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What is Vomiting and Shaking?

A dog that is vomiting and shaking presents clues to a set of disorders that are distinct from canine vomiting or shaking alone. It is fairly common for dogs to vomit bile, and they may vomit their food if they eat too fast or too much. It is also normal for a cold dog to shiver; no underlying illness is indicated. However, if a dog simultaneously vomits and shakes (or shivers), you may be facing a more serious problem with a deeper cause, that will take some focused attention, and possible medical intervention, to resolve.

  • Emotional upset
  • Glucose imbalance
  • Poisoning
  • Kidney disease

Vomiting and shaking together are indicative of an overall imbalance in your dog’s physical condition. If the cause is anxiety, fear, or excitement, the vomiting and shaking should subside within 30 to 60 minutes of the stimulus being removed. Glucose imbalance may or may not be a sign of a much more serious condition. Poisoning and kidney disease are very serious health disorders. Without immediate medical intervention, each can prove fatal to your dog.

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Why Vomiting and Shaking Occurs in Dogs

Your dog may simultaneously vomit and shake from either an emotional or a physical disorder. Emotional disturbances are typically of shorter duration than physically triggered vomiting and shaking.

Emotional Disturbance

Smaller dog breeds and puppies are most likely to respond to anxiety, fear, or excitement by vomiting and shaking. For example, a toy poodle who is sensitive to the sounds of fireworks, skateboards, and other loud noises might respond by vomiting and shaking. 

Diabetes

Glucose imbalance can cause your dog to vomit and shake. When this occurs because the dog has gone too long without eating, the problem may be solved by adhering to a more regular feeding schedule. However, vomiting and shaking may also be a sign of diabetic ketoacidosis (DKA), a very dangerous complication from diabetes. Diabetes is more likely to occur in female dogs who are middle-aged and overweight, and especially in Schnauzers, Dachshunds, and Poodles.

Poisoning

There are many substances your dog may encounter in his normal everyday life that are fine for you to ingest but poisonous for your dog. Chocolate, grapes, and raisins are common examples. Rat poison and snail bait are poisonous for anyone, and your dog may also ingest things you might not consider, such as poinsettia plants at the holiday season, petroleum products, or antifreeze that has leaked from a car. 

Kidney Disease

Kidney disease can be acute or chronic. Acute kidney disease comes on suddenly, but can be cured if treated immediately. It can result from urinary obstruction, heat stroke, ingestion of poison or toxic foods, bacterial infection, or dehydration. Chronic kidney disease is common in older dogs. It cannot be cured, but its symptoms can be managed. It is more likely to be caused by a poor diet, aging organs, high blood pressure, or complications from surgery.

What to do if your Dog is Vomiting and Shaking

If your dog is vomiting and shaking because of an emotional upset, he will need some time to calm down. Watch your dog carefully to see if his symptoms subside, continue, or even worsen. Check his gums by pressing them gently with your finger. Unless there is a problem of physical origin, their normal pink color should return within two seconds. If any other symptoms are present, such as an unusual noise while the dog is breathing, changes in the dog’s pulse, or loss of consciousness, there is probably something else wrong. If the vomiting and shaking do not subside within about half an hour, or if it is accompanied by other symptoms that are out of the ordinary, your dog should immediately be examined by a veterinarian. 

Diabetes is diagnosed through blood tests and urinalysis. If your dog is found to be diabetic, your veterinarian will prescribe a home care routine, which will include daily insulin injections, regular blood glucose readings, a specific diet, and regular exercise.

If poisoning is suspected, your veterinarian will try to clear the dog’s stomach. Further vomiting may be induced, your dog’s stomach may be pumped, or activated charcoal may be given. Fluid samples may be taken from your dog’s gastrointestinal tract, lungs, liver, and kidneys. Your dog’s symptoms will be treated with oxygen and intravenous fluids. Antibiotics may be necessary if infection has occurred. 

Kidney disease is diagnosed through extensive blood work and a urine sample. The cause will determine the treatment. If your dog’s condition is acute, he will be hospitalized so that his kidneys can stabilize through administration of intravenous fluids, pain relievers, and anti-nausea medications. Chronic kidney disease cannot be cured, though its progression can be slowed with regular administration of fluids and a low protein diet.

Prevention of Vomiting and Shaking

If you know that your dog responds to excitement, anxiety, or fear with vomiting and shaking, take care to minimize its exposure to situations that trigger these emotions. 

