dog-coughing-gagging[/caption]An Odd Sign of Heart Disease You Won't Want to Ignore
Story at-a-glance
- In dogs, coughing can be a sign of several different problems, some more serious than others
- A common cause of coughing in dogs is something stuck in the throat. If the object isn’t expelled by coughing, you should make an appointment with your veterinarian
- Other causes for a dog’s cough can include a respiratory infection (kennel cough), pneumonia and heart disease
- A potentially serious cause of coughing, especially in small breeds, is a collapsing trachea
- Many dogs also “reverse sneeze,” which is a respiratory event that sounds more like coughing or choking
By Dr. Becker
Much like humans, dogs cough for a lot of different reasons, some mostly harmless, and some quite serious. Generally speaking, if your dog only coughs once in a blue moon and it passes quickly, there’s no cause for concern.
But if your canine family member is coughing a lot or has intense coughing spells, you should make an appointment with your veterinarian. A persistent cough is a red flag that your dog probably has an underlying problem that needs to be addressed.
The following are some of the more common causes of canine coughs and what you should know about them.
6 Common Causes of Coughing in Dogs
1.Foreign object lodged in the throat
A cough that grows suddenly violent or sounds more like gagging, especially when accompanied by lip licking or attempts to swallow, could be a sign your dog has a sore throat or something stuck in her throat.
If she’s outside when she begins coughing or has just come in from outdoors, she may have swallowed or inhaled a grass seed or other foreign object and it has become wedged in her throat.
If she can’t seem to cough up whatever it is, it’s time to make an appointment with your veterinarian to prevent a potential infection or even pneumonia.
2.Reverse sneezing
Reverse sneezing is a common condition in small breed dogs and also brachycephalic (flat-faced) breeds. While a reverse sneeze is not a cough, the sound can be mistaken for coughing or choking.
Reverse sneezing is caused by a spasm of the throat and soft palate that is triggered by an irritant, which can include simple excitement, exercise, a collar that’s too tight, pollen or even a sudden change in temperature.
In a regular sneeze, air is pushed out through the nose. In a reverse sneeze, air is instead pulled rapidly and noisily in through the nose. The sound of a reverse sneeze can be upsetting, and many dog parents wonder if their pet is choking or having an asthma attack.
Some dogs who reverse sneeze also tend to stand with elbows spread apart, head extended or back and eyes bulging.
Most cases of reverse sneezing don’t require treatment. However, it’s a good idea to keep track of when the episodes occur so you can determine what the probable triggers are and try to avoid them.
If the sneezing becomes chronic or episodes become more frequent or longer in duration, it’s a good idea to make an appointment with your veterinarian to rule out other potential health problems.
3.Kennel cough
A sudden persistent cough in an otherwise healthy dog is often due to kennel cough or another similar viral or bacterial infection. These infections tend to produce deep, dry hacking coughs, sneezing, snorting, gagging and in some cases, vomiting.
There can also be coughing “fits” or spasms if the dog becomes excited or while exercising.
If your dog has recently been in contact with other dogs, he may have contracted a kennel cough infection. Symptoms usually appear from two to 14 days after exposure, last between 10 and 20 days, and can recur during periods of stress.
Most of these infections are mild and resolve without medical intervention. Many veterinarians immediately prescribe antibiotics, but I absolutely do not agree with that approach. I prefer to let a dog’s body heal itself naturally, as long as he’s otherwise healthy.
Complete recovery from kennel cough can take up to three weeks in healthy dogs, and twice as long in older pets and those with underlying immunosuppressive conditions. Puppies can also take a bit longer to recover.
Since a serious episode of kennel cough can result in pneumonia, if your dog doesn’t start to improve on his own with the support of nontoxic remedies (such as nosodes, slippery elm bark, Echinacea, goldenseal and olive leaf), or if the cough becomes progressively worse, it’s important to make an appointment with your veterinarian to be on the safe side.
4.Pneumonia
If your dog’s cough sounds wet or is productive, it could be the result of a buildup of fluid in the lungs. Fluid or phlegm in the lungs is a red flag for pneumonia, which can have a variety of causes. Other symptoms include loss of appetite, weight loss, fever, lethargy and difficulty breathing.
