Aloha Animal Hospital

Any problem that persists longer than 24 hours.

Any problem that worsens over several hours.

Any systemic problems such as lethargy, loss of appetite, weakness and fever.

Body temperature less than 100°F or greater than 104°F.

Any indication that more than one body system (GI, urinary, neurological) is affected.

Bleeding from nose, mouth or anus.

Bleeding accompanied by bruising of the skin, especially on the abdomen.

Bleeding that cannot be stopped by applying pressure.

If blood loss is excessive.

Weakness, difficulty breathing, or reluctance to move after a bleeding episode.

Frequent bouts of vomiting or diarrhea resulting in loss of large volumes of fluid.

Inability to drink or keep water down.

Blood or black material (digested blood) in the vomit or stool.

More than three to four episodes of vomiting or diarrhea in a puppy or in a dog older than 8 years.

Vomiting following suspected ingestion of foreign material (toys, garbage, rocks, etc).

Suspected poisoning.

Suspected bloat.

Obvious fracture of a limb.

Nonweight-bearing lameness persisting for more than 12 hours.

Swollen, painful joints or a gait that appears as if “walking on eggshells.”

Paralysis of one or more limbs.

Lameness that initially improves but does not resolve in 24-48 hours.

Trauma

Venomous snakebite