Understanding Reverse Sneezing in Dogs: Causes and Care

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TL;DR: Reverse sneezing is a common, usually harmless respiratory event in dogs caused by throat irritation; while it sounds alarming, it is rarely an emergency unless it becomes chronic or is accompanied by nasal discharge.

What exactly is reverse sneezing in dogs?

Reverse sneezing, medically known as paroxysmal respiration, is a common and usually harmless occurrence in dogs. It happens when the soft palate or throat becomes irritated, causing the dog to inhale air rapidly and forcefully through the nose instead of exhaling it. This creates a distinctive snorting or honking sound that can look and sound quite alarming to pet parents.

Is reverse sneezing a medical emergency for my pet?

  • Urgency Level: Low. For the vast majority of dogs, an occasional episode of reverse sneezing is not an emergency.
  • The dog remains conscious and generally returns to normal behavior immediately after the episode ends.
  • Schedule a non-emergency veterinary appointment if the sneezing becomes chronic, is accompanied by blood or thick discharge from the nose, or if your dog seems to be struggling to breathe between episodes.

Why should I record a video of my dog reverse sneezing for the vet?

  • Since reverse sneezing episodes are usually brief and unpredictable, they rarely happen during a physical exam at the vet clinic.
  • Taking a video of your dog during an episode is the most effective way to help a veterinarian reach a diagnosis.
  • A video allows the vet to differentiate a simple reverse sneeze from more serious conditions like tracheal collapse, a foreign object in the nasal passage, or a cardiac-related cough.

Clinical Context (Merck Veterinary Manual)

Reverse sneezing, also known as aspiration reflex, is a short, paroxysmal episode of inspiratory effort to clear the nasopharynx of obstructing material. Causes in dogs include upper respiratory tract infections, rhinitis, and nasal foreign bodies. Less commonly, reverse sneezing may be associated with underlying neurologic disorders. Clinical signs associated with these conditions can also include sneezing, impaired scenting ability, and pawing at the muzzle. Treatment depends on establishing a specific etiologic diagnosis.

Chapter: Respiratory

Source: The Merck Veterinary Manual, 11th Edition (Page 1489)

Protocol reviewed by Dr. Sarah Miller, DVM

Frequently Asked Questions

What triggers a reverse sneeze?
Common triggers include environmental irritants like dust or perfume, seasonal allergies, excitement, pulling on a leash, or eating and drinking too quickly.
How can I help my dog during an episode?
You can try gently massaging your dog's throat to encourage swallowing or briefly covering their nostrils with your fingers to force them to breathe through their mouth, which often stops the irritation.
Are certain breeds more likely to reverse sneeze?
Yes, small breeds and brachycephalic (flat-faced) dogs like Pugs and Bulldogs are more prone to it because of their elongated soft palates and smaller throat anatomy.

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