Bacterial pneumonia is caused by a pathogen, and there are several organisms that can result in infection. Typically your dog will require antimicrobial drugs, rest, immune support and specific supportive therapies.
Fungal pneumonia is the result of a deep fungal lung infection, and is more difficult to treat. Since many dogs don’t respond to anti-fungal drugs, the precise treatment for fungal pneumonia will depend on what type of fungus has caused the infection.
I recommend you ask your veterinarian about inhalation therapy, which is one of the most effective, direct ways to treat these types of lung infections.
Another type of pneumonia is aspiration pneumonia, also called inhalation pneumonia. This is a condition in which the lungs become inflamed and infected as the result of breathing in a foreign substance like vomit, regurgitated gastric acid or food.
Aspiration pneumonia is life threatening, and the prognosis for most dogs with the condition is poor, so the goal should always be prevention. If you suspect your dog has aspirated something, it’s important to get her to your veterinarian or an emergency animal clinic right away.
5.Collapsing trachea
A recurrent, episodic cough that sounds like a goose honk can be a sign of a collapsing trachea — especially if your dog is a small breed. Tracheal collapse is a chronic, progressive disease that can be either congenital or acquired.
Dogs with the condition also typically show signs of exercise intolerance, respiratory distress and gagging while eating or drinking.
Treatment options for a collapsing trachea include medical management, which works for about 70 percent of dogs with a mild form of the condition. More serious cases often require highly specialized surgery. Cartilage building supplements are also given to maintain the integrity of tracheal cartilage.
6.Heart disease
Coughing is unfortunately also a symptom of heart disease in dogs. Other signs include a bluish color to the tongue, loss of appetite, fatigue, weakness, decreased exercise endurance, a too-fast or too-slow heartbeat and difficulty breathing. If your dog has been diagnosed with a heart condition and coughs mainly while he’s resting, lying down or at night, it could be a sign the disease is progressing.
Treatment of heart disease in dogs depends on a variety of factors including the severity of the problem, the age and health of the animal, cost of treatment and other considerations. A visit to a board-certified veterinary cardiologist can provide more information about the severity of your dog's condition.
There are a variety of natural therapies that can support a weakened cardiovascular system, so consult your holistic veterinarian for the best options for your pet’s individual situation.
Other conditions that can cause coughing in your dog include chronic bronchitis, heartworm disease and some types of cancer. If your dog’s cough doesn’t resolve quickly on its own, it should be investigated, and the sooner you make an appointment with your veterinarian, the better your pet’s chances for either a full recovery or a well-managed condition.
Why is My Dog Coughing? Common Causes and Treatment Options
The occasional cough in an otherwise healthy dog is usually nothing to worry about. But just like us, when a dog’s coughing becomes a constant or recurrent problem it can be a sign of serious illness. Knowing some of the most common causes of coughing in dogs can help you determine when you need to worry.
Coughing is associated with many different diseases in dogs and cats. Here are a few of the most common and some of the available forms of treatment.
Coughing Related to Infections
Viruses, bacteria, fungi, and parasites can all infect a dog’s upper respiratory tract, lung tissue (pneumonia), airways (bronchitis), or a combination thereof (bronchopneumonia), and cause dogs to cough. Kennel cough is the most common infectious cause of coughing. It can be caused by several different viruses and bacteria, alone or in combination. Canine influenza virus is becoming increasingly prevalent in the United States and leads to symptoms like coughing, fever, and nasal discharge.
Supportive care is an important part of treating coughs caused by infections. Dogs should be encouraged to rest, drink, and eat. Cough suppressants can help with especially severe symptoms.
Antibiotics are effective only against bacteria. Viral infections generally have to run their course. Other medications are available that work against some types of fungi and parasites.
Coughing Related to Heartworm Disease
Heartworms are transmitted through the bites of mosquitos that pick up larval forms of the parasite from one dog and pass them to another. The larva migrate to the heart and lungs of the newly infected dog, where they mature into spaghetti-like adults. Their presence and the inflammation that results can lead to potentially fatal heart and lung damage.
Heartworm preventative medications are extremely safe and effective. On the other hand, once the disease develops, treatment is costly and can be quite dangerous.
