Reverse sneezing in dogs can be alarming if you’ve never experienced it before. But, luckily, it’s not quite as scary as it sounds.
Reverse sneezing occurs primarily in dogs and much less frequently in cats. Here’s what you need to know about reverse dog sneezing and what you can do to help stop it.
Have you ever heard your fur baby make a weird honking noise that sounds like they’re trying to inhale a sneeze? The first time I witnessed my dog Bella doing this, I nearly had a heart attack! That strange snorting sound had me frantically googling “is my dog dying” at 2 AM. Turns out, this alarming sound has a name – reverse sneezing. And yes, anxiety can absolutely trigger these episodes!
As a pet parent who’s dealt with this firsthand, I’m gonna break down everything you need to know about reverse sneezing in dogs, with special focus on the anxiety connection that many vets now recognize.
What Exactly Is Reverse Sneezing in Dogs?
Reverse sneezing (fancy medical name: paroxysmal respiration) is basically the opposite of a regular sneeze. Instead of forcefully pushing air OUT through the nose, your dog rapidly pulls air IN, creating that distinctive snorting or honking sound that makes us panic.
During an episode. you’ll notice your pup
- Standing still with neck extended
- Making rapid, forceful inhalations
- Producing loud snorting/honking noises
- Episodes typically last from several seconds to about a minute
The good news? Despite looking and sounding terrible, most reverse sneezing episodes are completely harmless! Your doggo will be totally normal before and after the episode happens.
The Anxiety-Reverse Sneezing Connection
Yep, anxiety and stress are indeed common triggers for reverse sneezing episodes! Here’s why:
When dogs get anxious or stressed, several physical changes happen in their bodies:
- Breathing patterns change
- Throat and airway muscles can tense up
- The soft palate (that fleshy part at the back of the throat) may spasm
- All these reactions can irritate the throat and trigger a reverse sneeze
Dr. Shelby Loos from PetMD confirms that “overexcitement” is a known trigger for reverse sneezing episodes. Similarly, the Adored Beast blog specifically lists “excitement or anxiety” as common causes, noting that “dogs are sensitive creatures, and sometimes their emotions can get the best of them.”
Other Common Causes of Reverse Sneezing
While anxiety is definitely a trigger, it’s not the only thing that can cause reverse sneezing in dogs. Other common causes include:
-
Environmental Irritants
- Dust and pollen
- Household chemicals and cleaners
- Perfumes and air fresheners
- Strong odors
-
Physical Factors
- Pulling too hard on a collar (switch to a harness!)
- Eating or drinking too quickly
- Exercise intolerance
- Elongated soft palate (common in flat-faced breeds)
-
Allergens
- Seasonal allergies
- Food sensitivities
- Mold spores
-
Other Causes
- Nasal mites (tiny parasites – yuck!)
- Foreign objects in nasal passages
- Respiratory infections (less common)
Breeds Most Prone to Anxiety-Induced Reverse Sneezing
While any dog can experience reverse sneezing, certain breeds seem more susceptible, particularly to the anxiety-triggered kind:
- Brachycephalic (flat-faced) breeds: Bulldogs, Pugs, French Bulldogs
- Small breeds: Chihuahuas, Yorkshire Terriers
- Breeds prone to anxiety: Border Collies, German Shepherds
These breed tendencies highlight why some dogs might experience anxiety-induced reverse sneezing more frequently than others.
How to Help Your Dog During a Reverse Sneezing Episode
When that scary honking starts, here’s what you can do to help your anxious pup:
- Stay super calm – Your anxiety will make theirs worse!
- Gently massage their throat – Lightly run your finger up and down the front of throat area
- Briefly cover nostrils – This encourages them to swallow, often stopping the episode
- Speak soothingly – Use a calm, reassuring voice
- Offer distractions – A favorite toy or treat can help reset their breathing
Remember, most episodes will stop on their own within a minute, even if you don’t intervene. But these techniques can help shorten the episode and reduce your dog’s distress.
