My 12-year-old dog has DM. Could his head tilt be a new health issue?

What you are describing with Shasta may be something called vestibular disease. I am attaching a handout with more information about it below. https://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=564 If Shasta has a history of ear infections, she may have a middle ear infection that is causing her signs. That is discussed in the handout above. I would recommend having your veterinarian examine Shasta and determine what might be causing her signs and the appropriate way to treat them. Good luck! I hope that was helpful. Thanks for using PetCoach.

Unfortunately I agree with your vet that MRI is probably the next step. Even though his ears appeared normal inner ear disease is still possible although fairly unlikely, especially since there is no nystagmus eye movement noted. A head tilt can be a sign of infectious or inflammatory brain disease, a stroke or blood clot in the brain, or even a brain tumor. If the head tilt is the only neurologic symptom and your dog is otherwise acting like his normal self you could consider simply monitoring for additional neurologic signs - with most of these neurologic problems I would expect more symptoms to develop as the disease progresses.

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! Poor Peter! How old is Peter? The most common condition that causes trouble walking, falling over, head tilt and trembling is Vestibular disease. This is a problem with the balance center in either the brain or the inner ear. Possible causes are an ear infection, stroke, low thyroid, a brain tumor or if he is just old it can be idiopathic (meaning we don't know why). I have seen dogs become Vestibular and then be normal that quickly, though usually the signs can persist for up to 2 weeks. I am not sure about the relation to the food you are feeding. If he shows the symptoms again I would immediately take him to your Vet for an exam. Consider video taping it so you can show them in case it goes away quickly again. I hope this helps and I wish you and Peter the best!

There are various conditions that can manifest with those signs. The most common on would be vestibular syndrome, which is quite common in geriatric dogs. Another cause could be an inner ear infection or meningitis, a brain tumor or similar. Vestibular syndrome has a sudden onset, the dog (or cat) shows a head tilt, sometimes circles, and is nauseous or even afraid, as it cannot figure out why it feels strange. We do not know what causes this, however in most cases this will go away by itself within a few weeks. Sometimes the head tilt remains. I suggest you take Rex to your veterinarian for an exam and possibly some medication to take any anxiety caused by the condition, if needed. Your vet will also be able to rule out all the other conditions.

Dogs can have head tilts because of a neurologic problem (such as vestibular syndrome), or if something related to their head is bothering them. If the issue just started after your walk, and given Charlie's young age and the fact he was wearing a muzzle, I would be suspicious there's something bothering him with one of his ears - perhaps the strap of the muzzle irritated it, or he has an early ear infection, or got a little debris in his ear. Even if his ears look fine to you, the ear canal has a bend in it that requires an otiscope to be able to see all the way down to his eardrum. Problems in the mouth don't usually cause a dog to tilt their head. If the issue just started, and if he's acting completely normal otherwise, I'd keep an eye on it for a day or two. If he keeps tilting his head, or if any other symptoms start, I'd have him seen by a vet. Hope this helps!

Thanks for using PetCoach! It sounds like Bruno could have "old dog idiopathic vestibular syndrome". There is more information below but we don't know why it happens and in general it usually gets better within a few days. Of course, we can never rule out a middle ear infection, brain tumor, or other problem so I always recommend seeing a vet. Even if it is the just the old dog vestibular syndrome, your vet can give Bruno some anti nausea medication for his vertigo. https://vcahospitals.com/know-your-pet/vestibular-disease-in-dogs Best of luck to you and Bruno!

That is typical to do with diagnosing, you start with the easiest answer and go from there. This is because it usually is the easiest answer, and you want to rule out those first before doing the more expensive tests. I would be concerned that in a dog Peanut's age, it could be something serious like a brain tumor causing his symptoms. I'm not sure what other possible diagnoses they gave you, but speak to his vet with your concerns and to see what other tests can be done. Best of luck.