If your senior dog has recently faced canine vestibular disease, you may be eager to learn tips and exercises for dogs to make the road to recovery a smooth one. As a follow-up to her article on vestibular disease in older dogs, Dr. Julie Buzby welcomes Dr. Susan Davis, internationally recognized physical therapist for animals, to share her expertise. Dr. Davis draws from her 30+ years of experience to give you these 10 at-home tips and exercises for dogs recovering from vestibular disease.
As a proactive pet parent, you want your senior dog to be active and alert for as long as possible — playing, exercising, and joining in family activities.
But what if your dog suddenly begins to lose balance and body control? Having a pet who was fine one minute and dizzy the next can be distressing. What you thought would be a typical day soon fades into a worrisome and mysterious nightmare as your dog weaves and wobbles while navigating to the dog food dish, bumps into walls, and stumbles and falls just walking across the room — all while holding its head with a puzzling tilt while the eyes dart side to side.
What in the world is happening?
Vestibular disease in dogs
It’s quite likely that your dog’s vestibular system — responsible for helping maintain balance — is not working properly. As Dr. Buzby explained in her first blog post, Old Dog Vestibular Disease, canine vestibular disease is very similar to vertigo in humans.
Symptoms include:
- ataxia (staggering and stumbling)
- nausea
- vomiting
- nystagmus (back and forth eye movements)
- falling to one side
- a distinctive head tilt
Causes of vestibular disease in dogs
Vestibular disease is broken down into two categories — central vestibular disease and peripheral vestibular disease—because the vestibular system is divided into two parts. The peripheral portion includes structures of the inner ear plus one of the cranial nerves. The central portion includes the brainstem and the nerves which project from it.
Within those two classifications, there are a variety of causes. A visit to your veterinarian will help identify which one your dog is experiencing.
Central vestibular disease in dogs
This type of vestibular disease can be caused by inflammation, blood clot(s), infection, toxins, tumors, or head trauma. Central vestibular disease is the less common of the two types.
Peripheral vestibular disease in dogs
Although trauma, toxins, and tumors in this location can also cause vestibular signs, the most commonly diagnosed causes of peripheral vestibular disease in dogs are middle or inner ear infections and idiopathic vestibular disease.
Idiopathic vestibular disease is also called old dog or geriatric vestibular disease because it affects senior dogs. The term “idiopathic” means that we don’t know why it occurs. Thankfully, it is associated with a good prognosis because it responds well to treatment (including TLC and tincture of time) and often resolves completely within a few days or weeks.
Now that you understand more about the causes of vestibular disease in dogs, let’s talk about how you know for sure if your dog has vestibular disease. Then we can dive into some tips and exercises for dogs with vestibular disease to help get your dog on the fast track to recovery.
Diagnosis of vestibular disease in dogs
The best way to help your dog is by knowing what you are dealing with, so even if you are pretty sure your dog has vestibular disease, a trip to the veterinarian’s office is essential. Your veterinarian will examine your dog and possibly perform a test or two to gather more information before reaching a diagnosis and formulating a treatment plan.
Dr. Julie Buzby loves to recall cases where she has ruled out other more serious causes via a thorough history and neurological examination, and gets to gleefully assure the owner that although their dog’s signs are unsettling, the situation is not dire. Such was her experience when she diagnosed her beloved patient, Lola, with old dog vestibular disease in part one of this series.
Recovery from vestibular disease in dogs
Recovery from vestibular disease in dogs involves a combination of rest, medication, and home treatment. Make sure to follow your veterinarian’s instructions and administer any medications as prescribed. As part of your dog’s treatment for vestibular disease, your veterinarian may recommend physical therapy.
For your dog’s safety, ensure your dog is healthy enough for exercises
Infection or inflammation must be under control and no longer in an active state when initiating therapy exercises. Your dog may still be on medication when you begin, which is perfectly fine, as long as there is definite improvement and the condition is beginning to resolve. Otherwise, there is a risk of the condition worsening. Check with your veterinarian if you are not sure when to start exercises.
Consult a professional for help with exercises
If you are unsure about any exercise or procedure, consult with a physical therapist for animals or veterinarian specializing in rehabilitation. You may be able to have an in-person visit or confer with them via a telehealth appointment. They can walk you through the process to ensure you’re performing the exercise correctly.
If your dog seems uncomfortable or resists your efforts, do not continue that exercise without seeking guidance from a professional.
10 tips and exercises for dogs with vestibular disease
Your dear dog is home, taking medication, and slowly recovering from this dizzying condition. Encourage your dog’s recovery with these 10 tips and exercises.
1. Consider how you can assist with everyday activities.
When dogs are able to perform everyday activities (albeit with a little help from their owners), they retain dignity and quality of life. Simple ways you can help your dog include:
- elevating food and water bowls
- placing food and water bowls against a wall so they stay put if your dog sways or loses balance
- using a sling or harness to assist with standing and walking.
If you would like specific recommendations for products that can help your dog, please see Dr. Buzby’s favorite things for senior dogs.
2. Limit movement to a safe area.
Limit your dog’s space to move. A small room, a crate, or a section of a room partitioned off with stacked pillows or cushions will work. Keep your dog away from hazards such as stairs, furniture, and electrical cords. Make sure to clear away any objects that might cause stumbling or tripping.
3. Offer (literal) support for sleep and rest.
Grab a towel and tightly roll it up. Position it under your dog’s neck during sleep. Also, place cushions around the body for extra support and comfort. Do not force this if your dog finds that other positions seem to be more comfortable.
If your dog is unable to rise without assistance:
- reposition your dog every four to six hours to help prevent pressure sores from forming
- use soft bedding
- promptly change bedding if it becomes soiled with urine or feces.
4. Cover hard-surface floors and turn on the lights.
Floor surfaces should be non-slip, otherwise use ToeGrips® dog nail grips, yoga mats, rugs, or carpet runners with smooth edges to keep your dog from slipping. Place the mats or rugs so that your dog will have a continuous path over the hard surfaces. I do not recommend socks or booties for vestibular disease as they prevent the paw pads and nails from sensing the floor and gripping it properly.
Also, keep your dog’s area well lit for maximum vision. This helps your dog move around with more confidence and reduces the chances of bumping into walls or furniture.
5. Provide stability for walking and moving.
Using a lightly-weighted jacket or vest designed especially for dogs may provide an added sense of stability for walking and moving. Allow your dog to move about for a few minutes at a time with the weighted vest. The amount of weight placed on the dog should be light in comparison to their body size. Do not use a weight that is too heavy and causes your dog to strain or struggle.
In chronic cases of vestibular disease, using a wheeled cart with outriggers to prevent toppling may be a great way to let your dog move around on its own.
6. Avoid water therapy.
Water therapy is amazing for canine arthritis and taking pressure off joints, but when your dog has vestibular disease, it needs joint pressure and the sensation of bearing weight on the ground. Water therapy can confuse the sensory system and provide too much motion, making it difficult for the dog to control its movement, or can lead to dizziness, nausea, and vomiting.
7. The stand-and-rock weight-shifting exercise
If vestibular disease hindered your dog’s ability to stand, help it relearn with the stand-and-rock weight-shifting exercise.
First, holding your dog close to you for support, help it stand. Next, place your hands and arms around the body and rhythmically rock your dog back and forth then from side to side. Do this for one minute in each direction, twice per day.
8. Core exercises to improve abdominal strength.
While your dog is in a standing position, use your fingers to tickle the belly. This will cause your dog to tighten its abdominal muscles.
Another technique uses a small treat to encourage your dog to bring its head and neck to the left, then to the right while the body remains still. Repeat this six times to each side, two to three times per day.
9. A standing balance exercise
If your dog cannot stand (or stay standing), use your hands, a sling, or a stack of pillows underneath the belly for extra support.
Start with two to three minutes of standing and progress to five. As your dog’s standing improves, remove your hands, pillows, or slings and see if your dog can stay balanced. Keep your hands close by, as if spotting your kids during gymnastics, so you can steady or catch your dog when needed. Try to maintain soft eye contact during all balance exercises as visual stimulation helps your dog control body movement. Some dogs perceive direct eye contact (staring) as a threat, so be aware of how your dog is reacting and modify your plan accordingly.
If you’re handy around the house, you may want to consider building a simple structure to support your dog’s trunk while it’s relearning to balance. One senior dog owner, Tom, built a wooden standing frame with sling suspensions and a padded sawhorse for his dog, Abby.
10. The tail-pull exercise
The tail pull is a technique I use to promote balance during walking. Stand behind your dog and hold the tail at the base (near the rump, and not near the tip). Use a firm grasp (but without squeezing the tail) and encourage your dog to walk while you hold the tail — almost like a rudder steering a ship. Do not try to pull the tail to either side, but merely straight back toward you. This will stimulate the dog to move forward.
With knowledge, you can help your dog
It’s difficult to watch your dog stagger about with canine vestibular disease, but there are many things you can do to help your dog recover — the first of which is to visit your veterinarian. Then, under the guidance of a veterinarian or a physical therapist for animals, consider using some or all of these 10 tips and exercises for dogs with vestibular disease to help your dog put this dizzying diagnosis in the past.
Do you have an experience with canine vestibular disease?
Please share in the comments below — your story and input is invaluable!
My almost 14 year old Pomerainian/Cocker Spaniel has got Vistibular and on the 5th day of it 4th day in meds and she seems to be getting better but not eating but drinking still. I put peanut butter in her mouth and she will eat it but not on her one most of the time or I tried some cat pouch pastes puree like Cattik or Delectables but just to get something down because she won’t eat a thing. Is there anything else of kind of food that is like a paste with higher calorie content that I could try? I have tried the swaying back and forth and tickle the tummy exercises and now will try the others since she is able to walk better and maybe isn’t to dizzy still. I’m just wondering when will she feel better to eat? Do they need to be on meds for the rest of their life or only when they have another esposide of vistibular? Is it safe to give them joint supplements too while one the meds for recovery? Also CDB oil would you recommend she could take too while on these meds I just don’t want to counteract the vet meds of Baytril, Prednisone, and Gravel. Thanks for your time this is really stressful and scary for both the owner and pet.
Hi Kristy,
I am sorry you experienced this worrisome situation with your senior pup. There is a high calorie paste called Nurti-cal that is used for critical care patients and small puppies when they are hypoglycemic and needing fast nutrients. It can take some time before the dizziness and nausea start to subside and their appetite returns. Here is a link to another article with more information: How to Feed A Dog With Vestibular Disease: A Comprehensive Guide
It should be ok to continue giving joint supplements and I am not aware of any negative interactions they would have with the medications your girl has been prescribed. I am not sure about the CBD oil. It may offer some added benefits, but we just don’t know enough about how this works in dogs for me to offer specific advice. The medications are only needed while your girl is still dealing with the vestibular issues, and she may get lucky and never have a repeat episode. Hoping all is well and she has made a full recovery. Wishing you both nothing but the best!
My pomsky started a head tilt around 7 months. I am sure that it was caused by trama, she’s hit her head while playing so hard, she was out of it for a minute. My poor girl has been through so much from the very start. we got her from a backyard breeder for starts.. She had a tic – antibiotics for that. Giardia – antibiotics. she’s been on several steroids. We took her in for an MRI and spinal tap and nothing was seen. My concern is that because of the high dose of steroids, they weren’t able to see what’s causing this. She’s 12 mos not and the tilting is getting worse. is there any chance that she could grow out of those with the proper rehab, and diet at home.
Hi Jeri,
I understand your concern for your young pup, and I am sorry she has been through so much in her short life. Unfortunately, without knowing the cause of the head tilt I can’t make specific conclusions about her prognosis or what to expect in the future. It sounds like your vet has been very thorough with testing. Your girl is lucky to have you advocating for her health and well-being. I hope there is still a way to get definitive answers and am praying for an easy solution. Keep us updated on how things are going. Best wishes to you both!
My 15 year old pug has vestibular disease which was likely caused by ear canal rupture. She’s taken all her meds (antibiotics) completed everything and it’s been a month. She has shown recovery signs but very slow. She’s almost back to her self except her eyes are still shifting and she keeps walking in circles and not straight. I’m not sure what to do and the vet indicated that the meds was the only thing left. Aside from that if not recovered, it may be a different cause that could require further more expensive checks like CT Scan. She did initially suggest steroids but decided not to give it with just antibiotics alone for treatment and did not suggest further follow ups. Prior to antibiotics which was specifically for the cultured bacteria from the scraping of her ear, she was given ear drops which we administered till it finished midway into the antibiotics. Can you advise what to do? I know Daisy’s recovery is slow but she has improved vastly. The only thing is her head tilt, her eyes and the circling walk instead of straight. Btw her vision is pretty much not really there..,,
Hi Jasmine,
I am sorry Daisy is having these ongoing symptoms of vestibular disease. While there could be something else contributing to this situation, it is hard to make specific conclusions without examining her myself. Some dogs with vestibular disease don’t make a full recovery and end up with mild lingering symptoms (head tilt being the most common). I am not sure if it is best to pursue additional testing or if you just focus on keeping Daisy happy. Hoping you can find the information you need to navigate this unknown path. Best wishes to you and your sweet girl.
my gfs dog has vestibular disease. we are within a couple of days, of it all starting. The vet gave us 4 meds to give her but when we claled them and informed them that she refuses to let us give the meds to her and that she wont even eat and is barely drinking. i have tried every way i kne whow to sneak in her meds to her. but the vet said that the meds they gave us, werent really needed and that they, “wont make or break her..” so…yall just gave us meds for no reason? i dont understand. so, does she not need meds? Will this disease… just go away..on it’s own? im so lost…and i cannot stand seeing her suffer.
they gave her one shot but that is the only med that she has been administered.
we ask for her to be hospitalized and they refused. I cannot take seeing her this way!! she is my step puppy..but i love her so much. any advice is very much welcomed. thank you.
