Vomiting and Diarrhea in Puppies: Causes, Treatments, and When to Seek Help

Safeguard your young dog’s health with simple steps to spot critical signs early.

By Sneha Tete, Integrated MA, Certified Relationship Coach
Created on

Puppies are curious, energetic, and often have sensitive digestive systems. Vomiting and diarrhea are among the most common health concerns seen in young dogs, causing distress for both puppy and owner. While mild, occasional digestive upset may resolve quickly, persistent or severe symptoms can signal serious illness. This guide explores the causes, diagnosis, treatments, at-home care, and emergency signs every owner should know.

Common Causes of Vomiting and Diarrhea in Puppies

Understanding what triggers digestive symptoms helps you determine the urgency and best care approach. Causes range from simple dietary mistakes to life-threatening infections.

  • Viruses: Parvovirus, coronavirus, and distemper frequently cause severe vomiting and diarrhea in unvaccinated puppies. These require immediate veterinary attention.
  • Bacterial Infections: Bacteria such as Salmonella or Campylobacter are often contracted from contaminated food, water, or contact with feces.
  • Intestinal Parasites: Roundworms, hookworms, whipworms, and giardia are common in puppies and can cause chronic gastrointestinal upset.
  • Stress: Bringing a puppy to a new home, routine changes, or kennel stays may trigger temporary digestive upset.
  • Dietary Indiscretion: Eating garbage, table scraps, spoiled food, plants, or non-food items (toys, socks) can easily upset a puppy’s stomach.
  • Toxins and Poisons: Chocolate, certain plants, human medications, and cleaning chemicals can provoke life-threatening symptoms.
  • Food Intolerances: Sudden food changes, allergies, or sensitivities to ingredients can lead to vomiting and diarrhea.
  • Other Medical Problems: Less common causes include blockages (foreign bodies), intussusception (intestinal telescoping), hernias, pancreatitis, liver or kidney disease, and congenital defects.

Signs and Symptoms to Monitor

Vomiting and diarrhea are usually easy to spot, but associated signs help define the severity and urgency of the problem. Key symptoms to look for include:

  • Frequent or repeated vomiting, especially more than three times in 24 hours
  • Diarrhea that is watery, frequent, or contains blood or mucus
  • Lethargy or marked drop in activity
  • Loss of appetite
  • Signs of dehydration (dry gums, tacky saliva, sunken eyes)
  • Abdominal discomfort or pain
  • Fever or low body temperature

Note: Mild cases usually involve soft stools or mild vomiting with a puppy who otherwise acts normal. Severe or worsening symptoms warrant prompt veterinary attention.

When Is Vomiting and Diarrhea an Emergency?

Some puppies can deteriorate rapidly. Seek emergency veterinary care immediately if you observe:

  • Continuous vomiting (more than three times in 24 hours) or repeated dry heaving
  • Vomiting or diarrhea containing blood (bright red or coffee-ground appearance)
  • Extreme lethargy or collapse
  • Signs of severe dehydration (gums that are dry, sticky, or pale)
  • Bloated, painful, or distended abdomen
  • Puppies who are very young (less than 16 weeks) or very small breeds
  • Known ingestion of a toxin, foreign object, or suspected internal blockage

Diagnosing the Cause: What to Expect at the Vet

Your veterinarian will perform a systematic evaluation to identify the cause and determine the correct treatment. This may include:

  • Detailed history (recent diet, new exposures, home environment, vaccination status)
  • Physical examination (hydration status, abdominal palpation, temperature)
  • Laboratory tests:
    • Fecal analysis for parasites (eggs, protozoa) or bacteria
    • Bloodwork to evaluate dehydration, infection, organ function
    • Radiographs (X-rays) to check for blockages or foreign objects
    • Additional viral or advanced testing as needed

Veterinary Treatments for Vomiting and Diarrhea in Puppies

Treatment always depends on the underlying cause and the puppy’s condition, but may include:

  • Fluids: To correct dehydration and restore electrolyte balance, ranging from oral electrolyte solutions to subcutaneous or intravenous fluids for severe dehydration
  • Medications:
    • Anti-nausea drugs (like maropitant or ondansetron) to control vomiting
    • Anti-diarrheal medications (as prescribed)
    • Antibiotics if a bacterial infection is suspected
    • Deworming medications if parasites are identified or suspected
    • Specialist therapy (e.g., surgery for blockages or hernias), if needed
  • Bland Diet: Prescription veterinary diets formulated for gastrointestinal recovery (e.g., Royal Canin Gastrointestinal Puppy, Hill’s i/d, Purina EN) may be recommended
  • Probiotics: Veterinary probiotics to support recovery of the gut flora
  • Supportive care: Close monitoring and comfort until symptoms resolve

