It’s 2:00 a.m., your companion is restless, and something just doesn’t feel right. You’re left wondering: Is this an emergency, or can it wait until morning?

At Veterinary Emergency Referral Hospital of West Toronto (VERHWT), we know how stressful these moments can be. As a 24/7 emergency hospital, part of our role in the community is helping families recognize when urgent care is needed - and when monitoring at home may be appropriate.

Below are some key signs that should not wait until morning.

When to Seek Emergency Veterinary Care Immediately

If your companion is experiencing any of the following, prompt veterinary attention is recommended:

Trouble Breathing or Collapse

• Rapid, laboured, or open-mouth breathing

• Blue or pale gums

• Sudden collapse or inability to stand

Breathing issues can escalate quickly and are always considered an emergency.

Persistent Vomiting or Diarrhea

• Multiple episodes in a short period of time

• Vomiting or diarrhea containing blood

• Accompanied by lethargy, weakness, or pain

While an isolated upset stomach can happen, ongoing or severe gastrointestinal signs may indicate dehydration, toxin exposure, obstruction, or infection.

Sudden Lameness or Severe Pain

• Crying out, trembling, or guarding a limb

• Refusal to bear weight

• Stiffness or pain following a fall, slip, or jump

Not all injuries look dramatic on the outside. Internal injuries, fractures, or joint damage can worsen if left untreated.

Trauma or Accidents

• Hit by a car

• Falls from height

• Dog fights or animal bites

Even if your companion seems “okay” initially, internal injuries or bleeding may not be immediately visible.

Ingestion of Toxins or Foreign Objects

• Medications, human foods, or household chemicals

• String, socks, toys, bones, or other non-food items

Early treatment can significantly reduce complications in toxin or foreign body cases.

Abdominal Distension or Unproductive Retching

• Swollen or tight abdomen

• Repeated gagging without producing vomit

• Restlessness or signs of discomfort

If your dog is a large breed, these can be signs of gastric dilatation-volvulus (GDV), a life-threatening condition that requires immediate care.

Seizures or Sudden Neurological Changes

• Active seizure activity

• Disorientation, circling, or head tilt

• Sudden weakness or paralysis

Neurological signs should always be evaluated urgently.

When Monitoring May Be Appropriate

Some situations may be safe to monitor at home for a short period, such as:

• A single episode of vomiting with normal behaviour afterward

• Mild limping that improves with rest

• Minor appetite changes without other symptoms

If you’re ever unsure, it’s always appropriate to call an emergency hospital for guidance.

Why Acting Quickly Matters

Delaying care can allow conditions to worsen, leading to:

• Increased pain or discomfort

• More complex treatment

• Longer recovery times

Early intervention often means better outcomes.

Emergency Care When You Need It Most

VERHWT is open 24/7 to provide emergency and urgent veterinary care when it matters most. Our team is here to support you - whether it’s the middle of the night, a weekend, or a holiday.

If something feels off, trust your instincts. We’re here when you need us.

This blog is intended for educational purposes and should not replace professional veterinary assessment.