Dear Ryan,
I am sorry you are in this difficult situation with your girlfriend’s dog. I understand your confusion and frustration and unfortunately, I think it is due to a lack of communication. Vestibular disease does resolve on its own with time. Some dogs take longer than others to recover and some are left with symptoms that don’t completely resolve (such as a head tilt). While the medications are not a “cure” they are definitely helpful in managing the symptoms and ensuring your girl is as comfortable as possible while her body goes through the recovery process. The medications are usually aimed at trying to help with dizziness, inflammation, and nausea. Here are links to other articles with more information:
1. Vestibular Disease in Dogs: Doggy Vertigo
2. How to Feed A Dog With Vestibular Disease: A Comprehensive Guide
I think the vet staff was trying to let you know that it is ok to not give the medications if it is causing your girl more stress and harm than good. How are things today? Hoping all is well and you are seeing daily improvement. Best wishes to you all and keep up the good work!
Finding this page was a godsend. My twelve and a half year old German Shepherd had her first vestibular episode about 6 weeks ago and recovered well, then out of the blue she had another one. Less severe, but it seems to be taking a lot longer to recover this time. She’s eating with a little persuasion and drinking. She’s also walking around, but her stability is very poor. The exercises seem to really be helping. I did them religiously for about 4 days, and she seemed to have recovered, however, she went to the vet for her fortnightly laser therapy for arthritis and the following day she was horrendously wobbly again and a little sick. I’ve started up the exercises again and they are helping. I think it’s likely that the laser treatment took a lot out of her while she was still recovering, so will discuss this with my vet. Is there any mileage in giving her supplements for brain and cognitive health? She doesn’t suffer from canine dementia but I’m willing to try anything that might keep these episodes at bay.
Hi Michelle,
I am sorry your senior girl is struggling with the effects of vestibular disease. I am not sure if the cognitive health supplements will work for her condition, but they sure would be worth a try! Did your vet prescribe anything for the dizziness or nausea? If not, that could be a good place to start. Hoping you will see continued improvement and praying she can make a full recovery. Best wishes to you both and keep up the good work!
Our French bulldog had a horrible last year, seizures, fits and then one big attack where he lost all balance and we had 3 days of his eyes flicking non stop (it was extremely concerning and we was worried it was never gonna go away)
We took him to the vets, he had all the tests done:- MRI SCAN, Liquid extracted from his spine etc etc…..
They found a tumor (Otisis I think it’s called) and the vet told us “We will remove the tumor but there is a 45% chance it will come back” guess what?? IT DID! Or at least that’s what we think has happened.
Before he had all his tests, he was put on a lot of medication (a lot) but we discovered that “Cortisol” was the best and helped him (oh, cos by the way… he went thru a stage where he couldn’t eat, because it hurt him to open his own mouth!! The tumor affected the jaw movement!! It was an absolute nightmare.
After having the surgery he was fine…….. for 5 months and then one morning we woke up and he had another seizure/fit and has lost his balance AGAIN! We have given him Cortisol (because last time that helped) but it’s now been 4 days and his balance is not coming back.
I’m dreading that Monday we will have to take him for another scan and most probably another operation.
Do you have any tips or advise??
Dear Wesley,
I am sorry your boy has endured so much over the last year. I wish there was some great advice I could offer but this is a very complicated case and best handled by a specialist. I think your plan to pursue another scan is for the best. Hoping your vet will have recommendations on how to proceed and praying for a positive outcome.
My 12 yo English Cocker Spaniel was diagnosed with vestibular disease less than a year ago. First episode was awful, mimicked a seizure, could not get up lost use of one side of his body, lost control of bowel and bladder it was awful. Made it till morning and saw vet first thing and given diagnosis. Meds and time brought recovery however we have mild flare ups off and on that involve vomiting followed by mild loss of balance but other times no loss of balance. I immediately give meclizine and start steroids and we do good however what bothers me is that he never has had nystagmus with this and the few flares we have had mostly produce little to no obvious loss of balance. Is this common?? He started a flare yesterday that began like others with vomiting repeatedly followed by acting afraid, confused, under my feet no matter what, and only moves if i move and soon as he gets to me he slowly moves to the ground immediately. Will wag tail when family comes home or bark if the other dog barks but its like he is terrified of the world around him and needs to comfort of my presence and touch constantly . Is this a common reaction? Is it possible that he feels the dizziness even though his outward appearance shows no loss of balance? Thank you
Hi Trista,
I am sorry your senior guy is struggling with these recurring neurological episodes. From what you describe, vestibular disease is definitely a possibility, but I am slightly suspicious that something else could be contributing to this situation. Unfortunately, without examining your pup myself, I can’t make specific conclusions. I do think it could be very helpful to ask for a referral to a veterinary neurologist for further testing. They can also discuss treatment options and may have access to therapies not readily available in general practice. Hoping you can find a way to offer your boy lasting relief. Wishing you all the best of luck and praying for healing.
Everything I’ve read about this terrible disease says to avoid car rides as much as possible when in recovery as it can make them relapse and reverse all the recovering they have done. My Joey LOVES car rides but I won’t even try to put him in the truck until he is back to himself 🙂. I hope your fur baby is well again soon! Sending love and healing vibes your way 💜❤️💜
Our dog is diagnosed with ideopathic vestibular and it’s been 4 days. Took 2 diffrent shots and two meds each for 2 days. Can’t get up. Weighs 70 ibs ( basset hound) 10 years old. Our major issues is we can’t get him to pee. It’s been 3 days since he has not been able to relive himself.
Hi Kim,
I am sorry your boy is having so many issues since this vestibular episode began. If your pup has not urinated at all in the past few days, this is an emergency! Please contact your vet right away! There is a risk that his kidneys are not functioning, or his bladder could be blocked and overly distended (at risk for rupture). Hoping things have started to improve and praying for healing. Wishing your sweet boy all the best for a full recovery.
Did. you try doggie diapers? My dog had them when she was in heat so I am sure you can use them for urine too. Just wash the area with warm water between diaper changes…
Hello,
My 15 year old Chihuahua had a severe inner ear infection about a year ago. He immediately started circling, was unable to stand, eat on his own. At one point we thought we might have to put him down. But my vet said he wasn’t ready and long story short with medication that ear infection cleared up but unfortunately his circling did not. He did regain his mobility eating on his own drinking, but he still wants to walk in circles. He can walk forward when he wants to, but for the most part, he just walks in circles. What can I do to help him break this habit?
Thank You,
Renee
Hi Renee,
I understand your concern for your senior guy and this ongoing circling behavior he is exhibiting. I wish I had some great advice but unfortunately, I am at a loss. Some dogs just can’t fully recover from this type of issue. You may be able to reach out to a veterinary behaviorist and see if they have any tips or tricks to try. Also, your vet might be willing to prescribe a trial course of something like Trazodone just to see if there are any beneficial effects. Hoping your boy is happy and healthy despite these abnormal episodes. Best wishes and take care!
I have a 14-year-old Ringer Chihuahua. Approximately 3 weeks ago, she started circling. I took her to the vet they checked her over. Did blood work make sure everything was okay? And it came back fine gave some medication. I brought her home a week when by I was concerned. Cause she wasn’t urinating as much as she normally does. So we took her back in. They checked her. Everything was good. The eye twitching had stopped between the first visit and the second visit to the bank, which is a plus but the circling has continued. I’m at approximately 3 weeks with this and 2 days ago. She stopped eating a barely drinking. I have had you’ll give her water by a syringe. I was forced feeding her. Not forced feeding, but feeding her directly yesterday. She refused to eat any of it. So it’s been 2 days now since my baby has eaten. She did have a bad movement last night but she is like completely. I’m scared she’s gonna die on me. What can I do I have gotten the ear infection medication? I have given her the nauseated medication. I’ve given her medication to keep her appetite. And now I’ve got a dog that I feel. It’s gonna die on me please help
Dear Kimberly,
My heart goes out to you as you face this difficult situation with your senior pup. Without playing a personal role in her medical care it is hard for me to make specific conclusions and recommendations. I understand why you are concerned and think you need to reach out to your vet for guidance. They can assess your girl’s quality of life and help you navigate this unknown path. Praying for clarity and comfort. Bless you and your sweet girl.
Try looking up massage techniques for vestibular disease on dogs. There’s a possibility that the muscles are tight and not allowing him to relax his neck, causing him to wander in circles. There’s also, at his age, he could be experiencing a little ‘doggy dimentia’… Of course, calling your vet to inquire and possibly an examination is needed to help him along his healing path. Sending love and healing vibes your way 💜❤️💜
Hi All
My 14 year old Collie collapsed in a heap whilst in the Garden and looked very disorientated. She recovered quickly, but the following day she had all the classic signs of Vestibular disease. She’s quite heavy, and I have a dodgy back, so we got a Visit from the Vet…Sure enough, that was the diagnosis.
This is day three, and the flickering eyes and tilted head have subsided greatly, but she doesn’t want to stand yet…and any attempt to help her stand is met with her attempting to pin herself to the floor.
Should we leave her to get back on her feet in her own time?..We’ve tried the Towel technique, but she’s having none of that…and panics.
Any advice gratefully received
thank you
Hi Simon,
I am sorry your Collie is struggling with the effects of vestibular disease. Each dog is different, and your girl may just need more time. Also, did your vet prescribe any medications to help with the dizziness? If not, this would be my first recommendation. Hoping things have improved and your girl is on the road to recovery. Feel free to leave an update and I wish you both all the best!
Hi Dr Buzby!
My 14yo dog has just been diagnosed with this disease, and we’re really hoping it’ll get better soon. It’s truly heartbreaking to see him so confused and distressed.
Are there any tips for helping him fall asleep? He seems to be having a lot of trouble sleeping, he’s only interested in moving around even though he has movement issues!
Appreciate any advise here thank you!
Hi Eugene,
I am sorry your senior guy is struggling with nighttime restlessness while recovering from this vestibular episode. It may help to keep him in a more confined space overnight to help limit his activity. I am not sure if he would tolerate a kennel/crate or if you could use a baby gate to keep him in a smaller room. Also, make sure your vet is aware of this issue! You can discuss the possibility of using a melatonin supplement in the evenings or see if your vet would recommend something for anxiety. Hoping you can find the right way to give your boy the rest he needs and praying for a full recovery.
Our 13 year old Labrador has had 3 episodes of collapse, head tilt and nystagmus. In the last 2 weeks. She is not nauseated or incontinent during those episodes. She gradually regained mobility within 4 to 7 hours. The vet suggests it may be geriatric vestibular syndrome. We recently lost our other dog and since then she has become unsettled, anxious and suffers a bit of separation anxiety. Could this change in circumstances have caused the onset of this condition?
Hi Elaine,
I am sorry for the recent loss of your pup, and I understand your concern for your senior Lab, especially with these recent neurological issues that have developed. I wish I could offer some insight, but unfortunately, without examining your girl myself, it is hard to make specific conclusions. It is possible that she is grieving, and the anxiety and depression can definitely affect brain function. I am not sure that I have ever seen it lead to vestibular disease, but I guess it is possible. There may also be some early stages of dementia occurring that are contributing to the situation. Before deciding on a behavioral cause, I like to rule out any possible medical issues. It might be worthwhile to have some testing done to make sure lab work looks normal and no obvious masses or tumors are found. I will attach links to other articles with more information and great advice from other readers. Hoping you can get the answers you need to ensure your sweet girl remains happy and healthy for as long as possible.
1. Old Dog Syndrome: What You Should Know
2. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
3. Do Dogs Grieve? Helping Your Dog Cope With Loss
my 13 yr old pomeranian has been diagnosed with “old dog syndrome”. took her vets exam was all normal including bloodwork
she will be perfectly fine then starts yelping holding her doesn’t work, she pushes away.shes not falling or staggering, walks normal. it’s the sudden yelping, it scares me. what do I do to stop it? is she having pain.?
please help.
Hi Kathy,
I understand your concern for your senior girl with her uncontrollable yelping. Without examining her myself, I can’t tell if this behavior is due to pain or a neurological issue. I am not used to seeing dogs yelping with vestibular disease, so I am suspicious there is something painful contributing to her behavior. It sounds like a thorough exam needs to be done and you may have to pursue some more advanced testing. Is your vet aware of these ongoing yelping episodes? It would be good to have your girl checked for possible neck or spinal pain as this is commonly associated with IVDD (intervertebral disk disease). It is ok to ask for a referral to a specialist if needed and second opinions can be helpful too. Hoping you can get some answers and find the best way to offer your pup relief. Feel free to leave an update if you have a chance. Bless you both!
Our 13 year old border collie was diagnosed with vestibular disease. Has an ear infection and nystagmus. Treated with mecklizine and antibiotics. We are on day 3. Nystagmus has stopped. We have to help her up with harness and towel swing. She can stand for a short time. She has peed and pooped. Eating and drinking when coaxed and with cheese.
My question is how long can or will it last before she can walk again?
