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Since he would be much more qualified to evaluate your dog than we ever could.
The vomiting could be anything, but is definitely a real cry for veterinary evaluation. It could be anything from pancreatitis to a passing illness. Whatever it is, only your vet can determine the cause and prescribe the proper meds, if necessary, to help alleviate it.
Not being able to get up is much more serious. When my Barney, at 18, was unable to get up, I immediately called his vet and brought him in immediately. He was undergoing acupuncture for calcification of his spine and the vet gave him a couple of sessions of electro-acupuncture, and he was, thankfully, able to walk again. But I realize that this may not be an option for you. My other dog, Sheena, was suddenly not able to get up and my vet recommended Rimadyl, over the phone, since I already had this medication for Barney, because he couldn't tolerate it. It led to stomach distress and the pancreatitis, so I never gave it to him again, but I still had it. He knew my dog and told me what dose to give her. Sheena was on her feet the very next day. But I gave it to her with Tagamet, so her stomach wasn't upset and she could tolerate this very strong medication.
The med that my vet recommends most often for problems like this is Chrondroflex. There are many out there, like Cosaquin, but he has seen the most effective results with Chrondroflex, helping dogs with stiffness and moving more easily. It also comes in chewable, and doesn't have the harsh side effects of a med like Rimadyl.
Please consult your vet. I wish that you could take your dog to mine, who offers alternative treatments along with traditional ones. Yes, your dog is older, as was my Barney, at 16 or 17, but his quality of life was important to me and he was able to maintain it with supplements and the proper meds. But I couldn't do this myself. I needed the help and advice of my vet. Please get your dog evaluated. If you have an enlightened vet, you'd be surprised at what is available to improve the lives of our older pets.
You didn't say what breed of dog you have. Smaller dogs generally have an easier time of it, as they age. Mine were cocker spaniels, but they still ran into problems which I had to have treated. Please let us know how this turns out. I have been there, and I care.;(
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