· Difficulty breathing, which may be manifested as blue gums, coughing of foamy, pink frothy liquid, panting constantly, or stretching the head and neck out while breathing

· Constant coughing and inability to rest through the night

· A distended, “bloated” abdomen

· Non-productive retching (which is classic for gastric-dilitation volvulus or “GDV”)

· Anxiety or restlessness (often a sign of pain or a GDV)

· Pale gums (which is often seen with internal bleeding or anemia)

· An elevated heart rate (> 160 beats per minute at home)

· A respiratory rate of > 60 breaths per minute at home while resting

· Crying out in pain

· Jaundiced (yellow gums)

· Not being able to move or walk or dragging of the back legs

· Extreme lethargy

· Any significant amounts of bleeding

· Any trauma

· Any poisoning or toxin ingestion

· Vomiting more than two or three times

· Abnormal vaginal discharge

· Abnormal odor from your dog

· Fever

· Squinting, bulging, or painful eyeballs

· Straining to urinate, making multiple trips to urinate, squatting to urinate without producing any urine

· Collapse

· Anything that makes you worried

· Tremors or seizures

· Any abnormal behavior that you’re worried about (e.g., acting aloof or particularly clingy)