Hi Sue,
I am sorry your girl is dealing with this difficult condition. Unfortunately, there is no way to know for sure how long it will take for her to regain mobility. In general, most dogs recover in a couple weeks, but for others it can last for months. Here is a link to another article with more information: Vestibular Disease in Dogs: Doggy Vertigo
Hoping you can continue to offer supportive care until she is feeling better. Praying for a quick recovery and wishing you all the best.
Hi my dog, Ellie has vestibular disease symptoms, wobbly, head tilting, very unstable balance…we’ve been to the vets few times and was given steroid injection for 2 days now and she’s also on Vitofyllin tablet 50 mg. twice a day.
It’s her 2nd day of treatment and hoping she’s on right medication and will improve soon.
Just need assurance if she’s on right meds.
Thanks
Hi Mila,
I am sorry Ellie is dealing with the symptoms of vestibular disease. There really is no one specific protocol for treatment and some dogs require different medications than others. Treatment is usually tailored to the dog and the symptoms they are struggling with. This disease is more about trying to be patient and allowing the body to heal with time. It can take weeks and in some cases months to fully recover. Here is a link to an article with more inforamtion: Vestibular Disease in Dogs: Doggy Vertigo
I am hopeful Ellie will continue to improve. Wishing you all the best!
Thank you so much for all your helpful info Dr. Buzby!
My 13 year old Cocker Spaniel started with several of these symptoms 2 days ago. He is off balanced, has his head tilted, and a jumpy eye…He is still able to get up and walk on his own but he goes to the sides sometimes and falls. I suspect he had a vestibular episode. I took him to the vet yesterday and they prescribed Prednislone, Baytril, and Easotic for his ears, Additionally, he had 2 injections, 1 of penicilin and 1 of dexamethasone. Is it ok if I take him on short 10 minute walks outside?
Hi Johanna,
I am so sorry your senior boy is struggling with the effects of vestibular disease. Yes, walks are fine! If his balance is ok and he is feeling up to it, there is no reason he can’t get out for a bit. The only reason I wouldn’t recommend walking is if your pup is too dizzy and walking is difficult and not enjoyable for him. Hoping the medications are helping to control his symptoms. Praying he will heal quickly and make a full recovery!
My 8 year old Rottweiler, started showing symptoms this past Thursday. I went down stairs to check on her and she was just rolling around. I called out and when she started to get up she just fell over. I almost died! I didn’t know what to do. Took her into the vet ER and they said she could be experiencing this. I have been trying not to move her to much because she kicks her legs and rolls almost uncontrollably to one side. We are going back in to her regular vet on Monday, hopefully she has good news. My poor baby. I built her a platform bed so I can easily get her in and out. She a big girl. I’m going to try to build one of those support stands for her so she can start PT soon as we get the go ahead. Hope it turns out well! Thx everyone for the encouraging stories and thanks for the information.
Dear Randall,
I am sorry your big girl is having so many issues since her vestibular episode last week. I can only imagine how worried you must be. Were you able to get her an appointment with your regular vet? Hoping you received good news and are starting to see some improvement. Wishing your sweet girl all the best and prayers for a full recovery.
Hi, My dog is 18 1/2 & I’ve been her momma for all that time, basically. I adopted her from our local shelter when she was 8 weeks. She does display many of these symptoms you talk about, she also is treated for seizures, which she had recently. I’m wondering if these 2 issues can go hand-in-hand? Thanks so much for the information.
Hi Angie,
While vestibular disease and seizures are both neurological issues, I can’t say for sure if your dog is experiencing both at the same time. Vestibular disease usually comes on suddenly and gradually improves and resolves within a few days. Here is an article with more information: Vestibular Disease in Dogs: Doggy Vertigo
Your best bet is to discuss these symptoms with your veterinarian. They can let you know if there is cause for concern or if it is ok to continue monitoring things at home. Best wishes and good luck!
Thanks you. I called my vet and he thinks it’s all due to her brain (well…I figured that). He didn’t say anything about vestibular so I didn’t either. I don’t want to step on his toes, after all he is the doctor. He is prescribing ear drops for her and hopefully it will help along with rhe exercises you posted. She walked well and straight when I put my hand on the base of her tail. I could see her confidence and of course, I’m happy with any improvements. I’m blessed I stumbled across your information.
Hi Angie,
I hope the medication will lead to some improvement in your dog’s symptoms. Thank you for the update! Wishing your sweet girl healing and praying for a full recovery. ♥
Dr. Buzby,
I appreciate your prayers so much!
I ordered Toe Grips & received them today. My sweet girl 18 1/2 y.o., is walking without falling! I have video and photo’s. My husband & I are so happy for our girl. We can see the confidence in her. She is so smart, because she knows when she goes from the rug to the wood floor, she is apprehensive, but then we coached her and she built up her confidence and walked to her water bowl and stood by herself. It reminded me of a toddler discovering they could walk. She even sniffed in the corners of the kitchen for crumbs like she used to.:) Right now she is sound asleep. She had some good pt. Thank you, again, for your help! God bless you.
Hi Angie,
This is such a wonderful update! I am thrilled that ToeGrips are working for your girl and have restored her confidence and mobility. Thank you for sharing this good news with me. Your girl is very lucky to have you taking such an active role in advocating for her health and well-being. Wishing you all the best and keep up the good work!
My 16 year old cocker spaniel woke me at midnight shaking, panting pacing and stumbling. I was terrified and spent the entire night trying to keep her comfortable until I could get her to the vet in the morning. She recently was diagnosed with congestive heart failure and I figured that she had a stroke. After being diagnosed with vestibule I was relieved however she would not eat. After 2 days on the medicine she ate a small amount and it truly was a struggle for her because of the head tilt and her tongue. Her perception was way off and she couldn’t get the food in her mouth. She’s still struggling but see small improvements.
Hi Stacey,
I am sorry your girl is dealing with the effects of vestibular disease. Here is a link to an article that may help with the feeding situation: How to Feed A Dog With Vestibular Disease: A Comprehensive Guide
I know it is hard to watch them struggle, but I am hopeful that with more time things will get better. Try to be patient and stay in touch with your vet on how things are progressing. Feel free to leave an update if you have a chance. Best wishes for a full recovery!
Stacey, I just experienced the 1st episode with my sweet 13 year old Montana. Eating was a struggle, but I quickly tried different ways of feeding him. By hand in the beginning; then got a deep smaller bowl (like a mixing bowl ) it kept the food from coming out and it helped him keep his head in one place instead of moving all around a larger container. After a couple of days I put it on a box that was the right height and placed it to match the head tilt. I put two large puppy pads around so if food fell it was easy to clean up. Usually he gets what falls! He wasn’t ready for this until about day 4. I baked chicken, gave him brown rice, squash, sweet potatoes, cooked carrots, plain yogurt, and organic chicken broth; all very bland. I started adding his food to it a little at a time by day 5. Tonight at 6pm will be one week and this morning he walked to the back door by himself; I was beside him but he didn’t need my physical support. It was a beautiful moment when I opened the door and he slowly made his way into the yard for the first time without falling over. He was very slow and wobbled a little but did not fall. He came in and ate very well. I will be thinking of you and others going through the experience. I wish you peace & strength; of course love & complete healing for your fur baby!
Dear Melissa,
Thank you for sharing your experience and offering support to other readers. So glad Montana is improving and starting to feel more like himself again. Wising you all the best. Take care and keep up the good work!
My 4 year old French bulldog was diagnosed with vestibular disease about 8 weeks ago. She is able to eat, drink, run and play, but she has a constant head tilt. When she was first diagnosed, she had nystagmus, stumbled and leaned toward the side her head is tilted to. She was prescribed 2 weeks of antibiotics, anti-inflammatories, motion sickness medication and acupuncture treatments.. She has improved with coordination, but still had the head tilt. She has seen a neurologist, but they want to take an MRI and I am very nervous to do so because frenchies don’t always respond well to anesthesia. Is there anything else I can do? Given that her head tilt hasn’t gone away, does this reflect central or peripheral vestibular disease? Any advice would be greatly appreciated. Thank you so much!
Hi Kat,
I am sorry your pup has endured all the negative side effects of vestibular disease but glad to hear her condition has improved some. It is hard to localize the affected area without more advanced testing. But if the affected area is inside the inner ear, then this would be peripheral vestibular disease. Central disease is caused by neurologic issues or problems originating in the brain itself and this can be a separate issue from vestibular disease. It sounds like the neurologist is wanting to rule out a brain tumor or other cause and that is what the MRI would help to do. Here is a link to another article with more information: Vestibular Disease in Dogs: Doggy Vertigo
As long as your girl is doing well and there have been no setbacks, it may be worth giving it some more time. But ultimately it sounds like an MRI is in her future if you want to be absolutely sure nothing more serious is contributing to these problems. Hoping she will continue to heal and praying for a full recovery.
Hi , my dog was just diagnosed with vestibular disease and he hasn’t poop for almost four days now. He eats, drink water and peeing fine. What should I do? Thank you so much for your help.
Hi Karina,
I am sorry your boy is struggling with the effects of vestibular disease. Have you talked to your vet about his lack of bowel movements? If not, I strongly recommend you let them know about this issue. Sometimes you can add a bit of pumpkin or Metamucil to their food to help things move through, but I would want to rule out the possibility that something more serious could be contributing to this issue first. Hoping you can get some answers and find a solution quickly. Wishing your sweet boy the best of luck and praying for a full recovery.
Thanks for the easily Googled information. I was seriously concerned our 15+ year old Highland Maltie was dying last night. We saw the vet today, and our poor pathetic Sookie has idiopathic vestibular syndrome. Thankfully, she will eat (I started helping when the symptoms began) We will be using many of the techniques presented to aid in her comfort.
Hi Daniel,
I am sorry your little pup is dealing with the effects of vestibular disease. Hoping with time she can make a full recovery. Wishing you and Sookie the best for many happy days ahead!
Our 14 year-old mixed breed is suffering from this right now. They say her ears look clear and her blood is fine but they still feel that it is vestibular disease. I can’t get her to drink water or eat anything at this point they gave her a shot yesterday at the emergency room and I have a pill I’m supposed to give her in a few hours but if I can’t get her to eat or drink, should I take her back to the emergency room? I feel bad for her. I don’t know what else to do if it’s neurological is there any cure for that part all answers will be read looking for help. I don’t want our girl to suffer.
Hi Carole,
I understand your concern for your senior girl. It is difficult to watch them struggle and not know how to help. If your girl cannot say hydrated and will not drink water, she may end up needed some fluids. Without examining her myself it is hard to say if her condition is at a critical point. Vestibular disease usually resolves on its own. It just takes some time. Most dogs will benefit from some anti-nausea meds and such to help them feel a bit better while in the recovery phase. I will attach links to other articles on this topic. They may have the answers and advice you are looking for. Hoping your girl can make a quick and full recovery. Wishing you both the best and keep up the good work!
1. Vestibular Disease in Dogs: Doggy Vertigo
2. How to Feed A Dog With Vestibular Disease: A Comprehensive Guide
I am going through the same thing. With my dog. My dog would not eat so I gave him boiled chicken breast then you also have broth leave it in the broth for moisture. But I had to force feed little pieces at a time. He is probably panting mouth open put the chicken in the side cheek back behind the last tooth hold mouth shut, rub the throat until he swallows. Water use Syringe remember little at a time on both don’t want to choke your little guy hope that helps.
Hi.
our 14 year old is recovering from a vestibular episode. she seems to have permanent disabilities now. she also has poor vision in her one eye.
my question is – she has trouble maneuvering herself onto her bed, she seems to ‘eye up’ the bed then walk in a circle to enter the bed but misjudges and misses ending up on the floor which you can see disappoints and upsets her.
how can I help her?
Hi Peter,
I am so sorry your girl is struggling since having a vestibular episode. Is there any way to put her bed in a spot that will help to guide her in the right place (in a corner, against the couch or a wall)? Maybe you could put a blanket under her bed so if she misses, she will still have something comfortable under her? I wish I had a great answer but unfortunately most of this will take some trial and error. Praying your sweet girl can adapt and maintain a good quality of life. Best wishes to you both.
We are 90% sure our Rottie has this. We used Benadryl and that calmed him and relieved the motion sickness feeling he had.. My vet said picture sea sickness. They go to eat /drink and everything spinning. I had him on the Benadryl until we got him into the vet, he’s on steroids now and is eating pretty good. He has a tilted head still and so somewhat sideways walk ( like drunk)
He is responsive and doesn’t appear in pain. He’s eating carrots, boiled chicken, sweet potato and even some dry kibble. He spilling a lot and is fed on a cookie sheet. Drinking fine. The first week was horrible. I almost had him put down. I thought he’d had a stroke. As long as your pups not in pain, keep trying. Also Bone broth helped him the first few days. Prayers.
Hi Jane,
Thank you for sharing your experience with us. It is very encouraging to others to know they are not alone and to hold onto hope for better days ahead. Praying your sweet boy will continue to improve and go on to make a full recovery. Keep up the good work!
Hi, my 12 yo dog recently was diagnosed . He had an ear infection that we were treating and after cleaning his ear and putting drops in he immediately showed signs of dizziness, uncoordinated walking and the eye twitching. I feel horrible that i obviously disrupted his inner ear so I’m wondering if there are movements to try (like with humans) to get the crystals to rebalance?
