize stress-related vomiting.

Tip 6: Ensure Adequate Hydration

Sufficient water intake is critical for maintaining proper hydration and supporting digestive function. Providing fresh, clean water at all times can help prevent dehydration-induced vomiting.

Tip 7: Regular Veterinary Check-ups

Routine veterinary examinations are crucial for early detection and management of underlying medical conditions that may contribute to bilious vomiting. Periodic blood work and diagnostic testing can help identify hepatic, renal, or pancreatic abnormalities.

Implementing these preventive measures can significantly reduce the incidence of bilious vomiting in canines. However, it is imperative to consult with a veterinarian for persistent or severe cases, as underlying medical conditions may require specific diagnostic and therapeutic interventions.

The succeeding section will provide a concluding overview of the topic.

Concluding Remarks

The exploration of canine bilious vomiting reveals a multifaceted issue with a spectrum of potential underlying causes. The presence of yellow bile in a dog’s vomitus can range from a benign consequence of an empty stomach to an indicator of more serious systemic diseases. Accurate diagnosis relies on careful observation, a thorough understanding of potential etiologies, and, in many cases, veterinary intervention to identify the root cause.

Canine health hinges on responsible pet ownership. When episodes of bilious vomiting persist or are accompanied by other clinical signs, seeking professional veterinary guidance is paramount. Early detection and appropriate management are critical for preserving the animal’s well-being and averting potentially severe health complications. Vigilance and proactive care remain essential components of maintaining a healthy and thriving canine companion.