Swaying Back and Forth in Dogs
Written By Darlene Stott
Published: 07/24/2017Updated: 07/14/2021
Veterinary reviewed by Dr. Linda Simon, MVB MRCVS
Why is my dog swaying back and forth?
What is Swaying Back and Forth?
Whenever the connection between the brain and the inner ears are interrupted, the balance is affected. The system that controls balance is called the vestibular system, which has its central components located in the brain and the peripheral components within the ear. If this system is damaged in any way, vestibular disease can occur. Typically seen in older dogs, the definition of this disease is a sudden and non-progressive disturbance of balance. While there are quite a few reasons why vestibular disease can occur, here are some of the most common ones:
  • Middle or inner ear infections
  • Trauma or injury
  • Tumors 
  • Stroke 
  • Tick-borne Illness 
  • Idiopathic (no known reason; typically occurring in geriatrics)
To address the issue, we must treat the underlying problem e.g. an ear infection or polyp.
If your dog has idiopathic vestibular disease, remember that this type of vestibular disease typically isn’t harmful and usually will go away on its own. There is no actual cure for vestibular disease, yet steps can be taken in order to help the healing process go smoothly; such as nausea medication and a medicine called propentofylline, which can help hasten the brain’s ability of restoring itself after damage. Just like the disease can occur quickly, it can also leave quickly on its own with little to no medical assistance.
 If you notice that your dog is swaying back and forth for a prolonged period of time, along with any of the other vestibular disease symptoms listed below, you may want to visit your vet in order to determine the underlying issue. If none is detected, such as an ear infection, the best thing you can do it to make your dog comfortable while he heals.
Why Swaying Back and Forth Occurs in Dogs
Vestibular disease affects the nerves that send messages back and forth from the dog’s eyes, inner ears, and body. In doing so, it alters the dog’s ability to balance thus causing him to sway back and forth either while standing or walking. Other symptoms of vestibular disease are:
  • Head tilt 
  • Eye movement from side to side (nystagmus)
  • Nausea and vomiting 
  • Tumbling or falling in the direction of the head tilt
  • Reduced appetite
  • Reluctance to move
There are quite a few reasons why vestibular disease can occur such as ear infections, trauma or injury, tumors, stroke, or even a tick-borne illness like Rocky Mountain Spotted Fever. Although it can be unnerving to see your pet lose balance and control of some normal functions, vestibular disease is often treatable.
Middle or Inner Ear Infections 
As a common cause of irritation in dogs at all ages, it may come as no surprise to discover that an ear infection can cause your dog to become unbalanced. If this is the case, your vet can prescribe medication to help take away the infection. 
Trauma or Injury 
In severe cases of trauma or injury, the imbalance from vestibular disease may not fully recover. However, if it is a minor injury, using the “wait and see” approach may allow enough time for the problem to fully dissipate on its own. If you wait a few days after a minor injury and the problem still persists, take your dog to the vet in order to determine what the underlying issue may be. 
Tumors
Tumors on the brain can be a cause for vestibular disease. This growth can interrupt the connection between the central and peripheral components of the vestibular system, making it difficult for the dog to find his bearings. If you notice that your dog is showing signs of vestibular disease, such as swaying back and forth as he walks, holding his head at a tilt, and rapid eye movement, you may want to take your dog to the vet immediately in order to run tests. 
Stroke
While vestibular disease can be mistaken for stroke, there is a very possible chance that your dog may be experiencing a stroke. Strokes are less common than most owners assume. If you see that your dog is walking with a head tilt, swaying, and has a loss of appetite you may want to check in with the vet as to any underlying issues, such as stroke. Idiopathic vestibular disease often leaves just as quickly as it appears, with little to no medical assistance. However, if the reason for your dog’s swaying back and forth is a stroke, the symptoms will linger and you will want to speak with your vet about treatment for your pet. 
Tick-Borne Illness 
Ticks are nasty little bugs that can carry diseases such as Rocky Mountain Spotted Fever, which is transmitted by the American dog tick and the lone star tick. In dogs, this fever starts suddenly and can result in sickness that lasts for a couple of weeks. The symptoms are:
  • Neurological abnormalities (loss of balance, confusion, lethargy)
  • Stiffness when walking 
This fever can be deadly if not treated promptly enough. If you notice that your dog has been bitten by a tick and he begins to show symptoms of RMSF, then you will want to get your dog to the vet immediately for treatment. Rocky Mountain Spotted Fever is located all throughout the United States and Canada.
What to do if your Dog is Swaying Back and Forth
If your dog is swaying back and forth, the first thing you should do is have them examined by their vet. Often times, problems such as Idiopathic Vestibular disease will resolve in a few days, without any assistance from medication. However, many will need supportive care during this time.
 After determining what may be causing your dog’s swaying back and forth, you will need to determine how best to handle the situation. If the problem will resolve itself over time, make your dog comfortable until he is better. You can do this by giving him medication for nausea, providing a quiet place for him to lay, and assisting when he needs to go out and relieve himself. Sometimes the symptoms of serious underlying issues like tumors are more permanent. If that is the case, you will need to constantly help your dog do things such as get upstairs and outside for the restroom. Other lingering effects may be a slight head tilt, which should not lessen your dog’s quality of life in any way. While this may be difficult, with help and care your dog can still live a full and happy life.
Prevention of Swaying Back and Forth
In order to prevent swaying back and forth due to ear infections, the best thing that you can do is perform frequent ear cleanings for your dog. Doing this will help to decrease the chance of an infection setting in due to any foreign bodies or bugs creating damage to the ear. You can perform ear checks and cleanings at home, but always remember to use a gentle cleanser and cotton balls to clean the ear, never alcohol or Q-tips as they can harm the eardrum. 
Other, more serious, underlying issues are a bit more difficult to prevent. Problems such as tumors and stroke tend to come with age and can be caught early with frequent vet checkups. To prevent a tick-borne illness, be sure to check your dog for ticks after playing around outside. Use tick prevention medicine. Comb through the hair around and inside the ears, as well as around the groin. If you notice that you dog has been bitten by a tick monitor him carefully. If any symptoms such as fever, vomiting, lethargy, difficulty breathing, and loss of balance occur take him to the vet immediately for treatment.
Cost of Swaying Back and Forth
Treatment cost will vary depending on the cause of your dog’s swaying. For instance, if your dog is diagnosed with an ear infection, the average cost of treatment is $300. If your dog is diagnosed with Rocky Mountain Spotted Fever, the cost of treatment can range from $1,500 to $8,000 depending on the cost of living and the severity.
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Swaying Back and Forth Questions and Advice from Veterinary Professionals
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Yorkshire Terrier
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Two Years
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My pet has the following symptoms:
None
Swaying back and forth while sitting
July 20, 2020
Answered by Dr. Sara O. DVM
0 Recommendations
Hello, There may be many reasons that your dog is swaying back and forth. This can be an inner ear issue or some other neurological issue. Without being able to examine him I cannot tell exactly what is causing this. It would be best for your vet to look at your dog and see what is causing him to sway back and forth. They can also start him on medication to help him feel much better. I hope your dog starts to feel better soon.
July 20, 2020
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Cocker Spaniel
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Lily
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11 Years
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My pet has the following symptoms:
Swaying
Falling Over
Balance Problems
Aggressiveness
So for the past 2 years my dog has been getting progressively worse, she started getting really aggressive towards my other dogs who she’s known for 6+ years, lost her balance a lot, was swaying, she’s less aggressive now but she still has poor balance, always swaying, and has real bad separation anxiety. She does not have a head tilt though.
Aug. 30, 2018