Hi Jeanne,
I am sorry your pup is having these worrisome issues since treating his ear infection. There is very limited information out there on a canine version of the Epley Maneuver that is used in humans for a specific type of vestibular disease. I will say I have no personal experience with this treatment and cannot give any advice on how to perform the maneuver or if it is safe or effective. Is your vet aware of this neurological development in your senior guy? Hoping things resolve quickly and your sweet boy can make a full recovery.
I previously experienced idiopathic or “old dog” vestibular disease with one of my dogs that has since passed. I was shocked to see this recently occur in my 7 yo cocker spaniel Rocky. In the past 18 months he experienced a torn CCL resulting in TPLO surgery, diagnosed with glaucoma, which could not be controlled with medicine, resulting in chemical ciliary body ablation in both eyes, and now peripheral vestibular disease. Symptoms began 9/9/23, head tilt, circling, off balance and nystagmus. Although I knew what it was, I took him to the local emergency clinic in lieu of traveling to the College of Veterinary Medicine in the next state since I have been recovering from COVID and didn’t think I could make the drive. He was diagnosed with vestibular disease and given oral meds and ear meds. After 3 days with little to no improvement, I took him to my primary veterinarian and she anesthetized him to perform a thorough examination of his ears, including cleaning them thoroughly. His right ear looked as though it had recently ruptured. She punctured his left ear that was swollen/inflamed and submitted a sample to be cultured. She switched his meds and ear drops and we are awaiting results from culture to determine if the antibiotic he is currently on needs to be changed. He is 9 days out and his only improvements have been the elimination of nystagmus and the circling has decreased some, but he still seems confused. I am concerned with the progression of his recovery. I would have thought the head tilt would have improved at least a little. It hurts my soul to see him struggling with trying to get around, especially since he is already blind. Bless his heart he’s not even 8 yo yet and his whole world has changed. Just looking for additional information so I can help him cope and hopefully recover completely from vestibular disease.
Hi Susan,
Goodness, I am so sorry Rocky experienced these severe symptoms. I am glad your vet was willing to do some in-depth investigation and hope the ear culture helped to guide his treatment. How are things today? Was Rocky able to make a full recovery? Hoping all is well and your sweet boy is back to living his best life. Feel free to leave an update if you have a chance.
My 13 year old border collie had vestibule disease a couple of weeks ago. She is now 95% recovered. Her balance is sometimes a wee bit off, but nowhere near as bad. However, there are a few things we have noticed since she’s had the disease, one is excessive panting and licking anything and everything. The other is she has a bigger appetite than before. How do we stop the excessive licking and panting.
Hi Helen,
I am sorry your senior girl had to go through such a tough ordeal. What a blessing she was able to recover and gain most of her normal function back. I understand your concern over the licking and panting. It is hard to know how to treat these symptoms without knowing their root cause. If she is still suffering from anxiety and stress from this recent episode, some calming treats or supplements may be helpful. I also recommend you talk to your vet. They can help you rule out other causes that could be more serious. They can also provide anxiety medication if it is needed. I hope you can find the answers you need to restore your sweet girl’s comfort and quality of life. Wishing you both the best for many happy days ahead.
my dog 13 collie. three days ago she fell to.the ground and the second time.i saw her she was trying to get up but her body wasn’t responding. this morning I saw it in action she went to.get a drink of water and as she walked to it her balance seemed completely off. she looked like how a drunk person would walk. struggling to stay upright and straight she dropped to the floor. within 30 seconds she was back to normal. running around. the same two days ago lasted seconds the episodes. does this sound like this disease?
Hi Jay,
I am sorry your dog is experiencing these worrisome episodes. From what you have described I am suspicious this may be seizure activity and not a vestibular issue. A dog with vestibular disease will not be completely normal within minutes of the onset, but this is typical of seizures. I highly recommend you reach out to your vet. They may want to do some lab work or other testing to rule out the more common causes. I am hopeful your vet can offer the help your sweet girl needs and restore her quality of life. Wishing you the best of luck.
Thank you so much for the information you have provided. I look forward to trying some of your suggestions. I have a 12 year old 40 lbs Puggle named Darla. She recently had an examination and were told she was in very good shape for her age. Last week as I came in the door she fell off the couch and proceeded to roll around the floor rather violently. I was able to calm her and stop the rolling by propping her against my leg. She and a head tilt and her eyes looked funny.
She was diagnosed with vestibular syndrome. As of yet, no specific cause has been established. They prescribed an anti-biotic, anti-emetic, and anti-nausea medication. It’s been 6 days and while we’ve seen improvement, she is still struggling. She can’t stand or walk on her own and is reluctant to use her hind legs. She is eating and drinking and is not vomiting.
The main issue is we can’t get her to urinate. We’ve spent a lot of time with her outside trying to encourage her. We’ve tried to help her express the urine by carefully squeezing her bladder. Unfortunately even the vet had no luck expressing the urine and each evening, we bring her back to the vet to get catharized. We have an appointment for a neurology evaluation tomorrow and are hoping for the best.
Do you have any other advice or suggestions?
Hi Paul,
So sorry to hear about the rough time Darla is having with this vestibular disease episode. Watching our beloved pups struggle is so heartbreaking and stressful. It is great that you have an appointment with a neurologist because I think that is the best way to get some answers (and it is probably the main thing I would have suggested too). Hopefully the neurologist was able to sort out what was going on and create a plan that can help Darla get back to urinating normally and feeling more like herself. Feel free to leave us an update on how things turned out for your sweet girl!
9 week old frenchie puppy showing only head tilt symptoms – no other symptoms to follow . Vet suggested possibly cognitive vestibular disease.
Wondering if this would come from mom or dad?
How would one find out ?
If it is not idopathic and is central – how can one determine if it is mom or dad who passed it along ?
Both parents have never had any symptoms and no other pups have had signs .
Erin
(Breeder )
Hi Erin,
I am so sorry your puppy has these worrisome neurological symptoms. Are you asking about Congenital vestibular disease? I did some research, and it seems the congenital form (one that a puppy would be born with) is only found in German Shepherds, Cocker Spaniels, and Dobermans. Here is a link to an article with that information under the heading “Brain Stem Disorders”: https://www.merckvetmanual.com/dog-owners/brain,-spinal-cord,-and-nerve-disorders-of-dogs/congenital-and-inherited-disorders-of-the-nervous-system-in-dogs
With that being said, the only way to know if this issue was inherited or acquired is to first get a definitive diagnosis. You may have to ask for a referral to a veterinary neurologist or other specialist to have some testing done. Once you get a diagnosis, the vet can tell you if it was likely passed from a parent. I suspect the only way to know which dog passes on a specific gene or disorder is to have them genetically tested. I am sure there is a significant cost to this and am not sure what all can be determined from the genetic testing. That would be a great conversation for the specialist. Hoping this information will help guide your investigation. Praying your puppy can make a full recovery and live a long happy life.
Thank you so very much for sharing all of this important information, Dr. Buzby! And thankyou to all of the folks who have shared their experiences to help other pups and their families. Incredibly valuable at a tremendously stressful time. Our 12yr-old Boxer, Chase, suffered a left ear infection in April, 2023. Depo-steroid shot and antibiotic in the ear cleared it right up. The day before 4th of July, Chase suffered what we thought was a stroke. Very scary. Of course, it was after normal Vet hours and the next day was a holiday. A kind Emergency Vet Tech shared that Chase’s symptoms sounded like Vestibular Disease. So, we looked it up on YouTube and agreed that this, indeed, looked like Vestibular Disease. Looking back, Chase must have felt it coming on because he, visibly, did not feel good and refused food and water the day of the attack, July 3. Onset was approximately 5pm. Eyes flickering back and forth and complete loss of balance. We kept Chase secure and, all, slept on the floor that night. Chase finally accepted water by syringe on the 4th of July. He took his first small bite of food (cooked ground beef) on the morning of Day 3, July 5. VERY off-balance. Needed assistance with towel under chest to go out to pee. We took him to our regular Vet on Wednesday, July 5. Confirmed Vestibular Disease and new left ear infection. Depo-steroid and Ciprofloxacin 500mg, 1/2 tablet every 12 hours for 7 days. We are at Day 8 from onset and Chase is recovering….. improving every day, slowly but surely. We have a follow-up with the Vet this week. As soon as infection is cleared up, I will start these exercises with Chase. Please let me know if there is anything else I can be doing to support Chase’s recovery. This article and everyone’s comments were so helpful during this time… thankyou, thankyou, thankyou. I am going to get Chase some Toegrips 🙂
Hi Katherine,
I am sorry your senior guy had to endure this scary vestibular episode. Of course, it was over a holiday weekend! It sounds like you handled it very well and I applaud you for taking such an active role in researching ways to help Chase continue the recovery process. Did you give ToeGrips a try? I’d be interested to know what you thought and welcome any feedback. Hoping the ear infection has cleared and your sweet boy has made a full recovery. Feel free to leave an update if you have a chance. Best wishes to you both! ♥
My 14 year old 3 legged black lab Dakota has recently had an episode that I think it vestibular disease. She looks to be drunk where she’s not standing very well and shaky and when I looked closer at her I did notice a nystagmus as well as not being interested in food. She didn’t have a head tilt and as far as I’ve been able to tell no ear infection, and no vomiting. The nystagmus lasted 3 days and she’s now getting up more but very shaky and wobbly. This is the second time it has happened but before it only lasted a day (and no nystagmus) and then she was back to normal. I saw someone else comment about little growths on their dog and she has has several almost like small warts pop up over the last year but my vet said they were just fatty growths nothing to be worried about. Are they related and is there anything I can do or give her to help her recover faster and is this something that will continue to happen?
Hi Jaimee,
I am sorry your senior girl is dealing with another vestibular episode. I would not think the growths you have noticed on her skin would be related to these issues but without examining her myself I can’t say for sure. Due to the presence of nystagmus, it makes me suspicious about a possible brain tumor. Of course, nystagmus is not a definitive sign of a tumor, but something your vet might want to investigate a bit further. There is no way to know if other episodes will occur in the future, but with your girl’s history I’d say it is a good possibility. Recovery is different for each dog and for each individual episode. How is Dakota feeling today? Praying all is well and hoping she is on the road to recovery. Feel free to leave an update if you have a chance.
I took my dog to the vet and she has nustagmus and was stumbling.. the first three days she did not get up. she ate and drank her food and we put pillows around her. the fourth day she just got up walk down the hall and to the office to see my husband. I was shocked even though she was stumbling she was still walking. the first two days she did not sleep. Today we allowed her to walk around in the yard without the straps that we usually hold her stable she did a few stumblings but she did pretty good. Sheena is on her 6th day of old dog syndrome. She is on an antibiotic and an ear drop solution plus motion sickness and a pill for nausea. She is going on 14 and is a berger Blanc swisse. it scared us in the beginning and took her to a dog emergency room but all her vitals were good. I don’t know how long her recovery will be but thank goodness I see improvement. her nustagmus is gone. her eyes are holding straight.
Hi Nancy,
It sounds like you had a difficult few days at first, but I’m so glad to hear that your dog is improving after her episode of vestibular disease (i.e. old dog syndrome). Hopefully she has made a full recovery and is back to being her old self again!
I read tumeric is good to reduce fatty tumors and so I give my 13 year old that.
And I found homeopathic Cocculus. please research. My dog is having this now and
am researching everything, has been to the vet and diagnosed with this.
I also massaged around her nceck and ears and that seemed to help with her standing.
HI Margot
I was wondering if you could please update me on your labs prognosis. I have a 7 year old lab who has drop jaw. He can’t close his mouth but in conjunction with this appears off balance. I was told by my vet to put him down today but I am not about to do this. Today is Day11 since the trigeminal neuropathy presented. I would be interested to know how quickly your lab improved.
Hi Rebecca,
I am sorry your dog is suffering from this neurologic condition. Vestibular disease and trigeminal neuropathy are two different conditions, but it is possible both could be caused by some other primary issue. Since I haven’t examined your dog myself, it is hard to make specific recommendations. With that being said, it would be a good idea to schedule a consult with a neurologist. From my experience and research, most cases of trigeminal neuropathy resolve within a few weeks as the nerve inflammation decreases, or the damage heals. This may require anti-inflammatories or even antibiotics depending on the root cause. Whenever euthanasia is brought up as an option, it is never a bad idea to gather as much information and advice as possible. It isn’t wrong to want a second opinion to make sure you are choosing what is best for you and your sweet boy. Feel free to leave an update if you have a chance. Praying for a full recovery and many happy days ahead.
All is this sounds so much like what we’re going through. The difference is that my Hannah is a Deerhead Chihuahua (10 lbs) and she is only 7.
For her breed isn’t this just middle-age?
I’ll be scheduling an appointment with a neurologist now since she has had 2 episodes in 3 days.
Up till now she has only displayed very mild symptoms that only lasted about a minute twice in the year since I adopted her.
Hi Pam,
I am sorry your little girl is having these issues. I am glad you are planning to have her evaluated by a neurologist. Without examining her myself, I can’t say for sure, but what you describe makes me suspicious about seizure activity instead of a vestibular episode. Praying you get some answers soon. Wishing you and Hannah the best.
On October 7, 2022 my 13+ year old, diabetic Husky mix (female/spayed) went into PVD. Labs were mostly unremarkable although her monocytes were ever so slightly elevated. Her symptoms were the classic ataxia and head tilt to the left without nystagmus. Although my vet didn’t find obvious signs of an ear infection – no gunk or odor, he didn’t rule out an inner ear infection as a possible cause. He administered a half dose of Cortisone and Baytril. Yes, the Cortisone made her blood glucose sky rocket to 600. I’ve increased her insulin accordingly and she’s down to blood glucose readings of generally less than 250.
