NOTE: In the event of a pet being concurrently unwell or persistent fever or difficulty breathing or collapse = referral ACUTE.

OTHERWISE use the procedure below

As we discussed earlier, the evidence suggests that your dog may have an upper respiratory tract problem with irritation in the nasal cavity.

It is of course not possible to make the exact diagnosis online - but based on the description and presentation of persistent sneezing and inward or reverse sneezing, there is evidence that the nasal cavity may be irritated or inflamed.

There can be several reasons for irritation in the nasal cavity:

- Infection (Bacterial or fungal)

- Foreign bodies

- Nasal mites (very rare in the UK but may be more relevant for dogs that have travelled abroad)

- Tumours

- Allergic reactions or irritants

(some are much more common than others)

- some dogs may develop this as a habit if they learn that it draws your attention.

I recommend that you have your dog checked during normal opening hours by your regular vet to try find out the reason for your dog's reverse sneezing.

If your dog appears unwell for instance increasingly lethargic or has a worsening appetite then you should see your vet as soon as possible. Reverse sneezing dogs do not usually behave as if they are unwell.