



Posted by Lora Shaw on February 9, 2026

Finding your dog vomiting blood or passing black stools is alarming – and it should be. These are hallmark signs of gastric ulcers, a condition that ranges from treatable erosions to life-threatening perforations. Check out our guide for key warning signs and next steps, and be sure to schedule a vet appointment as soon as possible.
Stomach ulcers are the result of the normal, healthy tissue of a dog’s stomach being eroded away, so the condition goes well beyond a rudimentary upset stomach. Erosions can be minor (though troubling) in nature, or can be part of what is called a “perforated ulcer” that actually forms a hole in the stomach wall, creating the possibility of life-threatening sepsis.
Stomachs have a protective barrier made up of layers of mucosa, which protects the stomach and other organs from stomach acid. Ulcers form as the mucosa weakens.
Dogs can exhibit a number of symptoms with stomach ulcers, although some symptoms may overlap with other conditions. Review the following signs and consult with your veterinarian for a proper diagnosis:
| Symptom | What to Look For |
|---|---|
| Vomiting | ~88% of dogs with ulcers experience vomiting, often showing blood or digested blood (dark coffee grounds appearance) |
| Melena | Black, tarry stools from digested blood. Present in ~31% of affected dogs |
| Abdominal Pain | Discomfort, restlessness, avoiding touch, or sitting in a “praying position” |
| Lethargy and Weakness | Chronic blood loss can cause anemia, making dogs listless and weak |
| Pale Gums | Can also indicate anemia and/or dehydration |
| Loss of Appetite | Refusing food due to nausea and pain (common in many conditions) |
Unfortunately, ulcers can develop in dogs for a number of reasons, including the following:
Your veterinarian will ask a number of questions and conduct key tests to determine if an ulcer is present in your dog. They will want to know about the history of NSAID and steroid use, and they will likely perform blood work to check for anemia and protein loss.
Ultrasounds are also commonly used to check for non-perforated ulcers, while X-rays can detect perforated ulcers. The most definitive test, however, is endoscopy, which uses a camera to detect ulcers, though exploratory surgery is also possible.
It’s incredibly distressing when your pet is suffering from any kind of medical problem, especially one as serious as a stomach ulcer can be. Thankfully, there are some treatment options:
Once your vet has determined your dog’s condition and the source of the ulcer, you have a good chance at recovery. Mild, non-perforated ulcers can heal fairly quickly when addressed early.
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Yes, as we noted above, working breeds, like sled dogs, can be more predisposed to developing stomach ulcers compared to mixed breeds and nonworking dogs, due to the physical stress of strenuous exercise.
No, this isn’t advisable. You need a veterinarian’s guidance, diagnosis, and expertise. While a bland diet helps, prescription medications like proton pump inhibitors and sucralfate are necessary to stop acid production and protect the stomach lining so it can heal.
Though Helicobacter bacteria lead to ulcers in humans, they do not appear to be a contributing factor for dogs’ ulcers. The bacteria are found in nearly 100% of healthy dogs, and there is no compelling evidence that treating Helicobacter benefits dogs with gastrointestinal symptoms.
If your pup is feeling under the weather, we hope a trip to the vet will have them good as new in no time. Be sure to review our blog for more dog health and wellness tips, as well as many great resources for pet parents.
Have questions for us? Contact our team!

Categories: Dogs, Pet Safety