My Dog Is Losing Balance & Falling Over: 8 Vet Explained Reasons – 33rdsquare

My Dog Is Losing Balance and Falling Over: A Comprehensive Guide

Introduction
Few things are scarier for dog owners than seeing their beloved pup suddenly lose balance and fall over. Whether it‘s subtle stumbling and swaying or dramatic collapsing to the ground, a loss of coordination and balance in your dog should never be ignored. These signs often indicate a serious underlying medical condition that requires immediate veterinary attention.

As a veterinarian, one of the most common neurological emergencies I see in dogs is acute loss of balance and falling. The sooner we can diagnose the cause, the better the chances are of successful treatment and a full recovery for your dog. In this article, I‘ll go in-depth on reasons why dogs fall over, how these conditions are diagnosed and treated, and what you should do if you witness your dog losing balance.

Common Causes of Dogs Losing Balance and Falling Over
Many different things can cause a loss of balance and coordination in dogs. These range from infections and inflammatory conditions to strokes, tumors, toxins, and age-related disorders. One of the most common causes is a problem with the vestibular system. The vestibular apparatus is located in the inner ear and is responsible for sensing the position of the head and maintaining balance.

Vestibular disease can be peripheral, meaning it originates in the inner ear itself, or central, stemming from the brain. Peripheral vestibular disease has a variety of potential causes including ear infections, trauma, tumors, hypothyroidism, and idiopathic vestibular syndrome in older dogs. Central vestibular disease can result from inflammatory brain diseases, infection, stroke, or tumors.

Other neurological conditions like seizures can also cause dogs to lose balance and fall over. During a seizure, dogs often collapse and may experience muscle twitching, paddling of the limbs, and loss of consciousness. Brain tumors can lead to seizures as well as other symptoms like behavior changes, circling, and a head tilt.

Syncope, or fainting, is another reason dogs suddenly fall over. This is often due to a heart condition or abnormal heart rhythm that prevents adequate blood flow to the brain. Less commonly, syncope can be caused by severe pain, low blood sugar, or blood loss.

Toxin ingestion is always a concern in dogs who suddenly fall over, especially if other symptoms like vomiting or tremors are present. Certain medications, foods like chocolate or xylitol, and plants can all cause neurological signs in dogs. Ticks can also release a potent neurotoxin that leads to sudden weakness and loss of coordination.

Trauma is yet another potential cause of acute balance loss in dogs. Any significant blow to the head or neck can disrupt the vestibular system or even cause bleeding in the brain. Spinal injuries can also make dogs weak and off balance.

Finally, older dogs may gradually start to lose balance and fall over more as they age. This can be a sign of cognitive dysfunction, vision loss, arthritis, or general muscle weakness and frailty. While age-related balance issues tend to progress slowly, they should still be checked out by a vet.

How to Tell if Your Dog is Losing Balance
So how do you know if your dog is truly losing balance versus just tripping or playing around? There are a few key signs to watch for:

• Stumbling, swaying, or appearing drunk when walking
• A head tilt to one side
• Rapid eye movements from side to side (nystagmus)
• Walking in circles
• Repeatedly falling over, especially when trying to stand
• Difficulty placing feet or crossing back legs

Balance loss may come on suddenly or appear more gradually over time. Take note of any other symptoms like vomiting, lethargy, shaking, appetite loss, or behavior changes, as these can provide clues to the underlying cause.

What to Do if Your Dog Falls Over
If you see your dog fall over, try to stay calm. Immediately go to your dog and make sure they are safe from hitting their head or struggling near stairs or furniture. Help them into a comfortable resting position if needed. If your dog seems extremely disoriented or panicked, speak in a soothing voice and avoid sudden movements.

Call your veterinarian right away for guidance. Describe what you saw and any other symptoms you‘ve noticed. Your vet can advise whether your dog needs to be seen urgently or give instructions for monitoring at home. Avoid giving any medications, even over-the-counter pain meds, unless specifically directed by your vet as these could make neurological symptoms worse.

If you need to bring your dog in for an exam, ask your vet the best way to transport them. For larger dogs who are unable to walk, using a sheet as a sling under their belly can help support their weight. Smaller dogs may do best being carried in a cushioned carrier.

Veterinary Diagnosis of Balance Problems in Dogs
When you bring your dog to the vet for losing balance and falling over, expect a thorough examination. Your vet will review your dog‘s health history and ask about any recent injuries, potential toxin exposure, or previous episodes of falling or neurological symptoms.

The physical exam will include checking your dog‘s gait and reflexes, looking for signs of weakness or incoordination. A neurological exam will test your dog‘s mental status, vision, and response to different stimuli. Your dog‘s eyes, ears, and head position will also be evaluated closely.

Bloodwork and a urinalysis give important information about your dog‘s overall health and can reveal problems like infection, inflammation, or organ dysfunction that may relate to their balance issues. More advanced testing is often needed to diagnose the specific cause of falling.

