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My exact thoughts! Get him there ASAP! He needs the meds that will help stop the "cycle" of throwing up.
This si my thought too. I went through pancreatitus with a 3 lb 8 month old yorkie... she spent three days in the vet hospital and it saved her life. Another dog with this wasn't brought in for days and days, and we saw him in the hospital while we were there.... he didn't make it. I was told that while sometimes the cause is unknown, it is linked sometimes to ingestion of amounts of fat that they aren't used to. In the case of the other dog under care while we were for the same condition, he ate a bunch of offal from the on-farm slaughter of a steer.
They can pull through, but they need veterinary treatment!