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General wellbeing

Dog with yellow gums and eyes

A yellow tint to the gums, the inside of the ears or the whites of the eyes means there is too much bile pigment in the blood. It is not a quirk of appearance but a sign that something is wrong with the liver, the bile ducts or the blood cells, so it always deserves a vet's attention.

Updated

When this needs emergency care

If you see any of these, contact a vet immediately, day or night.

  • Yellow gums or eyes together with vomiting or refusing food
  • A dog that is very dull, barely responds or cannot stand
  • Gums that are also very pale, with difficulty breathing
  • Dark orange or brown urine together with weakness
  • Yellowing after your dog may have swallowed a poison or an unknown plant

What this means

Yellowing is easiest to see where there is no fur: the gums, the whites of the eyes, the inside of the ears and the skin of the belly. The gums may look pale lemon, mustard or orange. It shows better in daylight than under a lamp, and in dogs with pigmented gums the colour has to be judged from the whites of the eyes. If in doubt, compare with an older photo in which your dog's eyes or gums are visible.

Yellowing is a sign rather than a disease, and quite different causes can lie behind it. Sometimes the problem is in the liver itself, sometimes the bile ducts are blocked or inflamed, and sometimes red blood cells break down faster than the liver can handle them. Telling these apart takes blood tests and an examination, so there is no need to guess at home.

Your vet will find it useful to know when you first noticed the yellow colour, whether the colour of the urine and stools has changed, whether your dog is vomiting, eating or drinking less, and whether it could have swallowed something unsafe such as a poison or an unknown plant. Mention any medicines or products your dog is given. If you can, photograph the gums and eyes so the change over time can be seen.

Possible causes

These are things that can cause this sign. It is not a diagnosis, and they are not equally likely for your dog.

  • Inflammation of the liver

    When liver cells are damaged, bile pigment is no longer cleared normally and builds up in the blood. The dog may be dull, eat less or vomit.

  • Problems with the gallbladder or bile ducts

    If bile cannot flow freely it backs up into the blood. Belly pain, vomiting and loss of appetite may go with it.

  • A blood vessel that bypasses the liver

    A vessel present from birth can send blood around the liver and upset its work. Slow growth or odd behaviour is usually what stands out.

    About the condition: Liver shunt (portosystemic shunt)
  • The immune system destroying blood cells

    When the body attacks its own red blood cells they break down too fast. The dog looks pale and yellow and tires quickly.

  • Poisons and harmful substances

    Some toxic substances and plants can damage the liver. It matters to say if your dog could have swallowed something or scavenged outdoors.

    About the condition: Poisoning

What else to watch for

These observations help your vet build the picture faster. Note down what you saw and when.

  • Where and when you first saw the yellow tint: gums, eyes, ears
  • Whether the urine has changed colour, for example dark orange or brown
  • Whether the stools have become very pale or grey
  • Whether your dog is vomiting or has stopped eating
  • Whether it is drinking and urinating more
  • Whether it seems limp, pale or tires quickly

When to book a routine visit

Yellow gums or eyes are always a reason to see a vet promptly, not to wait and see whether it passes. Say when you first noticed the colour and what else you have seen.

Related conditions

Conditions whose entries mention this sign. The list is somewhere to read on, not a way to reach a diagnosis.

Body systems: Digestion and liver Blood and immunity Infections