MildSee Vet Soon🫁 Respiratory SystemDog

Kennel Cough (Infectious Tracheobronchitis)

Canine infectious respiratory disease complex (CIRDC)

A highly contagious respiratory infection causing a characteristic dry, hacking cough. Often compared to the common cold in humans. Usually self-limiting but can progress to pneumonia in vulnerable dogs.

Last updated: 2026-05-10

Severity

mild

When to Act

See Vet Soon

Symptoms & Signs

Dry, hacking cough

Characteristic goose-honk cough, often triggered by excitement, exercise, or pressure on the trachea.

Always present

Gagging or retching

May cough up white foam or gag at the end of a coughing fit, often mistaken for choking.

Very common

Watery nasal discharge

Clear discharge from the nose in mild cases.

Sometimes occurs

Lethargy

Mild tiredness especially if fever is present.

Sometimes occurs

Fever

Usually mild but may spike in complicated cases.

Sometimes occurs

Behavioral Changes to Watch For

Pets can't tell us what's wrong. These behavioral changes are often the first clues that something is wrong.

🐾 Coughing fits after activity

Exercise, excitement, or pulling on a collar triggers prolonged coughing spells.

What You May Notice:

Your dog coughs repeatedly after running or when you pick up the leash for a walk.

🐾 Decreased appetite (mild)

May eat less due to throat irritation or general malaise.

What You May Notice:

Your dog picks at their food or skips a meal when normally eager to eat.

Causes & Risk Factors

Causes

  • Bordetella bronchiseptica (most common bacterial agent)
  • Canine parainfluenza virus
  • Canine adenovirus type 2
  • Canine respiratory coronavirus
  • Mycoplasma species
  • Often a co-infection of multiple pathogens

Risk Factors

  • Recent boarding, daycare, grooming, or dog park visits
  • Shelter or kennel environments
  • Young puppies or senior dogs
  • Brachycephalic breeds (Bulldogs, Pugs) at higher risk of complication
  • Pre-existing respiratory disease

How It's Diagnosed

  • 1Clinical signs and recent exposure history are usually sufficient
  • 2Tracheal palpation elicits cough (positive tracheal pinch test)
  • 3Chest radiographs if pneumonia suspected
  • 4PCR panel for respiratory pathogens in complicated cases

Treatment Options

home care

Rest and Humidity

Most cases are self-limiting and resolve with supportive home care.

Steps

  1. 1.Restrict exercise for 1-2 weeks
  2. 2.Use a humidifier or bring the dog into a steamy bathroom for 10-15 minutes, 2-3x daily
  3. 3.Switch from collar to harness to reduce tracheal pressure
  4. 4.Honey (1 tsp for small dogs, 1 tbsp for large) can soothe throat irritation

Expected Outcome

Cough resolves within 1-3 weeks in uncomplicated cases.

Precautions

  • !Isolate from other dogs during illness — highly contagious
  • !If cough worsens or dog becomes lethargic, see a vet immediately
medication

Antibiotics (if indicated)

Prescribed for severe or prolonged cases, or dogs at risk of pneumonia.

Steps

  1. 1.Doxycycline — first choice for Bordetella
  2. 2.Course typically 7-14 days
  3. 3.Cough suppressants (hydrocodone) may be prescribed for severe, non-productive cough

Expected Outcome

Faster resolution and reduced risk of secondary pneumonia.

Precautions

  • !Antibiotics are not always needed — many cases are viral
  • !Cough suppressants should not be used if pneumonia is present

Common Medications Used

MedicationUsageImportant Notes
DoxycyclineFirst-line antibiotic for Bordetella bronchisepticaGive with food to reduce GI upset. Do not give with dairy products.

Prevention

  • Bordetella vaccine (intranasal, oral, or injectable) — recommended for dogs that board or attend daycare
  • Annual booster for at-risk dogs
  • Avoid high-density dog facilities when possible
  • Good ventilation in kennels and shelters

When to See a Veterinarian

  • ⚠️Cough persists more than 2 weeks
  • ⚠️Dog develops fever, lethargy, or decreased appetite
  • ⚠️Difficulty breathing (increased respiratory rate or effort)
  • ⚠️Thick yellow/green nasal discharge

Frequently Asked Questions

Can my vaccinated dog still get kennel cough?
Yes. The vaccine covers the most common pathogens (Bordetella, parainfluenza, adenovirus) but not all possible causes. Vaccinated dogs typically get milder cases that resolve faster — similar to how the human flu vaccine works.

Prognosis

Excellent for uncomplicated cases. Most dogs recover fully in 1-3 weeks. Complication to pneumonia is the main concern, especially in puppies, seniors, and brachycephalic breeds.

References

  • [1] AAHA Canine Vaccination Guidelines
  • [2] Merck Veterinary Manual