From chicken bones to the plastic wrappers on their favourite treats, our dogs can choke on a number of things. More often than not, they cough up whatever is stuck in their throats. However, just like people, sometimes they need a little help. (Yes, there is a Heimlich manoeuvre for dogs and CPR for dogs as well.)

Choking can, of course, be a life-threatening emergency that needs immediate attention. It blocks the airways, so your dog can only give you limited signs that he/she might be in distress. If your dog is breathless, gasping for air, drooling, gagging and very anxious, open his/her mouth and check if you can safely remove the obstruction. If this isn't feasible or it doesn't work, there are some simple things you can do to help your dog.

  1. Causes of choking in dogs
  2. Signs of choking in dogs
  3. What to do if your dog is choking?
  4. Prevention of choking in dogs
  5. How to tell the difference between kennel cough and choking

First things first, try to stay calm if you see your dog choking on something. Scary as the sight may be, your pet needs you to have your wits about you. There are some common causes that are responsible for choking in dogs:

  • Bones: Try not to give leftover bones to your dogs, no matter how much they plead and beg. Tiny pieces of bone can get stuck in the windpipe. Further, the sharp edges of the bones can do damage to their throats.
  • Toys: Small chew toys and small balls are more likely to get stuck in your dog’s throat. While this can happen at any age, young puppies who are excitable are especially susceptible. Make sure that the toys you give your pets are big enough to avoid choking hazards. 
  • Sticks and bits of furniture: If you leave your dog unattended outside, he/she is more likely to gulp a piece of wood or a stick, which might choke his/her windpipe. If your puppy is gnawing on furniture when he/she is teething, he/she could get sharp bits of wood stuck in their throat. One way to protect your puppy and your furniture is to cover up your sofas and chairs till your dog is done teething.
  • Collapsing trachea: Small breeds like Shih Tzu, poodle and pug are more likely to suffer from collapsing of the trachea (the windpipe). You might see your dog gasping and wheezing for breath and if not treated immediately it could be fatal.
  • Constricting collars: An often overlooked cause of choking in dogs is a collar that is too tight or a collar that becomes tight when a dog pulls on the leash. Try to avoid choke chains, as they can cause choking and injuries to your dog's neck and oesophagus.
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The signs of choking can be confusing, as sometimes what sounds or looks like choking is actually an indication of another condition. For instance, you may mistake kennel cough, reverse sneezing, gagging or vomiting as signs of choking.

It is good to take note of these signs and take immediate action, as choking can kill a dog within minutes in some cases. A choking dog may present with the following symptoms:

  • Gasping for breath or pacing: If you find your dog is gasping for breath or pacing anxiously, inspect your dog’s mouth and throat immediately for any blockage.
  • Tongue and gums turning blue or white: This change may be caused by a lack of oxygen, signalling that your dog is not getting adequate air to breathe. This is a bad sign. (See below for Dog Heimlich Manoeuvre and Dog CPR).
  • Making loud, rasping sounds: If your dog is making a high-pitched squeaking sound or you notice a whistling sound coming from their nose and mouth as they try to allow air to pass through their breathing canal, these may be signs that a dog is choking.
  • Pawing their face: Your dog cannot communicate with you, so when he/she is pawing his/her face or throat, pay attention to these cues and inspect his/her mouth and throat immediately.
  • Acting anxious or agitated: When you find your dog more anxious than ever, along with other signs, then he/she might be choking.
  • Loss of consciousness: Your dog may lose consciousness due to the absence of air supply for a long period of time. This is an emergency condition and needs immediate medical intervention.

The first thing you should do when you find your dog choking is call for medical help. It's a good idea to identify veterinary doctors who do home visits or are able to take emergency cases in your area beforehand. Save their numbers in your phone so you can find them quickly, even when you are slightly panicked.

