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My dog is still vomiting and unwell. Does he need an ER vet?

Updated On September 23rd, 2025

Pet's info: Dog | Pomeranian | Male | 1 year and 10 months old | 7.9 lbs

I took Lumi to the vet today after he had vomited all night- alarming sizes of bile and vomit for his small size. After seeing our vet and having an X-ray, CBC, and some other treatments we were sent home. The vet did say if he continued to vomit after Cerenia to take him to ER Vet. He has vomited 2x after drinking but can keep food down. Does he need an ER vet tonight? He’s not himself, only wants to lay on tile. liver disease? Pancreatitis?

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1 Answer

Most Helpful Answer

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Answered By Ricardo Fernandez, DVM

Veterinarian, Veterinary Oncology Resident

Published on July 28th, 2018

Thanks for using Petco Pet Education Center, formerly Petcoach! I see on the bloodwork that Lumi has elevation of bilirubin. Also, the potassium, sodium and chloride are decreased which can be due to vomiting and not eating well. The elevated neutrophils (inflammatory cells) could be an indication of an infection, pancreatitis, among many other things. I highly recommend that you have him evaluated by an emergency veterinarian for further assessment and treatment. Some of these conditions require hospitalization and supportive care and he may benefit from that. Also, further diagnostics such as an abdominal ultrasound could help determine if pancreatitis is likely or liver disease or something else seems more likely. Good luck and have a great day! I really hope that he gets all better soon!

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