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Your dog cannot explain his symptoms, so it's the responsibility of you and your veterinarian to keep him healthy. Dogs are very good at hiding their illness so it is up to you to observe your dog for abnormalities. Common indications of a "sick pet" include: lethargy, disorientation, weakness, weight loss, seizure, lack of appetite, vomiting, diarrhea, unproductive retching, straining to urinate, bloody urine, difficulty or inability to walk, bleeding, pale mucous membranes, difficulty breathing and persistent cough. You know your pet best and can often notice subtle early warning signs that someone else may not detect. If you observe any of the mentioned symptoms or other signs that concern you, call your veterinary hospital. The safest approach would be to have your pet examined. Once your pet is at the hospital, your veterinarian may ask additional questions to help localize or diagnose the problem.
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