Then, on October 27 she had a seizure (blood glucose was 257 (yes, I test a lot). The seizure was short, less than two minutes, loss of bladder control, I administered phenobarbital (I have another dog who has a seizure disorder) under my vet’s advice and she hasn’t had any additional seizures.
My concern at this point is that even though she has greatly improved – head tilt is gone, doesn’t fall like she had been, her hind end is still rather weak. It’s worse when she first wakes up. I’ve purchased a ramp to avoid having to walk her down four stairs to go outside and also purchased a tactical harness with hand loops on the back to help support her.
She’s still a happy dog but I want to know if after nearly five week is further recovery to be expected or do I need to resign myself to the possibility that she may not. I would like to incorporate the balance exercises you described and I want to continue her very short walks, but I don’t want to frustrate her by asking too much if she’s already at her (new) best. Any advice you could offer is greatly appreciated.
Hi Joyce,
I am sorry your senior girl is having so many issues lately and still struggling with the effects of vestibular disease. Without examining your dog myself, I can’t say for sure if you should expect further improvement in her condition or if she has in fact plateaued. I have seen other dogs continue to make slow progress over the course of months. I am a bit concerned about her neurologic issues and the sudden occurrence of a seizure. It might be a good idea to schedule a consult with a neurologist and rule out the possibility of a brain lesion. No matter what the cause, I think physical therapy/rehabilitation could be a great addition to what you are already doing at home. Take it slow and continue to give your girl time to adjust. You are doing a wonderful job. Keep up the good work!
Thank you so much for sharing all this information! I have a 12-year old whippet-pit mix (we think!) named Lili who has always been so active and loves her walks. Unfortunately, she suddenly developed all these signs about 4 weeks ago, and somewhat subtle in the beginning, with pretty quick progression to more severe. I took her to the vet last week (3 weeks into it), who did the IV fluids, DEXAmethasone, neuro check, ear check, and sent home on prednisone taper. It’s been a week, she hasn’t really improved at all, and perhaps slightly progressed more. Classic left-sided head tilt, ear straight up, falling off to her left when she’s in slow movements or holding still (pottying/pooping/eating/drinking/standing). When she goes faster, trotting after something she’s interested in, she seems to go pretty straight without leg weakness, but when slow her back left leg/hip seems to give out. She’s eating well, especially when I help scoop it for her, as she’s not as coordinated at it and hangs out in the left side of the bowl, and drinking the same way, but drinking. She’s still primarily happy and sweet, but I can tell she’s confused about what’s happening with her and perhaps slightly scared (she tends to be stressed anyway, as a whippet). The more I read here, the more it sounds still like vestibular syndrome, but the fact that it’s been 4 weeks with only progression and not improvement makes me wonder. I’m a physician myself, so I’m trying to observe all the neurological signs that would help differentiate where a lesion is, but dogs and people are different, for sure! She also rubs her face a lot, like something is irritating her in her face or head somewhere, even though otoscopic exam seemed good. The vet I took her to won’t be back until next week to update, and we live on the rural Big Island of Hawai’i, so I don’t even know if there is a neurology vet here.
Any technical pearls you may be able to share that could help further determine if this is central or peripheral, old dog vestibular or probably not, or what else I can do for her? She seems almost scared to go out for a walk now, so we haven’t for couple of weeks, and the car did seem to make it worse, along with exertion. Thank you again for helping us all…
Hi Doede,
I am sorry your senior girl is struggling with the symptoms of vestibular disease. I am glad you had her evaluated by your vet and they were able to start treatment with steroids. It does concern me a bit that the symptoms are worsening instead of improving after 4 weeks. It may be that Lili just needs more time and will start to feel better with a few more weeks. With that being said, I think it is still a good idea to have her rechecked by your vet and find out if there is a neurologist on the island. I did some research and found one in Honolulu, but I realize that is probably out of reach. From what you are describing with the head tilt and falling over to one side, I would definitely localize this to be a central issue. Most of the time I diagnose old dog vestibular disease, but if this continues to progress, then I would want to rule out a mass. I will attach links to the other two articles we have written on this topic in case there is additional information that could be helpful. I hope your sweet girl’s symptoms will start to resolve and she can make a full recovery. Wishing you both the best.
1. Vestibular Disease in Dogs: A True Story About Doggy Vertigo
2. How to Feed A Dog With Vestibular Disease: A Comprehensive Guide
Thank you for your suggestions! Yes, I took her to her other vet/hospital in town last Tuesday. They were great, and trying also to pinpoint something. Mass is definitely big possibility. Another round of (longer) steroids, plus clindamycin to treat any infection possibility. Did x-rays of whole spine, and not higher than a VD cervical, but probably couldn’t see much in skull x-ray (unless calcification?), and all looked good except some aging DDD. Only little signs of improving change, but back legs are not able to walk, although she pushes well with them in the bed/floor. 3/4 paws still proprioception issues. I got a “mobility harness” for back legs (I wish I would’ve purchased one for front and back), which is not her favorite, but helps! If she gets “going”, and I have her back legs supported, she can get a little ways, but when she stops, topples over. Other functions still working! Never had visible nystagmus before, but now her head “bobs” back and forth like she’s experiencing that, but would she with central? I brought up rat lungworm, since we have slugs in our yard. Steroids supposedly would have worked better if so, but wondering if worth anti-parasitic. No, trip to Honolulu with her would not be feasible, but if the neurologist would do “telemedicine”, I’d be all in! I just want to know what’s best to actually help her. She had a little hope it seems, when I loaded her up in the car and took her for ride, then a 2-minute “walk” at a park! That’s been her favorite thing! Thank you again.
Hi Doede,
I am glad this recent vet visit provided some other treatments to try. I know you still don’t have a clear diagnosis, but I feel like this additional testing has helped to rule out many things. I think it would be a great idea to contact the neurologist in Honolulu and see if telemedicine is an option! I am still holding on to hope that your girl can improve her quality of life. It makes my heart happy to know she was able to spend some time at the park. ♥ Keep the updates coming! Bless you both.
Well, after prayerful consideration, and a dream seeing her running “on the other side of the fence”, and seeing that she’s needing to run again, I believe it’s time to let her go. Scheduled to do this afternoon here at home. Thank you again for walking me through this, and I’m blessed and thankful to have found you as a genuine resource! As a primary care osteopathic family physician, I now find veterinary neurology quite fascinating! Career change??
Dear Doede,
My heart aches for you and this difficult decision you have had to make for your sweet girl. I know you will miss her terribly but what a blessing to be able to give her peace and rest. Thank you for letting me know. I will miss our conversations. Keep in touch and should you decide to switch teams to veterinary medicine I’ll cheer you on the whole way!
Thank you!! :). (I still have a 13-year old Pomeranian, Vashti, hanging in there with me!)
Hello! My 14 yr old husky started showing symptoms last Monday with his balance. Tuesday came and he didn’t have much of an appetite and I noticed the head tilt and his balance was way off. Wednesday early morning we took a trip to the emergency vet where he was diagnosed with vestibular syndrome. Vet gave him Meclizine and said 5-6 days he should be better. By the end of Wednesday he began to drink and eat more than he has the last couple days before. I seen improvement in him with the eating and drinking and going potty as well as not seeming as lethargic as he was. I started taking him outside once a day to try to have him go potty and give him some exercise by leashing him and doing small walks with my guidance around the yard. My question is am I doing too much by trying to have him walk a little once a day? His balance is still off but he can walk a little with some guidance from the harness. He knows when i come home and leash him up it’s time to go outside for a little bit. He purposely will then sprawl himself out telling me he doesn’t want to go. Should I not force him? Also today is the last day of the meds the vet prescribed. Should I ask for a refill or ask about getting prescribed a different medication? I’d hate to pull the trigger so quick and assume it’s something worse when really he may just need a couple more days of treatment…
Hi Jacob,
I understand your concern for your Husky, and you are doing a great job of advocating for his health and wellbeing. I think it is great that you are getting him up and outside for a bit each day. Even if he is dizzy, it will help retrain his muscles and nerves and make adjusting to this easier. It might be a good idea to get a refill of the medication. Make sure your vet stays informed of your dog’s progress or lack thereof. Each dog is different and yours may just need some more time. If you reach a point where your vet is concerned about the progression of healing, you can schedule a consult with a veterinary neurologist for more advice and treatment options. I hope your sweet boy’s symptoms will resolve soon and he can make a full recovery. Wishing you both the best and feel free to leave an update any time you like.
Hi. My golden retriever will turn 14 on 9/24! She experienced her first bout of vestibular disease two days before Xmas. It was awful and with a dog that size, it was challenging with her not being able to really walk for a few days. She got better and better & within three weeks, she was close to “normal” but then it happened again the beginning of August. I know it is idiopathic. The first time it just so happened that I had taken her to get groomed that day (at a place she’d never been). The second time she had gone to the vet for a heartworm check (in order to get a scrip for the heart worm pills refilled). Since her first bout, she had been in the car to go to the vet another time and was fine. My point is, do you think a car ride would bring it on (i.e.. similar to humans and motion sickness which often results in vertigo)? She rode in the car many times over the years and I guess it might have made her anxious but I’m not sure! The longest she was in the car would have been maybe 2.5 hours but she usually would be breath heavily the whole time! At any rate, I know stress can bring on the Vestibular Disease. Would you say that I am onto something or do you think it’s purely a coincidence? I want to continue to go to my vet vs. going w/ a mobile vet but I hesitate to put her in the car b/c I am afraid of another onset.. In conclusion, A) do you think I am overthinking it and B) have you seen more that two bouts of vestibular disease in dogs? Luckily, the second bout was not as bad as the first one.
Hi Mindy,
I am sorry your big girl has had a repeat episode of vestibular disease. I have definitely seen dogs go through this more than two times. I do think you may be onto something with the car rides acting as a possible trigger. It would be a good idea to talk to your vet about your concerns and let them know this possible correlation. They may be able to recommend a medication like Dramamine that could be given prior to future car rides to try and prevent another episode from occurring. There is no guarantee this would work, but it might be worth a try.
What a great honor and service this page is! Labor Day weekend, and our 13+ year old rescue girl (McNabb/Border Collie mix) has been exhibiting signs of congestive heart failure, growths along her gumline, small surface tumors and “soft” growths under her skin. Yesterday she was coming out of several days of coughing/sleeping/resting/low activity/off her feed and last night the head tilting, nystagmus, falling, weakness, no appetite, little urine output (carrying her outside – she squats a bit, carry her back inside). We did have to put down a lovely dog several years back that seemed to have idiopathic Vestibular disease – treated – and within 3-4 days became aggressive to us and unable to control. Vet said with that symptom, diagnosed as a tumor, and not something she would recover from with Rx. We want this girl comfortable, safe, not alone….not sure when is the time to put her down. Her eyes are not looking “inward”, but she is not herself, and starving. We live in a rural area of SW Idaho, not many options for weekend consults.
Hi Jeri/George,
I am sorry your senior girl is struggling with vestibular signs on top of her other health issues. Of course, it would happen on a holiday weekend. I recommend you call your vet as soon as it is possible (Tuesday?). But in the meantime, focus on supportive care. Here is a link to another article that may offer additional help and information: How to Feed A Dog With Vestibular Disease: A Comprehensive Guide
As long as you can keep your girl hydrated and comfortably resting, you can discuss other details with your vet once the clinic is open again. You may have to offer water by oral syringe if nothing else works. If her condition deteriorates rapidly, you may not have a choice but to see if you can find a mobile vet that can perform euthanasia. I will attach links to other articles about how to know when it’s time to say goodbye. I pray your sweet girl can hold on a bit longer. Bless you both.
1. Dog Euthanasia: Knowing When to Say Goodbye
2. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
3. Signs Your Dog is Dying: A Caring Message to Bring You Peace
Just got home from the emergency vet. My 12.5 year old chocolate lab had what I thought was a seizure today, turns out it was a vestibular episode. Very scary! He’s home now, very confused and disoriented. He can’t walk just yet, so I’m unsure how to help him go potty, even with a sling. Very disheartening. Hoping we can figure that out soon and the meds kick in swiftly. Hate to see him dizzy, but as labs do, his tail is still wagging. Side note, I also happen to be in SW Idaho! Though in an urban area with quick access to help. Hopefully you can find a mobile solution soon for your girl. My thoughts are with you!
Hi,
Dog just had surgery for bladder stones. She is a 13 year old heeler. I noticed her hind legs were a bit wobbly, but the vet said it was probably the pain medication she was on. After surgery in recovery she was unable to stand and could not tell up from down. She is staying there for the remainder of the week. They are giving her a strong steroid twice a day which they said seems to be working as long as she is on the steroid. When it wears off she is back to incoherent and not able to walk.
I am not sure if the vestibular was there before the surgery and it was mild so that I did not notice or if something happened during surgery. I am very concerned since it is so bad. I am hopeful that she will recover. We were still going on walks prior and while she was a little wobbly, which again we thought was pain medicine for the bladder stones, but no other symptoms. .
Hi Yvette,
I am sorry your senior girl is struggling with these vestibular like issues since her bladder surgery. You are right that this may have been an issue prior to her procedure but has become more noticeable since the anesthesia. This definitely could be a side effect of pain medication and if so, it should resolve over the next few days to weeks as her body adjusts to the medicine. If you aren’t seeing the progress that would be expected, it might be a good idea to schedule a consult with a veterinary neurologist or an internal medicine specialist. I hope the steroids and rest will help these worrisome issues resolve quickly. Praying for a positive outcome. Feel free to leave an update if you have a chance.
