If your senior dog has anxiety at night, which might include panting, pacing, restlessness, and whining, help is here. Integrative veterinarian Dr. Julie Buzby shares how you can get to the bottom of your senior dog’s anxiety at night. Learn the causes and get nine solutions so everyone in your household can rest, relax, and recharge once the sun goes down.
- How a senior dog's nighttime anxiety affects quality of life
- What does senior dog anxiety at night look like?
- The importance of a proper diagnosis
- How do vets diagnose anxiety at night in senior dogs?
- What causes anxiety in a senior dog at night?
- How do you treat a senior dog who has anxiety at night?
- Your dog needs sleep — and so do YOU!
- Speak with your vet about your dog's nighttime anxiety
How a senior dog’s nighttime anxiety affects quality of life
My new client was eager to talk about acupuncture for his senior dog, who was experiencing anxiety at night. As he shared what he and his wife were going through, I heard a mix of desperation and exhaustion in his voice. He was at the end of his rope, unsure where to turn for help.
His wife, who was the dog’s primary caretaker, was on the verge of a “nervous breakdown.” Those were his very words. Like many women, she was a light sleeper. She was also deeply devoted to their beloved dog and determined to provide him the best care at any price.
Every night she awoke to their dog’s panting and pacing. The doting dog mom would get out of bed and do her best to settle her dog down by taking him outside, offering him water, turning on a fan, and moving to another room in the home — usually to no avail. It seemed their sweet older dog was restless at night, and therefore not sleeping at night, no matter what she tried.
Night after night the pair would go through their ritual until the exhausted dog and mom finally collapsed together in the early morning hours.
Sadly, this is not a rare, isolated case. Senior dogs experiencing anxiety at night is all too common. Just like my new client and his wife, the problem can have a profound negative impact on everyone’s quality of life.
You are not alone
Just recently, I received an email from Monica sharing her heart on the matter…
…I’ve been struggling with my 17-year-old chihuahua… I related so much to your YouTube video about dog cognitive disorder. I almost cried that someone had recognized and also understood what I’ve been experiencing day in day out (seemingly alone unable to even explain the despair from lack of sleep and lack of having any normal kind of social or work life due to my dog’s needs now).
Needless to say, it has brought me to the brink so many times in recent months due to lack of getting a proper night’s sleep and being unable to help my beloved boy who I rescued as a senior 7 years ago, and who has given me and my family and friends such tremendous joy. And who I now feel I’m letting down each time I lose my composure and because he’s wanting something and I just don’t know what else to give him…“
Can you relate to Monica’s story? You’re not alone. As a practicing veterinarian, I’ve heard many versions of this story from my clients. It’s common for a client to casually mention that he or she is routinely up at night with the beloved senior dog. Often this has been going on for months. These dedicated dog parents “take one for the team,” assuming this is their new norm.
Take, for example, one of my favorite patients, Lacey, who just turned sweet sixteen. At her recent appointment, Lacey’s mom described how she and her husband take turns every other night getting up in the wee hours with their senior dog, who was whining at night, restless, and not sleeping well.
“After we get her settled, she’s able to fall back to sleep. But for me, I end up having to read a book for two hours before I can fall asleep again!”
She confessed, “This just isn’t working too well.” I had no idea this was happening, but what she shared was extremely helpful to me helping Lacey.
If, like these pet parents, you find yourself dreading the evening hours, I want you to know there is hope and help. By communicating with your veterinarian and persevering toward a diagnosis, you and your dog can achieve more peaceful nights.
What does senior dog anxiety at night look like?
Based on the stories above and your own experience, you may already have a good picture in your mind of what constitutes anxiety for your senior dog. But just in case it is helpful, keep in mind that if the answer to some of these questions is “yes” your dog may have anxiety at night.
- Is your senior dog restless at night?
- Do you notice your older dog whining at night?
- Is your senior dog not sleeping at night?
- Can you hear or see your older dog pacing back and forth?
- Does your senior dog seem to do a lot of panting at night?
- Is your older dog drooling excessively at night?
- Does your older dog keep licking at night or engaging in other compulsive behaviors like your dog walking in circles?
- Has it been a while since your senior dog (and you) slept through the night?
If this sounds like your dog, keep reading (and make an appointment with your vet to talk about your older dog’s anxiety at night.)
The importance of a proper diagnosis
Clients count on veterinarians to make their dogs better—to “fix” the symptoms. They want a treatment plan with precise action steps. They want to know what to expect and what’s going to happen. Makes sense, right? As a dog mom myself, I get it.
However, as a veterinarian, it’s difficult, if not impossible, to create an informed treatment plan without first understanding the “why” behind the “what.” We know your senior dog is restless at night and not sleeping, but before prescribing the best treatment, we need to first figure out why.
How do vets diagnose anxiety at night in senior dogs?
To begin, your veterinarian and their staff will ask questions and take detailed notes on what’s happening at night with your dog. We call this “taking a history.” He or she will then perform a thorough physical exam and run some tests. Here’s how this might look at your veterinary visit…
The interview
Your dog’s veterinary team will listen to you share information about your dog’s personality, habits, nighttime routine, changes you’ve noticed, symptoms you’re observing, and potential triggers.
I recommend that you organize your thoughts in advance of the appointment and bring those notes. Ideally, you would even start a journal and jot down notes as you make observations. (This is a great exercise if you have a dog who suffers from nighttime anxiety, older dog seizures, allergies, or any other chronic health issue.)
Questions to consider before you meet with your vet
- When did your dog’s anxiety start?
- Do you see symptoms during the day or just at night?
- What symptoms are you seeing (Is your senior dog restless? Whining? Barking? etc.)
- Can you identify any triggers for the anxiety?
- What seems to help the situation? What seems to make it worse?
- How frequently is your dog having anxiety at night?
- Have there been any changes in the house or in your dog’s life?
Your specific observations are important and will be even more vital when you are tasked with gauging the effectiveness of various treatments. You have the ability to gather specific “daily life” data about your dog that your veterinarian will never observe. Remember, you are advocating for your dog. He or she needs your support, and detailed notes or a journal will help you do that.
The physical exam
Next, your veterinarian will perform a careful physical examination. It will be a meticulous head-to-tail exam. Don’t be surprised by this. Your vet needs to make sure she or he is not missing the bigger picture. Because health conditions often leave clues in multiple parts of the body, your vet will be diligent.
As an aside, if you’d like to learn how you can complement your dog’s annual wellness exam at home with your own hands, please learn my five-minute, tip-to-tail dog wellness scan.
The lab work
Next, your vet will likely order dog lab tests consisting of blood tests for dogs and a urinalysis as a starting point. These tests will provide your vet with baseline information. Also, there are some diseases that can cause or worsen a dog’s anxiety. Certain diseases can be diagnosed with these lab tests. But pending those results, further tests may be recommended.
What causes anxiety in a senior dog at night?
Now it’s time for your vet to do what he or she does best—play detective and put the pieces together to figure out why your dog is panting and restless and anxious.
For senior dogs, anxiety at night is often caused by a handful of conditions. Let’s take a brief look at each one.
1. Canine Cognitive Dysfunction
The most common reason for anxiety in senior dogs is canine cognitive dysfunction syndrome (also abbreviated CDS or CCD). It’s a long name that essentially means your dog’s brain isn’t functioning properly. Dog parents notice this condition as it relates to their dog’s mental faculties and awareness. In fact, canine cognitive dysfunction syndrome is often likened to doggy Alzheimer’s or dementia.
Signs of dementia in dogs include:
- Ignoring or losing interest in playing or receiving affection.
- Forgetting previously mastered training and tricks (even house training).
- Showing less interest in food and/or eating with difficulty.
- Appearing confused or disoriented, sometimes getting lost or “stuck” somewhere in the home.
- Vocalizing inappropriately (such as your senior dog whining, yelping, or howling during the night).
- Panting excessively.
- Sleeping more (often during the day) and/or become more active at night due to a disrupted sleep-wake cycle.
I want to expand a bit more on this last symptom. In humans, this pattern of anxiety and restlessness at night is called “sundowning” and occurs in 20 percent of people with dementia. Our canine companions may display the same type of disturbance, which is commonly referred to as sundowners in dogs. Senior dogs who are sundowning may not sleep well for portions of the night. And these older dogs may be restless, whining, pacing, or acting disoriented in the evening and at night.
Recognizing the signs of CCD is important because it is very prevalent in senior dogs. One study showed that one out of three dogs in their early teens exhibit signs of CCD, and two out of three dogs show signs by their mid-teens. As your dog ages, it will be something you and your vet will want to keep a close eye on.
2. Pain
If there are no signs of cognitive dysfunction, your dog may be anxious at night because he or she is in pain. If pain is the culprit, a careful vet exam coupled with your observations should help your vet identify your dog’s source of pain.
While osteoarthritis in dogs and musculoskeletal pain are common in older dogs, pain may also occur in the nerves (called neurogenic pain). Neurogenic pain is treated differently than musculoskeletal pain, so it’s always best to have a diagnosis to which treatment can be tailored.
