Welcome to 22nd Aug. missed Feature Friday, fam!
“Why is my dog shaking like this?!”
That’s one of the most common, panic-filled questions I hear from worried pet parents. And honestly? I get it. Watching your dog go through a seizure is one of the scariest things you’ll ever witness. One second they’re perfectly fine, and the next their body stiffens, legs thrash or paddle against the floor, frothy drool spills from their mouth, and their eyes glaze over as if they’re looking at nothing. For a few minutes, it feels like your pup has been taken over by something you can’t control.
But here’s the truth: these episodes are caused by electrical misfires inside the brain - what we call canine epilepsy. And while they look dramatic, understanding what’s really happening can help you stay calm, protect your dog during an episode, and work with your vet on the best long-term care.
In this post, we’ll break down what epilepsy in dogs actually is, what seizures look like, why they happen, and what every pet parent needs to know before moving on to management and treatment options.
Here’s the truth: seizures are scary, but understanding them takes away some of the fear, and replaces it with action.
What Exactly Is Canine Epilepsy?
Picture this: your dog’s brain is like a world-class orchestra. Billions of nerve cells called neurons are the musicians. Each one fires tiny electrical signals, perfectly timed, perfectly in tune. The violins hum softly, the trumpets keep the pace, the drums tap steadily in the background. Together, this orchestra creates harmony, the kind that lets your dog chase a ball, beg for treats, curl up on the couch, and wag that tail with flawless coordination.
But sometimes, the music changes. A few violins screech off-key, the trumpets blare out of rhythm, and the drummer? He’s gone rogue, pounding like he’s playing in a completely different concert. The once-beautiful melody turns into pure chaos.
That, in essence, is what epilepsy looks like inside the brain. Instead of smooth, steady communication, the brain suddenly bursts into abnormal electrical storms that spill over into the body as seizures.
So, What Is Epilepsy Really?
Epilepsy is a neurological disorder - meaning the trouble begins in the brain. It causes the brain’s wiring to “misfire,” sending out abnormal electrical signals that lead to seizures. What makes epilepsy stand out is that these seizures are:
- Recurrent → They don’t just happen once. They come back.
- Unprovoked → They aren’t caused by an outside trigger like poison, trauma, or heatstroke.
Let’s put it into perspective:
- If your dog eats rat poison and collapses, that’s a toxic reaction - not epilepsy.
- If your dog overheats on a blazing hot day and goes into distress, that’s heatstroke - not epilepsy.
Epilepsy is different. It means the brain itself has developed a long-term tendency to glitch - like a faulty light switch flickering unpredictably. These misfires can trigger seizures again and again, often without warning.
How Common Is It?
Epilepsy is one of the most common chronic brain disorders in dogs. It affects about 0.6 - 0.8% of dogs worldwide, roughly 1 in every 160 dogs. That makes it something veterinarians see often, but still something that can catch pet parents off guard.
Pet Parent Tip: If your dog has even one seizure, don’t shrug it off. Keep a record of the episode and book a vet visit . It may be the first sign of epilepsy.
Types of Canine Epilepsy
Epilepsy in dogs isn’t a “one-size-fits-all” condition. When your vet talks about epilepsy, they may actually be referring to one of several different categories, each with its own cause, story, and outcome. Let’s break it down in plain English:
1. Idiopathic Epilepsy (IE)
This is the most common type of epilepsy seen in dogs. The word idiopathic literally means “unknown cause.” In this case, there’s no tumor, no infection, no head injury - nothing obvious to blame. Instead, the brain itself just develops a built-in tendency to misfire, often due to genetics.
- When it starts: Usually between 6 months and 6 years old.
- Who’s at risk: Certain breeds are overrepresented, including Beagles, Border Collies, German Shepherds, and Labrador Retrievers.
- How to picture it: Think of it as the electrical wiring of the brain being faulty from the start. The house looks fine from the outside, but the lights keep flickering because of hidden wiring issues.
2. Structural Epilepsy
Here, the seizures are linked to something we can physically point to inside the brain - like a brain tumor, scar tissue from head trauma, stroke, infection, or inflammation.
- Why it happens: There’s visible, measurable damage to the “circuit board” of the brain.
- How to picture it: Unlike faulty wiring (idiopathic), this is like a cracked circuit board. The structure itself is compromised, so the electrical system can’t run smoothly.
3. Reactive Seizures (Not True Epilepsy)
Here’s where things get tricky. Sometimes the brain itself is perfectly normal - but it’s reacting to something happening elsewhere in the body.
