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There are several possible causes, ranging from simple gas build-up to a twisted stomach. If your dog is still alive after two days, a complete intestinal or gastric obstruction has been ruled out. However, your dog could still have a partial obstruction that can still be fatal. For this reason, you need to get your dog to a veterinarian immediately for examination and treatment.

Other potential causes of a distended stomach include fluid or blood in the abdominal cavity, unexpected late-term pregnancy (in an intact female dog), cancer or severe worm infestation.

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