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Why Is My Dog Falling Over? 15 Balance Loss Reasons (Vet Answer)

Dr. Maria Zayas

By Dr. Maria Zayas

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Dr. Maria Zayas Photo

Written by

Dr. Maria Zayas

Veterinarian, DVM

The information is current and up-to-date in accordance with the latest veterinarian research.

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When our dogs learn to move their bodies in unique or funny ways, we often use these tricks for our own amusement and to enrich our dogs’ lives. When dogs can’t properly control how their bodies move on their own, though, that is always a cause for concern. If they fall sideways and show other signs of illness, it’s enough to make a veterinarian panic, nonetheless, a pet’s parent.

Some causes of loss of balance for dogs are more serious than others, and some are more permanent than others. We have 15 possible reasons a dog may be falling over and what each cause means for them.

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What Causes a Dog to Lose Their Balance?

For a dog to lose their balance, there is one of two things wrong. If a dog wants to move, the first step is for the brain to plan the movement and send information via nerves to their muscles so they can all coordinate the movement.

So, the first reason a dog can lose their balance would be due to a problem with the brain. The second is that something is wrong between the brain and the part of the body that was supposed to move. This can be a breakdown along the nerves in between or something structurally wrong with the part of the body that wants to move, leading to a lack of good control.

Of course, not all dogs that fall over have lost their balance, so what are your clues that this is why?

dog limping outdoors
Image Credit: Phillip van Zyl, Shutterstock

Signs My Dog Is Falling Over Because They Lost Their Balance

A dog’s vestibular system is in charge of maintaining their balance. This vestibular system functions through the communication of the inner ear with the brain and spinal cord to assess what position a dog’s body is in relation to the space around it. The first sign of a problem with the vestibular system is ataxia. Ataxia is an unsteady, wobbling, or weaving gait.

In cases of balance failure due to problems in the brain or inner ear, another common sign you may see is nystagmus. Nystagmus is abnormal, spontaneous eye movement even when your dog is not moving and is not changing where they’re looking. You know those cat wall clocks where the eyes flick back and forth? That’s what nystagmus looks like. It’s an indication of a problem within the brain, and the direction and speed of the eye movement can tell a doctor about where the problem might originate.

Other signs that are less specific to one affected body area are falling, knuckling, circling, head tilts, weak reflexes, confusion, lethargy, abnormal mentation, pain, and more.

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The 15 Reasons for a Dog to Lose Their Balance

1. Idiopathic Vestibular Syndrome

It might not be great for me to start by saying sometimes we don’t know why, but there is a common syndrome in senior dogs in which they spontaneously experience vertigo (dizziness) with balance loss and often nausea, and we’re not entirely sure why it happens. It passes after a week or two in most cases, with most symptoms resolving if not at least improving, though they can have repeat episodes in the future.

senior beagle dog lying on the carpet
Image Credit: masch, Pixabay

2. Otitis Interna and Otitis Media

Infections of the middle or inner ear can directly affect the vestibular system causing head tilts and loss of balance. This is almost always treatable though it can be trickier to treat than infections of the outer ear canal, and in some cases, the infection can be in all three regions of the ear.

3. Trauma

Damage to areas of the brain, inner ear, or even bones/muscles/connective tissue of parts of the body needed to maintain balance can leave pets falling and unsteady. Sometimes these are injuries that can heal and return to normal, while others, especially damage to important nerves or brain areas, can leave dogs with permanent vestibular symptoms.

4. Stroke

A stroke is a loss of oxygen to an area of the brain caused by a clot in a blood vessel. This loss of oxygen causes cell death in the area, and then that part of the brain can’t function. This can impact any body system, as I’m sure you can imagine, and included with that is commonly a loss of fine motor control in regions or the entirety of the body.

Strokes are not as common in dogs as in people, but just like with us, sometimes it is possible to recover from a stroke entirely; sometimes, signs of the stroke can persist.

heat stroke symptom of pug dog
Image Credit: Ezzolo, Shutterstock

5. Tumors

Brain tumors, spinal cord tumors, inner ear tumors, nerve sheath tumors, and tumors in problematic areas of a limb can all be at fault for a dog that can’t maintain their balance. In some cases, tumors can be removed or treated through chemotherapy and radiation, but some may still lack treatments.

