Vomiting blood and clear liquid in dogs is a very alarming symptom that should never be ignored. It may indicate a serious health condition.
This type of vomiting can quickly become life-threatening, depending on the cause and how much blood is involved.
We outline the common causes of a dog throwing up blood and clear liquid, what you can do at home, and when to seek veterinary help.
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Dog Throwing Up Blood and Clear Liquid — Why It Happens
When a dog throws up blood along with clear fluid, it usually signals irritation or damage to the digestive tract. Common causes include stomach ulcers, ingestion of toxins, foreign objects, or conditions like pancreatitis and liver disease.
Sometimes trauma or clotting disorders may also lead to bloody vomit mixed with saliva or fluid.
Because this symptom can escalate quickly, understanding potential causes is essential for prompt care.

Dog Throwing Up Blood and Clear Liquid: Common Causes
Stomach Ulcers
Stomach ulcers can occur when the lining of a dog’s stomach is eroded by excess acid, medications like NSAIDs, or underlying disease.
The ulcers may bleed, leading to blood being vomited along with clear gastric fluids. Dogs with ulcers may also show signs such as lack of appetite, abdominal pain, or lethargy.
This is a serious condition because ulcers can worsen without treatment.
Read more: Dog Throwing Up Food and Clear Liquid (What it means)
Ingestion of Toxins
Household poisons, spoiled food, or human medications can all damage a dog’s stomach and intestines, causing blood to appear in vomit.
When combined with clear liquid, it often means the stomach is irritated or empty. Owners may also notice drooling, shaking, or diarrhea depending on the toxin. Prompt veterinary care is crucial since some toxins can cause organ failure.
Foreign Object Obstruction
If a dog swallows something it shouldn’t, such as a toy, bone, or piece of cloth, it may damage the stomach lining or block the intestines.
This can result in vomiting blood with clear saliva or fluid. Additional signs may include repeated gagging, refusal to eat, abdominal pain, and constipation.
Obstructions are emergencies and often require surgery.
Pancreatitis
Pancreatitis occurs when the pancreas becomes inflamed, often triggered by fatty foods or underlying health conditions.
The inflammation can cause severe vomiting, sometimes mixed with blood and clear liquid.
Dogs with pancreatitis often appear very ill, showing signs like lethargy, abdominal pain, and dehydration. Because pancreatitis can lead to serious complications, immediate care is needed.
Liver Disease
The liver plays a role in blood clotting and digestion. When it is diseased or failing, a dog may vomit blood along with clear liquid due to poor clotting or irritation in the digestive system.
Other symptoms may include jaundice, weight loss, or changes in behavior. Liver-related vomiting requires urgent veterinary diagnosis and treatment.
Bleeding Disorders or Trauma
Conditions that affect a dog’s ability to clot blood, such as certain autoimmune diseases or ingestion of rat poison, can cause internal bleeding that shows up as blood in vomit.
Similarly, trauma to the stomach or chest can result in bloody fluid being expelled.
Dogs may also have bruising, weakness, or labored breathing in these cases. Immediate emergency care is required.
What to Do If Your Dog Is Throwing Up Blood and Clear Liquid
If your dog vomits blood mixed with clear liquid, remove all food and water for a short period to let the stomach settle.
Do not give over-the-counter medications, as many can make the problem worse. Encourage your dog to rest in a calm environment and monitor closely for additional symptoms.
If vomiting is mild and only occurs once, contact your vet for advice, but do not delay if it happens again.
You can also check for any obvious causes, such as toxins your dog may have ingested, or signs of injury.
Keep a sample of the vomit to show your vet, as this may help with diagnosis. Because bloody vomit is rarely minor, it is safest to have your dog examined as soon as possible.
When to Call or Visit Your Vet
Contact your vet immediately if the vomiting involves large amounts of blood, if it is repeated, or if your dog seems weak or in pain.
Emergency care is especially important if your dog is also refusing to eat or drink, has pale gums, or shows signs of collapse. These may signal life-threatening blood loss or organ failure.
Even if the amount of blood is small, ongoing vomiting of clear fluid and blood can indicate an underlying disease that requires treatment.
A vet may recommend blood tests, imaging, or hospitalization depending on your dog’s condition. Because this symptom can worsen quickly, do not wait to see if it improves on its own.
Read more: Dog Throwing Up Yellow and Clear Liquid (Here’s why)
Key Takeaway
Vomiting blood and clear liquid is a serious sign that a dog may be dealing with ulcers, toxins, organ disease, or internal injury.
Even if the episode seems minor, it is not a symptom to ignore. The best step a pet owner can take is to have their dog evaluated quickly to ensure proper treatment and prevent life-threatening complications.
Acting early offers the best chance for recovery and peace of mind.