  • If your dog is conscious, he/she might be anxious because he/she can't breathe. Stay calm and do not stick your fingers in his/her mouth because you might get bitten or push the object obstructing his/her throat farther in. Try to dislodge the object by thumping the dog between the shoulder blades. If your dog is standing up, you can try to lift your dog's hind legs to help them cough the object out.
  • If your dog is unconscious, the first thing you need to do is open their mouth, place your finger along the inside of the mouth, sliding it down towards the centre of the throat over the base of the tongue, gently sweeping towards the centre to remove any foreign material.
  • If this doesn’t help, then you may have to perform the Heimlich manoeuvre to dislodge the object choking your dog. The Heimlich manoeuvre is a technique of providing abdominal thrusts to a person or animal choking on something.
  • You must have proper training before you perform this technique correctly on your dog. Moreover, do not perform this technique until you are 100% sure that your dog is choking.

Heimlich Manoeuvre for Dogs

Heimlich manoeuvre for small dogs:

  • Place your dog on his/her back and hold his/her head up so that her spine is long and the airway is open.
  • Make a fist with one hand, and place it against your dog’s abdomen, at the soft hollow under the ribs.
  • Grasp the fist with your other hand, and give four or five rapid thrusts inward and upward towards the midline of the chest.
  • This can help in removing the obstacle which is causing the choking in your dog.

Heimlich manoeuvre for large dogs:

  • If your dog is standing, wrap your arms around your dog’s belly. Now make a fist and place it in the hollow space just after the rib cage. Firmly push your fist up and forward in one smooth motion.
  • If your dog is lying down on his side, use one of your hands to support the back and with the other hand, squeeze the abdomen upwards towards the spine and forwards towards the neck.
  • Check the dog's mouth and remove any objects that may have been dislodged.

Do call a veterinarian for further treatment even if you are successful in removing the obstructing item.

Cardiopulmonary resuscitation or CPR for dogs

If the Heimlich manoeuvre fails and your dog is still not getting enough oxygen, call your veterinarian again to make sure he/she is on the way. Your dog may require Cardiopulmonary Resuscitation (CPR) to stay alive till you get medical help. 

CPR is a combination of chest compressions and artificial respiration. CPR should be used when you cannot feel or hear the animal’s heartbeat and when the animal is unconscious. Stay calm and follow these steps:

  • Lay your pet down on his/her right side. If your dog weighs less than 14 kilograms, cup your palms over the heart region and compress 10-15 times before giving two breaths (remember to close the nostrils before breathing into your pet's mouth). Continue compressing at a rate of 100-120 compressions a minute for 10 minutes or till help arrives.
  • If your dog is an adult and weighs over 14 kilograms, lay him/her down on his/her right side. Lie down behind your pet. Grab the widest part of his/her chest from both sides. Cup your palms and place them just above his/her heart. Compress till the chest till it's about one-third or one-fourth of its usual width for one count. Do 100-120 compressions a minute for 10 minutes or till help arrives, stopping after ever 15 compressions to give two breaths to your pet through the mouth - remember to place close his/her nose when you do this.

Our dogs can be excited, playful or just hungry when they choke on things. It doesn't hurt to be extra cautious when you have a pet in the house. These are some of the preventive measures you can take to avoid an episode of choking in your dog:

  • Although it’s nearly impossible to stop your dogs from putting things in their mouths, try to keep an eye on what they’re chewing, especially when they are outside.
  • Give large chunks of food so that they don’t end up choking on them.
  • Do not give your dogs small balls or toys which can easily fit inside their mouths.
  • Do not give them cooked meat bones or T-bones which have the highest chances of getting stuck somewhere in your dog’s throat.
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One of the symptoms of kennel cough, or infectious tracheobronchitis, in dogs is a hacking cough that sounds like the dog is choking. However, the two are different conditions with different treatment protocols. Here's how you can tell the difference:

  • A dog who is choking will seem more stressful. Their cough is sometimes accompanied by gagging.
  • Though the coughing in kennel cough is usually constant, some dogs may experience episodic coughing. In dogs who are choking, the coughing usually stops when the obstruction is removed.
  • Dogs with kennel cough tend to have a hacking cough. The choking noise is more like a high-pitched squeak to ask for help.
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