Diabetes is less likely to develop if you keep your dog at a healthy weight. Do not let him get obese. Keep all toxins and poisons safely stored and away from your dog so that he is not poisoned. To help prevent acute kidney disease, keep toxins away from your dog, keep him out of hot weather, and make sure he always has clean fresh water to drink. Chronic kidney disease is often a product of age, and cannot always be prevented, but a healthy diet will strengthen your dog’s system and make chronic kidney disease less likely.

Cost of Vomiting and Shaking

The cost of treating vomiting and shaking depends on the cause. Your dog may be prescribed a drug for anxiety, but working to keep your dog calm has no cost. The cost of treating diabetes is $3000. Treatment of poisoning by petroleum products averages $4000. The average cost of treating kidney disease is $7000.

Vomiting and Shaking Questions and Advice from Veterinary Professionals

Chico
Chiweenie
8 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Wheezing
Shaking
Throwing up

Yesterday my dog started wheezing and throwing up. By the time i went to bed he was shagging as well. I made sure he ate and drank water. I was hoping he was just cold so i covered him with a blanket for the night. Hes still shagging and he was throwing up all night.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
There are many different causes for vomiting and shaking in dogs which may include infections, parasites, foreign objects (causing pain), stress, low glucose levels, poisoning, internal disease among other causes; without examining Chico, I cannot say specifically what the cause is but would recommend keeping him hydrated and feeding a bland diet of boiled chicken and rice. If there is no improvement, you should visit your Veterinarian for an examination. Regards Dr Callum Turner DVM

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Scrappy
Mixed
3 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Vomiting
Shaking

When I came home from work, I noticed my dog being a little hesitant. After walking around the house I noticed he threw up multiple times throughout the house. There was also a new bag of treats that he got into which is the main reason why I’m sure he’s throwing up. Still very responsive and tails wagging, but he’s shaking still. And he’s still drinking a lot of water, when should there be major concern? Should I take him to the vet in the morning?

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. If Scrappy is still vomiting, having diarrhea, not wanting to eat or acting lethargic, he should see his veterinarian. GI upset, intestinal infection, pancreatitis or an obstruction are all possible causes for the signs that he is showing, and if he hasn't improved, it would be best to have him examined. I hope that he is okay!

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Lola
Labrador Retriever
4 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Shaking, vomiting,

My 4 year old lab is trembling, losing weight fast and now vomiting (bike and water)
She eats once a day. Seems happy.
She had an ear infection treated in January that never fully healed. Was treated last week again with drops (seems inner ear)
I'm so scared it may be renal failure. Please help.
Our vet cannot see her for another 10 days.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Without seeing Lola, I'm not sure that I can offer any suggestions other than she does need to see your veterinarian. If they are booked for 10 days, it would be a good idea to call and say that she needs to be seen sooner. Whether she is in renal failure, has a foreign body, or another cause for her signs, she should not wait 10 days. I hope that she is okay.

Update on Lola, she was tested positive for being in contact with Lyme disease. She was given Doxycycline but after 2 doses she took a turn for the worst. She was given an injection of the antibiotic but now it's been 3 days since she has eaten or even sipped water. She is lethargic and delirious. Her injection was given 24 hours ago. I try to give her sips of water by syringe but she vomits it up.
Any help would be so appreciated.

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Foxy
Pomeranian
Shes a older dog but not reall
Mild condition
0 found helpful
Mild condition

2 days ago my had threw up and now today she threw up 6 times she threw up her dog food twice then the third time she threw up it looked yellow with with white bubbles on top then the last 3 times i had gave her some water to drink then she started shaking then threw up

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
There are various reasons why Foxy may be vomiting like this may include infections, parasites, intestinal obstruction, overproduction of stomach acid, poisoning, pancreatic disorders among other causes; you should try to feed Foxy small regular portions of chicken and rice as well as keeping her hydrated, if you don’t see any improvements you should visit your Veterinarian for an examination as an obstruction may require more attention especially in an older dog. Regards Dr Callum Turner DVM

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Abby
Border Collie
9 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Urinating In House
Vomiting
Shaking

Our Border Collie has all of a sudden started drinking massive amounts of water, skipped eating one meal, shaking, one bout of vomiting and massive urination in the house which just doesn’t happen- she has a doggie door.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. It would be a good idea to have Abby examined by your veterinarian, and have a senior blood work panel done, to assess her general health, her kidney function, and screen her for diabetes. There are some common causes for increased drinking and urination, and your veterinarian will be able to examine her, assess her general health, and determine what might be going on with her, and what treatments are available. I hope that Abby is okay!

