Back and forth or darting eye movements (also called nystagmus) Head tilting or head shaking Nausea or vomiting Rolling onto one side[2] X Research source Walking in circles Standing with a wide stance
Vestibular disease can also signal totally separate health issues, like hyperthyroidism. If your vet finds no cause, your dog will be diagnosed with idiopathic vestibular disease, or old dog’s vestibular disease. This is the most common diagnosis. [4] X Research source
Treatments to fight the underlying cause—so for instance, antibiotics for an inner ear infection Hospitalization and IVF if your dog is struggling to eat and drink Sedatives in the case of serious balance issues Medication if your dog suffers from related nausea or anxiety An exercise plan which may include physical therapy, guided movement, etc. A warning against exercise and movement (if your dog suffers from infection or inflammation, for example)[6] X Research source Surgical treatment in the case of serious underlying issues
Staircases Sharp edges Floor clutter Small furniture Electrical cords
Additionally, buy your dog a harness or sling to help them move freely and practice balancing. Slings and harnesses can be found in pet stores or online shops. Ask your veterinarian for recommendations that suit your dog best. [10] X Research source
Elevate your dog’s food and water bowls so that they don’t have to lower their neck to eat and drink. Place your dog’s food and water bowls against the wall and lean your dog against the wall as well. This will help them stay upright while they eat. [12] X Research source If they’re unable to move, bring their food and water bowls to them. Try hand feeding your dog if they’re struggling. [13] X Research source
Add chicken or veggie broth to your dog’s food or water to make them more appealing. Add warm water to their food. Moistening your dog’s chow will make it easier to chew (broth will achieve this as well). Roll wet, canned food into “meatballs” for an easy, hand-fed meal. Avoid their human-food favorites. Your nauseous dog may enjoy treats like this, but these foods will be hard to digest. This will worsen their illness. [15] X Research source
Additionally, your dog may find it difficult to get up to use the bathroom at night. If they poop or pee in their bedding, clean it as soon as possible. Otherwise, they could suffer from painful urine scalding.
Depending on how your dog is feeling, they may also benefit from a food toy or puzzle to take their mind off of their balance issues and nausea. Additionally, if you worry that your dog is suffering from significant anxiety, speak to your vet about anti-anxiety medication.
Discuss whether or not your dog is cleared for movement given their vestibular disease’s underlying cause. If your dog appears to be in pain at any point during an exercise, stop what you’re doing immediately. If you feel uncomfortable walking your dog through exercises on your own, consult a physical therapist for help.
If possible, maintain eye contact with your dog to encourage them on. Watch them closely during this exercise. If they begin to fall, make sure you’re there to catch them.
