Reverse sneezing in dogs, also called paroxysmal respiration or the pharyngeal gag reflex, is a unique respiratory event that is quite different from a normal sneeze. It produces a loud, distinctive snorting sound and can be alarming if you haven't seen it before. Typically, a reverse sneezing episode will pass quickly without causing harm, and many owners learn to recognise the sound and see it as a harmless quirk.
Understanding what causes reverse sneezing and knowing how to respond can help you care for your dog responsibly and reduce any anxiety around the episodes.
Veterinary experts believe reverse sneezing occurs due to irritation or inflammation in the nose, throat, or sinuses, leading the dog to rapidly pull air inward through the nose to clear obstructions such as mucus or allergens. This reflex involves spasms of the soft palate and throat muscles, which is why it may initially seem similar to choking or a collapsed trachea but is generally harmless.
Common triggers include:
Sometimes the cause remains unidentified. If episodes increase in frequency or severity, further veterinary assessment is recommended to rule out infections, anatomical abnormalities, or other respiratory conditions.
Reverse sneezing can affect any dog breed, but it is most frequently observed in smaller breeds and those with brachycephalic (flat) faces. Examples include the Pug puppies, Boxer puppies, and Bulldog puppies. These breeds have unique airway structures that may predispose them to this reflex due to smaller windpipes or elongated soft palates.
Unlike regular sneezing where air is forcefully expelled through the nose, reverse sneezing involves the dog rapidly inhaling air through the nose, often producing a loud, snorting or honking sound. During an episode, your dog's head and neck may extend or be held in an odd position, and their body appears tense with wide or bulging eyes. Episodes usually last only a few seconds but can be disturbing to witness.
Usually, reverse sneezing is harmless and will stop on its own. Here are steps to support your dog during an attack:
Do avoid panicking or trying to forcibly intervene, as this may cause distress.
If reverse sneezing episodes become very frequent, prolonged, or your dog shows other signs such as coughing, gagging, difficulty breathing, nasal discharge, or lethargy, seek veterinary attention. Your vet can examine your dog’s respiratory tract and may recommend tests or treatments if there is an underlying condition causing the irritation.
Recording a video of an episode can be helpful to show the vet exactly what happens.
Knowing about reverse sneezing equips you to care for your dog with empathy and confidence. Responsible pet owners monitor their pets’ health, minimise exposures to irritants, and ensure veterinary checks are made when needed to keep their canine companions happy and well.