Squeaky / Gagging Dog Cough

by Lesley
(Dorset, England)

My 15 year old Maltese Terrier Charlie (male) has developed a cough with two parts to it, the first part - his cough makes a high pitched squeak which he will do about 4/5 times, then finishing with a gagging, which I do not know whether this produces anything in his mouth. This has been going on for about 8 weeks now.

I have been to the vet twice. He has had antibiotics and a steroid injection which as made no difference. He has also had some codeine as a cough suppressant, which also failed.

Charlie does have a heart murmur which my vet tells me is quite severe now. My vet always used to warn me that Charlie would eventually develop a cough as a result. However, my vet says that this cough Charlie has is nothing like the cough a heart murmur produces. He said with a heart murmur it is a loud honking cough. I guess that is his opinion based on his experience and another vet may be of the opinion that Charlie's squeaky/gagging cough is indeed indicative of a heart problem.

Charlie eats well and is happy, (except when he is coughing).
He goes for a walk every day and during his exercise he does not cough once!

Charlie's cough is worst after he has been resting. He sleeps in my room and wakes me up many times each night to have a coughing fit which lasts about five minutes and then he seems to know it has completed its cycle and he then starts scratching on the carpet to go back to sleep. Then a couple of hours later, the whole thing repeats itself.

During the day, he only coughs after he has been lying down.
The rest of the day he is not too bad. I have noticed that when I pick him up and put my hand under the barrel of his chest, this pressure makes him do the cough straight away.

He is a happy dog and I cannot have him put to sleep while he still has quality of life. He has loads of love and really good food and he has his sister Milly who he adores. She is fine.

I just hope you can give me a fresh new opinion on what you think this might be.

I used to have Yorkshire Terriers who developed trachea problems in later life, but they did a really loud honking cough, so I have convinced myself this isn't the problem with Charlie.

Think that's everything.
Thank you so much.

Comments for
Squeaky / Gagging Dog Cough

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My Online Vet Response for Squeaky/Gagging Dog Cough
by: Dr. Carol Jean Tillman

Hi Lesley,
Thank you for the detailed history on Charlie, your 15 year old Maltese. And your description of his cough that has a high pitched squeak followed by a gag. If he has a moderately severe heart murmur, I would expect he has some heart enlargement. When this occurs especially in a small breed dog, the trachea is elevated, and sometimes compressed. Also, with a 'leaky' valve causing the murmur, the heart loses it's efficiency to pump blood in one direction. Since the valve is leaking, some of the blood goes backwards, and fluid will begin to build up, either in the liver if right sided heart problems, (the tricuspid valve) or in the lungs if left sided problems, (the pulmonary, atrial or mitral valve). It is this fluid in the lungs that will lead to coughing that is worse when laying down, or at rest.

For the 'squeaky' sound to occur, he has to have an acute change of shape of his trachea, not the 'general' compression caused by the heart enlargement but one or more tracheal rings to collapse on inhalation. This can be high up in the trachea close to the larynx or throat area, which would make a more high pitched sound, or it can occur lower in the trachea or within the chest, causing a more honking sound. Since he is such a small breed, his trachea is not very long, therefore, wherever the collapse is occurring it is resulting in the high pitched sound.

Continued in Part 2-Squeaky gagging Dog Cough

My Online Vet Response for Squeaky/Gagging dog cough- Part 2
by: Dr. Carol Jean Tillman

Hi Lesley,
Here's the rest of my response:

1. He should be on a canned or raw diet, NO DRY FOOD. Also, it should be LOW SODIUM.
2. He should be supplemented with glucosamine/chondroitin sulfate to provide support to the tracheal rings. They are composed of cartilage, and have become weak, and are collapsing when he inhales. Give 200-300 mg two times daily.
3. He may need to be treated with either Spongia tosta, a homeopathic remedy for cough that ends in a gag and is associated with heart disease. Give 6c or 12c three times daily for one week, if improved then decrease to 1-2 times daily.
4. Or, Rumex crispus 6c or 12c, if he is worse breathing cold air, and the cough is better if he is covered up.
5. Thuya occidentalis is the remedy that is needed if the coughing started after he received a vaccination. Although, I hope that you are NOT still giving Charlie any vaccines at his age!

Do not give all of the remedies at one time. Only give the one that is the most appropriate, and give it for at least 7-10 days to see if it is helping. Then go to a different remedy. A holistic veterinarian will be able to guide you along in treating Charlie and listen to his heart and his cough.

You did not mention if your veterinarian prescribed any medicine for his heart murmur. If not, then you might consider a trial course of a diuretic, such as fureosemide, (Rx Salix 12.5mg, 1/2 tablet two times daily). This is not holistic, but it would be worth a try to see if Charlie's cough improves, and both of you are able to get a good night's sleep!

To find a holistic veterinarian in your area click on the link below
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Please keep us posted by coming back to this page and clicking the 'click here to add your own comments' link below.

Take care,
Dr. Carol Jean Tillman

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DISCLAIMER: The above should never replace the advice of your local veterinarian, as they have the ability to evaluate your dog in person.

Related Pages:
- Dog Cough Diagnoses & Treatments,
- Ask a Vet Online Library - Dog Coughing Problems Section

Thank you
by: Anonymous

Thank you very much for your reply. I will follow your advise and let you know how I get on.

Great improvement
by: Lesley

Following your advise, I started giving Charlie both Glucosamine/Chr and also Sponga Tosta to see if it helped at all. After about two weeks, he started to improve and now he is so much better. He still does the gagging cough, but so much less that he used to do. The improvement in him is quite amazing and I would recommend these two treatments for anyone else out there whos dog has a trachea problem. The Sponga Tosta I have stopped now and just give him the Glucos/ch. each day. Many thanks for your help

Update on Charlie
by: Leslie

I wanted to say that after receiving your advise, I put my dog Charlie on the Glucosamine and Sponga Tosta and his cough is so much better, it hardly bothers him now. It took about two weeks to see an improvement.

Before he was so miserable and exhausted he lost weight with it. Now he has put his weight back
on and is a happy dog again. He still does the cough now and then, but not like before when it was just dreadful. Thank you.

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