Unproductive retching plus a tight swollen belly is not a wait-and-see GI upset.
| Scenario | Bloat / GDV (gastric dilatation-volvulus) |
|---|---|
| Vet vs poison control vs ER | This is an ER surgical emergency, not a poison-control case. Do not delay for a hotline consult unless a toxin was also involved. Minutes matter. |
Repeated unsuccessful attempts to vomit, a distended hard abdomen, restlessness, and sudden distress are the pattern to take seriously.
Deep-chested large breeds are at higher risk, but any dog with this pattern needs emergency evaluation.
Owners lose time debating food indiscretion versus bloat. The ER can sort it with imaging and exam.
Call ahead and say you are worried about GDV.
This is general information, not a diagnosis. Contact your vet for anything urgent or unclear.