What to Do if Your Dog Is Choking: How to Perform the Heimlich Maneuver on Your Pet

• Not a substitute for professional veterinary help.

Before you do anything, you should determine whether your dog is actually choking or if he’s just coughing. How do you know if a dog is choking? Though choking and coughing may look similar, if your dog is choking, they will have difficulty inhaling and may make high-pitched squeaking or whistling noises when they try to take a breath. If you hear your dog coughing and gagging but they are able to inhale normally, you should still make an appointment with your veterinarian.

In addition to difficulty inhaling, if your dog is choking, they will also display other signs of distress and require immediate assistance. These may include:

• Retching
• Drooling
• Pacing
• Pawing at their mouth

Choking is a very serious matter that requires immediate assessment and intervention. We understand how scary it is if your dog is choking, but you’ll be better able to help them if you stay calm. We will guide you through exactly what to do if your dog is choking.

Why is Your Dog Choking?

There are several things that could cause a dog to choke. No matter the cause, choking is a life-threatening emergency and requires immediate veterinary intervention. Here are some of the most common reasons:

• Your dog has something stuck in his throat. Dogs learn about the world through their mouth. This means that they may pick up things that pose a choking risk, such as a stick or rock that could get stuck in their throat. Additionally, toys that aren’t the correct size for your dog to play with safely should be discarded at once. Interactive toys are safer as long as you choose ones specifically designed for your dog’s size.
• Your dog is having an anaphylactic response. This could be because he ate something toxic or something he is allergic to. While most people know that grapes and chocolate are toxic to dogs, many foods can lead to an allergic response.
• Your dog has a medical condition. Certain infections, laryngeal paralysis, tracheal collapse, or kennel cough could cause difficulty breathing. All require a visit to your veterinarian.

What To Do If Your Dog Is Choking

Step 1: Open your dog’s mouth to check their airway

Only do this if it’s unlikely your dog will bite you. If you believe your dog may bite, skip this step.

How do you open a dog’s mouth? Put your hand around the upper side of your dog’s muzzle with your thumb and forefinger behind the top canine teeth and lift the upper jaw. Keep your other fingers up and out of his mouth. Take a look and see if there is anything caught in his throat that could be obstructing his breathing.

Step 2: Can you see the object? Try to dislodge it

With your free index finger and thumb, carefully try to remove the object from their airway. You can also use long tweezers, tongs, or even needle-nose pliers to grasp and dislodge the item. Just be VERY careful not to push it further down your dog’s throat.

Step 3: If that doesn’t work, see if gravity helps

If manually dislodging the object doesn’t work, try using gravity to get it out by holding your dog with his head facing the floor.

For a small dog: Pick your dog up by his hind legs so that his head is upside down. Check to see if this dislodges the object.

For a large dog: Hold your dog’s hind legs up like a wheelbarrow, with his rear side up higher than his body height. Check to see if this dislodges the object.

If the object is still stuck, you will need to perform the Heimlich maneuver.

Step 4: Perform the Heimlich maneuver

How to perform the Heimlich maneuver for small dogs:

1. With your dog on your lap, gently roll him onto his back or hold your dog with his back to your front.
2. Feel for the soft spot just under his ribs.
3. Make a fist with one hand, place your other hand on top of it, and push firmly IN and UP five times in a thrusting motion. You want to create short blasts of pressure with the air that’s already inside his lungs to pop the object out.

After performing the Heimlich maneuver, roll your dog on his side and check his mouth for the object.

How to perform the Heimlich maneuver for large dogs:

1. With your dog on his hind legs, hold him with his back to your front.
2. Put your arms around your dog’s belly.
3. Feel for the soft spot just under his ribs.
4. Make a fist with one hand, place your other hand on top of it, and push firmly IN and UP five times in a thrusting motion. You want to create short blasts of pressure with the air that’s already inside his lungs to pop the object out.

After performing the Heimlich Maneuver, roll your dog on his side and check his mouth for the object.

*Should all of this fail, immediately head to the nearest emergency vet.*

What to Do if Your Dog Doesn’t Resume Breathing

It is critical to assess your dog carefully once the object is dislodged. Check for breathing and a heartbeat. If your dog doesn’t resume breathing, you must immediately begin CPR with chest compressions and head to the nearest emergency vet.

How do I know if my dog is breathing?

There are several ways you can check for breathing.

• Place your hand on your dog’s chest and feel for it to rise and fall.
• Hold a tissue in front of your dog’s nose to see if it moves as your dog breathes.
• If you happen to have a stethoscope at home, this is the most effective way to determine whether your dog is breathing and if he has a heartbeat.

How do I check my dog’s heartbeat?

