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Dr.Fiona, Dog Veterinarian
Category: Dog
Satisfied Customers: 6273
Experience:  16 years experience as a companion animal veterinarian in British Columbia, California and Ontario
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What are the treatment options for Collapsed Trachea (PUG)

Resolved Question:

What are the treatment options for Collapsed Trachea (PUG)
Submitted: 9 years ago.
Category: Dog
Expert:  Dr.Fiona replied 9 years ago.

Hi there!

Welcome to Just Answer! I would like to help you with this question, but need a bit more information, please.

When was this diagnosed (at age 3, or age 6 weeks, or other)?

Is the dog overweight at all?

How often does this problem affect the dog's breathing - once or twice a day, 20 times a day, or all the time, or other?

How was this diagnosed - physical exam, x-rays or exam under anesthetic?


Customer: replied 9 years ago.
Just Diagnosed, Dog had a choking cough only manifested itself past 2 days, Dog is overweight (not excessively). X ray diagnosis.
Expert:  Dr.Fiona replied 9 years ago.

Were you sent home with any medication to help?

If yes, have they been helpful?

Customer: replied 9 years ago.
I don't have the medication in front of me, but she was given something for the inflamation and a cough suppresant as required. Yes she seemed better, very little coughing, as long as she doesn't exert herself.
Expert:  Dr.Fiona replied 9 years ago.

Were both pills that you took home, or was the "something for inflammation" an injection in the clinic?

Was the cough suppressant hydrocodone?

Customer: replied 9 years ago.
Hydrocodone for the cough and prednazone both in pill form
Expert:  Dr.Fiona replied 9 years ago.

Hi againCustomer

Your pug was given a corticosteroid (prednisone) as well as hydrocodone which is an anti-tussive (cough suppressant). These are very effective in most cases.

Let me tell you a bit more about Tracheal Collapse so I can better explain treatment options....

The trachea is the windpipe that you can feel in your own neck. It is held open by rings of cartilage. Cartilage is the same stuff that your ears are made out of, and as you can tell, it is not hard like bone. The cartilage rings in the trachea can collapse in some dogs, causing the airway to suddenly narrow. The cough that happens in this situation is often described as "goose honking" or like a seal barking.

Tracheal collapse can vary from mild (only occurs very rarely, often when the dog is excited) to severe (occurs constantly, with the trachea not popping back open easily or at all).

Here are some videos of dogs with tracheal collapse:

In terms of treatment, here is my usual treatment plan:

1. The first thing I would suggest is that your pug should *never* be walked on a collar. Instead, you should get her a harness that goes around her chest. Thus, if she suddenly sees a squirrel and pulls, she is not going to put pressure on her trachea and cause it to collapse.

2. Next, if your girl is having an episode, then please have a look at her gum colour (lift her lip over her canine tooth to see her gums). Compare it to the colour it is when she is relaxed. In both cases, it should be a bubblegum pink colour. If it is blue or muddy coloured during a coughing fit, then you should make an appointment with your vet.

When your pug is having an episode, you need to calm her so that she stops gulping big breaths in, as that just keeps the trachea collapsed. What I find works with many dogs is to stand them in front of you, and lift the front legs up, so the dog's back is against your shins. Then, gently rub the belly. This seems to straighten the trachea and calm the dog and often ends the episode.

3. Keeping your dog as lean as possible will help to minimize tracheal collapse. If she is 3 years old, and this has only JUST NOW become a problem, it may be because she has put on a little bit of weight in the last year. Even 1/2 a pound can make a difference between a dog who has no episodes, and a dog who has a problem. Talk to your vet about a diet dog food that may be appropriate for your girl, and of course try to minimize treats!

4. Some dogs need to stay on low doses of prednisone and hydrocodone long-term. Hydrocodone can lead to constipation, so you may wish to start your pug on some metamucil to counteract this problem. It is usually given at 1 teaspoon per 10lbs twice to three times daily.

Here is more about these:

5. Some dogs need bronchodilators as well as prednisone and hydrocodone. This can be given as a pill, or as in inhaler to be used at times of severe attacks.

A common bronchodilator used is theophylline -

And an inhaler that might be used would be Flovent -

6. With the most severe cases, a specialist can place a "stent" in the trachea to hold it open. This is very rare, and in 14 years of practice, I have only seen one dog that needed this!

For more information on tracheal collapse, here are a couple of links:

If this has been helpful, please hit the green "Accept" button and leave feedback. If you have more questoins, just click on reply and I will still be here to provide it!

Best wishes to you and your Pug!


Dr.Fiona and 4 other Dog Specialists are ready to help you
Customer: replied 9 years ago.
Is this condition going to worsen and effect her lifespan, or with treatment is she it going to be manageanble.

Is surgery a viable option or only the option of last resort?
Expert:  Dr.Fiona replied 9 years ago.

This condition should not worsen - particularly if you can control her weight. And it is very unlikely that it would shorten her lifespan.

You are absolutely right - surgery is a last resort. A stent is a little plastic tube place in the trachea. It would be done by a specialist, and would cost a couple of thousand dollars to place and maintain. It can slip out of position, and there can be complications, so it is really only done when all other options have been exhausted.

Given that your girl is 3 years old and has only just been diagnosed, this is far from the worst case that I have seen! AND it sounds as though she is responding well to the medications prescribed which is very encouraging!

Without seeing her, I cannot give a prognosis, but from what you are telling me, it sounds as though this is going to be very manageable.

Hope that helps! :-) Fiona