Reverse Coughing in Dogs: Symptoms & Treatment

Reverse coughing in dogs, also known as inspiratory paroxysmal respiration or pharyngeal gag reflex, is a respiratory condition that affects many dogs. It is often characterized by a sudden, hacking cough, that seems to come from deep within the dog’s throat. Unlike a regular cough, a reverse cough is typically more pronounced during inhalation rather than exhalation.

Reverse coughing in dog
Reverse coughing in dog


Reverse coughing, also known as “backward sneezing,” is a common respiratory condition that affects many dogs. It is a sudden, rapid inhalation of air through the nose, followed by a harsh, honking sound that resembles a cough. Reverse coughing can be alarming for dog owners, but it is usually not a serious medical concern. In this article, we will discuss the causes, signs and symptoms, diagnosis, treatment, and prevention of reverse coughing in dogs.

Understanding reverse coughing is important for dog owners because it can help identify potential underlying health issues. Reverse coughing is often associated with a few conditions, including tracheal collapse, allergies, respiratory infections, heart disease, kennel cough, and excitement. By understanding the causes, dog owners can provide proper care and seek timely medical attention for their pets.

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Causes of Reverse Coughing in dogs

One of the main causes of reverse coughing in dogs is tracheal collapse, which is a progressive weakening of the cartilage rings that support the trachea or windpipe. When the rings collapse, the trachea narrows, making it difficult for air to pass through. This can result in reverse coughing as the dog tries to clear the airways. Allergies, respiratory infections, and heart disease can also lead to reverse coughing in dogs.

Reverse coughing in dog
Reverse coughing in dog

Here are some common causes of reverse coughing in dogs:

Tracheal Collapse: This is a condition where the cartilage rings that support the trachea or windpipe become weak and begin to collapse, narrowing the airway. This can cause a reverse coughing episode as the dog tries to clear the airways. Tracheal collapse is more common in smaller dog breeds such as Chihuahuas, Yorkshire Terriers, and Pomeranians.

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Allergies: Dogs can develop allergies to different environmental factors such as pollen, dust, or mold. When the dog inhales these allergens, it can irritate the airways and cause a reverse coughing episode.

Respiratory Infections: Bacterial or viral infections such as kennel cough, pneumonia, or bronchitis can cause inflammation and irritation of the respiratory system, leading to reverse coughing.

Heart Disease: Heart disease in dogs can lead to fluid buildup in the lungs, making it difficult for the dog to breathe. This can cause reverse coughing episodes as the dog tries to clear the airways.

Kennel Cough: This is a highly contagious respiratory disease that affects dogs, often seen in places where dogs are in close contact such as kennels, dog parks, or grooming facilities. Kennel cough can cause reverse coughing episodes, along with other symptoms such as sneezing, runny nose, and lethargy.

Excitement: Some dogs may experience reverse coughing episodes when they get excited, such as when they see their owner or when they are about to go for a walk. This type of reverse coughing is not usually a concern, and the dog usually returns to normal breathing after a few seconds.

It is important to consult with a veterinarian if a dog experiences frequent or prolonged reverse coughing episodes to determine the underlying cause and provide proper treatment.

Symptoms of Reverse Coughing in dogs

The signs and symptoms of reverse coughing in dogs are usually easy to recognize. Dogs may make a honking, gagging sound, followed by a rapid intake of breath. Some dogs may also have a difficult time breathing or may appear to be choking. Behavioral symptoms, such as restlessness or anxiety, may also be present. It is important to note that reverse coughing is usually not accompanied by a fever, lethargy, or loss of appetite.

Here are some common signs and symptoms of reverse coughing in dogs:

Honking, Gagging Sound: Reverse coughing episodes in dogs typically start with a sudden, rapid inhalation of air through the nose, followed by a harsh, honking sound that resembles a cough. This sound can be alarming for dog owners, and it may last for a few seconds or up to a minute.

Rapid Breathing: During a reverse coughing episode, dogs may breathe rapidly and shallowly, trying to clear their airways. This may be accompanied by a wheezing or whistling sound.

Difficulty Breathing: In severe cases, reverse coughing can cause difficulty breathing or choking. This can be a sign of a more serious underlying health condition, such as tracheal collapse or heart disease.

Restlessness or Anxiety: Reverse coughing episodes can be uncomfortable for dogs, and they may exhibit restlessness or anxiety during or after an episode.

No Fever or Loss of Appetite: Unlike respiratory infections or other illnesses, reverse coughing is usually not accompanied by a fever, lethargy, or loss of appetite.

It is important to monitor the frequency and duration of reverse coughing episodes in dogs. If they become more frequent or prolonged, or if other symptoms such as fever or lethargy develop, it is important to consult with a veterinarian to determine the underlying cause and provide appropriate treatment.

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Diagnosing Reverse Coughing in dogs

Diagnosing reverse coughing in dogs typically involves a veterinary physical exam and diagnostic tests. The vet will examine the dog’s mouth, nose, throat, and lungs to look for signs of infection, inflammation, or obstruction. Additional tests, such as x-rays, blood work, or a tracheal wash, may be necessary to confirm a diagnosis or rule out other health issues.

Reverse coughing in dog
Reverse coughing in dog

In some cases, the veterinarian may recommend additional tests, such as X-rays or a bronchoscopy, to further evaluate the dog’s respiratory system. These tests can help to identify any structural abnormalities or foreign bodies that may be contributing to the dog’s symptoms.