Some tumors are benign, slow growing, and may not further impact a dog’s quality of life; others are malignant and can spread to other parts of the body, making them fatal eventually if left untreated.

6. Encephalitis

Encephalitis is inflammation of the brain. This inflammation can cause the nerves of the brain to malfunction. Encephalitis can be triggered by almost anything: tick-borne diseases, bacteria, viruses, fungi, parasites, fevers (or it can cause fevers), trauma, and more.

7. Seizures

Seizures can cause transient but significant ataxia. During and after the seizure during the postictal phase, dogs are often dizzy, wobbling, unable to stand, will fall over and even roll, and cannot walk straight. This can last for as little as a few seconds and up to several hours, with many dogs not returning to normal until the next day even.

Seizures may be triggered by many of the same things that can also cause vestibular symptoms on their own, but dogs can also develop epilepsy which is genetic.

a sick dog lying on the wooden floor
Image Credit: Kittima05, Shutterstock

8. Vision Loss

Pets that are newly blind will often stumble and fall. Their brain is used to having input from their sight when processing information for their vestibular system, and loss of this sense can lead to a learning curve to correct their balance without it.

9. Poisons/Toxins/Drugs

Some substances can affect brain function, vestibular function, or can cause liver damage that can lead to ammonia accumulation in the blood, triggering neurological symptoms like ataxia or seizures. Sedated dogs can also be weak and unsteady with poor balance.

10. Arthritis

Severe arthritis can lead to inflammation of the surrounding nerves, which can progress to loss of function of those nerves. Dogs can develop less sensation in their toes, and this lack of sensory input can leave them stumbling, falling, and unable to maintain their balance. Their muscles also become weaker from disuse in trying to avoid painful movement, which makes it that much harder for them to balance.

Senior dog with arthritis lying on the carpet
Image Credit: Larissa Chilanti, Shutterstock

11. Degenerative Myelopathy

This chronic disease leads to progressive degeneration of the spinal cord. The beginning stages include ataxia, a signature wobbling gait, and hindlimb weakness with frequent falls and knuckling, but it progresses to paralysis. This genetic disease can be found in many dog breeds, but the most well-known would likely be German Shepherds.

12. Intervertebral Disc Disease (IVDD)

This injury, common in overweight dogs with short legs and long backs that often occurs after a jump down, is due to pressure from the disc between vertebrae on the spinal cord when the disc isn’t in the position and condition it’s supposed to be in. The pressure on the spinal cord can cause extreme pain, loss of sensation to extremities, complete paralysis, ataxia, and more neurological symptoms.

Dogs recovering from an IVDD injury will often have very little control of their balance and will need help from their owners to get around until they heal, though these signs can be permanent depending on the severity of the injury and how long it takes to get treatment.

dog with hypothyroidism
Image Credit: Marut Sayannikroth, Shutterstock

13. Hypothyroidism

Although not a common presentation, hypothyroidism in dogs can cause degeneration of some nerves, including the cranial nerves involved in the vestibular system. Untreated hypothyroidism also increases the risk of strokes for dogs.

14. Hypertension

Since you can’t technically diagnose high blood pressure (hypertension) without assessing a dog’s blood pressure, one of the signs an owner might notice first that leads to a veterinarian checking this is reports of vertigo from a dog such as ataxia, a head tilt, vomiting, loss of appetite, etc.

15. Infectious

Infections in the brain can affect the vestibular system. One example would be the distemper virus, which can cause neurological signs like ataxia, head tilts, wobbling, weakness, and more in puppies, which may have persistent signs like this even if they survive the infection.

sick chihuahua dog lying on a rug
Image Credit: Zozz_, Pixabay

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With a dog’s balance relying on the sensory input of their surroundings, their brain’s interpretation of that input, and their body’s ability to follow through on instruction from the brain to maintain balance, it’s no surprise to find out how many different things can explain why your dog might be falling over.

If you notice any signs that your dog is struggling with their balance, such as falling, rolling, circling, a head tilt, walking unsteadily, vomiting, or not eating, it is best to bring them straight to your veterinarian so they can run tests to narrow down the cause. These tests may include bloodwork, imaging such as X-rays, CT scans, or an MRI, a spinal tap, or reflex challenges.

Featured Image Credit: Jurijus Petrulis, Pixabay

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