If your dog is panting excessively and can’t seem to settle down, pacing or acting anxious, it’s a sign that something isn’t quite right. These symptoms often go hand in hand and may reflect physical discomfort, emotional distress, or an underlying medical issue.
We outline the common causes of dog panting excessively and restless, what you can do at home, and when to seek veterinary help.
Dog Panting Excessively and Restless — Why It Happens
Excessive panting paired with restlessness can indicate pain, anxiety, digestive upset, or heart and respiratory problems. Dogs may pace and pant when they’re stressed, overheated, or feeling sick.
Other possibilities include drug side effects, hormonal imbalances, or something more acute like bloat. When these symptoms persist or occur suddenly, it’s important to investigate further, especially in older or at-risk dogs.

Common Causes of Dog Panting Excessively and Restless
Pain or Discomfort
Dogs often pant and pace when they’re in pain — even if they’re not limping or vocalizing.
This can include joint pain from arthritis, dental issues, abdominal discomfort, or internal injuries.
Because dogs instinctively hide pain, panting and restlessness are often the first signs that something is wrong.
Watch for subtle cues like changes in posture, reluctance to lie down, or shivering.
Anxiety or Panic
Panting and restlessness are classic signs of canine anxiety.
This could be triggered by separation anxiety, loud noises like fireworks, unfamiliar visitors, or changes in routine.
Dogs may pace in circles, whine, or tremble in addition to panting.
For anxious dogs, these behaviors can escalate quickly without intervention or calming strategies.
Read more: Dog Panting and Shaking at Night (What could be triggering it?)
Gastrointestinal Distress
An upset stomach can make dogs feel uncomfortable, prompting them to pant and pace.
Conditions like gas, indigestion, or more serious problems like pancreatitis or bloat can all lead to these symptoms.
In the case of bloat, the stomach expands and may twist, making it a life-threatening emergency.
Other signs may include a hard belly, drooling, or repeated attempts to vomit.
Heatstroke or Overheating
Panting is how dogs cool themselves, but when they’re too hot or dehydrated, it can become excessive.
Restlessness often accompanies the discomfort of heat stress as your dog tries to find relief.
If the environment is warm or your dog has exerted themselves, they may be struggling to regulate body temperature.
This can progress to heatstroke, especially in flat-faced breeds or older dogs.
Medication Side Effects
Certain medications, especially corticosteroids or pain meds, may cause panting and agitation.
This is particularly true if your dog has just started a new drug or had a dosage change.
Always review new symptoms with your vet if they appear after medication changes.
Panting may also occur if medications affect blood sugar, hormone levels, or digestion.
Cognitive Dysfunction Syndrome
In senior dogs, excessive panting and restlessness can be signs of cognitive decline.
They may pace at night, seem confused, or struggle to settle down.
This condition is similar to dementia in humans and often appears gradually.
Although not curable, it can often be managed with medication, routine changes, and support.
What to Do If Your Dog Is Panting Excessively and Restless
Start by removing any immediate stressors or heat sources. Provide a quiet, cool space and fresh water.
Observe your dog’s behavior carefully — note when the symptoms started, what preceded them, and whether they worsen at certain times.
Try calming techniques such as gentle petting, low-volume music, or offering a safe crate space.
If your dog is anxious, avoid scolding or forcing them to lie down — this can increase stress.
Document any additional symptoms such as vomiting, limping, or unusual posture. This will be useful if veterinary care becomes necessary.
When to Call or Visit Your Vet
Seek veterinary care immediately if your dog:
Shows signs of bloat (hard belly, retching with no vomit, collapse)
Pants excessively while appearing weak or disoriented
Has tremors, vomiting, or diarrhea
Doesn’t improve after rest and hydration
Is older and showing new or worsening signs of confusion or agitation
If the panting and restlessness are new, persistent, or worsening, they should always be evaluated.
Prompt diagnosis can prevent more serious complications and offer your dog relief sooner.
Read more: Dog Breathing Heavily and Not Eating (What you should watch for)
Key Takeaway
When your dog is panting excessively and can’t seem to settle down, it’s more than a passing discomfort.
This combination of symptoms often points to underlying issues such as anxiety, pain, or illness.
Keep track of changes, provide a calm environment, and don’t hesitate to contact your vet if symptoms persist or escalate.
With early attention and care, your dog can get back to feeling secure and comfortable.