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What can a vet do for vestibular disease?

A vet can diagnose vestibular disease, provide supportive care, and rule out more serious conditions through exams, medications, and monitoring.

How Veterinarians Help Pets with Vestibular Disease

Pets suffering from vestibular disease can exhibit sudden and alarming symptoms such as loss of balance, head tilting, and rapid eye movements. While these symptoms may appear severe, many cases are treatable with proper care. A veterinarian plays a vital role in diagnosing and supporting pets through this condition.

Understanding Vestibular Disease

Vestibular disease affects the pet’s vestibular system, responsible for balance and spatial orientation. It can be caused by:
  • Idiopathic reasons (most common in older dogs)
  • Inner ear infections
  • Head trauma
  • Inflammatory diseases
  • Brain tumors or strokes (in rare cases)
The key symptoms include:
  • Sudden loss of balance
  • Head tilt
  • Circling or falling to one side
  • Nystagmus (uncontrolled eye movements)
  • Nausea or vomiting

What a Vet Can Do for Vestibular Disease

Veterinarians are trained to assess a neurological episode thoroughly. Here are the steps typically taken by a vet:

1. Physical Examination

The vet first performs a comprehensive physical exam. This includes checking:
  • The ears for infections or inflammation
  • Eye movements
  • Posture and gait analysis

2. Neurological Evaluation

A neurologic assessment helps determine if the issue lies in the inner ear or brain. The vet might test:
  • Reflexes
  • Proprioception (awareness of limb positioning)
  • Responses to stimuli

3. Diagnostic Testing

In cases where the cause isn't immediately obvious, a vet may recommend diagnostics:
  • Blood tests – to spot infections or other systemic issues
  • Ear swabs – to check for bacteria or yeast
  • X-rays or CT/MRI scans – to identify tumors, strokes, or abnormalities

4. Treatment Recommendations

Once a diagnosis is made, treatment options include:
  • Supportive care – intravenous fluids, anti-nausea meds, or sedatives
  • Medications – antibiotics or antifungals for infections, steroids for inflammation
  • Home care guidance – to help the pet recover in a safe setting
For idiopathic cases, which are common in senior dogs, the vet may recommend rest and observe the pet for signs of improvement over a few days.

Monitoring and Recovery

In most cases, pets start improving within 72 hours. Follow-up visits may be scheduled to monitor recovery. If symptoms persist or worsen, the vet may change the treatment plan or recommend referring to a specialist.

When to Seek Emergency Care

Some symptoms can suggest a more serious condition. Pet owners should visit a vet immediately if:
  • Symptoms came on gradually and progressively worsened
  • The pet shows seizures or extreme weakness
  • There’s a history of trauma

Helping Your Pet Through Vestibular Disease

While seeing a pet suffer from vestibular disease can be distressing, veterinary support ensures proper care and a path to recovery. With prompt diagnosis and treatment, many pets return to normal or adjust well to mild lingering effects. Always consult your vet before assuming it’s simply "old dog vestibular disease"—a complete exam ensures your pet receives the help they need.

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