Take him to the vet...
Sept. 4, 2018
Chase R.
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Chihuahua
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Tiliche
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3 Years
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0 found this helpful

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My pet has the following symptoms:
Lethargy
Disorientation
Vomiting
Swaying
My dog was eating and suddenly began to sway from side to side while attempting to collect food in his mouth. It was like his body was being pulled from side to side. this continued until he walked away from the food bowl and attempted to eat the food gathered in his mouth and then eventually fell over to the side. I was freaking out, and rubbed his belly and pet him until he eventually stood up and went to go curl up in the sunlight. This was the first time he’d ever done this. Later In the day he threw up twice, it seemed to be all the food he ate that day. He’s currently taking antibiotics for a hernia but has been taking them for days and we hadn’t experienced this before. He normally eats the pill with his food and continues his day until we feed him later. Would this be some sort of effect that the antibiotic is giving him? Or is this something different entirely. We have been watching him for days he was acting like new again, nothing out of the ordinary at all, no head bumps either. I’m very worried, thank you.
July 27, 2018
Answered by Dr. Michele K. DVM
0 Recommendations
That is odd behavior, and I'm not sure what might have caused that at that time. It is unlikely that it is related to the antibiotic, although sometimes dogs will have a minor loss of balance if they are vomiting. If he continues to do this, it would be a good idea to have him seen by a veterinarian, but if he continues to act normally, you may be fine to monitor him.
July 28, 2018
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Maltese
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Lucky
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8 Years
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2 found this helpful

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2 found this helpful

My pet has the following symptoms:
Weakness
Swaying
Flinching
My dog was laying down next to me acting normal, suddenly i noticed him flinching anytime me or my fiancé moved even the slightest. I took him outside, he tripped on his way out, he peed, then had trouble coming back in, he tripped again. When he stands he sways slightly and his back legs slide bringing him closer to the floor. Hes walking weird too. This all started about an hour ago, he was sleeping on the couch next to me and then on the bed so I KNOW he didn’t ingest anything. Hes just laying down now, looking extremely weak.. What should i do??
April 24, 2018

2 Recommendations
Without examining Lucky it is difficult to know specifically what may be happening here, you should keep Lucky calm, rested and encourage hydration. If there is no improvement in Lucky’s condition, you should visit your Veterinarian for an examination and possibly a blood test. Regards Dr Callum Turner DVM
April 24, 2018
Has Lucky improved? This exact thing is happening with my dog now and my partner and I are very scared and concerned.
May 2, 2018
Alex-Ryenn L.
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