Remember, pain in dogs is often not obvious. One of the most concerning yet common things that I’ve heard owners tell me over the years is, “My dog’s not in pain because he’s not whining or crying.” However, that’s not the typical way dogs manifests pain. They usually suffer in silence.
PRO TIP: If you want to know more about how to recognize when your dog is hurting, please see my article: Signs Your Dog Is In Pain.
Consider a pain medication trial
Sometimes the pain isn’t even evident to the veterinarian despite performing a complete exam. For this reason, I often recommend a short trial on pain medications such as carprofen for dogs to see if there’s an improvement or not. If the pain meds don’t make a difference, this helps rule out pain as a cause of the behavior.
This practice was inspired by a colleague of mine. He told me about a client who was at her wit’s end with her senior Border Collie. This dog would pace incessantly at night. Border Collies are very smart, but they also tend to be very stoic and don’t show pain very often. This veterinarian was the owner’s third opinion — she was so desperate she was considering canine euthanasia.
My colleague couldn’t find any evidence of pain or discomfort, but he cleverly prescribed a combination of two different pain medications. Believe it or not, the pain medications cured the dog’s anxiety at night, to the delight of all involved. This poor senior dog had been suffering from chronic pain that escalated at night.
3. Other reasons for senior dog anxiety at night
Here are other common conditions in senior dogs that can contribute to restlessness and anxiety at night. Basic diagnostic tests would point to these conditions:
- Hypothyroidism in dogs (low thyroid)
- Diabetes in dogs
- Hypertension in dogs
- Cushing’s disease in dogs
- Urinary tract infection in dogs
Remember my patient Lacey from the beginning of this article? I found a few additional clues on her exam that led me to believe she had a urinary tract infection. She was very tender on palpation of an acupuncture point associated with her bladder. And a distinct odor around her hind end also served as a red flag.
When I asked about it, Lacey’s mom agreed that the smell of her urine had become much “stronger” lately. Lacey was diagnosed with a UTI. Once it was treated, her anxiety at night improved and then resolved completely. Her parents were ecstatic that their senior dog was no longer restless, panting, pacing, and not sleeping at night.
4. Intracranial disease
In addition to the reasons listed above, there is one more to mention: intracranial disease. Intracranial disease is a condition that originates in the head (such as a brain tumor in dogs or other type of inflammatory brain disease).
This type of disease can cause pain that makes it difficult for your dog to sleep or get comfortable. Therefore, he or she becomes anxious at night. Also, some intracranial diseases can interfere with the natural chemicals and hormones that help us fall and stay asleep.
A definitive diagnosis of intracranial disease requires an MRI or a CAT scan with a veterinary specialist near you. Not every dog parent can pursue these advanced diagnostic imaging options due to cost or travel distance to a veterinary center. But it’s reassuring to know these options are available if necessary.
How do you treat a senior dog who has anxiety at night?
Once you know the “why” behind your dog’s nighttime anxiety, it’s time to talk about how to calm a dog with anxiety at night. Remember, a diagnosis can be tricky. Don’t give up if you don’t have a definitive answer on your first vet visit. It may take several visits and treatment methods, and lots of detailed observations on your end to unravel the full story.
Here are a few treatment options that you and your veterinarian may discuss:
1. Speak with your veterinarian about changes to your dog’s diet.
Because it is an easy change that can pay big dividends, many veterinarians will recommend switching to a brain-boosting prescription diet. Although I’m typically the one recommending a custom-formulated, home-cooked diet over a prescription diet, in this case, I stand in the corner of prescription diets.
Options include Hill’s® Prescription Diet® b/d Canine for “brain aging care,” Purina® Neuro Care, and Purina® Bright Minds (which represent the Purina veterinary prescription diet and the over-the-counter version, respectively).
It may take several months to see results, but these diets are touted to improve cognitive dysfunction. I have heard several reports from clients and colleagues about Bright Minds helping nighttime anxiety in certain dogs, perhaps because the underlying issue in those cases was CDD.
2. Increase exercise and mental stimulation during the day.
Some dogs are restless at night because they are bored or have a lot of extra energy. So, another simple recommendation is to increase your dog’s exercise regimen and mental stimulation during the day. Make an extra lap around the neighborhood, but also think about mental stimulation toys and games for dogs.
A simple online search will yield hundreds of ideas and products designed to challenge your dog’s mental acumen. Plus, as an added bonus, exercise and enrichment for senior dogs can help boost brain health.
3. Stick to a routine or schedule (especially at night).
Sometimes senior dogs exhibit anxiety when their schedule is disturbed. Just like senior people, keeping a healthy, consistent nighttime routine can be helpful. If your senior dog has suddenly developed odd anxiety-related behavior at night, start by looking for “triggers.” Have there been any recent changes?
Also, make sure your dog has convenient access to his or her preferred resting place and a super comfortable bed. I’m a big fan of oversized memory foam beds for creaky old joints.
4. Ask your veterinarian about natural supplements for your dog’s nighttime anxiety.
There are many natural supplements for dogs that may be helpful for senior dog anxiety at night. These are worth looking into and discussing with your veterinarian. Often they will be used in combination:
- Omega 3 fatty acids for dogs — essential fatty acids the body needs for brain health
- Melatonin for dogs — the hormone of darkness (rest). Always check to ensure the melatonin supplement you pick (especially if it is gummies) does not contain xylitol (i.e. birch sugar), which is toxic for dogs.
- Medium chain triglycerides (MCTs), as found in Dr. Buzby’s Brain Boost™ organic MCT oil for dogs—source of easy-to-use energy for the brain and may help improve brain function in dogs with CCD
- S-Adenosylmethionine (SAMe) — a supplement for CCD support, osteoarthritis pain, and liver health
- Vetriscience’s Composure™ — calming support
- Vetriscience’s Cell Advance™ 880 — antioxidant support
- Senilife® — supplement to reduce brain aging behaviors
- Purina Calming Care — calming probiotic supplement
- Solloquin® — calming soft chews
- Zylkene® — calming supplement containing a milk protein
- CBD oil for dogs—reported by many to help with anxiety, though I think it’s safe to say the jury is still out on this solution
PRO TIP: If you’d like to learn more about supplements, please see my article: The Ultimate Guide to Supplements for Senior Dogs.
5. Use medications recommended by the vet.
There are several pharmaceutical options for CCD and/or anxiety in dogs. Though the list is long and growing as pharma companies develop new options, here are some of the traditional choices. These are often used as “combination therapy” with each other, and also in combination with supplements and other adjustments:
- Selective serotonin reuptake inhibitor (SSRI) and serotonin modulating drugs, like fluoxetine and trazodone for dogs, increase available serotonin—a naturally-occurring substance in the brain. Serotonin boosts mood and helps maintain mental balance.
- Anipryl® (selegiline for dogs)—another drug which affects the chemicals transmitting signals in the brain, such as dopamine, norepinephrine, and serotonin. This medication can be helpful for managing the symptoms of CCD.
- Benzodiazepines—Some dogs respond well (but some really don’t!) to medications like Xanax or Ativan. Remember, it’s critical that you only give your dog veterinary-prescribed medications and dosages.
- Antidepressants—Drugs like amitriptyline or clomipramine may have value in treating your dog’s anxiety at night.
- As a side note, acepromazine, which is used as a sedative for animals, is not thought to be helpful for anxiety in dogs.
I probably don’t need to tell you that this is serious stuff. Certain combinations may make things worse. For example, gabapentin for dogs, a medication commonly prescribed for neurogenic (originating from the nervous system) pain in dogs, can make some dogs with CCD even more symptomatic.
Beware of serotonin syndrome in dogs
And though I’ve never seen it in clinical practice, there’s a condition called “serotonin syndrome” that I always keep in mind when prescribing medications. It can occur with specific combinations of drugs (and even drugs + supplements). Serotonin syndrome is caused by having too much serotonin in the brain.
For dogs, the symptoms of serotonin syndrome can manifest as “mental distress.” Here’s a list of the more common symptoms:
- vomiting/ diarrhea
- agitation/restlessness
- tremors/seizures
- depression
- elevated respiratory rate (dog breathing fast) and heart rate
- high blood pressure
Remember to be patient
Because every dog is different, a trial and error period will likely be needed to see what “combination therapy” works best for your dog. So let me underscore the importance of working closely with your veterinarian when starting, adjusting, or stopping your dog’s medications. And please remember to be patient. Some of these medications can take up to 30 days to begin to work and have positive effects on your dog.
6. Consider pheromones to reduce your dog’s anxiety.
Pheromones are natural chemicals that dogs (and other animals/people) release. They are used to help animals communicate with one another and can trigger different chemical reactions in the brain.
Recently, pheromones have become very popular with behavioral veterinarians because they are a natural and easy way to help dogs with anxiety. Not only can pheromones reduce anxiety, but they can also lower fear, distress, separation anxiety, urgency/panic, and other negative emotions.
There are many reasons that I love recommending pheromones to clients, including:
- They are natural and have no known side effects
- Humans can’t smell dog pheromones—only dogs can.