Preventing Anxiety-Triggered Reverse Sneezing
If your dog’s reverse sneezing seems connected to anxiety or stress, here are some strategies that have worked wonders for me and many other pet parents:
1. Identify and Reduce Stressors
Pay attention to when episodes occur. Is it during thunderstorms? When visitors come over? When left alone? Once you identify patterns, you can work on specific anxiety management techniques.
2. Create a Calm Environment
- Minimize chaotic situations that overwhelm your pup
- Establish routines dogs thrive on predictability!
- Provide a safe space where your dog can retreat when feeling anxious
3. Natural Calming Aids
- Aromatherapy (dog-safe essential oils like lavender)
- Calming supplements containing ingredients like L-theanine or chamomile
- Calming wraps or thunder shirts that provide gentle pressure
4. Exercise and Mental Stimulation
A tired dog is a less anxious dog! Regular exercise helps burn off nervous energy and releases feel-good endorphins.
5. Training Techniques
- Desensitization – gradually exposing your dog to anxiety triggers at low levels
- Counter-conditioning – creating positive associations with previously stressful situations
- Relaxation training – teaching your dog to relax on command
When to Call the Vet About Reverse Sneezing
While most reverse sneezing is harmless, there are times when you should consult your veterinarian:
- Episodes become very frequent or prolonged
- Reverse sneezing is accompanied by other symptoms like coughing, nasal discharge, or difficulty breathing
- Your dog seems distressed or in pain during episodes
- Episodes started suddenly in an older dog with no previous history
- You’re just worried and want peace of mind (always valid!)
Your vet may recommend tests to rule out other causes, such as a chest X-ray, a sedated oral and nasal exam, or rhinoscopy (where a camera is inserted in the nasal cavity).
How Vets Diagnose and Treat Anxiety-Related Reverse Sneezing
If you suspect anxiety is triggering your dog’s reverse sneezing, here’s what to expect at the vet:
Diagnosis Process
- Physical examination – checking heart, lungs, and nasal passages
- Medical history review – when episodes occur and potential triggers
- Video evidence – recording an episode is SUPER helpful (they never do it at the vet’s office!)
- Ruling out other causes – tests may include blood work, X-rays, or nasal exams
Treatment Approaches
For anxiety-related reverse sneezing, your vet might recommend:
- Behavioral modification techniques
- Anti-anxiety medications for severe cases
- Referral to a veterinary behaviorist for complex anxiety issues
- Lifestyle modifications to reduce stress triggers
Our Experience with Bella’s Anxiety-Induced Reverse Sneezing
My dog Bella started having reverse sneezing episodes whenever the doorbell rang. At first, I thought it was allergies, but I noticed it ONLY happened when she got super excited or anxious about visitors.
We worked with our vet to create a plan:
- Desensitization training with doorbell sounds at low volume
- Switched from a collar to a harness for walks
- Added calming supplements to her routine
- Created a “safe zone” where she could retreat when overwhelmed
The frequency of her episodes decreased dramatically within a few weeks! She still occasionally reverse sneezes when very excited, but it’s much less common and I no longer panic when it happens.
Final Thoughts
So, can anxiety cause reverse sneezing in dogs? Absolutely YES! The connection between stress/anxiety and reverse sneezing episodes is well-documented, and many dogs experience this phenomenon during times of excitement or emotional distress.
The good news is that with proper management of your dog’s anxiety, you can often reduce or even eliminate these episodes. And remember – while reverse sneezing sounds scary, it’s usually harmless and resolves quickly.
Have you noticed anxiety triggering reverse sneezing in your dog? What techniques have worked best for you? Drop a comment below and share your experiences with our community of pet parents!
Disclaimer: This article is for informational purposes only and is not intended to replace professional veterinary advice. If you’re concerned about your dog’s reverse sneezing or anxiety, please consult with your veterinarian.

Why Do Dogs Reverse Sneeze?
Dogs most commonly reverse sneeze to expel an irritant from the soft palate or throat. This is similar to how dogs sneeze to remove irritants from their noses. Anything that irritates the soft palate can lead to a reverse sneezing episode, including a blade of grass, pollen, or dirt.
