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It would definitely be advisable to contact a veterinarian. While I wouldn't be concerned if it only happened once, repeated instances, especially over a short period of time, could be a sign of something serious. Use your best judgment. You know your dog best. And don't hesitate to contact a vet just to be sure everything is OK with your dog. For more information, see the links below.

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15y ago
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11y ago

I own a Shih Tzu, and they seem to be notorious for coprophagia (eating their own poo). It is possible that your Shih Tzu has eaten some poo and then is throwing it up. This is the case for mine! If this is the case for yours, there are certain products that can be added to the dog's food to make the poo "unpalatable" to the dog. (Although, as humans, we would think it to be unpalatable in the first place) There could very well be other, more serious, medically related reasons for a Shih Tzu throwing up, and a veterinarian would be able to offer more help.

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13y ago

It could be because its sick...

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15y ago

Go to the Vet!

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15y ago

yes yes

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Q: My dog is throwing up and shaking?
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