- They are easy to use in conjunction with other treatments
- There are options available that don’t require administering every day
One such option is ADAPTIL, which is available as a diffuser or collar that you can use throughout the day and night to help reduce your dog’s anxiety.
7. Create a safe and comfy space for your dog.
If you are like me, nothing compares to sleeping in your own bed. Here you have the perfect number of pillows that are arranged just right. The blankets are soft and the right thickness to keep you warm at night.
The same is true for our dogs. A familiar, comfortable space that is comforting for your dog may help him or her achieve a good night’s sleep.
To help your dog relax for the night, establish a bedtime routine and make sure your dog has a comfy bed where your dog relaxes for the night. It is also important to place your dog’s bed in a location where he or she feels safe. Does your dog like to sleep near you or near the front door? Also, does your dog like silence or would he or she prefer background noise like calming music? Is there a special toy that could go to bed with your dog to help him or her feel more relaxed?
By creating a safe and comfortable zone around your dog’s bed, he or she might be more relaxed and willing to sleep through the night.
8. Try using calming “dog wraps.”
Calming “dog wraps” such as the Anxiety Wrap® or ThunderShirt® are sometimes used to help dogs feel relaxed. The wraps are designed to simulate a hug by putting gentle pressure on your dog’s midsection. Placing one of these wraps on your dog before bedtime (like pajamas) might help keep him or her calm at night.
While I have some clients who swear by them, dog wraps seem to be more helpful for some dogs than others.
9. Ask your vet if alternative therapies are right for your dog.
As a holistic veterinarian, I am a big fan of alternative medicine. I believe that prescriptions and medications have many advantages and uses, but taking a holistic approach can also be very beneficial.
For example, Chinese herbs could be an option for your dog. Try seeking the advice of a veterinarian trained in traditional Chinese veterinary medicine (TCVM). He or she has an additional “toolbox” full of options for senior dog anxiety at night in the form of herbal remedies.
Also, I have found acupuncture for dogs appropriate and helpful for canine anxiety. There are several calming points that could be used to reduce anxiety and hopefully balance your dog’s energy.
Your dog needs sleep — and so do YOU!
Speak with your vet about your dog’s nighttime anxiety
If you can relate with the exhausted dog parents in this article, I urge you to reach out to your veterinarian. You don’t have to suffer in silence. Sleepless nights are not sustainable. They will take a toll on your health, your dog’s health, the human-animal bond between you, and your overall well-being.
It’s definitely not as black and white as diagnosing a lameness or dental issue, but nighttime anxiety and restlessness for your dog is something your veterinarian is prepared to help you address.
What helps your senior dog settle down at night?
Please share in the comments below. Sleepless nights are no fun, and we need one another’s encouragement and support!
Last year we fostered a female Havanese dog who had mammary gland cancer (a tumor was then removed by the SPCA before we adopted her). She is now 11.5 years old and 10 pounds and the cancer has returned and spread to the lungs. For the last few months, she has been getting Cerenia for her cough and Gabapentin for pain as needed but 2 weeks ago the vet changed from Cerenia to Hydrocodone for the cough since the cough was getting worse. Since the change, my dog now is no longer sleeping at all, going a few days without any sleep before getting a couple hours on another day. She doesn’t want to lie down and sits all day, often panting. She even falls over from exhaustion but sits right up immediately. It’s like she is doing anything she can to stay awake. She doesn’t seem to want to lie down on her belly. She also pants and breathes quickly. She does eat ok, bodily functions are ok but water intake has increased a lot. Hydrocodone and Gabapentin are supposed to cause lethargy and should actually help her sleep, but now she has a severe sleep disorder and can’t/won’t sleep. Is there any medical evidence that these meds might cause this sleep disorder? Please advise.
Thank you
Charles
Dear Charles,
I am sorry your senior girl is facing this cancer diagnosis. I am not aware of Hydrocodone and Gabapentin causing insomnia, but we do sometimes see a medication cause the opposite effect from what is expected. It would be a good idea to talk to your vet and see if they want to make some changes to your girl’s treatment in order to try and offer her relief and rest. While the medications could be causing these worrisome symptoms, this could also be signs of her condition progressing. Hoping you can get the answers you need to maintain her quality of life. Praying for comfort for everyone involved. Bless you. ♥
I have a 20 year old Shih Tzu who jas bladder stones and dementia. He has separation anxiety with me, my husband says I am his emotional support human. Several months ago, he had a serious anxiety attack that took us the the ER and later to our veterinarian. since then, he has had difficulty sleeping and the only way to calm him down is for him to sleep on my footstool, but I also have to be with him. He is taking gabapentin, melatonin, and trazodone. Recently, he stayed with my daughter (who lives with us) and I went on a short vacation. she said he would pace and then just slept with no problem. My first night back, and we are back to the same routine of only wanting to sleep in my chair. Seriously am at a loss here.
Dear Michelle,
I am sorry you are facing this difficult situation with your senior guy. I wish I had some great advice to offer but it sounds like you are already doing what I would have recommended. The fact that your boy does not exhibit these same behaviors when you are not around leads me to believe that there may be hope for some behavioral modification. I encourage you to reach out to a veterinary behaviorist in your area and see if they can help you change up your nighttime routine in a way that will best benefit you and your pup. Hoping for answers and praying for relief and rest for everyone involved.
Thanks so much Dr. Buzby. You information is so clear, organized and easy to.understand. But I am surprised that there is no discussion regarding the impact of losses of vision and hearing on anxiety. We’ve been sure that these explain the anxiety our 14 y.o Border Terrier. It seems to track with his worsening (pretty bad at this point) hearing and his slower loss of vision. He’s has neurological pain for several years and gets a monthly shot for that. He had a severe injury about 5 years ago that we weren’t present for. We were on vacation. The pet sitter took him to the vet and told us after 2 tx the vet said he was good to go. So we treated him as before . . . Long walks off-leash every day. Then I realized he was still limping. Not good.
Now he has the monthly pain shot and 20 mg of “Onsior” ( robenacoxib) for the injured leg, thought to have been soft-tissue damage.
So, he has these things and a waak ago, I noticed him walking less, limping no matter the medicine, preferring to be picked up to get up on the couch sometimes, his right leg (non-injured one) slipping a bit under him when starting to walk (maybe once every 4 days), he quickly pulls his front paws away if I touch one – I- believe he has arthritis there now, AND his anxiety has worsened such that he’s not okay unless he is within feet of my husband or me. Not if I am in the kitchen for any reason, but fine if he not only is on the couch with me, but cozily having his back or side against my thigh. Yesterday, as I sat on the comfy chair near him on the cozy couch, he actually cried until I quickly showed that I was nearby by shout-talking to him so he wouldn’t be startled (which he gets), and sat down in the above way.
It is making me alternately heart-broken and frustrated. He is a love-bug. I should add that my husband just started taking him out again for a daily swim in the coldish Danish waters. He walks out and sets the dog in the water, to swim back to land. Hopefully he is not still doing 50 feet, but probably 20. Today, maybe fewer. He comes back all happy, damp and a refreshed as we ever see him these days, wanting to play for a few minutes.
I guess the anxiety could be for any or all of these reasons? Are any of your possible solutions preferred here? I found you via my search to find possible hormone treatments. My heart is slowly breaking . . .
Hi Jennifer,
I am sorry your boy is living with anxiety and showing signs of cognitive decline. You are correct that loss of vision and hearing can contribute to overall anxiety. The reason they were not mentioned in this article is because this was focusing specifically on the most common nighttime issues. If we included every cause of anxiousness the article would be too long to read. Without playing a personal role in your pup’s medical care, it is hard to know which treatments would offer the best solution for his problems. I will attach links to other articles with more information. Hoping you can find the advice you need to continue advocating for your boy’s health and well-being. Wishing you all the best of luck and praying for many happy days ahead.
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
3. Trazodone for Dogs: Could it Decrease Your Dog’s Anxiety?
4. How to Relieve Arthritis Pain in Dogs: The Ultimate Guide
5. Natural Pain Relief for Dogs: 13 Methods
6. 13 Mental Stimulation Toys for Dogs (& Activities Too)
Thanks for getting back to me. You’re right, I missed the focus being at nighttime. My apologies. I’ll check those links you posted.
Hi Jennifer,
No worries! Let me know if there is anything else I can do for you. 🙂
My 12yo daschund chihuahua mix, Olee, took a sudden turn in late February. An ear infection that I did not see coming on. The vet did blood work which showed an infection, but she was concerned with his head tilt. I had hoped it was from the infection, but it was not. Over the following week, he had a yelping episode on the middle of the night. I took him into the emergency vet &’they found nothing. They gave gabapentin & figured his ear infection was bad. The next night we slept on the couch & he had a grand mal seizure. I can only guess that’s what it was because he screamed out, his head flew back, and his body was convulsing as his legs were stiff. He has also urinated on himself. I drove back to the vet again, crying, assuming I’d be putting him down. His seizure had resolved on the drive over and he was calm at the vet.
He’s been on 4 rounds of antibiotics for the ear..he finally stopped shaking his head after the second ointment.
