Emergency Guide: What to Do if Your Dog is Choking

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TL;DR: Choking is a life-threatening emergency that requires immediate intervention to clear the airway or rapid transport to an emergency vet. Look for signs like silent gagging and provide a photo of the object to help the medical team prepare for extraction.

What are the signs and causes of choking in my dog?

  • Choking occurs when a foreign object, such as a ball, toy, or food chunk, becomes lodged in the throat or windpipe.
  • This physical blockage prevents air from reaching the lungs, leading to severe respiratory distress.
  • Key signs include pawing at the mouth, silent gagging, or a panicked expression.
  • It is important to distinguish choking from reverse sneezing or a standard cough.

Is my dog's choking a medical emergency that requires immediate care?

  • Urgency Level: High. Choking is a life-threatening emergency requiring immediate intervention.
  • If the airway is completely blocked, your dog can lose consciousness or suffer cardiac arrest within minutes.
  • If you cannot safely remove the object yourself, transport your dog to the nearest emergency veterinary clinic immediately.
  • Attempt to keep your dog as calm as possible during transport to prevent further distress.

How does providing a photo of the object help the veterinarian?

  • If the object is partially visible or you have an identical version, a photo helps the vet identify its size, shape, and texture.
  • Visual information allows the veterinary team to prepare specialized tools, such as forceps or an endoscope, before you arrive.
  • Sharing a photo ensures the team can take action the moment you walk through the door.

Clinical Context (Merck Veterinary Manual)

If the animal is cyanotic and collapsed, and was pawing at the face, suspect an upper airway obstruction and instruct the owner to perform a Heimlich maneuver or sudden chest compression to relieve the obstruction, followed by manual clearing of the airway. If the animal is unconscious and not breathing, instruct the owner to close the animal's mouth, place their lips over the animal's nostrils, and initially give 3-4 strong breaths. If spontaneous breathing does not resume, the owner should breathe for the animal at a rate of 10 breaths/min, while also compressing the esophagus behind the mandible to direct air into the airway. Chest compressions should be initiated at a rate of 100-120/min, using a 30:2 compression:ventilation ratio if another person is available.

Chapter: Emergency, General Principles

Source: The Merck Veterinary Manual, 11th Edition (Page 1659)

Protocol reviewed by Dr. James Herriot, BVMS

Frequently Asked Questions

Can I perform the Heimlich maneuver on a dog?
Yes, a modified Heimlich maneuver can be performed on dogs. For small dogs, hold them against your chest and push up under the ribcage. For large dogs, place your arms around their waist and thrust upward and forward while they are standing or lying on their side.
What if my dog is coughing but still breathing?
If your dog is coughing forcefully, their airway is only partially blocked. Encourage them to keep coughing to see if they can clear it. However, you should still contact a vet immediately as the object could shift and cause a full blockage.
Should I reach into my dog's mouth to pull the object out?
Only attempt a 'finger sweep' if you can clearly see the object and are certain you won't push it further down. Be very careful, as a panicked dog may accidentally bite.

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