My dog has seizure-like fits: head shaking, foaming, gagging. Vet unsure.

Question

My dog is having fits where he rapidly shakes his head from side to side, foams at the mouth, and gags. His bloodwork is all good. His heart has been checked and is fine. His throat has been checked for an obstruction-visual and scan- all clear. The vet wants to try pepcid for 14 days and see how it goes because they are hesitant to say he's having a seizure. My dog has had a fit in front of the vet so they've seen it. He's a 7.5 Japanese chin. Any advice about what could be going on? Pet's info: Dog | Japanese Chin | Male | neutered | 7.5 lbs

Dr. Strydom, DVM · Accepted Answer

It sounds like something is irritating the nerves that run through the middle/inner ear. Has a thorough ear exam been done with an otoscope? Any x-rays of the head? Have you considered taking him to an internal medicine specialist and/or a neurologist for additional testing? That is what I suggest you do as the next step. Most likely he will need an MRI or CT Scan. I highly doubt Pepcid will do anything but it won't hurt to try it. Personally, I would have used steroids (prednisone) as the medication of choice but it is hard for me to second guess your vet since I have not examined Gale or have access to the entire medical history and exam findings. So, speak to your vet about a referral to a specialist. I can't seem to find any speciality hospitals in your area so you may have to drive a few hours to take him to one.

My dog has seizure-like fits: head shaking, foaming, gagging. Vet unsure.

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