During all this, his balance was way off. I bought a harness I could help lift him lightly as he was walking or going potty. I gave him 12.5mg Dramamine which seems to help a ton with the dizziness. I was thinking it was balance issues from the ear infection.
However, he’s become afraid of the dark, it seems. He yelps out of nowhere, has his tail down a lot. It’s rare he likes to play. I just can’t even type this right now….anyway I got him emotional support chews which helped for a couple weeks but now he’s getting weird again. Withdrawn. I couldn’t find senilife in town so I ordered online. This just all came on so quick. He was jumping on and off the couch before, and now he gets stuck in the hallway. Why did this happen so fast??? I couldn’t afford the CT to check if he had a stroke. I blame myself for the ear infection if that’s what caused it.
Hi Valerie,
I understand your concern for Olee with these severe symptoms he is experiencing. Without examining him myself, it is hard to make specific conclusions, but I am suspicious that all of this could still be related to the ear infection. It is possible for the infection to cause the ear drum to rupture and then it can gain access to the inner ear. Once in this location it can affect the nerves around the head and even the brain. If there is any way you can get a referral to a specialist, I would highly recommend it. Hoping you can get the answers you need to make the best choice for your sweet boy. Wishing you comfort and peace and praying for a positive outcome.
This is so helpful! Saw my vet today as senior Aussie Max who turned 16 in December was having mobility issues and also pacing and panting at night and poop accidents sometime in the night. I had never heard of “sundowning” and I’ve never had a senior dog. The limping is actually a pulled groin muscle. He has prescribed gabapentin for the night but I am going to try the adaptil diffuser you suggest too.. Vet thinks the night poops are possibly caused by the pacing and cortisol acting on his bowels . He is fine being left alone all day while I work.
Hi Sue,
I am sorry Max is having issues with nighttime anxiety. What a blessing your vet was able to diagnose the pulled muscle and prescribe some medication to help with pain. I am glad you found the article to be helpful and informative. Hoping the adaptil diffuser will offer some calming benefits and praying your sweet boy can get some much-needed relief.
My almost-11-year old Lhasa Apso / Poodle mix trembles at various times throughout the day with no trigger that we can make sense of, but consistently and much worse all throughout the night. This has been happening for the last 4 weeks since we returned from vacation and had a friend stay with her while we were away. She seemed very happy with the sitter and really likes him, so I can’t imagine anything happened that traumatized her. Before that she would get very minor separation anxiety but quickly and easily resolved. Now the trembling ismore severe and lasts longer, and is when we’re clearly not going anywhere. She wakes us up constantly throughout the night as she’s up and down off the bed, severely shaking, not sure wherr she wants to settle or how. This week she started sleeping in the closet. It’s strange but at least it’s helping her (and us) sleep mostly through the night.
We’re trying to observe any new environmental factors such as noises. Other behavioral changes I’m noticing are that she’s not as barky as she used to be (barked at EVERYthing in the neighborhood all her life). She’s eating just fine, regular bathroom habits, excited when we get home, excited for treats, snuggly like normal, but follows us around the house a bit more frequently and closely now as well.
We’re not sure how to help her or if there’s a bigger underlying problem we aren’t seeing. I suppose we should take her to the vet but all this time we’ve been thinking it’ll be a passing phase but with each night I’m afraid it’s not.
She’s currently on no meds except for eye drops for glaucoma in one eye. which also has cataracts and is almost totally blind in that eye. I’ve actually been wondering if the impaired vision is contributing to the anxiety? The cataracts aren’t new but maybe total blindness in the eye is, as she’s been gradually losing vision in it for about a year and a half.
Hi Angela,
I am sorry your girl is exhibiting these new worrisome symptoms since you returned home from vacation. Without examining your pup myself, it is hard to make specific conclusions. I will say that what you describe could be early sings of dementia/cognitive dysfunction. I will attach links to other articles with more information and hopefully give you some topics to discuss with your vet. Hoping you can find the answers you need to ensure your girl remains happy and healthy for as long as possible. Wishing you all the best and praying for a positive outcome.
1. Is Your Dear Old Dog Shaking? 11 Reasons Why Senior Dogs Shiver
2. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
3. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
I have a 14 year old bichon shihtzu mix. Prior to last week she would sleep all night with my boyfriend and even keep sleeping during the day when I got home from night shift. She was a great sleeper. Last week she went through an episode of old dog vestibular syndrome but recovered within 48 hours. She is still a bit off balance slightly and the only other residual is that she just will not sleep in our bed. She ends up crying, panting, shaking. It’s getting really difficult for me and it’s very unlike her. When i’m fed up I bring her to the couch and after a little she is able to settle down and sleep. Have you ever heard of vestibular syndrome leading to something like this? Is it something that might resolve with time?
Dear Riley,
My heart goes out to you as you try to navigate this difficult situation with your senior girl. It is hard for me to make specific conclusions without playing a personal role in your dog’s medical care. But I am suspicious that this most recent episode of vestibular disease may have unmasked some symptoms of dementia or cognitive dysfunction. What you describe sounds a bit like sundowners. I encourage you to discuss this new worrisome behavior with your vet. It may be worth trying an anxiety medication or even a supplement like melatonin to see if it helps your girl to rest at the appropriate time. I will attach links to other articles with more information on these topics. Hoping you can get some answers and find the best way to all get some much-needed sleep!
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Sundowners in Dogs: A Veterinarian’s Guide
3. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
4. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
My 16 year old Yorkie had a vestibular episode last June, by August he was exhibiting signs of sundowners. He’s currently on a couple of different meds for CCD but we’re still struggling to get him to sleep through the night. Any suggestions are welcome!
Hi Rocco’s mom,
I am sorry your Yorkie is having issues with nighttime anxiety and restlessness. There are several medications and supplements that may be able to help lessen the severity of your dog’s symptoms. But without playing a personal role in his medical care or having the knowledge of what medications he is already taking, it makes offering specific advice difficult. Here are links to other articles with more information that may be helpful:
1. Sundowners in Dogs: A Veterinarian’s Guide
2. Marvelous Melatonin for Dogs
3. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
4. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
Hoping you can find the right combination of therapies to help maintain your boy’s quality of life. Wishing you both the best and praying for peace.
Our loving Springer Spaniel is almost 14. He has arthritis and been diagnosed with canine dementia. He sometimes falls down (especially when outside doing his business) and we pick him up. His back legs are quite weak. He is on lots of supplements including CBD oil, he has pain medication, also Trazodone, melatonin, steroids every other night, medication for the dementia too. Has librella injection every month. But we are falling apart. Evening time (not night time) is terrible. He demands food every ten minutes and barks and is generally demanding. He won’t settle till late. And it is so hard. He pants a lot then. Then he will sleep through the night (may have the odd accident). we have changed our life for the last year for him (one of us sleeps downstairs with him). We have all the medication and supplements. But nothing helps. Vet says to put him to sleep because of the breaking of the bond with him but how can we? He is fine in the day. He does sleep then but is also engaged, welcomes you, wags tail, good appetite. Happy. How can we put him to sleep when so engaged? He has quality of life, like a puppy. Would feel so guilty! how can we possibly continue in this stressful way?
Dear Rebecca,
I understand your concern for your senior guy and can see why you are conflicted about how to proceed. I am not sure if now is the right time to say goodbye to your boy or not. Each case is different and sometimes there just isn’t a right or wrong answer. I do think it is better let go one day too early rather than one day too late and allow unnecessary suffering. Also, your quality of life matters too! Caregiver fatigue is real, and you have to make sure you are taking care of yourself. I will attach links to other articles with more information and great advice from other readers. I pray you can find the guidance you need to feel comfortable with any choices you make moving forward. Wising you all the best. Bless you and your sweet boy.
1. Using a Quality of Life Scale for Dogs
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
4. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
Hi Rebecca, I am going through this too, but haven’t spoken to my vet about it yet. my Jack Russell is the grand lad age of 17, and he has definitely declined in mental health. He has now started the night time issues, won’t settle, if he does he is up loads. We have had to ‘barricade’ him in his area now, as, if he escapes, he will most likely have an accident all over our living room … which we can’t allow to keep happening as we have small children too, 6 and 3 … I am currently sat in front of his bed, in the kitchen, to try and get him to sleep, it has gone midnight, and have such anxiety at bedtime now around it all. He always slept so well 🙁 I end up getting cross, then I feel really bad, but I’m so tired from it all. His back legs have also started to get wobbly … he struggles to go for a poo in the morning, and often falls back into it 🙁 He sleeps all day now, or just wanders around aimlessly:( I’m genuinely considering having to phts now, and it absolutely breaks my heart, but as the vet said to me previously, it’s better do a day too early then a day too late. I’m so sorry you’re also going through this, and I hope we can both come to the best decision for us all. Sending hugs 💜
Dear Tricia,
My heart goes out to you as you face this difficult decision for your senior guy. It sounds like you have a good support system, and your vet is there to help guide you through this emotional process. Thank you for sharing your experience and being willing to offer encouragement to others. Praying for clarity and strength. Bless you and your sweet boy. ♥
Your blog is a testament to the power of resilience and the strength of the human spirit.
