If your senior dog has anxiety at night, which might include panting, pacing, and whining, help is here. Integrative veterinarian Dr. Julie Buzby shares how you can get to the bottom of you 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
- The importance of a proper diagnosis
- How do vets diagnose anxiety at night in senior dogs?
- What causes anxiety in a senior dog in 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 night time anxiet
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.
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 Lacey.
“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.
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.” Your dog may not be sleeping at night, 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, 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?
- 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 bloodwork 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 in 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.
Dogs suffering from this syndrome may:
- Ignore or lose interest in playing or receiving affection.
- Forget previously mastered training and tricks (even house training).
- Show less interest in food and/or eat with difficulty.
- Appear confused or disoriented, sometimes getting lost or “stuck” somewhere in the home.
- Vocalize inappropriately (such as yelping or howling during the night).
- Pant excessively.
- Sleep more (often during the day) and/or become more active at night due to a disrupted sleep-wake cycle. 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.
CDS is very prevalent in senior dogs. One study showed that one out of three dogs in their early teens exhibit signs of CDS, 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 arthritis and musculoskeletal pain are common, 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 a dog 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.
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 to see if there’s an improvement to 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
- 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 resolved.
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 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 at a veterinary referral center or veterinary school. 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, 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 CDS.
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 brain teasers and puzzles for dogs. A simple online search will yield hundreds of ideas and products designed to challenge your dog’s mental acumen.
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 their 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)
- S-Adenosylmethionine (SAMe) — a supplement for CDS 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 CDS 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, increase available serotonin — a naturally-occurring substance in the brain. Serotonin boosts mood and helps maintain mental balance.
- Anipryl® (selegiline)—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 CDS.
- 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. Gabapentin, a medication commonly prescribed for neurogenic (originating from the nervous system) pain in dogs, can make some dogs with CDS even more symptomatic. 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. This can occur with specific combinations of drugs (and even drugs + supplements). It is caused by having too much serotonin in the brain. For dogs, the symptoms can manifest as “mental distress.” Here’s a list of the more common symptoms: - vomiting/ diarrhea
- agitation/restlessness
- tremors/seizures
- depression
- elevated respiratory and heart rate
- high blood pressure
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 are released by dogs (and other animals/people). 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
On such option is ADAPTIL, which is available as a diffuser or collar that can be used 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 may 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 relax 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 mid-section. 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). They have an additional “tool box” 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 night time anxiet
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!
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!