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The English idiom "sicker than a dog" calls to mind the vivid and colorful memory that many people have of a dog vomiting, having non-productive intestinal spasms (dry heaves), or trying to pass a hard stool (the doggie jig). Dogs make no effort to conceal their distress, and so make loud noises that sound like a cross between hacking and barking while vomiting. To add to the imagery, sometimes the canine vomitus contains live parasitic worms, or pieces of offal that the dog has ingested.

Clearly a human who is "sicker than a dog" is feeling rather unwell!

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Q: What does 'sicker than a dog' mean?
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