If your dog isn’t breathing, you will need to check for a heartbeat by feeling for a pulse. This is how to check your dog’s pulse:

• Flex your dog’s elbow and determine where it meets his chest. You should be able to feel a pulse in this spot by placing your hand firmly on his chest.
• Place your fingers on the inside of his rear leg at mid-thigh. You should be able to feel pulsing near the surface.

How do I know if I have to perform CPR?

If your dog is not breathing and does not have a heartbeat, you will need to perform CPR on the way to the vet. CPR consists of two parts: rescue breathing and chest compressions.

Instructions for rescue breathing:

1. Place your dog on his side.
2. Open your dog’s airway by tilting his head back slightly.
3. Place your mouth over your dog’s nose creating a seal. You may need to place your hands around your dog’s muzzle and your mouth so air doesn’t escape.
4. Exhale into your dog’s nose until you see his chest rise.
5. Give a second rescue breath.

After ensuring an open airway, begin chest compressions.

Instructions for CPR:

CPR for small dogs: Place your hands around the circumference of your dog’s chest. Squeeze the chest at the rate of 120 times per minute with 2 rescue breaths every 30 compressions.

CPR for large dogs: If your dog is on his side, place your hands on the widest area of the chest wall. If he is on his back (the best position for barrel-chested dogs), place your hands on the breastbone. Depress the rib cage 1.5 to 4 inches (depending on the dog’s size) at the rate of 120 times per minute with 2 rescue breaths every 30 compressions. It helps to perform compressions to the beat of “Stayin’ Alive” by the Bee Gees.

Continue until you reach the vet or your dog starts breathing on his own.

FAQs

Does water help a choking dog?

Water will only help your dog after the episode. You can offer small sips of water only once the emergency has been resolved.

Does a dog still need to go to the vet if he seems fine and is no longer choking?

You will need to take your dog to the vet for an examination even if he seems fine. Choking can cause significant injuries and the object might have damaged your dog’s mouth or throat.

Anatomy of a dog’s throat

Food travels from the mouth, through the pharynx, into the esophagus, then down to the stomach. Essentially, the pharynx is the junction of the respiratory (trachea) and digestive (esophagus) tubes. The larynx is the upper opening into the trachea. It guards the entrance of the trachea and closes when a dog swallows.

If a dog chokes, these organs may suffer short- or long-term damage. Your veterinarian may prescribe medications to reduce pain, minimize swelling, and prevent infection.

How Can You Prevent Your Dog From Choking

It’s much better to prevent choking in the first place than to have to act in an emergency. Because dogs are curious creatures by nature, avoiding situations that could lead to choking is best. Here are things you can do right now to minimize the chance of your dog choking.

Know how to recognize the signs of a choking dog

Please review the details above so you know what to watch for. If your dog is choking, the sooner you react, the better.

Rid your home and yard of potential choking hazards

Things to look out for include:

• Balls of all types: Any ball that can fit past your dog’s front teeth is too small and poses a very high choking risk.
• Chew toys: Chew toys can be safe as long as they are appropriate for the type of chewer your dog is. Supervising your dog while he’s busy with any type of toy is important.
• Rawhide: It’s best to avoid rawhide altogether.
• Kids’ toys: Toys are very common items for dogs to choke on. They should be kept up and out of reach of your dog and put away when not in use.
• Rocks, sticks, and acorns: Although it’s impossible to keep these things completely out of your yard, do your best to keep your yard as free from these common choking risks as possible.
• Human foods and table scraps: These include bread, hard candy, bones, and gristle.
• Plastic wrap: Dogs are notorious for getting into the garbage. If plastic wrap has something tasty on it, your dog may try to eat it.

Mealtime Safety

Dogs can choke while eating, so following these suggestions can help keep your dog safe while he’s eating.

• Feed the right-sized food. Small dogs could choke on large pieces of food intended for bigger dogs. Kibble is available in several sizes, so be sure to choose the one best suited to your dog.
• Monitor your dog at mealtime. Stay nearby while your dog eats so you are there to intervene should a problem arise. Discard leftovers so your dog can’t go back and snack unsupervised.

Training can help

Commands such as “leave it” can go a long way. If you find your dog with something he shouldn’t have in his mouth, it can be a lifesaver if he’s well-trained.

Hopefully, if you’re still reading, your dog is absolutely fine and you are just being proactive in case your dog ever does choke. If you are in an active emergency, your dog requires immediate assistance. Sadly, a dog can choke to death and can only go three to five minutes without oxygen before suffering permanent brain damage. If there is the slightest chance your dog is choking, take action now and head to the nearest emergency vet if you can’t get the situation under control at home.