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Gucci
Chihuahua
1 Year
Fair condition
0 found helpful
Fair condition

What do I do when my dog is vomiting and shaking we did give her Pepto Bismol but very small amount we thought she was okay she didn't puke yesterday but then did today she puked yellow foam and the one day she puked up her food whenever we decided to give her boiled plain chicken

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Vomiting and shaking may be caused by a few different causes, commonly with pain and foreign bodies (or other gastrointestinal obstructions). Other causes may include poisoning, kidney disease, trauma, hormonal conditions among other causes; if Gucci is not keeping down boiled chicken and rice (important you give rice too) then you should visit your Veterinarian for an examination. Regards Dr Callum Turner DVM

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Maggie
Yorkshire Terrier
11 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Fatigue
refuse to eat
Throwing up

About three days ago my dog began to throw up a bright mustard color yellow liquid, which was very slimy. She has been unable to keep any food or water and is now refusing to eat. Her throw up is now a translucent but is still slimy. She is shaking very bad with her head twitching. Her breathing has always been a little harsh(due to some trachea issues,) but it has gotten worse. All the closest vets are closed for the weekend.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
The vomiting is consistent with having an empty stomach and having bile and acid reflux; you should try to encourage appetite with small regular portions of boiled chicken and rice, however if there is no improvement you should visit your Veterinarian on Monday morning. Regards Dr Callum Turner DVM

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King
Chihuahua
4 Months
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Vomiting

My baby king was running and playing this morning i fed him and left the house when i got back he was swaying back and forth really bad and laying down not moving and then vomited and just laying there

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Without examining King, it is difficult to determine a specific cause; head trauma, poisoning, infections among other conditions may cause these types of symptoms. If King is still laying down and vomiting (or attempting to vomit) you should visit a Veterinarian immediately for an examination to be on the safe side. Regards Dr Callum Turner DVM

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Monkey
Shih Tzu
2 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Vomiting and twitching

I have a 2 yr old shih tzu. He's a very happy dog but once every quearter, he vomits and then shakes uncontrallably. He twitches and his head is on the floor, as if something is bothering him inside. I read that epilepsy is common for his breed but the vomiting and twitching is becoming more frequent. This month, he had about 3 episodes, 2 of which were on consecutive days. He just woke up from a night's sleep then went on to greet me good morning with his usual stretching and cuddle then he suddenly started to vomit and twitch. What do I do?

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
I think it would be a good idea to try and video the episodes, and have Monkey seen by a veterinarian. I'm not sure what might be going on with him, whether it is a seizure or a GI problem, but a veterinarian will be able to look at him, see what he is doing, and determine what is happening and how best to treat him.

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Zack
Standard Schnauzer
8 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Vomiting
Shaking

My dog Zack was hesitant to eat his food today (it's another brand we bought today) but he ate most of it. Then a few hours later he threw up ALL of his food and then started shaking a lot, this was around 50 minutes ago. After a little while of shaking that he was with me, he went under the bed. A short time after, he puked a little bit more (I didn't see him shake at that point), he had his tail between his legs and then went under the bed again. And he doesn't want to get out of there. I called him and he wouldn't come out, I petted him a bit and he was still shaking but slightly. He also came out from under the bed, he layed next to me and he was still shaking. After that he went under the bed once again. He's still there and he keeps scratching the floor more than usual. I thought maybe there was something in the food but all my other dogs seem fine and they ate the same thing. Could it be that maybe he ate something while he was outside in the yard? We have a plant of those red flowers that are very popular around the Christmas times (i don't know the name in English but I'm pretty sure in Spanish they're called Pascuas de Navidad) but I cant be certain. How do I know if he did eat them and what do I do if he did?

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. WIthout examining Zack, I can't say whether he is okay or not, but he doesn't sound like he feels very good. Poinsettas can cause vomiting and diarrhea, and if he continues to be uncomfortable, continues to vomit, develops diarrhea, or doesn't want to eat, he should be seen by your veterinarian to have an exam, and make sure that he is okay. Your veterinarian will be able to look at him, see if he needs any testing or supportive care, and prescribe any medications that he may need. I hope that he is okay.