Home Care and What Owners Can Do

For mild cases (when your puppy is otherwise energetic, hydrated, and symptoms are brief), you can try the following under your veterinarian’s advice:

  • Withhold food for 12-24 hours (never for very small or very young puppies without veterinary instruction). Allow access to plenty of fresh water to prevent dehydration.
  • Reintroduce bland foods: Gradually offer small meals of boiled chicken (no skin or bones) and white rice. Baby food (plain chicken or turkey) may also be acceptable in small quantities for short durations.
  • Hydration support: Offer water or an electrolyte replacement recommended for pets. Watch for signs of dehydration.
  • Add probiotics: Veterinary-grade probiotics can help restore intestinal balance.
  • Monitor carefully: Keep a journal of symptoms, frequency of vomiting/diarrhea, and any associated signs. If any symptoms worsen or persist, seek prompt veterinary care.

Never give over-the-counter anti-nausea, anti-diarrheal, or human medications without specific veterinary instruction. Some common human products are toxic to dogs.

Special Considerations for Puppies

  • Puppies dehydrate quickly. Because of their small size and developing systems, even mild vomiting and diarrhea can become dangerous in a matter of hours.
  • Vaccination Status: Young puppies who have not yet completed their vaccine series are especially vulnerable to viral infections. Rapid intervention is critical for parvovirus or distemper.
  • Small and toy breeds: These puppies are more prone to low blood sugar (hypoglycemia) and can’t go without food for as long as larger breeds. Always consult with your vet before withholding food.
  • Parasite control: Routine deworming is part of puppy wellness and can help prevent recurring GI issues.

Preventing Vomiting and Diarrhea in Puppies

  • Feed a consistent, high-quality puppy diet. Avoid sudden changes in food.
  • Puppy-proof your home: Keep trash cans secure, household plants out of reach, and small objects picked up.
  • Avoid human foods: Many are toxic or too rich for puppies.
  • Routine deworming and vaccination: Follow your veterinarian’s schedule to prevent common infectious agents.
  • Supervise new puppies closely: Prevent scavenging on walks or in unfamiliar environments.
  • Practice good hygiene: Clean up after your puppy promptly to reduce the spread of parasites and infections.

Table: Causes, Symptoms, and Treatments of Vomiting and Diarrhea in Puppies

CauseKey SymptomsTypical Treatment
Dietary indiscretionMild vomiting, soft stool, occasional diarrheaBland diet, fluids, observation
Viruses (parvo, distemper)Severe vomiting, bloody diarrhea, lethargy, feverHospitalization, IV fluids, medications
Bacterial infectionDiarrhea, sometimes with blood or mucus, vomitingAntibiotics, fluid support, diet change
Worms/parasitesIntermittent soft stool/diarrhea, potbellyDeworming medication
Foreign body/toxinSudden vomiting, abdominal pain, no stool/passageSurgery, toxin management as indicated
Food allergy/sensitivityIntermittent digestive upset, sometimes itchy skinDiet trial/exclusion

Frequently Asked Questions (FAQs)

How long can puppy vomiting and diarrhea last?

Mild symptoms may resolve in 12-24 hours; persistent or worsening symptoms require a veterinary visit, especially in puppies younger than 16 weeks.

What should I feed my puppy after vomiting or diarrhea?

Start with small amounts of boiled chicken and rice, gradually returning to regular diet when symptoms resolve and appetite normalizes. Only use prescription diets or probiotics if recommended by your veterinarian.

Can I give my puppy over-the-counter human medications for diarrhea?

No. Many human medications are toxic or unsafe for dogs. Always seek veterinary guidance before giving any medication.

When does vomiting or diarrhea indicate an emergency?

Signs such as blood in vomit or stool, repeated episodes, lethargy, collapse, or dry gums require immediate veterinary care.

Is it normal for a puppy to have soft stool when changing food?

Mild digestive upset is common with a sudden diet change. Transition foods slowly over 5-7 days and consult your veterinarian for best advice.

Key Takeaways for Puppy Owners

  • Mild cases of vomiting and diarrhea may be managed at home with careful observation and gentle dietary changes, but call your vet for advice.
  • Young puppies and those with severe or persistent symptoms should see a veterinarian promptly due to the risk of dehydration and serious illness.
  • Prevention and early intervention help ensure your puppy grows up happy and healthy.
Sneha Tete
Sneha TeteBeauty & Lifestyle Writer
Sneha is a relationships and lifestyle writer with a strong foundation in applied linguistics and certified training in relationship coaching. She brings over five years of writing experience to thebridalbox, crafting thoughtful, research-driven content that empowers readers to build healthier relationships, boost emotional well-being, and embrace holistic living.

Read full bio of Sneha Tete