Why is my dog making choking noises at night?

Reviewed by Amy Flowers, DVM on July 25, 2021

If your dog is hacking away or constantly making noises that make it sound like they are choking on something, they may have a case of kennel cough, or canine infectious tracheobronchitis. Although kennel cough can sound terrible, most of the time it is not a serious condition, and most dogs will recover without treatment.

Just as human colds may be caused by many different viruses, kennel cough itself can have multiple causes. One of the most common culprits is a bacterium called Bordetella bronchiseptica m-- which is why kennel cough is often called Bordetella. Most dogs that become infected with Bordetella are infected with a virus at the same time. These viruses, which are known to make dogs more susceptible to contracting Bordetella infection, include canine adenovirus, canine distemper virus, canine herpes virus, parainfluenza virus and canine reovirus.

Dogs "catch" kennel cough when they inhale bacteria or virus particles into their respiratory tract. This tract is normally lined with a coating of mucus that traps infectious particles, but there are a number of factors that can weaken this protection and make dogs prone to kennel cough infection, which results in inflammation of the larynx (voice box) and trachea (windpipe).

These factors include:

  • Exposure to crowded and/or poorly ventilated conditions, such as are found in many kennels and shelters
  • Cold temperatures
  • Exposure to dust or cigarette smoke
  • Travel-induced stress

The classic symptom of kennel cough is a persistent, forceful cough. It often sounds like a goose honk. This is distinct from a cough-like sound made by some dogs, especially little ones, which is called a reverse sneeze. Reverse sneezes can be normal in certain dogs and breeds, and usually only indicates the presence of post-nasal drip or a slight irritation of the throat.  

Some dogs with kennel cough may show other symptoms of illness, including sneezing, a runny nose, or eye discharge.

If your dog has kennel cough, they probably will not lose their appetite or have a decreased energy level.

Kennel cough is contagious. If you think your dog might have the condition, you should keep them away from other animals and contact your veterinarian.

Although most cases of kennel cough will resolve without treatment, medications may speed recovery or minimize symptoms during the course of infection. These include antibiotics that target Bordetella bacteria and cough medicines.

You may also find that keeping your dog in a well-humidified area and using a harness instead of a collar, especially for dogs that strain against a leash, will minimize the coughing.

Most dogs with kennel cough recover completely within three weeks, though it can take up to six weeks in older dogs or those with other medical conditions. Because serious, ongoing kennel cough infection can lead to pneumonia, be sure to follow up with your veterinarian if your dog doesn't improve within the expected amount of time. Also, if your dog at any time has symptoms of rapid breathing, not eating, or listlessness, contact your vet right away, as these could be signs of more serious conditions.

There are three forms of vaccine for kennel cough: one that is injected, one that is delivered as a nasal mist, and one that can be given by mouth. Although these vaccines may help, they do not guarantee protection against kennel cough or infectious tracheobronchitis because it can be caused by so many different kinds of bacteria and viruses. Also, it is important to realize that neither form of the kennel cough vaccination will treat active infections.

The intranasal and oral kennel cough vaccinations are typically given to dogs once a year, but sometimes are recommended every six months for dogs at high risk for kennel cough. These forms of the vaccine tend to provide dogs protection against kennel cough sooner than the injected product.

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There it is again—that horrible sound coming from your dog at night that almost reminds you of a goose honking in their sleep, and it’s almost always followed by a harsh gagging sound.

While dog gagging can be a benign behavior, there are things you need to know and be aware of so that you know when it is time to visit your veterinarian.

The Difference Between Dog Gagging, Coughing and Vomiting, and Why It’s Important

Dog gagging is sort of a nonscientific description of the noise an animal makes usually just before or after a cough. It sounds sort of like they are trying to vomit while also coughing.

There is a difference between coughing, vomiting and dog gagging, and it is important to be able to distinguish between them. If you can take a video of the behavior, it will help your veterinarian to distinguish what is happening.

Loosely speaking, however, when a dog coughs, this really doesn’t bring anything up, other than perhaps spraying some saliva or some mucus, which is usually quickly swallowed. When a dog vomits, it is usually pretty obvious because food or stomach contents wind up on the floor. 

Dog gagging usually happens in conjunction with a cough. When a dog is gagging, they may widely open their mouth and make a retching sort of sound. But unlike with vomiting, nothing will come out of the dog’s mouth except just a small amount of mucus that may or may not be swallowed. With gagging, there will be no expulsion of stomach contents, like with vomiting.

It is important to notice whether your dog COUGHS and then gags or GAGS and then coughs. Believe it or not, it does matter. For a veterinarian, the order in which these two actions happen can help them determine which types of diseases they need to be considering.

What Causes Dog Gagging?

Gagging is caused by inflammation in the area of the larynx. There are a number of things that can cause a dog to gag, and it will often require a veterinary exam to sort the problems out. 

When a dog coughs first and then gags, we are commonly thinking about problems which cause bronchitis and lower respiratory disease. When a dog gags first and then coughs, we are considering things along the lines of dysfunction of the larynx.

Two very common things that can cause gagging in dogs are infectious problems and laryngeal paralysis.  

Kennel cough, which is a type of respiratory infection, is a common cause of dog gagging, which results in a harsh, goose-like cough, sometimes followed by a gag. There are other infectious diseases that can also cause gagging, and a more severe disease—pneumonia—can sometimes cause gagging in dogs, as well.

Laryngeal paralysis can occur often in older Labrador Retrievers. In this condition, the larynx no longer closes properly, allowing some food and fluid to access the airway. Another feature of this condition is a very loud, harsh panting. Laryngeal paralysis often starts out subtly and worsens with time.

When Should I Be Concerned About a Dog Gagging?

Just like us, every dog sometimes swallows wrong and has a bout of dog coughing and gagging, so this isn’t a problem to immediately be concerned about.

If your pet is bright, alert, breathing normally, eating and drinking as expected, and appears to be feeling fine, you should monitor the problem for 48-72 hours. 

If the gagging lasts longer than this, it may well be something more significant than just some minor reaction from swallowing wrong. If any other symptoms are present—your dog appears worried or distressed, is having ANY trouble breathing, has an increase in noise during breathing, or is not feeling well in any fashion—I would recommend an exam sooner rather than later.

Whenever the respiratory system is not quite right, we tend to take the condition seriously as veterinarians. So, if you sense something isn’t right, I would recommend taking steps to get it diagnosed.

What Can a Veterinarian Do to Help Dog Gagging?

What happens at the veterinary appointment will vary quite a lot depending on the specifics of what your dog is displaying. In all cases, a complete physical examination is indicated.

Sometimes, the doctor may be able to make a tentative diagnosis based on this exam alone. Other times, some additional tests may be required. The most common initial tests include blood work (looking specifically for signs of infection) as well as radiographs of the neck and lungs.

Particularly, if the veterinarian is concerned that laryngeal paralysis is a possibility—or if the dog may have swallowed some foreign material such as a ball that is lodged—sedation may also be required for a complete exam of the larynx.

The good news is that most cases of dog gagging are relatively straightforward to treat. Even the causes that are more significant, such as from pneumonia or laryngeal paralysis, do have treatments available to either cure or significantly reduce the gagging and make your dog more comfortable.

By: Dr. Sandra Mitchell

Featured Image: iStock.com/Blaza1980