Our 14.5 year old Golden Retriever was just diagnosed with vestibular and it is so scary to watch her.It hit her so suddenly and she is so confused. Our vet gave us some medication for the dizziness. She is not as bad as some as she can walk and she is happy to be cuddled and shows it but you can see she is confused. She tends to sleep all the time and her hearing and sight seem effected but I am so grateful to have a supportive vet who is encouraging and compassionate. This is such a scary experience but we do what needs to be done for our fur babies.
Dear Ellen,
I understand your concern and worry about your senior girl and the side effects of vestibular disease. I am glad you have a supportive vet and are working together to help your pup through this healing process. I hope your sweet girl will continue to improve and make a full recovery. Thank you for sharing your story with our readers. Best wishes to you both!
My 13 year-old terrier mix was diagnosed with vestibular disease last week. The medication for dizziness/nausea helped greatly and he was back to himself within a week, but once the meds ran out, he quickly deteriorated to his original state. His vet has put him back on the original medication along with an antibiotic for a potential inner-ear infection. He is improving but still unable to walk on his own. The vet had also wanted to put him on prednisone but I requested we hold off until we see the results of the antibiotic. Since we haven’t seen much improvement with the antibiotic after 2 days, is it typical to add prednisone? We were originally fearful of giving him too much at once. Thank you!
Hi Danielle,
I am sorry you are in such a difficult situation with your senior guy. It is puzzling to me that the symptoms resolved completely with the medication on the first round but that with the second round you have not seen the same results. Since I have not personally examined your dog, I can’t make specific conclusions about his medications. I can see how the addition of a powerful anti-inflammatory like prednisone might help with vestibular disease or other potential causes of these neurologic symptoms. It might be a good idea to schedule a consult with a veterinary neurologist. They may have additional testing or treatments to recommend that might not be readily available in general practice. I am hopeful you will see improvement soon and praying your pup will make a full recovery. Feel free to leave an update if you have a chance.
My 14 yo Australian shepherd suffered a bout starting July 10. We put her on prednisone for a few days and I think it really helped. One month plus and she is walking on her own, climbing the stairs but still pretty subdued. Some days her head tilt is back. She is definitely weaker and slips a bit and needs help going down the stairs. But she is alert and we have her eating well. I am very happy with her progress seeing how I thought it might be the end a month ago.
Hi Pam,
Thank you for sharing your experience with us. I am hoping it will be an encouragement to others in a similar situation. I am happy to hear your senior girl responded so well to the prednisone and has shown great strides with her recovery. I hope she will continue to improve with time. Praying for many happy days ahead for you both!
My 12 year old lab mix had her 1st attack of vestibular disease a few months ago and it scared me to death.She struggled to get on her feet and they kept slipping out from under her.Then she starts shaking all over.Shaking lasts maybe 5 or 6 minutes before it goes away.This really scares her so I sit with her and comfort her with massages on her chest and wait it out.She used to sleep in my bed but have since moved her to floor for safety sake.Vet never gave her meds to take.This is not going away like I read it is. I wish it would cause it scares us both and I never know when it’s going to hit.i love her so.
Hi Lindy,
I understand your concern about these worrisome symptoms in your senior girl. Since I haven’t personally examined your dog, I can’t make specific conclusions. But I am slightly suspicious that what you are describing could be seizure activity. Is there any way you can get one of these episodes on video to share with your vet? It might be a good idea to schedule a consult with a veterinary neurologist. If this does turn out to be seizures instead of vestibular disease, there are medications that could make a big difference in your pup’s quality of life. Wishing you both the best and good luck!
Bobo, a 14-15 year old cocker spaniel has been suffering from vet diagnosed vestibular disease. It’s been lasting for weeks. His classic symptoms include:
unstable, falling, head tilt, occasional vomiting, sleeping a lot, decreased appetite, walking in circles.
Plus, he’s deaf and very nearly blind.
Vet has detected a bacterial ear infection. Very waxy and smelly. He’s flushed the ear, prescribed a steroid, anti biotics, and various ear cleaning solutions with only limited success. Some bacteria are still seen under a microscope and the ear remains infected, overly waxy and smelly.
I’m beyond frustrated. Any suggestions?
Thanks.
Joel
Hi Joel,
I understand your concern for Bobo and these worrisome problems he is facing. Chronic ear infections can be extremely difficult to resolve, even with the best veterinary care. It may be the right time to schedule a consult with a veterinary dermatologist. They have lots of experience with complicated cases like Bobo and can let you know if other treatments or possibly surgery should be considered. I am hopeful that if the ear infections can be cleared then the vestibular disease may resolve as well. Praying your sweet boy can get some relief and will have a positive outcome. Feel free to leave an update as you navigate this tough path.
My pit bull terrier mix was diagnosed with idiopathic vestibular disease a few days ago. She started having trouble walking a little bit on Wednesday and by Thursday she was swaying from side to side and couldn’t keep her balance. The vet said she would get better in like 2 days or so but she isn’t improving too much. She is eating and drinking some but not that much. I’m worried that might put her down.
Hi Collin,
I am sorry your girl is struggling from the side effects of vestibular disease. Your vet is correct that most dogs recover within a few days, but this is not always the case for every dog. Unfortunately, it can take months for some to return to normal, and in a few cases a head tilt can persist permanently. The decrease in appetite is probably due to her being nauseous and dizzy. Here are links to other articles that may offer additional information:
1. How to Feed A Dog With Vestibular Disease: A Comprehensive Guide
2. Old Dog Vestibular Disease: A True Story About Doggy Vertigo
Please let your vet know that your pup is still struggling. They may be able to give her medications to help with the nausea and there are options to help treat the dizziness as well. You always have the option of scheduling a consult with a veterinary neurologist as well to make sure there are no other issues complicating the vestibular disease that need to be addressed. I hope you can find the answers you need to help restore your sweet girl’s quality of life. She is lucky to have you advocating for her health and wellbeing. Wishing you both the best and praying for a complete recovery.
I have an 11 yr old gusky/lab mix who started displaying some symptoms tonight. She’s really unsteady and leans to the side, lethargic, and she flinches with any movements near her. Could this be idiopathic vestibular syndrome?? I’m very worried 😟
Hi Jennifer,
From what you are describing, it is possible your senior girl is dealing with vestibular disease. Since I have not examined her myself, I can’t make specific conclusions or recommendations. I do think she should be evaluated by your vet as soon as possible. In order for the vestibular disease to be considered “idiopathic” (unknown cause), you would have to have testing done to rule out common causes first. I hope your pup is feeling better and you have found some answers as to why she was showing these worrisome symptoms. Feel free to leave an update if you get a chance.
My 15 yr old Labrador was just diagnosed with vestibular disease 3 days ago. As an acupuncture student and herbalist, this “doggie vertigo” could be due to Liver Wind/Damp Heat in the meridians, which causes the loss of balance. Since I’m not licensed yet, she’s scheduled to meet with her acupuncture vet next week to help drain the wind/damp from her meridians. But in the meantime, Im using a tuning fork (frequency therapy) on acupuncture point “Pericardium 6” just below her wrist to help lessen the effect of dizziness as well as using it behind her ears and on top of head (point DU-20). Chinese herbal therapy can also assist with this vestibular disease. I’m waiting for my acupuncture vet to recommend a formula, but I know Bu Yang Huan Wu can help with the disease.
Hi Zoe,
Thank you for sharing your perspective and ideas with us. We so often forget that eastern medicine can play such a valuable role in the health and wellbeing of our pets. I hope your Lab will start improving and make a full recovery. Best wishes to you both!
Zoe,
I read your post about your Lab with vestibular disease. Did you find an herbal mix that helped? My Lab/Aussie Mix has been suffering through his second flare-up for over a week. He will not eat yet and probably won’t until he is less dizzy. If you saw any improvement, please let me know!
My 14 year young Dachshund just got diagnosed with Vestibular Disease. I feel partly responsible to how far it has gotten. First he is a Dachshund and thought in the beginning it was minor IVDD so would have him quiet down from jumping down off of things. Then his ears were dirty which seemed to look like mites to me so I myself would try to clean however the right side seemed to be bothering him he would lay flat when I was rubbing that side and always want his nose itched. I did at home remedies because I could not afford a vet or find one more holistic approach. I know still needs meds for certain things. I did have to take him to the vet $$$$ and lots of meds. (which I can find over the counter) and he is so bad of course the right side he has total paralysis. He can not walk at all will not pick himself up at all his neck is stuck to the “Right” side.
My concern is that I did tell the Doctor I was strapped for $$ which he should have cut down on the meds and let me buy them over the counter for $5 instead of charging what he did. I did no tests he new right away. He said he did check the ears, but never washed or flushed his ears out and that is the ear that was bothering him the most. Gave me ear drops Synotic and dosed him up with Autoimmune injections, ….
My question should i go to another vet and have them recheck his ears I am concerned that his inner ear may have been compromised. I would like to treat the issue if that was it and get on the road to recovery.
This breaks my heart seeing him like this….Thank God he is finally eating and drinking and his eyes are not rapidly moving ….
Please give me your thoughts I know that you can’t see his ears
Thank you this article is thankfully helpful and thank you for your help
Tracy
My name is Tracy Monte
Hi Tracy,
I am sorry your Dachshund boy is having so many issues. Since I was not present for his appointment and exam, it is difficult to make conclusions and recommendations about this particular case. I will say that although ear mites can be found in adult dogs, it is much more common in young puppies. Usually when an adult dog is having trouble with their ears it is due to bacteria, yeast, or both. An ear cleaning and flushing is not always necessary but if performed in a clinic it would need to be charged for and raise the total for your bill. This may be why your vet did not flush the ears. You are correct that some medications that are used in veterinary medicine are the same ones that can be purchased at a human pharmacy, but this is not always the case. I am sure if you told your vet you would like written scripts for all the medications, they would have been glad to provide you with them. Never be afraid to make your wishes known and voice your concerns. I am assuming the “autoimmune injection” was a steroid? This would have helped with the inflammation in the ears and may possibly have helped with the vestibular disease. You are always welcome to seek a second opinion and sometimes it is good to get a fresh perspective. Just know that if the vet is concerned about an inner ear problem, it will require x-rays or possibly a CT or MRI to make this diagnosis. I hope you can find the answers you need to make the best decisions for you and your senior pup. Praying he is on the road to recovery soon. Best wishes to you both.
My 12 year old lab has been diagnosed with this he started improving three days after, wanting some food. I hand fed him and took water to his bed. I have elevated his water bowl and feeding bowl as this has helped. He still is wobbling a bit . He just goes in and out the garden as I’ve tried just to do a very small walk but he’s panting alot. He does pant after moving from room to room but it soon settles . Is this normal ? It’s been seven days now and he is making such progress. He’s finished his antibiotics but still on prednidale tabs. My vet has also prescribed vivitonin twice a day ?
My nerves are shot at just hoping he’s not going to relapse as the vet did explain it could happen again 😞
Hi Tracey,
I am glad to hear your Lab is making some progress and is on the path to recovery. I understand your worry about a possible relapse but try to be patient and give it some more time. Since I haven’t examined your dog myself, I can’t make specific conclusions, but the increased panting can be a side effect of the prednisone. It would be a good idea to keep in touch with your vet during this healing process and update them on any concerns, symptoms, and progress. Praying your sweet boy makes a full recovery and his symptoms completely resolve. Feel free to leave another update if you have a chance.
Hi …. my collie cross gsd has just been diagnosed with Geriatric Vestibular Syndrome and is improving now. We are on holiday and it happened when we arrived on Saturday. We are going home by car on Friday, will he be alright to travel by car, by then? Or will this stimulate another episode? Is there anything i can do for the journey? Thank you.
Hi Sonia,
It can be difficult to narrow down a specific cause for vestibular disease and the car ride may not be associated with the onset. Since I haven’t personally examined your dog, it is hard to make conclusions or recommendations. I would not think the car ride home on Friday would cause a problem, but recommend you call your vet and discuss your concerns just in case. They may want to prescribe a motion sickness medication as a precaution. I hope your travels go smoothly and your pup makes it home without any further issues. Best wishes!
I have an 8 yr young, female English Springer Spaniel who has contracted vestibular disease. I will not tell you the nightmare experience we had with the vet’s office, but will tell you the positives of a more natural way I found to assist my pet with vestibular disease.
I began with a chiropractor who is certified/licensed in chiropractic for pets. After treatments, I ice behind her neck for 15 mins.
I put her on an all raw diet with added CBD oil. I perform cold laser therapy on the back of her neck, daily. She is also on a turmeric/curcumin chew. We practice exercises to get her to bend her neck to the left, and we take an ever lengthening daily walk.
In the evening, right before bed, I give her a calming chew (valerian and melatonin). All of this has shown tremendous improvement in every aspect of her physicality and behavior. It’s taken a few months, but it was well worth waiting for!
Just as it is in the human body, inflammation is deadly in our pets’ bodies as well. And since this vestibular disease is inflammation based, we must do everything in our power to reduce that inflammation!!
I hope my writing this offers an alternative approach in dealing with vestibular disease in your precious pet:-)
Hi Bonnie,
Thank you for sharing your experience with our readers. I am happy to hear your girl is recovering and feeling much better! Wishing you both the best for many happy years together in the future.