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Milo
toy poodle
2 Years
Moderate condition
1 found helpful
Moderate condition

Has Symptoms

Weakness
Lethargy
Shaking
Vomiting

My two yr old toy poodle was playing earlier just fine. All the sudden he vomited and his head started bobbying slightly right and left, his demeanor changed and we are now just holding him and he is sleeping but still won't come when called or gets excited for anything.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
If Milo doesn't return to normal over the next hour or two, it would probably be a good idea to have him seen by a veterinarian. He may have gotten into a toxin, or he may have a GI problem that is making him feel quite terrible. Without seeing him, I can't determine what might be going on, and a veterinarian will be able to assess him and provide any care that he may need.

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Ruby
Jack Russell x mini foxie
9 Months
Fair condition
0 found helpful
Fair condition

Has Symptoms

Low Energy
Vomiting
Shaking

My puppy was fine all morning and around 1pm she vommited only bile and she hasn’t stopped shaking since, she also hasn’t been in her usually playful mood, what could be wrong with her?

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Ruby may have eaten something she wasn't supposed to, or she may have parasites or another intestinal problem. If she isn't back to her normal self yet, it might be a good idea to have her seen by a veterinarian to make sure that she is okay, as they can examine her and see what might be going on with her.

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kenai
Miniature Pinscher
9 Months
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

No appetite
Weakness
Nausea
Shaking

my dog hasnt been eating, he's been sipping water and puking, he pooped twice and he's shaking he made a huffing noise when he breathed for like 5 minutes then it stopped

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Weakness, vomiting, loss of appetite and other similar symptoms may be attributable to many different conditions because they are vague symptoms shared with most conditions. Infections, parasites, poisoning, among a long list of other causes may lead to these symptoms. Try to keep Kenai calm and feed a bland diet of boiled chicken and rice to see if he can keep it down, if not you should visit your Veterinarian. Regards Dr Callum Turner DVM

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Molly
Shi Tzu/ Maltese
10 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Trembling
Thirsty
Vomiting

Medication Used

Prozyme

Yesterday, Molly was uncharacteristically hesitant to finish her food, by leaving a small amount behind. Then we noticed her drinking a ton of water. Several hours later, she vomits, which was liquidy and about the same color as her food. She also began to shake shortly after that. Fast forward to today, she vomited up the rice we fed her earlier with chunks of bile in it. She started to tremble throughout her body shortly after, again. She hasn’t been up to cuddling lately and is happy to see us when we get home, but later is sleepy and keeps her distance. I’m worried :( what could be her issue?

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for contacting us today. There are many reasons that could be causing her signs, including kidney or liver disease, pancreatic disease, intestinal disease, diabetes, or other systemic disease. It would be best to have her seen by your veterinarian today, have an examination and probably some lab work, and find the cause of what is going on with her so that she can get started on treatment and feel better.

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Flo
Russian Toy Terrier
5 Months
Mild condition
0 found helpful
Mild condition

Has Symptoms

Diarrhea
Nausea
Vomiting

My little toy terrier just vomited all her food up after playing (I was in the shower) 15 min later she had diarrhoea and now she’s shaking and is very reluctant to play, just wants to sleep. She’s still quite young so I’m not sure, the shaking has diminished now because she’s sleeping

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
It is possible that Flo has a little tummy upset which has lead to some vomiting and diarrhoea; other causes may including infection, parasites, poisoning, foreign objects, stress among other causes. If this is the first time and there are no other symptoms, keep an eye on Flo and see if there is further vomiting; if there is no improvement or you believe she may have consumed something poisonous you should visit your Veterinarian. Regards Dr Callum Turner DVM

My dog is a Yorkie-poodle, hes male, and 5 years old. He has been throwing up, moving very slowly, making strange noises when he breathes, and barely eating. He has already been to the vet before when he ate a whole pack of gum. His symptoms have occured very suddenly and its been a year since he ate the gum. What do you think we should do to help our dog?

my dog mateo ate dog food can and some white cheese and came inside and threw up 8 times and is shaking , hes still a puppy, what dose that mean

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Buddy
Maltese
6 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Shaking and vomiting

Medication Used

none

Buddy has been kept in the house all day with me due to the winter storm outside. The house creaks here and there from the loud sound of the wind and the plows so I'm not sure if he's reacting negatively from the noise. Within minutes of feeding him his breakfast, he puked everything up. I waited a few hours before trying to feed him again but the same thing occurred and he can't keep food down. For dinner I gave him some plain white rice with no broth or added flavor. Hesitantly he approached and ate a few bites but reciprocated the behavior and threw up again. I don't know what else to do or what the cause of this could be? Please help.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. Vomiting isn't typically a reaction to abnormal noises. The fact that Buddy isn't able to keep food down without vomiting is concerning, and he should be seen by his veterinarian in the morning to assess what is going on with him. They may need to do some labwork to determine if buddy is okay, but they will be able to tell if he is okay, and prescribe appropriate medications for him. i hope that he is okay.