- Common culprits:
- Low blood sugar (hypoglycemia)
- Liver disease toxins (hepatic encephalopathy)
- Poisons or toxins (like certain human medications, xylitol, or antifreeze)
- Why it’s different: Once you remove or treat the outside trigger, the seizures usually stop completely. That’s why we don’t call these “true epilepsy.”
- How to picture it: Imagine the brain is fine, but an outside power surge overwhelms the system. Fix the surge, and the lights stop flickering.
Think of it this way:
- Idiopathic epilepsy = the wiring is faulty (genetic misfiring).
- Structural epilepsy = the circuit board is damaged (brain disease or injury).
- Reactive seizures = the system is overloaded from outside forces (toxins, sugar crashes, liver failure).
Why this matters: Knowing which type of seizure your dog has isn’t just a label, it guides everything from treatment options to long-term outlook.
Pet Parent Tip: Always ask your vet which type of epilepsy your dog may have. The treatment plan differs dramatically.
What Seizures Look Like in Dogs
Seizures in dogs can be confusing because they don’t all look alike. Sometimes they’re dramatic - your dog collapses, stiffens, and paddles their legs like something out of a movie. Other times, they’re so subtle that you might think your dog is just daydreaming, staring off into space, or behaving a little oddly. Understanding the different types and stages helps you spot them early and know when to act.
Types of Seizures
- Generalized (Grand Mal)
- Focal (Partial)
- Cluster Seizures
- Status Epilepticus
The Four Phases of a Seizure
Seizures don’t just “happen out of nowhere” - many have warning signs if you know what to look for. Think of it as a four-part cycle:
- 1st - Prodrome (hours to days before)
- 2nd - Aura (seconds to minutes before)
- 3rd - Ictus (the seizure itself)
- 4th - Post-Ictal (after the seizure)
Why this matters: Recognizing these phases and types helps you stay calm, keep your dog safe during an episode, and give your vet accurate information that can guide diagnosis and treatment.
Pet Parent Tip: Record seizures on video when safe. Vets often rely on your description (or video) to tell grand mal from focal.
Why Does Epilepsy Happen in Dogs?
Epilepsy in dogs isn’t usually the result of a single “smoking gun.” Instead, it’s more like a storm that brews from a mix of risk factors. Think of it as the brain being pushed past its breaking point by different triggers. Let’s break them down:
1. Genetics
Some dog breeds are simply born with a higher risk. Breeds like Beagles, Border Collies, German Shepherds, and Labrador Retrievers are known to carry inherited tendencies for epilepsy. It doesn’t mean every pup in these breeds will have seizures, but their wiring makes them more vulnerable.
2. Infections & Inflammation
Diseases that attack or irritate the brain can trigger seizures. Distemper (still common in areas with low vaccination rates), meningitis, or even parasites like Toxoplasma or Neospora can inflame brain tissue, disturbing its normal function.
3. Brain Trauma
Falls, car accidents, or fights can leave behind hidden scars in the brain. These scars act like tiny sparks that misfire later, setting off seizures - sometimes months after the original injury. Free-roaming or outdoor dogs in rural areas face this risk more often.
4. Toxins
Not all poisons are obvious. Dogs can seize after exposure to pesticides, lead, rat poison, or antifreeze. Even foods we humans consider “treats” - like chocolate, xylitol (in sugar-free gum), or caffeine - can be toxic to dogs and cause seizures.
5. Metabolic Disorders
When the body’s internal chemistry is off, the brain suffers. Low blood sugar (common in toy breeds or diabetic dogs), liver failure, and kidney disease can all destabilize the brain’s electrical balance, leading to seizures.
6. Environmental Triggers
Sometimes it’s not disease at all, but the world around your dog. Loud fireworks, flashing lights, or stressful events can act as seizure triggers in dogs already prone to epilepsy.
- In rural settings, seizures often trace back to pesticide exposure during crop spraying or preventable infectious diseases like distemper. Vaccination gaps and chemical misuse amplify these risks.
- In urban environments, I’ve seen dogs seizuring after New Year fireworks, prolonged city noise, or accidental exposure to household cleaning chemicals. Curious noses and busy households are a risky mix.
Takeaway: Epilepsy isn’t “just bad luck.” It’s the result of how genetics, health, and environment collide. Knowing the common culprits can help you prevent avoidable seizures, catch early warning signs, and work with your vet on a tailored plan for your pup.
What to Do During a Seizure (The Ultimate Pet Parent’s Guide)
Watching your dog seize can be one of the most frightening moments of your life. Their body may stiffen like a board, legs paddle uncontrollably, drool pours, and sometimes they may lose control of their bladder or bowels. It feels chaotic and endless, but here’s the truth: most seizures are short, and your calm, steady actions can make all the difference between a safe episode and a dangerous one.
