A dog that suddenly starts shaking and vomiting can be an alarming sight for any pet owner. While occasional nausea or trembling may not always signal an emergency, the combination of both symptoms deserves close attention. These reactions often indicate a deeper underlying issue, ranging from mild discomfort to serious health threats. Understanding the possible causes, what signs to watch for, and how to respond can make a crucial difference in your dog’s outcome.
Metrovet Veterinary Clinic in Boston provides diagnostic care and urgent veterinary services that can help address these symptoms early. If your dog is showing signs of distress, it’s important to seek timely evaluation from a qualified professional.

Why Is My Dog Shaking and Throwing Up?
There are several reasons a dog might exhibit both trembling and vomiting, and the causes span physical, neurological, and emotional triggers. Some causes are relatively harmless and self-limiting, while others demand urgent medical intervention.
Gastrointestinal Distress
The most common explanation often lies within the digestive system. Dogs may vomit and shake when they’ve ingested something irritating or toxic. This could include spoiled food, household chemicals, plants, or even certain human medications. Food intolerances or dietary indiscretion—especially in curious puppies—can also cause gastrointestinal upset severe enough to induce trembling.
Persistent vomiting can lead to dehydration, electrolyte imbalances, and further weakness, all of which may intensify the shaking. If vomiting continues for more than a few hours or if there is blood present, the situation needs to be treated as an emergency.
Toxin Exposure
One of the most urgent causes of vomiting combined with shaking is poisoning. Xylitol (a sugar substitute), grapes, chocolate, and certain rodenticides are toxic to dogs and can cause these symptoms. Tremors, drooling, lethargy, and collapse may follow quickly after ingestion. Acting swiftly is vital because some toxins act rapidly and can cause irreversible organ damage.
Pain or Injury
Dogs often shake in response to pain. This pain might not always be visible or obvious. Internal discomfort from pancreatitis, kidney stones, or abdominal trauma could cause a dog to vomit and shake. Orthopedic injuries, particularly spinal or joint-related, may also provoke trembling alongside signs of nausea from stress or discomfort.
Infections and Illnesses
Serious infections like parvovirus, leptospirosis, or bacterial gastroenteritis can bring about vomiting and tremors, especially in younger or unvaccinated dogs. These conditions typically involve additional symptoms like fever, lethargy, or diarrhea and require aggressive treatment.
Systemic illnesses such as Addison’s disease (hypoadrenocorticism), liver disease, or kidney failure may also present with a mix of gastrointestinal and neurological signs. Dogs with endocrine disorders can become weak, nauseated, and prone to shaking, especially during stress or after a skipped meal.
Neurological Disorders
When vomiting and shaking occur alongside confusion, loss of coordination, or abnormal eye movements, a neurological issue may be involved. Seizure activity or vestibular disease can cause nausea-induced vomiting paired with muscle tremors or imbalance.
Anxiety and Emotional Stress
Not all causes are physical. Anxiety, fear, or panic can trigger shaking in dogs. Motion sickness, separation anxiety, or stressful changes in the environment may also lead to vomiting. Though less dangerous, these episodes are still uncomfortable for your dog and should not be dismissed, especially if they recur frequently.
What You Should Do Next
When your dog is both shaking and vomiting, your response should be prompt and informed. Monitor your pet closely for changes in behavior, worsening symptoms, or additional warning signs.
If the vomiting is continuous, if the tremors increase, or if your dog appears lethargic, confused, or unable to stand, contact your veterinarian immediately. These are signs that your dog may be in serious trouble. Don’t wait to “see if it passes” if you suspect poisoning or your dog has known access to harmful substances.
In less urgent scenarios, such as a dog vomiting once after eating something questionable but then returning to normal behavior, it may be safe to monitor at home. Still, it’s wise to call your vet and discuss the situation. Keep your dog hydrated, withhold food for a few hours to rest the stomach, and offer bland food later if advised.
Avoid giving human medications unless specifically instructed. Many over-the-counter drugs safe for humans are toxic to dogs.
When to Visit the Vet
Recognizing the red flags that require veterinary care can save your dog’s life. Seek professional evaluation if:
- Vomiting occurs more than once or continues over several hours
- There is blood in the vomit or stool
- Shaking persists or worsens
- Your dog appears disoriented, unsteady, or collapses
- You suspect exposure to toxins
- There are signs of pain, such as whining, stiffness, or a hunched posture
At the clinic, your veterinarian will perform a thorough physical exam and may recommend blood tests, X-rays, or an ultrasound to determine the cause. Treatment depends on the diagnosis but may include IV fluids, anti-nausea medication, toxin neutralization, or hospitalization.
Preventive Measures to Keep in Mind
While not all cases can be prevented, there are key steps you can take to reduce the risk:
- Keep harmful substances out of reach
- Feed a consistent, veterinarian-approved diet
- Ensure up-to-date vaccinations and parasite prevention
- Minimize stressful situations and support your dog during changes
- Monitor for subtle behavioral or appetite changes, which often precede illness
Final Thoughts
Shaking and vomiting in dogs can be unsettling, but timely awareness and action are your best tools. Whether it’s a mild digestive upset or a sign of a more serious medical condition, it’s always better to err on the side of caution.
If you’re ever unsure, don’t hesitate to call your veterinarian or bring your dog in for a physical exam. Early intervention often leads to better outcomes and greater peace of mind for both you and your pet.
Disclaimer: This article is intended for informational purposes only and should not be used as a substitute for professional veterinary advice, diagnosis, or treatment. Always consult your veterinarian if you have concerns about your pet’s health.