My 13 year old girl was diagnosed with Idiopathic Vestibular Disease a little over a month ago. She fully recovered after 2 weeks without medication.. She’s currently experiencing her 2nd episode. Not nearly as bad and not as scary. My question is why so soon and is there anything I can do to help prevent recurring episodes?
Hi Lana,
I understand your concern with these vestibular episodes and your senior girl. The term idiopathic means the cause is not known and unfortunately, without knowing the cause there is no way to predict how things will develop in the future. It might be a good idea to pursue an evaluation by a veterinary neurologist to see if a definitive diagnosis can be made. They can also advise you on any treatments that might help prevent future issues. I hope you find the answers you are looking for. Best wishes!
Hi Bonnie –
I am looking for more of Homeapathic for sure. Tight funds but would pay to know he will get better. He has started walking again a little but his neck and probably dizziness still keeps him thoroughly to do a lot of things. I have him on cooked turkey/some sardines/vitamin c. He does eat and drink for the most part but now really lethargic. Although walking does tire him out and stresses him. I do give him CBD as needed and digestzen oil on belly for naseau. I do message his neck every chance I get. Today he has slept A LOT AND NOT MOVING TO WAKE UP. This has only been day 5 today I know it will take some time, I just want to know that I am not just feeding and hydrating him but knowing I am heping with inflammation that probably caused this.
Thank you for any insight I did read your post and all GREAT options to pharma !
Tracy Monte
[email protected]
My 12 year old Sheltie was diagnosed with vestibular disease in February 2021. She recovered after about four days. She was on anti-nausea meds. She was free of symptoms for about 5 months. Her second attack was much worse but I decided it may be the medicines. She was so miserable she just whimpered and cried for two days. The vet added motion sickness meds to the anti-nausea meds. I decided to treat any episodes without medicine and the “spells” have been short and not as disruptive. She is currently having a “spell” and we are working through the symptoms – off balance, occasional fall, low appetite, slow plodding walk, refusal to use stairs etc. Tonight she wandered out of the yard and seemed disoriented. She never leaves the backyard and if the gate is left open she comes to the front porch. Is disorientation typical with a vestibular attack?
Hi Sharon,
I am sorry your Sheltie has been struggling with these episodes so frequently over the past year. Her case does sound different and maybe a bit complicated. It might be a good idea to consider a referral to a veterinary neurologist. They have access to testing and medications that may not be available in general practice. Since I haven’t examined your girl myself, it is difficult to make specific conclusions. I am suspicious that your dog may be showing signs of dementia/cognitive dysfunction that may or may not be associated with her neurologic episodes. I will attach a link to another article that has additional information. At the very least, I would recommend talking to your vet and letting them know about this new development with disorientation. I hope you find the answers you are looking for and applaud you for being an advocate for your senior girl. Best wishes!
Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
My gsd has been diagnosed and still at the hospital its been 36 hours and no change, what is everyone experience as to once the dizziness subsides i hears anywhere from 24- 72 hours you should see some improvement? she is still too dizzy to get up and walk on her own. She is 9 years old. The vet has her on IV fluid and anti nausea meds. She is eating and drinking on her own.
Hi Esther,
I am sorry your girl is having such a difficult time. While some patients show mild improvement in the first 72 hours, it is common for complete recovery to take several days to weeks. I will attach links to other articles that may offer additional information. I hope your girl will continue to heal and come home soon. I wish you both the best!
1. Old Dog Vestibular Disease: A True Story About Doggy Vertigo
2. How to Feed A Dog With Vestibular Disease: A Comprehensive Guide
My 13 yo dog was diagnosed with vestibular disease last week. She is slowly improving every day although she continues to have spontaneous episodes of trembling and panting uncontrollably. She won’t eat or drink during these ‘attacks’ they last between 1-3 hours!! Then she gets tired and passes out for a few hours. Not sure what is causing the attacks, if it’s over stimulation or muscle spasms from trying to initiate movement? Wondering if any other dogs get similar episodes with this disorder?
Hi Deendawg,
I am glad to hear your girl is making steady improvements despite these trembling and panting episodes. Since I haven’t examined her myself, it is hard to say for sure what the possible causes could be. It does make me wonder about anxiety and stress. Have you talked to your vet about these worrisome symptoms? If not, I recommend having a conversation about your concerns with your vet. It might be a good idea to get one of these episodes on video so they can see what is happening. Your vet may be able to prescribe a medication to help keep your girl calm and allow her to relax. I hope you can find a way to restore your senior pup’s quality of life and allow her to live her life to the fullest. I wish you both the best. ♥
Is there anything like this in puppies I have a five month old great Dane Shepherd i’ve talked to her vet and he told me they were partial seizures and very common in puppies well I’ve looked into and read almost everything I can find about partial seizures and a lot of other things and nothing fits quite right with how she’s acting I just stumbled upon this and it’s word for word exactly how I would explain her behavior.
I would really love any feed back so I can look into every possibility and ask as many questions with her vet as I possibly can I’m lost I’m scared and my heart breaks a little bit each time she has an episode
Hi Britnay,
I am sorry your puppy is struggling with neurological issues. I understand your concern and am glad you are being such an amazing advocate for your sweet girl. Since I haven’t examined her myself, it is hard to make specific conclusions and recommendations. It is never a bad idea to get a second opinion or seek the advice of a veterinary neurologist. They may need to do some higher-level testing that isn’t available in a general practice setting. I hope you can find some answers about your pup and help restore her quality of life. Good luck as you navigate this unknown path. ♥
My dog was just diagnosed with this. She also has episodes of panting. Not as long as your dog and she will eat. My doctor recommended Trazodone. Normally an antidepressant used for insomnia in humans. Used as an anxiety medication in canines in very low dose. Also started her on Galliprant for underlying arthritis. I ordered a harness so I can start helping my dog walk. If you can’t get your dog to eat or drink at all, I would bring her in. May need IV fluids and maybe something for nausea.
This article and peoples experience is so helpful! My 13yo Lab was diagnosed with idiopathic vestibular 1 week ago. She has improved much in that week but still has problems standing without support after a couple minutes, walking without the staggering and navigating the house and yard without needing constant reassurance and support. I have been looking for information to help assist with her gaining her ability and confidence in walking/standing and I hope these exercises help. She was an active dog prior to this with walking 3-4 miles a day and having fun with her one year old sister so she is missing these things in her life.
Thanks!
Hi Laura,
I am glad you found the article to be helpful. I hope with some time your sweet girl’s vestibular disease will resolve. You may want to seek out the help of a vet that specializes in rehabilitation. They may have some other ideas of exercises or treatments to help restore your dog’s quality of life. Good luck and best wishes as you navigate this new path together.
My dog who is 16 1/2 yrs old, she just got diagnosed with Vestibular Disease. She has been having eating issues with this, and she had to be put on Meclizine and Cerenia for the nausea. They told me that it is almost the same thing as vertigo in people. I took physical therapy and did head movements exercises they taught me, I been doing them the last 3 days with my dog. I already see some improvements. Anyone else know some good exercise to help her improve?
Dear Melissa,
Thank you for sharing your experience. That’s great that you are already seeing improvements. If anyone has exercises for you to add that is great, but I would recommend running it by your PT first. It’s great that you are in expert hands! It sounds like your dog is moving in the right direction though and we wish you continued improvement.
I am feeling so discouraged, I am not new taking caring of a dog with vestibular problems my 17 year old healer had it pretty bad the last 3 years of her life. Now my 9 yr old lab is having same issues the first episode 2 weeks ago lasted a couple of hours had a couple of more short episodes took her in the vet she didn’t really care to hear what I thought was going on after a 400.00 visit labs/stomach xray she said she didn’t think it was vestibular problems and sent me home with no answers no treatment prior to the problems she has been having pretty bad allergies her ear was bothering shaking her head drooping one ear her eyes had gunk nose was dripping I explained this and she still didn’t really care to listen she said her ears looked clear even though they really couldn’t see the middle ear. I begged her to atleast treat it like a ear infection and she gave me a round of steroids. Everything was clearing up I had my normal dog back until 2 days ago and no more steroids. She is having a episode that doesn’t want go away. I called and the vet returned my call with the doctor said you could try seizure medication. At this point going with my better judgement and knowing that this was not seizures. I took her back in. Frustrated. Just wanting someone to listen to me. I waited for the main doctor avoiding the one that has been treating us. He saw her and new immediately this was vestibular he said this is caused by strokes. Really no treatment. Gave me meclizine. Said it should improve with time. I have been trying to educate myself more and it seems like stroke causing this is more rare than other issues but what do I know? I’m not a vet. With her previous issues with the onset of bad allergies and and messing with that ear that is now drooped so bad obviously the tell tell sign of vestibular with the head tilt that direction and eye movement. I don’t really understand why the vet wouldn’t atleast try a round of antibiotics? Should I call them back? At this point I’m 500.00 in after my second visit. I can’t keep going and not getting answers or treatment. I know they don’t have a magic ball I get it. But would a round of antibiotics hurt? Just to try. SOMETHING. Thanks for any help.
Hi Kim,
So sorry to hear that your sweet lab is struggling with vestibular disease. I can understand your frustration and discouragement because we love our dogs dearly and want to be able to help them feel better as soon as possible. Since I can’t examine your dog (and especially her ears), I can’t say for sure if a round of antibiotics would be the right solution for her or not. Some dogs do have vestibular signs from an inner/middle ear infection where antibiotics would be a good choice. However, other dogs can have the “old dog vestibular disease” version which happens for an unknown reason. In that case, the antibiotics wouldn’t change the outcome of the disease. Vets (and human doctors) try to prescribe antibiotics judiciously (i.e. in situations where it is clear they are needed) to decrease the risk of development of antibiotic resistance. That could be the reason the vet decided not to go with antibiotics, but I wasn’t there so I can’t say for sure. I know it is difficult to keep doing tests, seeing different vets, and spending money without specific answers, but unfortunately sometimes that is the way things go with medicine (human or animal). That doesn’t make it any easier though! You could always consider seeking a third opinion with a different general practice vet or with a veterinary specialist, but I would encourage you to keep the line of communication open with your vet because often we are able to learn and better help our patients from the advantage of hindsight and response to treatment. I hope you are able to find the answers you are looking for and that your sweet girl feels better soon.
Hi, hope you dog is doing much better.
I understand your what you are going through. I am also dealing with my 10 year old Maltese having Vestibular Syndrome.
Our little guy ended up spending the last couple of days at our local animal hospital receiving IV with antibiotics and steroids.
He’s now home and will continue on antibiotics (Amoxicillin 125 mg) for 14 days, just in case he’s got a middle ear infection (I understand the whole not wanting to give out antibiotics but in this case our Maltese could not function) along with a 2 week Prednisolone Tab. 5mg.
I can see such a huge improvement.
Praying after all his medication is gone he continues to improve and your baby also is doing much better.
My 17 yr old jrt has been diagnosed with old dog vestibular disease. Unfortunately he is slso blind and deaf. He is otherwise a fit little fellow but he cries when he is still. He constantly pads around just aimlessly walking/stumbling from room to room until eventually is tired and thats when he starts crying. I slept next to his bed last night with my hand on him. Trying to reassure him. He is on enalapril and galliprant and has just been orescribed gabapentin. Im not sure im doing the right thing by him anymore.
Dear Colette,
It is clear that your dear old guy is very loved. It was so sweet (and a good idea) to sleep next to him and provide him that touch and comfort. What a lucky guy to have someone like you who goes above and beyond for him.
Old dog vestibular disease is disorienting for any dog, but probably especially so for one that is deaf and blind. The good news is that symptoms do often improve dramatically in a few days for many dogs. Hopefully that will be the case for him.
It is great that you are aware of wanting to do the right thing by him. Sometimes it can be hard to know what that is. You could consider using a quality of life assessment tool, such as the one found near the end of my article Signs Your Dog is Dying: A Caring Message to Bring You Peace (Not that I am saying your dog is dying—that just happens to be the title of the article that contains the assessment tool). Some people also make that decision when they feel his “bad days” outnumber his “good days.” It may also be beneficial to make a recheck appointment with your vet in a few days so you can see what sort of progress your dog has made, get an idea of how likely it will be that things will improve for him, and discuss his quality of life further. You are in our thoughts as you travel this difficult road with him. ❤
My English Springer Spaniel was diagnosed with vestibular disease about 4 weeks ago. She completely recovered at exactly 3 weeks. 5 days later it came back and the vet says this isn’t typical. He says if it’s going to happen again it usually doesn’t happen this soon. He said it usually takes at least a year to return. In the meantime she was also diagnosed with Cushings and started the meds for that the same day vestibular returned. This time seems much harder to support her when going out to urinate. She really wants to keep circling. I just ordered something to help me walk her and support her. What are your thoughts?
Hi Myra,
Having your dog have two episodes of vestibular disease so close together is understandably worrisome. Some dogs to tend to have another episode of vestibular disease. However, it may be a good idea to talk to your veterinarian about a referral to a veterinary neurologist. Hopefully your pup does just have the misfortune of having two episodes very close together, but getting a neurologist involved may give you some more definitive answers about what is going on and what else you can do to help your pup. I often recommend ToeGrips for dogs with vestibular disease because they seem to give dogs a better sense of where their feet are in space as well as better traction. Both of these benefits can help with mobility. It is great that you have ordered a support harness for her as well. I hope you are able to find some answers and help for her!
