It can be alarming to see your dog shaking and making strange honking or snorting sounds. This combination of symptoms often occurs during episodes of reverse sneezing—a common, usually harmless respiratory reflex. However, if shaking accompanies reverse sneezing frequently or severely, it could signal an underlying issue.
We outline the common causes of dog shaking and reverse sneezing, what you can do at home, and when to seek veterinary help.
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Dog Shaking and Reverse Sneezing — Why It Happens
Dogs may shake during reverse sneezing due to anxiety, discomfort, respiratory irritation, or a coexisting condition such as nasal congestion or throat irritation. While reverse sneezing alone is often benign, shaking suggests your dog may be feeling stressed, painful, or more unwell than usual.
Common Causes of Dog Shaking and Reverse Sneezing
Upper Respiratory Irritation
Dust, pollen, strong odors, or even excitement can irritate a dog’s nasal passages and lead to reverse sneezing episodes.
If the irritation is persistent, dogs may also tremble due to stress or struggle to catch their breath.
Most episodes last under a minute, but frequent or prolonged occurrences warrant a vet visit.
You might also notice watery eyes, nasal discharge, or sneezing.
Nasal Mites or Infections
Parasites or bacterial infections in the nasal cavity can trigger reverse sneezing along with shaking due to discomfort.
These conditions may also lead to excessive sneezing, nose rubbing, discharge, or head shaking.
Infections may need antibiotics, while nasal mites require anti-parasitic treatment.
If your dog’s episodes are increasing or worsening, have them evaluated.
Read more: Why Is My Dog Shaking and Weak (What it means)
Allergies
Environmental allergies to pollen, mold, or household irritants can lead to inflammation in the airways.
This often causes reverse sneezing and may also make your dog shake if they are feeling itchy, anxious, or generally unwell.
Other signs include red eyes, itchy skin, sneezing, or licking the paws.
Managing the allergy often reduces both symptoms.
Collapsing Trachea
Small breeds are especially prone to this condition, which causes a narrowing of the windpipe when breathing.
Episodes often look like reverse sneezing, and dogs may tremble due to the strain and panic.
You might hear a goose-like honking cough or see your dog extending their neck when breathing.
This condition ranges in severity and may require weight management, medications, or even surgery.
Stress or Panic Response
Some dogs shake when overwhelmed by fear or confusion—especially during unfamiliar symptoms like reverse sneezing.
If your dog seems startled, paces, or hides during an episode, it may be more of a behavioral reaction.
Comforting your dog, minimizing triggers, and building calm associations with known stressors can help reduce both shaking and reverse sneezing.
What to Do If Your Dog Is Shaking and Reverse Sneezing
Try gently massaging your dog’s throat or briefly covering their nostrils to encourage swallowing—this often stops a reverse sneeze.
Stay calm and speak soothingly to avoid escalating your dog’s anxiety.
If the shaking continues after the sneezing ends, monitor them closely for other signs of illness.
Record the episode on video if it’s new, worsening, or recurring often—this helps your vet assess the situation.
Keep your dog away from strong fragrances, dust, or other respiratory irritants.
When to Call or Visit Your Vet
See your vet if your dog:
Has frequent or prolonged reverse sneezing
Shows signs of pain, lethargy, or reduced appetite
Has nasal discharge, coughing, or difficulty breathing
Shakes uncontrollably during or after episodes
Seems to be getting worse or less responsive over time
Your vet can check for infection, obstruction, or structural problems and provide appropriate treatment.
Read more: Dog Shaking and Breathing Heavy (How to help)
Key Takeaway
Shaking and reverse sneezing together may be harmless—or a sign of something more.
Stay calm, monitor your dog’s symptoms, and involve your vet if the episodes become frequent, intense, or are accompanied by other red flags.
With proper attention, most causes can be managed to keep your dog breathing easy and feeling secure.