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Olive
Catahoula Leopard Dog
1 Year
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Shaking
Sleepy

My dog was running around acting all excited then she suddenly stopped and vomited profusely. She then went to her cage and laid down and slept. She now is laying on my lap and shaking. It's been half an hour since she threw up. I'm wondering if she ate something bad or it's just from the excitement, and how long I should wait to contact a veterinarian. The only thing I can think of that she got into is our cats litter box.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. I'm not sure why Olive vomited, but if she continues to vomit, has diarrhea, seems lethargic, or doesn't want to eat, then she should see her veterinarian as soon as possible. If it was a one time event, and she returns to her happy, playful self soon, then you should be fine monitoring her. I hope that she is okay.

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Joy
Mini Aussie
1 Year
Moderate condition
1 found helpful
Moderate condition

Has Symptoms

Vomiting
Shaking

She has thrown up 4 times in the span of 30 minutes she is shaking. It’s the middle of the night I wouldn’t think she was nervous about anything. What should I do?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
There are various different causes of vomiting and shaking, but unfortunately these symptoms are common with hundreds of possible diseases and conditions; most notably gastrointestinal infections and poisoning are most common in a dog Joy’s age but without an examination I cannot say what the specific cause is. Try to keep Joy hydrated and calm, however if there is no improvement or she shows other symptoms (fever, abdominal pain, pale gums etc…), visit your Veterinarian. Regards Dr Callum Turner DVM

So sick of these trucking answers what if we don’t got a vet near by nearest one if a 4hr flight and I’m frocking sick n tired of seeing vet vet vet my dog puked has 60 bpm heart rate , only drinks water and isn’t eatting what can I do! Seriously sick of not finding what to do lost a dog due to this bs and I don’t want to lose my other! Jeez

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Ariella
Chihuahua
3 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Weight Loss
Vomitting
Shaking

Medication Used

none

I've noticed my daughter (dog) has been getting skinnier a little over a month ago. she drinks and eats regularly (she tends to eat & drink fast). And her sister (another chihuahua) eats and drinks the same but she is completely fine (she eats slow). I looked up on the internet that sudden weight loss could be worms so I baught her a deworming solution (given to her every 14 days as specified for her weight) but she's still skinny. She makes a slight whistling noise when she breathes like if she has a sore throat. I was just recently laying on the bed and she randomly threw up all her food and water(3rd time since I've notice her weight change), she's shakes frequently, I have walked in on her drinking her own pee a few times, and she's been craving more water than food (but eats her solid food when she's ready). What is wrong with my daughter cause Im thinking of the worst.???

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. I cannot diagnose her without examining her, but that is not normal behavior, I agree. It would be best to have her seen by your veterinarian, and they may want to run some bloodwork or check for parasites that are not treated by OTC products. They'll be able to evaluate her, and determine what might be going on so that you can get treatment for her.

This sounds a lot like when my dog would go into diabetic ketoacidosis. I would have her blood sugar tested ASAP to rule it out

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Denali
Mutt
9 Months
Mild condition
0 found helpful
Mild condition

Has Symptoms

Puking Shaking Not food motivated
puking
Puking Shaking

We recently moved and my pup has been a very light eater ever since (about 3 days) which is highly unusual for her, she typically eats anything and everything. However, she has been eating grass like crazy and even puked a couple of times over the past few days.
Tonight has been especially bad, shes puked 5 times and is shaky now.
Is there a way to discern between an emotional response to moving or potential poisoning/stomach bug?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
This may be stress related or due to infections, poisoning or another cause; there is no real way to know just looking at her at home. You should ensure that Denali is calm and hydrated but visit your Veterinarian if you suspect that she may have eaten something poisonous or picked up an infection. Regards Dr Callum Turner DVM

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