Coughing Related to Heart Disease
Many different types of heart disease can make dogs cough, including mitral valveendocardiosis, dilated cardiomyopathy, congestive heart failure from multiple causes, and more.
Depending on the specific type of heart disease a dog has, a veterinarian may prescribe some combination of medications that make the heart pump more efficiently, normalize blood pressure, and reduce the abnormal build-up of fluid (e.g., pimobendan, enalapril, or furosemide). Other interventions like surgery or the placement of a pacemaker may be appropriate in some cases.
Coughing Related to Collapsing Trachea
Small dogs are at increased risk for a weakening of the cartilage rings that partially encircle the trachea. This causes the trachea to collapse in on itself, which leads to tracheal irritation and a chronic cough that is often described as sounding like a goose honk. Medications that dilate airways, decrease inflammation, suppress coughing, and treat secondary infections can help, but in severe cases, surgery may be necessary to provide these dogs with an acceptable quality of life.
Coughing Related to Laryngeal Paralysis
Dogs with laryngeal paralysis cannot fully open the passageway into their windpipe (called the larynx) due to weakness of the nerves that control the muscles surrounding it. This leads to coughing as well as noisy breathing and shortness of breath.
Surgery to permanently hold open one side of the larynx can help ease the breathing of dogs with laryngeal paralysis, but it also puts them at higher risk for developing aspiration pneumonia… another cause of coughing in dogs.
Reverse Sneeze
While technically not a cough, many dog owners mistake the sound of a reverse sneeze with coughing. Reverse sneezes tend to occur in clusters and are produced when something (postnasal drainage, foreign material, parasites, etc.) irritates the back of the nasal passages.
Just like “normal” sneezes, reverse sneezes are nothing to worry about when they occur infrequently, but if they become severe or frequent, the dog should be seen by a veterinarian for diagnosis and appropriate treatment.
Coughing Related to Chronic Bronchitis
When a dog is coughing due to chronic inflammation of the airways and no other cause can be identified, chronic bronchitis is the most likely diagnosis. Dogs with chronic bronchitis tend to have a dry, hacking cough that worsens with exercise or excitement and worsens over time.
Treatment includes medications that decrease inflammation (e.g., fluticasone or prednisolone) and dilate airways (e.g., albuterol or terbutaline). Ideally they are given by inhalation to reduce potential side effects, but they can also be given systemically if necessary.
Coughing Related to Foreign Objects
Sometimes dogs will inhale foreign material or objects that become lodged in their airways. The body’s natural response is to try to cough it out. If this is unsuccessful, the material must be removed either through the use of an endoscope or via surgery.
Coughing Related to Cancer
Coughing can be one of the first symptoms that owners notice when a dog has cancer of the lungs, other parts of the respiratory tract, heart, or surrounding tissues. Treatment may include surgery, chemotherapy, radiation, or palliative therapy.
Diagnosing the Cause of a Dog’s Cough
The first step in treating a dog’s cough is figuring out its underlying cause. Your veterinarian will start the process by asking questions about your dog’s health history, travel, preventive care, the onset and progression of symptoms, etc. He or she will then perform a complete physical exam. Sometimes a tentative diagnosis can be reached at this point, but oftentimes reaching a definitive diagnosis will require some diagnostic testing. Depending on your dog’s unique situation, some combination of the following tests may be necessary:
- A blood chemistry panel
- Complete blood cell count
- Serology to rule in or out various infectious diseases
- A B-type natriuretic peptide (BNP) blood test for heart disease
- Urinalysis
- Fecal examination
- Chest x-rays
- Echocardiography (an ultrasound of the heart)
- Measurement of blood pressure
- An electrocardiogram (ECG)
- An examination of fluid samples taken from the airways
When is Coughing Serious?
If your dog has just recently developed a mild cough and seems to feel fine, taking a few days to see whether the condition will clear on its own is reasonable. However, if the cough is especially severe, worsens, or fails to improve over the course of a week or so, make an appointment with your veterinarian. Also, if your dog is lethargic, has difficulty breathing, isn’t interested in food, or has any other potentially serious symptoms, call your veterinarian immediately.