Imaging of the head and inner ears with x-rays, CT, or MRI can detect tumors, inflammatory brain lesions, and signs of trauma or infection. In certain cases, a spinal tap may be recommended to check for blood cell counts and proteins in the cerebrospinal fluid.

Other specialized tests used to evaluate balance loss in dogs include brainstem auditory evoked response (BAER) testing to assess hearing and vestibular function, thyroid levels, tick disease screening, and toxicology.

Treatment Options for Dogs Falling Over
The treatment for dogs losing balance and falling over depends entirely on the underlying cause. IV fluids and supportive care are important in dogs who are disoriented and unable to eat or drink normally. Anti-nausea medications can help if your dog has been vomiting. Antibiotics or antifungals are used in cases of infection.

Steroids are a mainstay of treatment for central vestibular disease and other inflammatory brain conditions to reduce swelling and alleviate symptoms. Dogs with idiopathic vestibular syndrome often improve with supportive care alone, though steroids may be used if symptoms are severe.

If a brain tumor is found to be the cause of your dog‘s balance loss, surgery with a neurosurgeon may be recommended if the mass is operable. Radiation and chemotherapy can also play a role in shrinking tumors.

Treating metabolic and hormonal imbalances is key in conditions like hypothyroidism that affect the nervous system. Physical rehabilitation exercises can help dogs regain strength and coordination after an injury or vestibular episode. Your vet will tailor a treatment plan to your dog‘s specific needs.

Preventing Future Episodes of Falling Over
Appropriate treatment of the underlying cause of your dog‘s balance loss is the first step in preventing repeat episodes. However, there are other steps you can take to reduce the risk of your dog falling in the future:

• Ensure any chronic conditions like hypothyroidism or epilepsy are well-controlled with medication and regular vet check-ups
• Fall-proof your home by securing rugs, using baby gates near stairs, and adding carpet or yoga mats for traction on slick floors
• Use a harness instead of a collar on walks to prevent neck injuries
• Consider physical therapy or rehab to improve your dog‘s core strength and balance
• Be alert for subtle signs of balance problems like tripping, head tilting, or tremors and contact your vet early

Catching balance issues early and staying in close communication with your veterinarian can make a big difference in your dog‘s comfort, safety, and outcome. Don‘t hesitate to ask questions or express any concerns.

Prognosis for Dogs Who Lose Balance
The long-term outlook for a dog who loses balance and falls over depends a lot on the diagnosis. Many causes, like idiopathic vestibular disease and inner ear infections, improve dramatically with treatment and time. Most dogs with these conditions return to normal balance and coordination within a few weeks.

More serious causes of falling, like brain tumors and degenerative conditions, may result in permanent neurological deficits. However, dogs are incredibly adaptable. With a combination of medical management, environmental adjustments, and dedicated care from their owners, even dogs with chronic balance problems can maintain a good quality of life.

In some cases, frequent falling may persist despite treatment, especially in senior dogs with multiple health issues. If your dog reaches a point where they are falling constantly, are too weak to stand, have uncontrollable pain, or seem miserable and lethargic, euthanasia may need to be considered. This is never an easy decision but is sometimes the most loving choice to prevent suffering. Your veterinarian can help guide you through determining when euthanasia may be appropriate based on your dog‘s individual situation.

Conclusion
Witnessing your dog lose balance and fall over is a frightening experience for any pet owner. The most important thing to remember is to stay calm and consult your veterinarian immediately. Prompt diagnosis and treatment provides the best chance for recovery.

While balance loss can be a sign of serious conditions like brain tumors or stroke, there are many cases where dogs improve and regain their normal activity with appropriate care. Keeping up with regular vet visits, taking steps to prevent injuries in the home, and watching for subtle signs of unsteadiness can help you catch any problems early.

No matter the cause of your dog‘s balance issues, know that your love and dedication to their wellbeing makes an enormous difference. Even if your dog requires ongoing support, the bond you share is a special source of comfort and stability for you both. Treasure the time you have with your furry friend and don‘t hesitate to lean on your veterinary team for guidance along the way.

References:

• Rossmeisl JH Jr. Vestibular disease in dogs and cats. Vet Clin North Am Small Anim Pract. 2010 Jan;40(1):81-100.
• Thomas WB. Vestibular Dysfunction. Vet Clin North Am Small Anim Pract. 2000 Jan;30(1):227-249.
• Markovich JE, Heinze CR, Freeman LM. Thiamine deficiency in dogs and cats. J Am Vet Med Assoc. 2013 Sep 1;243(5):649-56.
• Radulescu A, Homorodean C, Beju I, Oana L. Vestibular Syndromes in Dogs. Bulletin UASVM Veterinary Medicine. 2020;77(2):13-19.
• Barthélemy I, Pujol R. The Vestibular System: A Sensory System Like No Other. Neuroscience. 2021 Jun 1;462:289-302.
• Shell L. Diseases of the Cerebellum and Brainstem. Textbook of Veterinary Internal Medicine. 2022.