Vet Blog

08/14/09

Why do Dogs Reverse Sneeze?
Dr. Eric Barchas, DVM

bichonsMy Bichon Meesha is three years old and sometimes she has these attacks, where she sounds like she is choking, it kind of sounds like a loud snort, it scares me because it looks like she can’t get her breath. It will last for about 30 – 40 seconds and she will cough and it will stop. These fits happen about 3 times a week.

Holly
Atlanta, GA

It sounds like Meesha is reverse sneezing. Reverse sneezing in dogs usually occurs in episodes lasting 20 – 60 seconds. Reverse sneezing sounds like a combination of gagging, snorting, coughing and sneezing all at once. It’s a very unique phenomenon, and I never tire of watching clients imitate the noise when they try to describe it.

Anything that can cause sneezing in dogs also can cause reverse sneezing. Foreign objects such as blades of grass or foxtails lodged in the nose or throat commonly cause reverse sneezing. Respiratory infections and sinus infections may cause reverse sneezing. Masses or cysts in the sinuses or nose may cause reverse sneezing. Exposure to dust, irritants, or allergens can lead to reverse sneezing. Chronic irritation of the tissues in the nose or throat can trigger episodes of reverse sneezing.

Dogs that suddenly begin suffering from severe sneezing or reverse sneezing should be seen by a veterinarian. In some instances, it is necessary to sedate or anesthetize the dog to thoroughly evaluate the nose and oral cavity and search for foreign objects.

On the other hand, dogs like Meesha with chronic intermittent reverse sneezing rarely have a problem that requires medical attention. In cases where non-progressive reverse sneezing has been going on for months or years, transient mild sinus irritation most often is to blame.

If you have any doubts, the safest thing will be a trip to the vet. But I’ll bet Meesha’s fine.

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03/18/09

Why do Dogs Honk Like Geese?
Dr. Eric Barchas, DVM

484338_1172171340.jpgWhy does my Yorkie sometimes make this goose like
sound, like he can’t catch his breath or has something
stuck up his nose?

Charmaine
Mendocino, CA

Dogs generally make goose-like noises when they cough. Since foreign objects lodged in the nose usually cause sneezing, it isn’t likely that your Yorkie has something stuck up his nose.

In young dogs, kennel cough (also known as infectious tracheobronchitis) is a common cause of goose-like honking. Kennel cough is a contagious disease that almost never is life-threatening. Most cases are self-limiting (which means that they resolve on their own without treatment).

In older small dogs such as Yorkshire Terriers, a syndrome called collapsing trachea frequently leads to a honking cough. Collapsing trachea occurs when the firm rings supporting the wind pipe begin to weaken. It leads to a chronic tickle in the throat.

Heart disease is another common cause of coughing in older small dogs. Yorkies sometimes develop leaky heart valves as they age. This causes fluid to build up in the lungs which leads to coughing.

Several less common causes of coughing also are possible. These include, among others, pneumonia, bronchitis and heartworm. Visit my website for more information, or, better yet, go to the vet for a proper diagnosis.

Photo: Minnie at the beach. No sign of coughing.

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06/27/08

Can Infected Teeth Cause Sneezing?
Dr. Eric Barchas, DVM

800px-fangs_01_rfc1036.jpgMy cat has been sneezing and wheezing
when he is resting. He is eating and drinking
normally and I have been giving him antibiotic
shots for about two weeks but he doesn’t
seem to be improving.

My vet has said he has an
inflamed gum and he recommends the removal of
a canine tooth. However, Baxter is not
experiencing pain on either side of his mouth, at
least when I apply pressure.

I would really like to avoid the trauma of a tooth
removal. Should I get the vet to do x-rays of the nose
and mouth? Other suggestions?

Thanks, Diane and Baxter

Washington, DC

Several different problems can lead to sneezing and wheezing in cats. Sinus infections, allergies, viruses and foreign objects or growths in the nose are some of the most common culprits.

In Baxter’s case, I am wondering whether the inflamed tooth and the nasal symptoms may be related. The roots of the upper canine teeth lie very close to the nasal passages. If a canine tooth root becomes infected, it can cause a chronic sinus infection.

Although Baxter’s tooth does not seem to hurt him, inflamed or infected teeth and gums generally do cause pain. Some cats are very stoic, and do not show signs of dental pain. There is a chance that the tooth is hurting him even though he doesn’t act like it.

I think that taking X-rays of the tooth and the surrounding area is an excellent idea. X-rays will help to determine how severely damaged the tooth is, and whether it is contributing to Baxter’s wheezing and sneezing. This will help you and your vet make an informed decision about extraction of the tooth.

Be aware that if the tooth is not playing a role in Baxter’s troubles, the path ahead could be frustrating. Diagnosing chronic sinus problems often involves complex and expensive tests such as CT scanning, rhinoscopy (using a special instrument to visually examine the interior areas of the nose and sinuses) and biopsy.

Photo credit: Pascua Theus. Photo licensing information: click here.

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