You don't say how old your dog is, or the breed. But when our older dog had those same symptoms I asked my vet if it was "time". She told me "when it hurts you to see your dog, it hurts them to be that way. It was the best piece of advice I had ever gotten. Finally when it disturbed us so much, we knew it was "time" and did what was best for him.
It's a hard decision to make and I wish you the best.
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