Hi Kurye,
Thank you! 🙂
Hello Again! I keep coming back to your site because it’s so helpful and we love TOEGRIPS!
On your suggestion, we added a bunch of Adaptil diffusers to our home to help w Cam’s recent display of what seems to be anxiety. At 13 and having various forms of pain, he seems to become anxious when he can’t see us or sense us nearby. It’s been about a week and the Adaptil seems to be working!
Per our vet’s recommendation for his liver, he’s been taking Sam-E for a few months now. Can you tell me more about the “Serotonin Syndrome” you mentioned? Since Cam’s on many meds, it peaked my interest.
Thank you!
Julie
Hi Julie,
It is good to hear from you again! I am glad Cam is still hanging in there and living his best life. I am happy to know the Adaptil diffusers are making a difference. How are things going with his Lar Par and allodynia? I am glad you are reaching out for more clarification on serotonin syndrome but from what I know about Cam’s medical history I don’t think you have anything to worry about. Serotonin syndrome usually occurs when a dog is taking multiple medications (or ingests human medicine) that all prevent the body from absorbing serotonin from the blood stream. Many antidepressants such as trazodone, Prozac, amitriptyline, Zoloft, etc. all increase the amount of serotonin in the body by preventing it from being removed from the blood stream. Therefore, if you have more than one of these medications acting at the same time, the body can reach dangerously high serotonin levels. I hope that makes sense and clears things up a bit. If you have any lingering concerns about the additive effects of your pup’s medications don’t’ hesitate to reach out to your vet. They can evaluate Cam’s current treatment regimen and let you know if changes need to be made. Wishing you both the best and I look forward to our next communication. Take care!
Hi Dr. Buzby!
Thank you for your reply and for asking after Cam; both mean so much to me!
You mentioned antidepressants as triggers for Serotonin Syndrome. Currently, Cam is taking Amantadine (200mg daily), Doxepin (100mg daily), and now Sam-E (800mg daily). I know these aren’t typical antidepressants but can act as such, so I’m wondering if all in conjunction could be contributing to his restlessness or possible Serotonin Syndrome. ???
And as for Cam’s Lar Par and allodynia, we’re managing ok. The summer weather here in Chicago along with the smoky air quality has been challenging, but he’s comfortable sleeping by the air vent and his meds are helping us all manage his discomfort. 🙂
I haven’t been able to give him a good Furminating with the allodynia, but he lets me at least do a gentle brushing and trim parts that are in danger of getting matted. Bathing him is out of the question because he can’t tolerate being dried off, but that’s ok since he no longer rolls in coyote poop! We’re finally able to have our friends’ kiddos over now that they’re older and can understand how and where they can pet him. It’s been a difficult change for both of us since we were a working Therapy Dog team for almost 10 years visiting schools and libraries and our job was TO be touched, but now I’m just happy Cam has touched the lives of so many.
Thanks again for all of your help and input!
Julie (and Cam)
Hi Julie,
I would not be worried about the Amantadine causing issues related to Serotonin Syndrome. Maybe there is a very small possibility the Sam-E combined with the Doxepin is causing a buildup of serotonin in Cam’s system? It might be worth talking to your vet about discontinuing the Sam-E for a bit just to see what effect you get. I am also suspicious that the restlessness you are seeing could just be signs of dementia/cognitive dysfunction. Overall, it sounds like Cam is doing pretty well. What a blessing he has been to so many lives! I feel honored just to know of him and will keep him in my thoughts and prayers. Hoping you will stay in touch and keep us updated on how things are going. Hugs to you both!
One and half years ago I adopted an 11 year old deaf Maltese. His vet wrote in his notes that he was a bag of bones and terrified of life. In caring for him we found that you could not touch his face without him viciously trying to bite you. I was trying to clean his face to keep his eyes clean and was bitten twice, the last time he bit through my fingernail. Our vet ordered Trazatone twice a day. This has helped along with my continuous massaging and petting. He’s still touchy about his face but tolerates my attempts at cleaning. I also found this dog does not know how to play and very slow bonding with us even though we are with him 24/7. Now, a new problem —he’s fine all day-sleeps most of the day, knows when it’s time to eat, but come bed time he is placed on my bed and starts pacing on the bed, jumps down, and wants to go outside. This continues for 2-3 hours. I am up with him every 10 minutes, and needless to say I’m exhausted everyday. The vet put him on Prozac but we had to stop as he was a zombie. Couldn’t stand, confused behavior, last night after 2 hours I placed him back on the bed and forced him to lay down never taking my hand away He finally fell asleep. He also doesn’t understand pee pads as he will pee anywhere even with a pee pad next to him. He has free access to the outdoors during the day.
Hi Bernie,
I am sorry you are dealing with this difficult situation with your senior pup. You are an angel to take on a dog with so many behavioral issues. Your little guy is very lucky to have found you and have you advocating for his health and well-being. From what you describe, it does sound like anxiety is playing a role in your dog’s troubles. But I am also suspicious that your boy may be experiencing symptoms of dementia/cognitive dysfunction and maybe even Sundowner’s. I will attach links to other articles with more information. I hope they will provide some insight and help to guide your conversations with your vet. I am hopeful you can find solutions to help your pup feel more calm, secure, and get you all some much-needed rest. Diapers could be a good first start to eliminate the issue with accidents in the house. This can help take a bit of the stress away from caregiving. Wishing you the best and praying for a positive outcome.
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Sundowners in Dogs: A Veterinarian’s Guide
3. Using a Quality of Life Scale for Dogs
4. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
We have a 4 year old Lab that has the same symptoms as many of these senior dogs do. However, she’s had these issues on and off since she was a puppy. She will be fine for a month or so, and then all of the sudden, she will have extreme anxiety at night (and only at night). Pacing, whining, panting, tail between her legs.
She has tricuspid valve dysplasia (TVD), that so far has been non-progressive. Which are Vet says eventually we may need to evaluate her over night to see if that could be causing the nighttime disturbances.
It is just so weird that it is so similar to a cognitive issue you see in older dogs, but she has no signs of cognitive issues, and she has had this issue since she was a puppy.
She took Gabapentin which worked great for about 8 months, then out of the blue stopped working. Our vet tried Trazadone instead, it did nothing. We are currently combining the two and had minor success for a couple of nights, and now back to waking up in the night. Not as stressed as she normally is, but refuses to go to bed for HOURS. Starting as soon as we turn the lights off (with or without a night light).
We have black out curtains, a sound machine, she always wants to sleep in the living room instead of the bedroom, but then wakes up and barks and has similar issues in the middle of the night if we let her sleep there.
We are so stuck, and obviously so so tired.
I’m afraid to try any long-term anxiety medications, because she has zero anxiety during the day and we know of a few dogs who have had bad reactions to the really heavy drugs.
Every time I look up the symptoms, I’m directed to articles about senior dogs. The symptoms are so so similar and I can’t find anything about younger dogs with this issue.
She’s been to two different Vets about the issue and she has stumped them both so far.
Hi Rachael,
What a puzzling case! It sounds like you have done a great job trying lots of different things to help manage the intermittent nighttime anxiety, and I’m sorry that none of them have worked well long term. I’m sure you must be beyond exhausted. The vets you saw probably already asked you this, but do you have any concerns with her night vision? Labs can get a condition called progressive retinal atrophy (PRA) that causes night blindness. It usually doesn’t start as a puppy and probably wouldn’t lead to just intermittent anxiety, but I thought I would mention it since it seems like the symptoms start when you turn off the lights. Suddenly not being able to see can be anxiety-inducing for some dogs with PRA. However, she may also just start getting anxious when the lights go off because she associates it with bedtime too. The other thought that comes to mind (but you have probably already explored) is if she has ever gotten startled at night, scared of a storm, etc, that may have lead to the night anxiety. If there is one in your area, it may be worth consulting with a board-certified veterinary behaviorist. He or she may be able to help you with some behavior modification ideas to break the cycle of anxiety. Plus, if you did decide to try a different anxiety medication, having a veterinary behaviorist select and prescribe the medication may help alleviate some of your understandable concerns with these medications. I hope that restful nights will be in your future soon! You are doing a great job patiently caring for your pup and searching for answers, so keep up the good work.
I have a congenitally deaf Smooth Collie. The past week he’s had some behavioral changes: now sitting right behind in the kitchen when I prep food (usually a no go zone), more clingy than usual. As if a herder isn’t clingy enough, try a deaf one! Last night, I he awakened twice wanting to get closer still…. I am going to do what I did with his geriatric sister during her last two years: 1.5 mgs. Melatonin. I am supplementing during day with VetriScience Composure which is a great. This on top of his brain supplement he’s been getting x 4 years: Ark Naturals Gray Muzzle Brain’s Best Friend (relatively inexpensive).
He’s going to the vet next month for his annual physical and senior bloodwork to rule out any other organic issues. Thus far, he doesn’t appear to be in any physical distress-his eating, bowel habits are unchanged.
