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Help! My Dog is Choking

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It’s 3 a.m., and you’re sound asleep. Suddenly, your dog is coughing. Or is he gagging? Wait! Is he choking?! You leap out of bed to check on him, and he’s already gone back to sleep. Dogs make all kinds of funny noises, and most don’t signal a problem. So when should you be concerned?

Choking is always an emergency, but thankfully, it’s rare. As an emergency veterinarian for 10 years, I only saw a dog choke twice — once on a racquetball and the other on a large wad of food.

Coughing or gagging is much more likely the culprit. Choking occurs when objects like balls, food, treats or bones obstruct the airway. A choking dog will be able to make very little or no noise at all. His gums will be pale or blue-tinged.

What To Do

If you suspect your dog is choking:

✔ the first step is to open his mouth and look for a foreign object that you can reach.

✔ If that’s the case, sweep quickly with your fingers to try and dislodge it. (This obviously poses a risk, as your dog can bite you due to stress and fear, so proceed with caution.)

If you cannot reach the object, you can attempt a “doggie” Heimlich maneuver:

✔ Stand your dog on his hind legs.

✔ Join hands just under his rib cage.

✔ Attempt three strong thrusts.

If this doesn’t work, do not delay seeking medical help. Head to the nearest veterinary office ASAP. The veterinarians and techs will intervene quickly with oxygen therapy and attempt to remove the object. If it cannot be quickly removed, an emergency tracheostomy may be performed.

Coughing and Gagging

Again, choking is rare. If your dog is making strange sounds, he is much more likely to be coughing or gagging.

If your dog is coughing, it doesn’t necessarily mean that a trip to the veterinarian is in order. Like humans, coughing and sneezing are protective mechanisms for the airways — preventing foreign objects, such as bacteria and dust, from entering the lungs. An occasional dry, non-productive cough that resolves is not a reason for concern. A cough that is persistent, sounds wet, leads to difficulty breathing or is productive should be evaluated by your veterinarian. Anything from allergies to kennel cough to heartworm disease can cause this.

Sometimes, a dog will cough hard enough to retch at the end, as if trying to throw up a hairball. Gagging isn’t necessarily a serious sign, unless it continues. It is fairly normal for a dog to gag at the end of a hard cough.

If your dog does need veterinary care for a cough, the diagnostics and treatment are varied depending on the underlying cause. If there are no other signs, such as fever, and your pet has been exposed to other dogs, Bordetella (kennel cough) is the likely culprit. No specific testing is usually needed for this diagnosis, just a good history and physical examination. Treatment is symptomatic and usually lasts for one to two weeks.

If there are other red flags, such as fever, nasal discharge or your veterinarian hears abnormalities when he auscults your dog’s chest, more specific tests like blood work, canine flu testing and chest X-rays will likely be recommended. If oxygen levels are affected, your dog may need hospitalization for treatment with oxygen, antibiotics and nebulization to open the airways. This happens in the cases of pneumonia or severe cardiopulmonary disease.

Gagging without coughing can be an indication of many things, including esophageal foreign bodies. This is much more common than actual choking. Common offenders include rawhide chews and bone fragments. If your dog has an object stuck in the esophagus, immediate care is needed. Other causes of gagging can be irritation of the esophagus (esophagitis) secondary to a respiratory disease or upper airway problems like laryngeal paralysis.

If your dog is exhibiting unusual symptoms, try to get a video. This can really help with a diagnosis. If you are concerned, following up with your veterinarian is never a bad idea!

5 thoughts on “Help! My Dog is Choking”

  1. A little over a week ago, my Shetland Sheepdog threw up a little after waking up. He had two very small pieces of hot dog he had the night before but mostly clear thickish mucus in the throw up. After that he started coughing a little while with a distinctive aaaaack at the end. Then he just came to sit with me and the coughing started again, with the aaaaack ay the end. He would stop in between and about every 15 minutes start up again. I checked his gums, no problem. Checked his throat, no problem. I called the vet and they did not have an appointment till 4pm same day. I took it and told them that he may need to be seen sooner because I just didn't like the sound of it. Then I thought, if something was down there that I couldn't see, a small piece of wet bread might help whatever go down. He didn't want the bread. Tried a small soft biscuit. No, didn't want it. Roast beef? No. That is an emergency because he is so food motivated for him to decline everything, there is a huge problem. At the Vet ER they of course had emergencies, that were very life threatening so we waited. He was distracted because he is also a very friendly little guy but still he would get the cough and aaaaack. They finally got to listen to his.lungs and stomach. Wanted to do Xrays of both to find out what was going on. He had a fever, small but still a fever. When They were done come to find out I had caught the very beginning of Aspiration Pneumonia which could have gotten very vad very quickly. He was put on rest as much as possible, no off leash time outside for two weeks and an antibiotic and Sent home. This coming Tuesday we have 5o go get the Xrays done again to check out how things are going. But to think if i had ignored it, he might have gotten so sick he might not be here, wow. Guess it is a very great lesson in knowing your dog and when to move on instinct or wait things out. He is much better now, getting angry at his leash and me for putting it on him. But I'd rather have him mad and here! Thank you for all of your helpful info. Hope I never have to use it but feel better knowing I can if I have to.

  2. My doxiecorgi has coughed and gaged for a long time. About a year ago we took him to doggie day care a few times but decided we didn’t like it. Any suggestions?

  3. Lucinda Fairfield

    One problem that was not mentioned is the kind of gagging that occurs when a stick is jammed from side-to-side between a dog’s upper teeth. The animal will begin gagging, pawing their mouth, shaking their head, or rubbing their muzzle on the ground. The pet parent should open the dog’s mouth as wide as possible and run their fingers over the roof of the mouth to see if a stick is stuck between the upper teeth. Usually, the stick can be removed by pulling it straight down by hand. If not, a trip to an emergency vet is in order.

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