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Hi there - I'm Dr. Forman. I'm sorry that Leroy is acting a little off tonight.
While paper towels are unlikely to cause an obstruction, any change in diet or "odd" thing that a dog eats can cause some passing GI upset like a decrease in appetite, a little lethargy, a skipped meal, or a couple episodes of vomiting or diarrhea.
In general as long as they are still interested in food and water and keeping it down, I recommend monitoring pets who have eaten things like paper towels. If he stops eating for more than a meal or if he begins to vomit or be unable to keep food or water down, then I start to get concerned. Things that I never ignore and that make me recommend an ER visit are repetitive unproductive retching, abdominal distention, or any breathing difficulties.
I sure hope this helps - please let me know if I can answer any more questions :)
Thanks for the update - how is she doing this morning?