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Stomach upset - Aspirin can upset a dog's stomach, which can interfere with the ultimate goal of relieving your dog's pain if he throws up the medication. Buffered aspirin is usually easier on a dog's stomach than non-buffered aspirin, especially if your vet advises you to give repeated doses.
1 Additionally, when aspirin is given without food, ulcers might form in the stomach. A common sign of your dog developing stomach ulcers is blood-tinged vomiting.  Aspirin should not be given to puppies and cats as they lack the necessary enzymes to breakdown the aspirin which can result in severe organ damage.