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