Our tiny yorkie at 20 months was diagnosed today with vestibular disease. He was checked for ear infection, thyroid problems, liver shunt, diabetes, other infections and there was no cause found. The vet started him on antibiotics just in case there was an infection on the inside of his eardrum where she was unable to see, even though there was no raised white cell count in his bloodwork.
I’m concerned because I have read all the articles I could get my hands on about this disorder and I have found none with a dog this young. He is very tiny only four pounds but he was a very active and energetic dog before this, and now he just wants to be next to us on the sofa and seems like he’s unhappy. We want him to rest as much as possible to overcome the problem but seeing him this way is scary. Will he get back his spunk? If it isn’t fixed by the antibiotics and we need to go to a neurologist what would they want to do? We love this baby and his litter mate sister, and worry that there could be something serious wrong so it will also affect her badly. These are the most close set of siblings we have encountered in our years of owning dogs. They curl together to sleep, they are rarely separated and she was so worried when he became ill. Today she was visibly upset when the vet was examining him. We have had dogs live as long as 20 yrs old, and it’s extremely hard when the time comes they have to leave us, but twenty months is far too young and it’s unthinkable! Is there a way to tell if the disease was from injury or toxin rather then from a tumor or something that is not fixable?
Hi Gloria,
I understand your concern for your tiny little guy. It sounds like your vet is staying on top of things and has a good plan in place. Without knowing the exact cause of the vestibular disease, I really can’t say if things will return to normal or not. If the antibiotics don’t fix things, having your boy examined by a neurologist would be my recommendation as well. They will probably start with a physical exam and may recommend a higher form of imaging, such as CT or MRI, to rule out a tumor or other abnormality that could be difficult to see with x-rays or ultrasound. Once the testing is completed, the specialist will have more information and may be able to tell you an exact diagnosis. Don’t forget that sometimes despite our best efforts we never find out the underlying cause for vestibular disease. I hope your little man will be restored to his healthy normal self very soon. Please keep us updated if you have the chance!
I have similar situation, I have a chiawa mix 9 pounds 7 years old had ear infections treated got sick right after 2days on 3rd days vet said she is having vestibular disease. Now all her ears infection treatment done but her head still tilled right side so she can’t not do half of things she used to does. So I am thinking Banfield veteran did treatment for ear infection made my pet get vestibular disease because I took her Banfield vet for comprehensive exams 01/27/2023 right after vet put ear drops it happened..some veterinarians help me my dog Bambi get back to normal please
Hi Jenny,
I understand your concern for your little pup and this vestibular issue she is dealing with. Unfortunately, since I haven’t examined your dog myself, I can’t make specific conclusions or recommendations about her medical treatment. Make sure your vet is aware of this ongoing issue and be honest about your concerns and expectations. It might be a good idea to take her for a second opinion at a different veterinary clinic if you feel you need more information. I am hopeful you will find the best way to restore your pup’s quality of life. Wishing you both the best of luck for a full recovery.
I have a 11/12 year old GSD who just recently was diagnosed with vestibular disease. We think it is a middle ear infection. However, she cannot get up on her own at all. I made a mobile doggie gurney to help us get in and out of the house to go potty. But now when she sees it she has severe anxiety and won’t let me help her on it. She will start to urinate as soon as I attempt to assist her. Which previously she was holding until we were outside. I was wondering if there was anyone here who could recommend a good doggie diaper for a large (125lb) dog? I’m a getting discouraged as it looked like she was making progress even was letting me help her stand and walk by supporting her tilt side. But now anytime I try to help her she just gets super anxious and flustered and releases her bladder immediately. She is on predisone and an antibiotic. Any suggestions would
Be greatly appreciated.
Hi Frank,
Sorry to hear that your sweet GSD has a potential middle ear infection and is having so much trouble getting up on her own. There are a few things that I can suggest that might help:
1) It is possible that rather than urinating simply because she is anxious, she may have a urinary tract infection. A UTI would not be uncommon in a dog who has been “down” for a period of time. Prednisone also tends to make dogs drink more and urinate more, so so she may also be producing more urine and having trouble holding it.
2) You could consider trying a Help Em Up Harness. It goes around your dog’s body and helps you lift her into a standing position and then keep her supported. This could be an option if she has some ability to support some of her weight once you get her standing but isn’t going to be very practical if you are supporting all 125 lbs of her.
3) If it has been several days since the diagnosis and you are not seeing any signs of improvement, you may also want to schedule a recheck with the vet. Typically many dogs with vestibular syndrome tend to make pretty significant improvements after about 72 hours or so, but that can definitely vary a bit depending on the dog.
4) while I don’t have any personal experience using them for my dogs or patients, it does look like Amazon (and probably other retailers) does sell diapers made specifically for dogs. Alternatively, you could probably cut a hole for her tail in a pair of Depends (or other similar products made for incontinence in adults) and use that as a diaper for her. You could also consider putting puppy pee pads underneath her hind end while she is laying down. These could soak up some urine too (although they may or may not be able to hold the full volume in her bladder).
I hope that some of these suggestions are helpful and your pup is on the mend soon!❤
Posted as an admin on behalf of Jordan:
Hello,
My dog, a 12 year old American Eskimo has been exhibiting those symptoms for the past few years, however, it may only happen 2-3 times a month, and it only lasts for 2-3 minutes and then he is perfectly normal again. When it starts, his head tilts severely and he just lays down. If he tries to walk he stumbles around, and arches his back, along with his severely tilted head. All the research I’ve done, his symptoms line up perfectly with what is written about Idiopathic Vestibular Disease, except one thing…as I mentioned, the symptoms only last a few minutes, and everything I’ve read talks about how symptoms will normally last days. Is it possible for the symptoms to only last for a few minutes?
Hi Jordan,
Sorry to hear that your American Eskimo is having some strange symptoms. Typically true idiopathic vestibular disease symptoms don’t just last for a few minutes (but that doesn’t mean there is no way it is vestibular disease because dogs don’t always read the book!) Since his episodes are a bit different than usually seen with vestibular disease, I would recommend taking a video of an episode to show to the vet and then making an appointment with your vet for an examination. This way you can make sure that the vet doesn’t think it is a short partial seizure, brief episode of pain, or other problem. Another good option would be to talk to your vet about a referral to a veterinary neurologist. This sounds like a bit of an odd set of symptoms, which is where a specialist’s expertise and access to advanced diagnostics can really come in handy. I hope you are able to get to the bottom of this soon! ❤
I have a 14 year old lab. A week ago she likes like she was having a, seizure. We took her to the vet hospital and she was diagnosed with vestibular disease. It has been a week, tomorrow, she cannot get up. She’ll fall right back down if we lift her. She just started to drink water from her bowl, we had to syringe feed her and give her wetted down dog food. She doesn’t eat much. Should we make her stand up? Do we need to have an MRI of her brain or does it take this long for her to get back to herself?
Dear Margot,
So sorry to hear that your lab is struggling with vestibular disease and still cannot stand up. Most dogs do show pretty significant improvement in the first 3-5 days, but not all dogs read the book. Since you are approaching a week of no improvement, I would recommend checking in with your veterinary clinic. They may want to see her back for a recheck, or perhaps suggest that you go forward with an MRI if they feel like she isn’t improving as fast as they would have expected for old dog vestibular disease. I do also have an article on how to feed a dog with vestibular disease that you might find helpful (How to Feed A Dog With Vestibular Disease: A Comprehensive Guide). I hope that the recheck or MRI give you some specific answers and she is on the road to recovery soon!
Hello, I’m curious if Jordan ever figured out what this was? My dog is having the exact same symptoms. My vet thinks its vestibular, but her episodes are also weeks and in some cases months apart and last maybe 2 to 3 minutes, I thought she was having mini strokes perhaps and I want to get her an MRI but my vet wants me to keep her on bendadryl for 6 weeks after a week of prednisone. This started about 10-12 weeks ago.
Hi Ryan,
I am sorry your dog is having these strange symptoms. I am afraid I have not received an update or any further communication from Jordan since the original post back in 2021. Just as I mentioned to him, I am suspicious your pup may be having mild seizures or is facing some other neurological problem. If you are ready to investigate further, you can request a referral to a neurologist at any time. Hoping you can get the answers you need and find a way to keep these worrisome episodes from continuing. Feel free to keep us updated on how things are going!
Just got a diagnosis of old dog vestibular disease today, and asked for nausea meds because she was vomiting. But not offered any other supportive therapy or testing??
Should thyroid panel be done now or if not gone in three days?? And what would dose of Meclizine be for a 51 pound dog??
Thank you.
Hi Cynthia,
Sorry to hear that your sweet pup was recently diagnosed with old dog vestibular disease. I can’t examine your dog or know her history, so I can’t say for sure when the appropriate time would be to do additional testing in her particular case. However, if you feel like you would like to do a thyroid panel or other testing sooner rather than later, it is not wrong to request that testing from your vet now or seek a second opinion for another vet or vet specialist.
As far as the Meclizine dosing goes, I am going to refer you back to your vet as I have made it a policy not to give out dosing information on the internet. A quick phone call to your vets office should be able to give you the answer you are looking for.
I hope that your pup shows some improvement soon, and if not that you are able to get to the bottom of what is going on quickly and easily! ❤
I have two “sisters” both 13 years old. My tripod developed Vestibular in March and after about 2 weeks recovered at home. She was treated with Prednisone, Meclizine and alot if TLC. It was very difficult as she it has one back leg. However, almost two weeks after she recovered she developed it again. This second time even worse and more meds and more if me researching I asked veterinarian to do lab work for hypothyroidism. Labs abnormal so we start on thyroid on top of meclizine. It’s been over a month and she still has prominent head tilt and difficulty walking ( three legs). Stands more and after massages and CBD oil this time seems to be helping. However, we are now May and now her “sister” developed it. Labs all normal and not once but twice as well a week apart. I am beyond clueless as I am thinking it has to be environmental. Have you ever seen this? My vet is stomped as well I think at this point. Can it be related to possibly allergens?
Hi Ruth,
It is definitely a bit puzzling that both of your dogs developed vestibular disease at different times over the past few months and I can understand why you are confused and trying to look for answers. Unfortunately, without full history, examinations, and lab results, I don’t have an easy explanation for you either. And even if I did have all those things, I’m sure I’d be confounded too.
You had asked about allergens. If both dogs had allergies and developed an internal/middle ear infection as a result of the allergies, they could both have vestibular signs, but that is an unlikely scenario. Given their age, as I’m sure you know, we tend to think about idiopathic vestibular syndrome, which can reoccur. But still…there are a lot of oddities here in the timing. I do think it’s worth considering having them evaluated by a veterinary neurologist to try to get to the bottom of this.
One thing I wanted to note is that depending on what thyroid test was run, dogs can show a low thyroid value but not be truly hypothyroid. They can be “sick euthyroid” rather than true hypothyroid. However the only way to say for sure would be to perform a full thyroid panel. I touch on that in this article: Hypothyroidism in Dogs: The Ultimate Guide to Understanding Canine Hypothyroidism
I’m sorry that I can’t give you a more definitive answer, but I do hope that both of your girls stay healthy and happy from here on out. ❤
My 15 year old Lhasa had an episode of older dog vestibular syndrome with head tilt to right, difficulty standing and nausea. The vet kept her a day, hydrated her and gave her anti nausea meds. When I picked her up he gave me anti-nausea meds to continue giving to her.
I made a sling out of a cloth grocery bag by cutting the sides out. That way I could place it under her and hold the hand loops to help her walk when she was ready. It was a great way to exercise her and encourage her to walk straight.
Another exercise I added was a procedure of laying her on the bed and putting her on her right side for 45 seconds, then her back for 45 seconds, then her left side for 45 seconds, then her tummy for 45 seconds. I then proceeded to give her a gentle full body massage for a few minutes. I did this two to three times daily for about a month. With these aids, she recovered without any wobble or head tilt.
I also brought her up on the couch and let her lay in the direction of her head tilt against the cushions and hand fed her and held her water bowl for her.
When she was able to walk by herself, I put her food near her bed in the living room.
I hope these tips that helped my dog might help someone else’s..
Maureen,
Thanks for the fabulous tips! I’m so glad your Lhasa recovered well from her episode of old dog vestibular syndrome. ❤
Question- I’m just trying to figure out what could’ve happened. 13yo mini schnauzer had idiopathic vestibular episode on Tuessday. Went to emerg vet on Wednesday for tests and fluids. Came home Thursday, ate and drank and no problem with eating drinking until Saturday night he wouldn’t eat. in the middle of the night became restless and had multiple episodes of blood stool. He was clearly not going to make it and we ultimately had to put him down Sunday. I’m a RN and have gone through everything trying to figure out what happened. Our family is heartbroken and I just keep saying he was old and had too much against him to pull through. As a medical professional I’m trying to find an answer.
Hi Sherri,
I am so sorry you had to say goodbye to your Schnauzer in such a tragic way. Losing a dog is never easy, but especially when it happens quickly without time to really process things. Since I didn’t examine your dog myself and don’t know what tests were performed, it’s hard to make guesses as to what might have happened. I am a little suspicious about DIC (disseminated intravascular coagulation) and cancer is always a possibility. Ultimately, I feel like you made the right decision to give him peace and rest and alleviate his suffering. I have no doubt he knew how much he was loved and pray his memory will continue to be a blessing to you and your family. ♥