Section: Symptom Guides

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Dog Is Reverse Sneezing And Coughing

If you have ever watched your dog suddenly stop, extend its neck, and make a loud snorting or honking sound, you have likely witnessed an episode of reverse sneezing. While alarming to see, reverse sneezing is usually harmless and short-lived. But when a dog is reverse sneezing and coughing together, the situation can be confusing and worrisome. This guide explains what is happening, what causes these symptoms, and when you should call your veterinarian.

Quick Q&A: Common Questions

Question: Why is my dog reverse sneezing and coughing at the same time?

Answer: Reverse sneezing is a spasm of the soft palate that pulls air in through the nose, while coughing is a forceful expulsion of air from the lungs. When they occur together, it often indicates irritation in the upper airway, such as from allergies, a foreign object, or an infection like kennel cough. A veterinarian can help determine the exact cause.

Understanding Reverse Sneezing and Coughing

Reverse sneezing, also called inspiratory paroxysmal respiration, happens when the soft palate and throat muscles spasm. The dog rapidly inhales through the nose, producing a snorting sound. It is not a true sneeze (which is expulsive) and is generally not dangerous. Coughing, on the other hand, is a reflex that clears the lower airways of mucus, dust, or irritants. When both occur in the same episode or over a short period, the upper airway is likely inflamed or obstructed.

Common Causes of Combined Reverse Sneezing and Coughing

Allergies and Irritants
Seasonal pollen, dust mites, mold, cigarette smoke, or household cleaners can irritate the nasal passages and throat, triggering both reflexes. Dogs with brachycephalic (flat-faced) breeds, such as Bulldogs and Pugs, are especially prone.

Kennel Cough (Canine Infectious Respiratory Disease Complex)
A highly contagious respiratory infection caused by bacteria (Bordetella bronchiseptica) or viruses (parainfluenza, adenovirus). The classic sign is a dry, honking cough, but reverse sneezing often accompanies it as post-nasal drip irritates the throat.

Foreign Objects
Grass awns, seeds, or small pieces of food can lodge in the nasal cavity or pharynx. The dog may reverse sneeze trying to dislodge it and cough if the object moves deeper.

Nasal Mites or Other Parasites
Pneumonyssoides caninum mites live in the nasal passages and sinuses. They cause intense irritation, leading to reverse sneezing, sneezing, and sometimes a secondary cough.

Soft Palate Elongation (Brachycephalic Airway Syndrome)
In flat-faced breeds, an elongated soft palate can intermittently obstruct the airway, causing reverse sneezing. Coughing may occur if the palate irritates the larynx.

Tumors or Polyps
Rarely, growths in the nasal cavity or throat can cause chronic coughing and reverse sneezing. This is more common in older dogs.

Home Care and When to Stay Calm

Most single episodes of reverse sneezing resolve within seconds to a minute. If your dog is otherwise acting normal, you can try gentle massage of the throat or briefly covering the nostrils to encourage swallowing, which often stops the spasm. For coughing, ensure your dog stays hydrated and avoid exposure to smoke or strong perfumes.

However, if your dog is reverse sneezing and coughing frequently, has trouble breathing, shows a blue tint to the gums, or has a fever, you need immediate veterinary attention.

What to Expect at the Veterinarian

Your vet will take a history and observe your dog’s breathing. They may perform a physical exam, focusing on the mouth, throat, and nasal passages. Diagnostics can include:

  • Radiographs (X-rays) of the chest and neck to check for pneumonia, foreign bodies, or tumors.
  • Rhinoscopy (a camera inserted into the nose) to look for mites, polyps, or foreign objects.
  • Tracheal wash or bronchoscopy to sample airway cells if infection is suspected.
  • Blood work to rule out systemic illness.

Treatment depends on the cause: antibiotics for bacterial infections, antihistamines for allergies, surgical removal of foreign objects or growths, and anti-inflammatory medications to reduce swelling.

Prevention and Long-Term Management

  • Keep your dog’s vaccinations up to date, especially the kennel cough vaccine.
  • Use air purifiers and avoid smoking near your pet.
  • For brachycephalic breeds, maintain a healthy weight and avoid excessive heat or exercise that stresses breathing.
  • Regularly check your dog’s nose and mouth after walks in grassy areas.
  • If allergies are diagnosed, your vet may recommend omega-3 supplements or allergy shots.

When to Seek Emergency Care

Call your veterinarian or an emergency clinic if your dog:

  • Cannot catch its breath or is collapsing.
  • Has blue or pale gums.
  • Is coughing up blood or foam.
  • Has a sudden onset of severe, nonstop coughing or reverse sneezing lasting more than a few minutes.
  • Shows lethargy, loss of appetite, or a fever.

While isolated reverse sneezing is rarely serious, the combination of reverse sneezing and coughing should not be ignored. With proper diagnosis and care, most dogs recover fully. Always consult your veterinarian if you are concerned about your pet’s respiratory health.


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.