Hi Vicki,
I understand your concern with the recent behavioral changes in your sweet boy. The supplements you are using sound great, and I am glad you have scheduled his annual checkup with your vet. Hoping his lab work will show no abnormalities and praying for many happy days ahead for the both of you. Thank you for sharing your experience with our readers. Wishing you all the best.
My almost 15 year old collie-spaniel cross, Alfie, has recently taken to whining at night. For context, he has never had any major issues in his life until September 2022 (age 14) when he had a stroke. We rushed him to the vet and all they could give him was a steroid injection, followed by a prescription of oral steroids. After the stroke he could barely lift his head but myself and my boyfriend worked with him to build back as much strength as possible. He no longer has a tilted head and can walk (albeit laboured and a little unbalanced due to the after effects of the stroke). We take him on a very short walk round the outside of the house everyday to get some fresh air but other than that he is in the house for the rest of day. He normally sleeps most of the day but gets excited for his dinner and when people come in to visit. He still has brightness in his eyes. In the past week he has taken to whining in the early hours (1am ish) for no reason (he doesn’t want food/water/outside) and doesn’t settle until my mum comes to sit with him. It’s becoming a bit of an issue as everyone in the houses’ sleep is being broken. I don’t believe he is in pain as he gets his loxicom (which he’s been getting for a few years now for his joints). What else could this be? I don’t think it is his time to go yet and would love to know if there’s any medication I could help him to sleep more soundly at night. I was thinking perhaps it’s separation anxiety from my mum as he doesn’t fit all the criteria for dementia. It would be great to hear some advice as I’m really worried for him. Thank you!
Hi Katie,
I am sorry Alfie is having issues with nighttime anxiety. I can only imagine how difficult this must be for the whole family. Even though he doesn’t have all the symptoms of dementia, this could easily be the beginning. I will attach links to other articles with more information that may offer additional advice or topics to discuss with your vet. I always think it is best to let your vet know when you start to notice new behavior changes in your pup. They may want to do some routine testing (if none has been done recently) just to rule out some common problems that can show up in the senior years. I am hopeful you can find the answers you need to help Alfie feel more comfortable and get the rest he needs. Wishing you both the best.
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Sundowners in Dogs: A Veterinarian’s Guide
3. Could Your Dog Have Dementia? Find Out With This Canine Cognitive Dysfunction Checklist
I have a 10 year-old English Bulldog that is struggling with CCD and Sundowners syndrome. He also has arthritis and hip dysplasia. His sundowners starts around 7:30-8 pm. He turns into a different dog, his behavior includes aggressive barking and aggressive behavior( snapping, growling). This lasts until we give up and just go to bed. Once we are settled, he will wander around the room and sometimes go into the walk in closet and lay down for a little. We are up with him early (3 am-5am) with him a few times a week. He is on a multitude of pain and anxiety meds. He is still eating and drinking and has moments of playfulness. He is still continent (except for some nighttime fecal incontinence). Our vet said they don’t think anytime is too soon, but I am struggling with the decision because he still is eating and drinking. I know he is in pain and the meds aren’t helping. We even added amantadine to kick start the pain meds. Not sure if it’s helping.
Dear Aly,
I understand your hesitation to say goodbye in fear it would be too soon. I also know that a dog’s willingness to continue eating and drinking is not a great indicator of quality of life. Some dogs will continue to eat until their last breath despite extreme suffering and anguish. Without examining your senior guy, myself, I can’t make conclusions as to whether letting go is appropriate or not at this time. I do think that from what you described it sounds like your sweet boy is struggling. He isn’t getting the rest he needs, is confused, dealing with aggression and anxiety every day and painful. Saying goodbye may be the most loving option and only way to offer him peace and rest. I often say it is better to let go one day too early rather than one day too late and allow unnecessary suffering. I will attach links to other articles with more information and great comments from other readers. I hope you can find the advice you need to make the best decision for you and your pup. Wishing you strength to make it through these tough times ahead.
1. Using a Quality of Life Scale for Dogs
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
I’ve spent 2years trying to get to the bottom of my dogs issues. she is a medium borders collie lab cross 16 yrs. She has episodes usually starting early evening pacing panting, drooling, tail between legs stopping by me looking at me and then going off again. She plops down then gets up again. The same thing happens during the night. She’ll nudge me and then starts pacing etc again. This doesn’t happen every day or night but is becoming mire frequent. Vet has x rayed and taken bloods as I was sure it was pain but no real issues. It doesn’t fit all the dementia criteria as she recognises both me and rooms.
Hi Sue,
I am sorry your senior girl is struggling with these strange nighttime issues. You are correct that she doesn’t fit all of the dementia criteria, but this is very typical of how it starts. At the earliest stages of dementia/cognitive dysfunction, only one symptom may be present. You will probably start to see more symptoms as the disease progresses. There could also be a neurological issue contributing to your dog’s condition. It might be a good idea to schedule a consult with a neurology specialist. They can let you know if a medication could be helpful with these anxiety-like symptoms. Here is a link to another article that may offer additional information: Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
I hope you can find the answers you need to give your sweet girl some relief. Best wishes and bless you both.
Hello, I have a 15 year old Pug that has numerous health issues. She is not only keeping me up at night, I worry about her all throughout the day when I’m at work. My dog is nearly deaf and is now losing her vision. It has been about 6 or 7 years that her rear legs have been paralyzed from an injury. I have to express her urine, as she cannot urinate on her own, and UTIs are a constant. She poops spontaneously and can’t control when or where she poops. When she does poop sadly she is sitting in her poop until I get home from work. It’s really sad. I also have to carry her everywhere. I have to carry her to the patio to express her urine. Carry her back inside and place her on her bed. Carry her up and down the stairs, etc. If I leave her side early in the morning or at night she gets anxiety and starts barking in such a panic that I worry about my neighbors getting upset. She starts panting, whining then barking at around 4am so I have to get up and bring her into my bed.. Needless to say, I am not able to fall back asleep. I have a second senior dog who’s sleep patterns are thrown off by my restless Pug. She has always been food obsessed so she’s eating and drinking just fine. Part of her panic and restlessness at night is worry that she won’t be fed in the morning (I’m guessing). My husband and I have talked about euthanasia but I keep thinking it’s not time yet. I don’t want to wait too long, until she’s comatose for example, like I see some dog owners do. I feel selfish for thinking of euthanasia and feel guilty to put my needs before my dogs. I’m so exhausted. My husband and I aren’t taking trips together, and when we do travel to visit family, one of us stays home. This is so unmanageable. I’m told that my husband and I are the ones who will know when it’s time to say goodbye but we don’t know. How do I say goodbye to my dog who is still eating, and happy to snuggle with us at night? Overall, I question her quality of life. I really don’t know what to do. I feel like I’m barely keeping my head above water but can’t bear the guilt of putting her to sleep. I appreciate your response.
Dear Ana,
My heart goes out to you and this difficult situation you are in with your senior girl. I know you don’t want to make the wrong decision and are trying to do what is best for your pup. I hope you can hear the compassion in my words when I tell you it’s ok to say goodbye. It sounds like your dog’s health is poor and her quality of life is suffering. Appetite alone is not a good indicator of health or wellbeing as some dogs will continue to eat until the minute they pass away. Your dog is showing all the signs of end stage cognitive dysfunction/dementia. It is hard to deal with declining mental health as there is only so much we can do to help the brain function. Saying goodbye may be the most loving option and the only way to give your beloved pup peace and rest from her struggles. Your quality of life matters too! I will attach links to other articles with additional information and great comments from other readers. I hope you find the advice you need to make these tough decisions. Praying for comfort for your heart and strength to endure this emotional journey.
1. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
2. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
3. Signs Your Dog is Dying: A Caring Message to Bring You Peace
4. Dog Euthanasia: Knowing When to Say Goodbye
My sheltie is 14 and has nose bleeds which the vet thinks is a tumor. We are giving her a blood thickener but she started waking at night at least 7times and barks to go outside but comes right back in. She sometimes gets spacey by standing still and looking at nothing in the back yard. I am losing sleep and wonder what I should do for her. She eats and goes potty fine.
Hi Barb,
I am sorry your senior girl is struggling, and you are noticing these worrisome changes to her behavior. What you are describing sounds like canine cognitive dysfunction (CCD) or “dog dementia”. I am not sure if it is related to the nose bleeds/possible tumor or if it just a terrible coincidence that it started around the same time. I will attach links to other articles with more information on this topic. There are medications and supplements that can help slow the effects of CCD, but ultimately it is chronic and will progress. It can be hard to evaluate a dog’s quality of life when they are dealing with CCD because most of the issues are mental instead of physical. I hope your Sheltie girl’s nose bleeds will continue to respond favorably to her medication. Make sure your vet is aware of the new behavioral issues so you can have a discussion about possible treatment options. Praying for many happy days ahead.