Other potential causes of reverse coughing in dogs may include allergies, infections, or underlying medical conditions such as heart disease or tracheal collapse. The veterinarian may also want to perform blood tests or other diagnostic procedures to rule out these potential underlying causes.

Once a diagnosis of reverse coughing has been made, the veterinarian will typically work with the dog’s owner to develop a treatment plan that may include medications to reduce inflammation, manage coughing, or treat any underlying conditions. In some cases, lifestyle changes such as weight loss or reducing exposure to environmental triggers may also be recommended.

Overall, it is important for dog owners to seek prompt veterinary care if they suspect their dog may be experiencing reverse coughing or other respiratory symptoms. With proper diagnosis and treatment, many dogs are able to manage their symptoms and maintain a good quality of life.

Treatment of Reverse Coughing in dogs

The treatment of reverse coughing in dogs depends on the underlying cause of the condition. If tracheal collapse is the cause, medications such as bronchodilators, cough suppressants, or steroids may be prescribed. Home remedies, such as humidifiers or natural supplements, can also be helpful in managing the symptoms. In some cases, environmental changes, such as reducing exposure to irritants or allergens, may be recommended.

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Reverse coughing in dog
Reverse coughing in dog

Here are some common treatment options for reverse coughing in dogs:

Medications: In cases where reverse coughing is caused by allergies, respiratory infections, or heart disease, medications such as antihistamines, antibiotics, or diuretics may be prescribed to treat the underlying condition and reduce inflammation in the airways.

Cough Suppressants: Cough suppressants such as hydrocodone or butorphanol may be prescribed to help reduce the frequency and severity of reverse coughing episodes in dogs. However, it is important to consult with a veterinarian before administering any medications to ensure they are safe and effective for the dog.

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Weight Management: In cases where reverse coughing is caused by tracheal collapse or obesity, weight management may be recommended to reduce pressure on the airways and improve breathing.

Surgery: In severe cases of tracheal collapse, surgery may be necessary to repair or strengthen the weakened cartilage rings and prevent further collapse.

Environmental Changes: If reverse coughing is caused by environmental factors such as dust or pollen, changes to the dog’s environment may be necessary to reduce exposure to these irritants. This may include using air purifiers or avoiding areas with high levels of pollen or dust.

Lifestyle Modifications: In some cases, lifestyle modifications may be recommended to reduce stress and anxiety in dogs, which can contribute to reverse coughing. This may include increasing exercise, providing mental stimulation, or incorporating relaxation techniques such as massage or aromatherapy.

It is important to work closely with a veterinarian to determine the underlying cause of reverse coughing in dogs and develop an appropriate treatment plan. With proper treatment and management, most dogs with reverse coughing can live happy and healthy lives.

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Preventing Reverse Coughing in dogs

Preventing reverse coughing in dogs involves a combination of exercise and nutrition, environmental control, and vaccination. Providing regular exercise and a balanced diet can help maintain your dog’s overall health and reduce the risk of respiratory infections. Reducing exposure to environmental irritants, such as cigarette smoke or dust, can also help prevent respiratory issues. Vaccinating your dog against kennel cough and other respiratory diseases can also be effective in preventing reverse coughing.

While reverse coughing in dogs cannot always be prevented, there are steps that dog owners can take to reduce the risk and severity of episodes. Here are some tips for preventing reverse coughing in dogs:

Avoid Irritants: Avoid exposing your dog to irritants such as cigarette smoke, perfume, or aerosol sprays. These can trigger reverse coughing episodes in some dogs.

Keep Your Dog Up-to-Date on Vaccinations: Vaccinations can help prevent respiratory infections such as kennel cough, which can cause reverse coughing. Make sure your dog is up-to-date on all necessary vaccinations.

Maintain a Healthy Weight: Obesity can put additional pressure on the airways, increasing the risk of tracheal collapse and other respiratory issues. Help your dog maintain a healthy weight through diet and exercise.

Use a Harness Instead of a Collar: Collars can put pressure on the trachea, especially in smaller breeds. Using a harness instead can help reduce the risk of tracheal collapse and other respiratory issues.

Avoid Excessive Excitement: Excessive excitement can trigger reverse coughing in some dogs. Avoid activities that may overstimulate your dog, and be mindful of their energy levels.

Provide a Comfortable Environment: Ensure that your dog has a comfortable, stress-free environment. This can help reduce anxiety and prevent reverse coughing episodes.

Regular Vet Visits: Regular visits to the veterinarian can help identify and manage any underlying health conditions that may contribute to reverse coughing.

By taking these preventative measures, dog owners can help reduce the risk of reverse coughing in their dogs and improve their overall health and well-being. If you notice any signs of reverse coughing or other respiratory issues, it is important to consult with a veterinarian to determine the underlying cause and provide appropriate treatment.

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Conclusion

Reverse coughing, also known as backward sneezing, is a common respiratory condition in dogs. While it can be alarming to witness, it is usually not a serious medical concern. Understanding the causes, symptoms, and treatment options for reverse coughing can help dog owners better manage the condition and improve their dog’s overall health and well-being.

Prevention is also key in reducing the risk of reverse coughing in dogs. By avoiding irritants, maintaining a healthy weight, using a harness instead of a collar, and providing a comfortable environment, dog owners can help prevent the onset of this condition.

If you notice any signs of reverse coughing or other respiratory issues in your dog, it is important to consult with a veterinarian to determine the underlying cause and provide appropriate treatment. With proper management, most dogs with reverse coughing can live happy and healthy lives.

Sources:

Wikipedia

PetMD

Veterinary Parasitology