Think of this as your seizure survival manual - a step-by-step, practical guide you can follow when every second feels like an hour.
Step-by-Step: What You Should Do
1. Stay Calm (for your dog’s sake and yours).
2. Keep Your Dog Safe.
- Gently clear the area - move away chairs, tables, or sharp objects.
- If they’re near stairs, water, or fire, block access immediately.
- Slip something soft (like a folded blanket or towel) under their head if you can safely do so.
- Dim bright lights and switch off loud sounds (TV or music) to reduce brain stimulation.
3. Do Not Restrain Them.
4. Do Not Put Anything in Their Mouth.
5. Time the Seizure.
- Use your phone stopwatch or glance at a clock.
- Note: Most seizures last less than 2 minutes. Anything longer than 5 minutes is a true emergency.
- If possible, record what you see: movements, sounds, what your dog was doing just before, and how they act afterward. This helps your vet more than you can imagine.
When It’s an Emergency
Call your vet immediately if:
- The seizure lasts longer than 5 minutes (status epilepticus).
- Your dog has more than 3 seizures in 24 hours (cluster seizures).
- Your dog does not recover fully between seizures.
- This is your dog’s first-ever seizure.
- Your dog is injured during the episode (falls, trauma, bites tongue badly).
- Seizures suddenly change in severity or frequency.
After the Seizure (The “Post-Ictal” Phase)
The seizure itself is just one part of the storm, the recovery can look just as alarming. Here’s what you might see:
- Disorientation: pacing, restlessness, or appearing “lost.”
- Temporary blindness or bumping into objects.
- Clinginess (wanting to stay glued to you) or, the opposite, anxiety and withdrawal.
- Ravenous appetite or sudden thirst.
What you should do:
- Stay close, but don’t overwhelm them. Some dogs want comfort; others need space.
- Keep the environment quiet, dimly lit, and calm.
- Only offer water or food once your dog is fully alert (not before).
- Move slowly and avoid startling them - they may still be confused and confusion can cause fear-based reactions.
Build Your Seizure First-Aid Kit
Preparation buys peace of mind. Keep these handy:
- 📓 Notebook or Seizure Diary (or use your phone notes app)
- 🕒 Timer/Stopwatch
- 🧴 Towel/Blanket (to cushion or protect surroundings)
- 🔦 Torchlight (for dark rooms or nighttime events)
- 📞 Vet’s phone number (and nearest emergency clinic contact)
Pro Tip: Keep a “Seizure Diary” on your phone. Log the date, time, duration, possible triggers (stress, loud noises, skipped medication), and recovery signs. Over time, these patterns give your vet critical clues to tailor treatment.
What Can the Vet Do for a Dog with Epilepsy?
When your dog has recurrent seizures, your veterinarian becomes more than just a doctor - they’re part detective, part strategist, and part lifeline. Epilepsy management is rarely a quick “fix-it-and-forget-it” kind of problem. Instead, it’s an ongoing journey that blends diagnosis, long-term treatment, lifestyle adjustments, and sometimes a bit of trial and error. Here's what that process actually looks like.
1. Diagnosis - Ruling Out the Look-Alikes
Here’s the tricky truth: there isn’t a single test that says, “Yes, your dog has epilepsy.” Instead, vets must carefully rule out other conditions that can look exactly like seizures.
The baseline work-up (where every case starts):
- History and video evidence
- Your observations matter. When did the seizure start? How long did it last? What did your dog do?
- Smartphone videos are gold - they help your vet confirm that the episode is truly a seizure rather than fainting, pain spasms, or even a behavioral quirk.
- Physical and neurological exam
- First, the vet checks your dog’s overall health - heart, lungs, weight, body condition.Then comes a neuro exam: reflexes, balance, coordination, and awareness. These tests reveal whether a specific area of the brain or nervous system might be involved.
- Bloodwork and urinalysis: These screen for hidden health issues that can trigger seizure-like episodes, such as:
- Low or high blood sugar
- Electrolyte imbalances (calcium, sodium, potassium)
- Liver or kidney disease
- Infections or inflammation
- Bile acids test (sometimes)
- Especially in young or small-breed dogs to check for a liver shunt - a condition where blood bypasses the liver and toxins build up in the bloodstream, sometimes causing seizures.
Advanced testing (used in select cases):
- MRI of the brain ± CSF analysis if:
- Seizures start unusually early (before 6 months) or later than typical for idiopathic epilepsy (after 6 years). This may indicate underlying structural problem rather than “classic” epilepsy.
- Your dog shows unusual reflexes, coordination issues, or other neurological signs between seizures, this may indicate a brain problem that needs imaging.