1. 5 Signs of Dementia in Dogs and What to Do About Them
2. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
3. Selegiline for Dogs: A Helpful Medication for Canine Cognitive Dysfunction
4. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
I have a 15 1/2 year old lab/chow who we love so much but we are latterly losing our minds. He is on pain meds, anxiety meds and Anti-inflammatory meds for severe arthritis and his left leg which he had a lot surgery on when he was five seems to be failing. He falls often and needs help up and down constantly during the day and often keeps us up all night. We are literally losing it. He still pees and poos fine and will walk some and have interest but not for very long. He eats and still hovers when we are in the kitchen but we generally are helping him up every time he wants to move. My husband works out of the home as do I and we are constantly interrupted. We have suffer with this situation for over a year. We don’t want to make it about us but at what point does quality of life cease to exist? I feel like I can’t put him down and the vet has been zero help with guidance. I pray every night he will go peaceful on his terms but I don’t think it will happen. We have tried everything, any feedback would be helpful. We are all so miserable and lacking sleep. Thank you.
Dear Angelique,
I am so sorry for the difficult situation you are in with your senior pup. Please know you are not alone! Comments like yours are common and the most heartbreaking because I can hear the emotion in your words and can only imagine how much everyone in your house is suffering. Hear me when I say that your quality of life matters too! It is ok to consider euthanasia. It sounds like your boy is dealing with dementia/canine cognitive dysfunction. It is hard to think about saying goodbye when most of the problems are mental and the physical body is still functioning decently. But mental issues can cause suffering just like physical ones can, it’s just harder to see. Letting go and allowing your senior guy to find peace and rest might be the most loving and unselfish choice you can make at this point. I will attach links to other articles that may have additional information. Praying for strength and clarity as you face this difficult decision. Bless you both. ♥
1. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
2. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
3. Dog Euthanasia: Knowing When to Say Goodbye
Hi Julie,
Thank you for your article. I’m now understanding much more about CDS and ‘sundown’ but I feel at my whits end.
My lovely Lhasa Apso, Missy, is almost 14 and for the last two-three years we have been struggling with her at night. She is not too bad in the day, enjoys regular walks, likes food, wags her tail and greets us etc. But from 8pm onwards she becomes very restless, can’t settle, wants to be as close to you as she can. If I allow her outside she hides in the garden bushes. Last night she was completely stuck down the back of our summer house.
I suffer with insomnia, if I wake in the night it takes me two hours to fall back asleep. My two children (23 & 20) manage Missy between them, and my lovely dad will take her too but it really is becoming very stressful. Night after night this is going on. About 4am she might settle but then our morning alarm goes off at 6! We are all shattered.
My vets have been very good. Missy is on a mix of dementia meds, gabapentin (she has arthritis in her hips), Calmex, Aktivat. She also has a dry eye so her eyes are not good either – which won’t be helping. My last visit to the vet was two days ago. And he said there is no other medication now. We talked about euthanasia but I became upset.
If you looked at her she doesn’t look ill or in pain but she clearly is in distress.
We can’t imagine Missy not in our lives but we are struggling. I don’t think it’s her time yet but we know it’s not too far away.
Nicola
Hi Nicola,
My heart goes out to you and this difficult situation you are in with your little pup. I understand you may not be read to say goodbye, but also know it sounds like you have exhausted all your treatment options and things are still a nightly struggle. The “right” time to let go is different for everyone and no one can make that decision for you. Please don’t forget that your quality of life matters just as much as your senior girl’s. Sometimes when we are suffering as care takers it can cause the bond we have with our beloved dog to break a bit. This isn’t fair to either you or your dog. Dementia is especially cruel as many times the dog looks perfectly healthy on the outside and all the disease is mental and difficult to “see”. I always think it is better to let go one day too early rather than one day too late and allow them to struggle needlessly. Euthanasia is the last, most loving choice we can make to offer peace and rest. Like I mentioned earlier, no one will know your specific situation better than you. I just hope that I can offer information to help make the decision process a little easier and provide clarity. I will attach links to other articles that may help and have great comments from other readers. Bless you both!
1. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
2. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
3. Dog Euthanasia: Knowing When to Say Goodbye
Hi my golden retriever is now 13 and has had anxiety issues for some time. Recently his behaviour has become extreme, he is fine all day but when it comes to sitting down and watching the tv he is all over the place, panting barking restless, goes outside and barks at nothing. He has just been subscribed CBD oil which he has been taken for 2 days. We have realised that his habit of barking and being restless stems from giving him goats milk for acid indigestion in the evening. He became very demanding about the goats milk. Tonight we went through the routine of cuddles and pacifying our evening completely ruined – again. He went outside and barked for about 5 minutes then went under the balcony and fell asleep. Instead of pandering to him which we always do we made an effort to ignore his barks and it paid off. Maybe not tomorrow but it helped tonight. He is as good as gold during the night it’s just when we sit down for dinner and relax and watch tv. He also gets anxious when our border collie barks. We have just been told by the vet that he is mostly deaf but can only hear high pitches (border collie bark is high pitched) and makes Toby restless and anxious. Any help suggestions would be gratefully received. Btw we have just bought an Xl Kong and filled it with yoghurt and carrots frozen it and given it to him – he was quiet for about 10 minutes before his stress levels kicked in again.
Many thanks
Sue x
Hi Susan,
I can only imagine how frustrating it is to be living with a dog that is suffering from anxiety despite your best efforts to resolve it. Since I haven’t examined your dog myself, it is hard to make specific recommendations. It might be a good idea to talk to your vet about your concerns and see if they can prescribe an anxiety medication. There are also other things to try that were mentioned in the alternative treatments section of the article such as acupuncture, calming wraps, and supplements. If the barking of your Border Collie is a trigger, maybe you could find ways to keep the barking to a minimum? I hope you can find a solution that works for you and Toby. You both deserve to enjoy peace and rest in your home. Best wishes and good luck!
Hi,
In 2011, I adopted a puppy and became a live in caregiver for my mom with Alzheimer’s. 2 years ago, as her disease progressed, I put security cameras in the house to monitor her activity. A year later (July 2021) I ended up placing her in a memory care facility. Emotionally, it was very hard for me and for my pup.
A couple months ago, my girl woke me up very upset. I couldn’t figure why, so checked the camera videos to see what set her off. It turned out to be a distant storm. But I also discovered she hadn’t slept all night. So I started watching night after night of videos to find she’s just not sleeping. She doesn’t pant or pace – she just lays there, awake (eyes open). She periodically switches position, lays a while and moves again. Occasionally she tries to fluff the blanket.
I’m a bona-fide insomniac myself, can’t sleep longer than 1.5-2 hours at a stretch. Maybe my sleep habits affect her… or the new mattress I got in 2019. Maybe she’s missing her “grandma”… or this is her way of protecting me while I sleep in fits and spurts.
Nothing else about her is “off”. She still loves walks, playing ball and frisbee. She does puzzles. She’ll be 11 in August, so she tires a little quicker and sleeps more during the day – but she still jumps and catches her toys, runs around the yard, barks at everything. She gets lab work done every 6 months for Proin and its always good. Thoughts?
Thanks,
Colleen
Hi Colleen,
This does sound truly puzzling. I recommend you talk to you vet about this strange nighttime behavior. They may want to try a treatment or supplement (such as melatonin) just to see if it helps your girl get some sleep at night. I am surprised that she has no other symptoms and isn’t struggling during the day. Part of me thinks that if it isn’t really a problem then don’t try to “fix” it. I hope you still have many happy years ahead with your senior girl. My heart goes out to you and the situation with your mother. ♥ Best wishes.
We have just started this struggle with our 13 year old Cockapoo. It starts at around 8 pm and lasts until usually between 4-5am. Pacing the floors, panting, scratching at doors he’s not allowed into and will whine. I take him out to use the bathroom not sure of that’s the issue, I try feeding him, offering him, cuddles and treats to no avail. The vet just did a series of senior blood work and he’s already on fluoxetine and has been for many years for separation anxiety. She prescribed alprazolam and it has done nothing for him. We are waiting for the results and a diagnosis. But I don’t think after reading this article that the testing was thorough enough.
Hi Jill,
I can only imagine how difficult it must be to deal with these episodes every night. I am sure your sleep is suffering as well as your poor senior guy. You mentioned your vet has done senior lab work and you are waiting for results. The senior lab work should be exactly what is needed to rule out everything listed in the article except for a brain lesion. This is the same testing I recommend for all my clients as well. I hope the results give you something definitive to work with and your vet can start a course of treatment soon. Praying you all get relief and rest.
