Vestibular Disease

Warning

Vestibular disease affects the balance system in the inner ear and brain, causing a sudden onset of symptoms that can be frightening but are often not life-threatening. "Old dog vestibular syndrome" is common in senior dogs, while cats can experience similar issues.

Signs:

  • Head tilt (often to one side)
  • Loss of balance, falling, or rolling
  • Circling or leaning to one side
  • Rapid, abnormal eye movements (nystagmus)
  • Disorientation or confusion
  • Reluctance to stand or walk
  • Nausea or vomiting
  • May appear similar to a stroke

Common Causes:

  • Idiopathic (unknown cause, especially in geriatric animals)
  • Inner or middle ear infections
  • Trauma
  • Certain medications
  • Brain tumours (less common)
  • Hypothyroidism (in dogs)

First Aid and Home Care:

  1. Create a safe environment (remove furniture they might bump into, provide non-slip flooring).
  2. Assist with walking if needed (supporting with a towel under the belly or using a harness).
  3. Ensure access to food and water without requiring movement (may need to hand feed/water).
  4. If unable to stand, turn your pet every 4-6 hours to prevent pressure sores.
  5. Clean any urine or faeces promptly as they may be unable to move away from it.
  6. Seek veterinary care promptly for diagnosis and treatment (anti-nausea medication may be needed).
Important Warning

While idiopathic vestibular disease often improves within 72 hours and resolves within 2-3 weeks, it's essential to have your pet examined to rule out more serious conditions like a brain tumour or stroke. Improvement is usually gradual, and some pets may retain a slight head tilt permanently.