Section: Clinical Methods & Interventions

-- title: "Dog Keeps Reverse Sneezing And Throwing Up" category: "clinical-methods" metaDescription: "Learn why your dog may be reverse sneezing and vomiting together, what it means, and when to seek veterinary care." primaryKeyword: "dog keeps reverse sneezing and throwing up" secondaryKeywords: ["dog keeps reverse sneezing and throwing up", "pet care advice"]

Dog Keeps Reverse Sneezing And Throwing Up

If your dog has episodes where they suddenly make loud, snorting sounds (reverse sneezing) and then vomit or retch shortly after, you may feel alarmed. While reverse sneezing alone is often harmless, the combination with vomiting can point to an underlying issue that needs attention. This article explains the possible causes, what you can do at home, and when a vet visit is essential.

Quick Q&A: Common Questions

Question: Why is my dog reverse sneezing and then throwing up?

Answer: This combination often indicates an irritation that triggers both the nasal and digestive reflexes. Common causes include post-nasal drip from allergies, a foreign object stuck in the throat, or conditions like collapsing trachea or reflux. A thorough veterinary exam can differentiate between these possibilities.

Understanding Reverse Sneezing and Vomiting

Reverse sneezing is a rapid, forceful inhalation through the nose, producing a snorting or honking sound. It usually occurs when something irritates the soft palate or throat. Vomiting, on the other hand, is an active expulsion of stomach contents. When these two signs occur together, it’s rarely true vomiting triggered by the sneeze. More often, the reverse sneeze episode causes gagging or retching that may lead to vomiting, or the two events share a common trigger.

Common Causes

Allergies and Post-Nasal Drip

Inhalant allergies (e.g., pollen, dust mites) can cause nasal inflammation and excess mucus. This mucus drips down the back of the throat (post-nasal drip), triggering the reverse sneeze reflex. If the mucus irritates the stomach, your dog may vomit. This is especially common in brachycephalic breeds (e.g., Bulldogs, Pugs) who already have narrowed airways.

Foreign Body or Irritant

A grass awn, seed, or small piece of food stuck in the nasal passage or pharynx can cause repeated reverse sneezing. If the object moves and stimulates the gag reflex, vomiting may follow. Dogs who spend time outdoors or chew on toys with small parts are at higher risk.

Collapsing Trachea

This condition, common in small breed dogs (e.g., Yorkies, Pomeranians), causes the trachea to flatten during inhalation, producing a honking cough. Some dogs reverse sneeze as a compensatory effort. If the episode is severe enough, it can trigger retching or vomiting due to pressure changes in the throat.

Gastroesophageal Reflux (GERD)

Acid reflux can irritate the throat and larynx, leading to reverse sneezing. If the reflux progresses to vomiting, you may see both signs. This is more likely after meals or when the dog lies down soon after eating.

Nausea from Other Causes

Any source of nausea (e.g., dietary indiscretion, pancreatitis, infection) can make a dog salivate and swallow repeatedly. This can stimulate the reverse sneeze reflex. Eventually, the nausea leads to vomiting.

When to See a Veterinarian

Seek veterinary care if:

  • Episodes become more frequent or severe.
  • Your dog shows signs of distress, like pawing at the mouth, difficulty breathing, or collapse.
  • Vomiting contains blood or appears as frothy yellow bile.
  • Your dog stops eating, is lethargic, or has a fever.
  • The reverse sneezing and vomiting occur in very young, old, or medically compromised dogs.

A veterinarian can perform a thorough physical exam, possibly including X-rays, rhinoscopy, or blood work to identify the root cause.

What to Expect at the Vet

Describe the episodes in detail: when they happen (after eating? at night?), how long they last, and what your dog does. The vet may watch an episode or use a stethoscope to listen to the throat and chest. If a foreign body is suspected, sedation and rhinoscopy might be needed. For allergies, the vet may recommend antihistamines or a hypoallergenic diet trial. Collapsing trachea often responds to cough suppressants, weight management, and avoiding triggers. Reflux can be managed with diet changes and antacids.

Home Care and Prevention

If the episodes are mild and infrequent, and your vet has ruled out serious causes, you can try the following:

  • Gently massage your dog’s throat during an episode. This can help stop a reverse sneeze.
  • Keep your dog calm and avoid sudden excitement that might trigger an episode.
  • Use a humidifier to keep the air moist, especially during dry seasons.
  • Elevate food and water bowls to reduce post-meal reflux.
  • Avoid collars that press on the throat; use a harness instead.
  • Monitor for allergens by wiping paws after walks and washing bedding regularly.

Never attempt to force your dog’s mouth open during an episode or give any medication without veterinary approval.

Prevention Tips

  • Keep your home environment free of small objects, grass awns, and potential irritants.
  • Schedule regular dental cleanings to prevent oral infections that could trigger throat irritation.
  • Maintain a healthy weight to reduce pressure on the throat and stomach.
  • Feed smaller, more frequent meals to minimize reflux.

By understanding the link between reverse sneezing and vomiting, you can take the right steps to keep your dog comfortable. Most causes are manageable with professional guidance, leading to happier, healthier days ahead.


Disclaimer: This article is for educational and informational purposes only. It is not intended to substitute for professional veterinary advice, diagnosis, treatment, or regulatory guidance. Always consult a licensed veterinarian or qualified specialist regarding animal health, disease diagnosis, and therapeutic decisions.