WHEN DOES YOUR PUPPY NEED TO GO TO THE VET? You will need to find a vet before you take your puppy home. Ask your breeder or referrals from friends. You may want to call around for quotes on vet visits, neutering/spaying and vaccinations. Charges can vary greatly. The most expensive is not always the best. NEVER hesitate to get a second opinion or call your breeder if you are not sure of your dogs diagnosis. Vomiting and/or diarrhea- whether you notice several bouts in a short period of time or intermittently over a long period of time. 1. Weight Loss: A healthy puppy should gain weight . Contact your vet if you puppy loses weight. 2. Loss of appetite- refusing food the first day in a new home is normal. Hot weather may also effect appetite. Refusing a favorite treat can be signs of trouble. 3. Inability to urinate can be a bladder infection or stones and requires immediate attention. 4. Frequent accidents in the home when the puppy was housebroken and strong odor can be caused by urinary tract infection or renal problems. 5. Lethargy: Puppies sleep allot and play hard. If your puppy seems that he is sleeping and un alert , you need to take him to the vet. 6. Coughing , especially combined with nasal discharge . 7. Eye abnormalities. Irregular coloration to the eye, bluish cast, milky haze, squinting, pawing at the head, discharge all need vet attention. 8. Lumps or bumps that are growing, bleeding or discolored. 9. Blood in the urine, vomit or stool. 10. Bruising: Hematomas bleeding under the skin or from the body. 11. Convulsions, seizures, violent shaking of the head or legs, confused , dazed appearance, loss of balance and loss of normal body functions. 12.