We’ve been struggling with this with our 13 year old bulldog Bruno. Its been going on for a few years now with me being the light sleeper getting up to soothe him. One the past few months he was diagnosed with melanoma and EMP tumor on this lip, had a toe amputation, seizures, pneumonia and likely metastatic disease somewhere since he’s losing weight. He still has a little pep in his step at times so we don’t feel like its time to let him go yet. We bought a mattress for the floor and take turns sleeping next to him. We have tried different meds without any real success. He whines, pants, lately coughs & wheezes. During the day he sleeps a bit but seems mostly ok. Both me and my spouse are coming to ahead with our interrupted sleep. I also have insomnia so once I’m up it takes hours to fall asleep & I can’t nap. I don’t know what else to do. This is really hard
Hi Julie,
It sounds like all of you have had a rough time the past few months. I understand your concern for Bruno and wanting to keep him happy and comfortable. Unfortunately, it sounds like his health is declining and there may be only so much medicine can do at this point. I am trying to picture a senior dog that can’t sleep at night due to anxiety, and also is sleeping more during the day on top of possible metastatic cancer, panting, whining, wheezing, and seizures. His quality of life is really suffering, and it sounds like yours is too. My best advice would be to find a vet in your area that specializes in palliative/hospice care. They can let you know if there are treatment options to try and can make sure your sweet boy is as comfortable as possible for whatever time he has left. I pray Bruno has many happy days ahead, but if that is not the case, euthanasia can be a loving way to offer peace and rest.
my 24 year old cattle dog is wandering the house at night and scratching at doors to get in and or out. The only thing that seems to help is to take him outside and sit with him by the pool while he wanders around the yard and then eventually he will go it’s down after about an hour or two. Only then can I put a leash on him and lead him Back into the house and to his bed. The entire process takes about 3 to 3 1/2 hours every night. It seems to start about 1 AM. I have tried leaving the lights on and music on so that he doesn’t know it’s night time. I feel so bad for him. He is blind and deaf but still six attention, affection, and food. He loves his daily walks although it takes him almost 30 minutes to go one block. I tried gabapentin. Someone suggested I try tramadol or Benadryl to make him sleep. I don’t know what to do. I’m retired so I can sleep whenever I have time I they can’t stand the idea of this poor little guy spending his last days with all this anxiety
Hi Barb,
I am sorry your senior pup is struggling with nighttime anxiety. I can only imagine how worrisome it must be to watch him deal with these episodes every night. I recommend you talk to your vet and see if they have any other medication options to try that would be safe for your dog such as trazodone or melatonin. Also, many of the symptoms you describe sound consistent with canine cognitive dysfunction. I will attach some links to other articles that may offer additional information. Sometimes when dementia becomes advanced, even if there is no “physical” injury or issue, saying goodbye and letting go can be the most loving option. I hope you can find a solution that works for you and restores your sweet boy’s quality of life. Bless you both.
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
Elder dog rescued at 2 we have had for at least 10 years. Always had separation anxiety but ass age has set in it’s gotten bad. He’s on Prozac, Benadryl, cbd, and apoquel and is up pacing and jumping at us all night! We have changed diet and been to the vet many times trazadone didn’t touch him. Did I mention he is only 30lbs. He gets all those meds nightly and is still up!!
Hi Ginger,
I am sorry your senior guy struggles so much at night. I can only imagine how frustrating it must be to feel like you have tried everything and still lose sleep every night. I wonder if it would make any difference if he slept in a kennel next to your bed? That way he wouldn’t be able to pace around but could still see you and possibly keep his separation anxiety subdued. Also, I hate bringing up a sensitive subject, but if the nighttime anxiety is causing your sweet boy to suffer, letting go might be the most loving option. I will attach a link to another article that may offer additional information. I hope you can find a solution that works best for you and your pup. Praying for comfort and peace.
Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
Dear Dr Buzby,
I have a 6 yo chocolate Lab who was found in the woods. When we first got him his was about 8 months old and had severe anxiety issues. The vet put on 40mg of prozac and it seemed to help. After 2 yrs we weaned him off and he was fine. He did have to take an occasional Trazodone for storms. He shakes terrible when a storm comes. After being off of prozac for 3years his anxiety has been set off again and he is now back on it. It has calmed him down during the day and he is good but at night (only when we go to bed, doesn’t matter the time) he starts pacing, panting and shaking terribly. The vet has upped his prozac and had us try Trazodone on a consistent basis and melatonin 6mg…nothing has helped. He has seen the same vet his whole life, we are there on a monthly basis. Any suggestions would be appreciated.
Tgank you Lori
Hi Lori,
I am sorry your Lab is having so much trouble with nighttime anxiety. I am sure it is difficult to watch him suffer, and it has to be affecting your quality of sleep as well. It is hard to make helpful suggestions without knowing exactly what his trigger might be. If he is normally left by himself in the living room while you are sleeping, maybe he could sleep in the room with you? If you had him sleep in a kennel it would take away the option of pacing. Some dogs relax when put in a kennel and others get more anxious due to confinement. If the quiet bothers him, you could try leaving the tv or a radio on at night. If he was exercised more during the day, maybe he would sleep better at night? You may want to talk to an integrative vet and see if there are any other supplements to try. You could also get a referral to a veterinary behaviorist. Anxiety can be such a difficult thing to get a handle on. I hope you can find the answers and support you need to restore the peace in your house. I wish you both the best for a happy outcome.
My Shih Tzu Teddy who is 8 years old started showing signs that something was not quite right several months ago. The first signs I saw were at night and at first it was almost like he was seeing a ghost….his tail would go down and he would look back and forth…….over the months he now never sleeps with me at night, he has began pacing from room to room at night and finally does go to his bed , he even has began urinating on my bed and having potty accidents throughout the day.
It’s very heartbreaking…..I’m at a loss as to what to do ….he has an appointment with the vet next week and I have videos of the behavior he is having which I hope helps. I guess I’m writing this hoping it helps someone else….the initial signs I sort of ignored…I really thought he was scared of something but now I see a major change just over a couple of months. Your article was just so helpful in understanding what might be going on here and I thank you very much…
Hi Lee Ann,
I am glad you are taking Teddy to see your vet next week. These new symptoms do sound like they should be evaluated. I am sorry you are watching him struggle and that things seem to be progressing so quickly. Some of his symptoms are common in dogs with canine cognitive dysfunction and can be somewhat managed with medications and supplements. I will attach a link to another article that may be helpful. I hope you find the answers you are looking for and can figure out how to get Teddy comfortable and living his best life. Best wishes to you both and please keep us updated!
Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
. We’ve been dealing with this with our 13 year old Collie mix for over a year. She was diagnosed with Cushings disease in 2018.
First it was rug scratching, so we removed the rugs. Now it is pacing all night and needing to go out to potty ( diarrhea often) one to three times a night, a couple nights a week. Sometimes she is so confused and forgetful. She also seems to have lost her hearing and it makes things more difficult.
We are exhausted. Our vet is still not seeing clients in person and I feel quality of care is suffering as a result .
But our baby still has good days. It’s very sad to see her getting old.
Thanks – it helps to just share.
Hi Vanessa,
I understand how difficult and frustrating it can be to watch your beloved dog decline and feel like there isn’t anything you can do to help her. It does sound like she may be experiencing some canine cognitive dysfunction symptoms. Maybe you can find a vet in the area that will make house calls? It also might be a good idea to have her evaluated by a vet that specializes in integrative medicine or palliative care. There may be medications or supplements that could help lessen the severity of her symptoms. I will add a link to an article that may have some helpful information. I hope you can get your girl the help she needs to restore her quality of life. Best wishes.
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Could Your Dog Have Dementia? Find Out With This Canine Cognitive Dysfunction Checklist
This is very helpful. But why does my dog’s veterinarian believe that pain can’t get worse at night? I don’t know if that’s my dog’s issue , it seems more like anxiety or a combination. But the vet seems dismissive of worse pain at night. He’s the only vet my dog has seen for the ten years we’ve had him (he’s now 14-1-2) and I’ve thought he was good, but now I find myself wondering if we should get a different opinion. He prescribed 2 mg dose of Xanax before bed. The pharmacist really raised his eyebrows and questioned that when I told him our dog (a corgi) only weighs 33 lbs. is he right or is the vet? It s been very frustrating.
Thank you for this article.
Hi Gina,
I am sorry you are dealing with an anxious dog. It is so hard to see them struggling. Since I haven’t personally examined your dog, I can’t make any specific recommendations concerning the dosage of the medication. In general, a veterinarian should have more insight to the correct dose for a dog than a human pharmacist would. Even though dogs and humans can take many of the same medications, the dosages can vary greatly. I think it would be a good idea to have an honest conversation with your vet about your concerns. Ultimately, your dog’s quality of life is most important. It’s never wrong to seek a second opinion and you should be comfortable with the treatment plan. I hope you find the answers you are looking for.
Dr. Buzby, you have written one of the best articles on CCD. I would love to print it out and take it to my vet. I’m sure he knows all of this…he is an amazing vet. But being a senior myself I often have difficulty explaining what I need to say. Being able to underline items in this article would make it easy for me to explain the symptoms my Benny is going through, I tried to print out one page to see if your advertisement for toe grips would print out with it …….and it does…….covering much of the article. Is there a way I can purchase a copy?
Thank you,
Patti
Hi Patti,
Thank you for the kind words about the article. Unfortunately, we do not have a way to sell copies of the article or send them by mail. If you or someone you know is good with computers, you should be able to highlight the text you want to print with the mouse/cursor. Then right click to print just the highlighted text, or copy and paste the text into a word document to print. You could also share our blog site with your veterinarian. I hope this helps!