Other causes of soft palate irritation that may result in reverse sneezing include the following:
- Allergies
- Household products (perfume, cleaning products, air fresheners)
- Pulling on the leash while attached to a collar
- Overexcitement
- Exercise intolerance
- Objects in the throat (such as a foreign body or a mass)
- Nasal mites
- Elongated soft palate (common in brachycephalic breeds)
- Eating or drinking
When to Go to The Vet for Reverse Sneezing
If a dog has never had an episode before, Its best to check with a veterinarian to ensure that it actually was reverse sneezing and not something more serious, such as a collapsed trachea which causes a similar-sounding cough.
If the episode Is short-lived and the dog quickly returns to normal and has no other symptoms (difficulty breathing or weakness, for example), it is generally fine to mention the episode at the dogs next veterinary checkup.
However, if episodes are frequently recurring, your dog should see a veterinarian promptly to check for an underlying cause.
Why Is Your Dog Reverse Sneezing? And What Can You Do About It? | Vet Explains
FAQ
Can stress cause reverse sneezing in dogs?
Stress and anxiety can sometimes contribute to reverse sneezing episodes in dogs. Ensuring that your dog has a calm and secure living environment, with a consistent routine and plenty of opportunities for mental and physical stimulation, can help to minimize stress-related triggers for reverse sneezing.
Why do dogs reverse sneeze?
Dogs most commonly reverse sneeze to expel an irritant from the soft palate or throat. This is similar to how dogs sneeze to remove irritants from their noses. Anything that irritates the soft palate can lead to a reverse sneezing episode, including a blade of grass, pollen, or dirt.
Is reverse sneezing bad for dogs?
While it may appear alarming, reverse sneezing is usually harmless and self-resolves. However, if your dog experiences frequent or prolonged episodes, it’s advisable to consult with a veterinarian for a proper evaluation and to rule out any underlying respiratory issues. Keep reading: 11 Signs Your Pet Needs to See a Vet
What should I do if my dog sneezes a lot?
While rare, if nasal mites are diagnosed, your vet will treat your dog with an anti-parasitic medication, such as ivermectin or milbemycin oxime, to eliminate them. If pet parents know of allergens or irritants that cause a reverse sneezing episode, they should reduce their dog’s exposure to them.
What if my dog sneezes a lot?
For example, if allergies trigger reverse sneezing episodes, the veterinarian may prescribe anti-histamines, such as cetirizine, or steroids, such as prednisone. While rare, if nasal mites are diagnosed, your vet will treat your dog with an anti-parasitic medication, such as ivermectin or milbemycin oxime, to eliminate them.
What does reverse sneezing in dogs sound like?
Reverse sneezing in dogs sounds like the dog is actually inhaling their sneezes, hence the name “reverse sneezing.” It’s a loud, snorting sound that can sometimes sound like a goose honking or be confused with the dog choking. If possible, take a video of the episode to show your veterinarian.
Do dogs reverse sneeze from anxiety?
Stay calm and upbeat, easing your pet’s anxiety and stress. Overexcitement can sometimes prompt reverse sneezing, so address any anxiety or fear your pet may be facing and keep them focused on enrichment toys and activities. Massage your pet’s throat to get them to swallow, which helps stop the episode.
When should I worry about my dog reverse sneezing?
Most of the time, reverse sneezing is harmless. However, if your dog’s reverse sneezing is persistent, paired with other symptoms, or if your dog has trouble breathing during the episodes, you should see a veterinarian.
Can stress cause my dog to sneeze?
Stress in dogs can trigger sneezing fits and hyperactivity, often linked to anxiety or kennel discomfort. Stress-induced sneezing occurs when a dog experiences anxiety or excitement, triggering nasal irritation and rapid sneezing. Symptoms include persistent sneezing, restlessness, and unusual behavior.
How to calm a dog during reverse sneezing?
If your dog experiences a reverse sneezing episode, you may gently stroke the neck or head to try to calm him.