- Seizures suddenly increase in frequency or intensity, look asymmetric (one side of the body more affected than the other), or don’t respond to standard medications, advanced testing helps uncover the cause.
2. Determine When to Start Anti-Seizure Medication
Not every single seizure means “start drugs today.” But certain patterns tell the vet it’s time to intervene:
- Status epilepticus → A seizure lasting more than ~5 minutes, or multiple seizures without recovery in between. This is an emergency; medication is started immediately.
- Cluster seizures → Two or more within 24 hours. This can quickly become dangerous, so daily medication is usually prescribed.
- Frequent generalized seizures → Two or more typical seizures over several months (usually within 6 - 12 months). This suggests ongoing epilepsy that may benefit from treatment.
- Worsening trends → If seizures are becoming more frequent or intense, even if they aren’t clustered, vets may start therapy.
- Structural cause identified → If imaging shows a brain lesion, daily meds are usually required.
3. Anti-Seizure Medications (ASMs)
The goal isn’t always to make seizures disappear completely. For many dogs, success means reducing frequency and severity while keeping side effects tolerable. Think of it like tuning a stormy weather system: you may not stop every bolt of lightning, but you can keep the worst of the storm from hitting.
Here’s a breakdown of the most commonly used anti-seizure medications:
- Phenobarbital (PB) → Still the gold standard worldwide.
- Potassium bromide (KBr) → Often added if PB isn’t enough or well tolerated
- Levetiracetam (Keppra).
- Zonisamide.
- Imepitoin (in some regions) → Licensed specifically for idiopathic epilepsy (meaning no obvious cause).
For tough, resistant cases:
Gabapentin, topiramate, or other human epilepsy drugs (always under strict veterinary guidance).
Medication is often the cornerstone of epilepsy control, but it’s only part of the bigger picture. Managing seizures isn’t just about what happens at the pharmacy counter - it’s also about how you care for your dog day to day. From lifestyle adjustments to recognizing triggers and building a strong support system, there’s a lot you can do beyond the pills to help your dog live well with epilepsy.
Beyond the Pills - A Holistic Look at Canine Epilepsy Management
Managing epilepsy in your dog isn’t just about giving medication. Think of it like building a safety net: every tool you add can help reduce the frequency or severity of seizures. Here’s a breakdown of what’s out there, with clear explanations so you can see how each fits into the bigger picture.
MCT-Enriched Diets
Omega-3 Fatty Acids (DHA)
Routine and Consistency
Acupuncture and Chinese Medicine
CBD Oil
Nerve Stimulation Therapies
Bottom line
Epilepsy management is a team effort. Medication is the foundation, but diet, routine, supplements, and alternative therapies can all help create a more stable life for your dog. Think of each option as a piece of the puzzle - combine them carefully under your vet’s guidance, and you’re giving your dog the best chance at fewer, milder seizures and a better quality of life.
Living With Canine Epilepsy - What Pet Parents Can Do
Once your dog has experienced a seizure and you’ve met with your veterinarian - who, thanks to your carefully kept logs, has identified the type of epilepsy, possible triggers, and prescribed medications or holistic options, the next step is turning that plan into daily life. Epilepsy isn’t just a medical condition; it becomes part of your family’s rhythm. While vets provide the science and prescriptions, pet parents provide the stability, comfort, and observation that make long-term management possible.
Here’s how you can help your dog thrive:
1. Know Your Dog’s Triggers
2. Actively Manage Triggers and Stress
3. Build a Safe Environment
- Use baby gates to block stairs.
- Pad or move furniture with sharp edges.
- Provide cozy, cushioned resting areas away from hazards.
- Consider soft flooring or rugs in high-traffic areas.
Even small changes can make a huge difference in safety.
4. Stick to Medications and Schedules
5. Plan Ahead for Emergencies
- Who times the seizure?
- Who contacts the vet?
- What to grab if you need to rush to the clinic?
Keep medications, your vet’s number, and an emergency kit in a single, easy-to-access spot. Being prepared reduces panic and ensures your dog gets timely care.
6. Supportive and Emotional Care
- Stay calm and consistent - your dog reads your energy.
- Provide gentle reassurance during and after episodes.
- Use positive reinforcement for routines and stress management.
7. Care for Yourself Too
Prognosis and Life Expectancy for Dogs with Epilepsy
Learning that your dog has epilepsy can feel overwhelming at first. But the truth is, most dogs with epilepsy can live long, happy, and fulfilling lives - often close to the lifespan they would have without the condition. With proper veterinary care, medications, and a supportive home environment, epilepsy becomes a manageable part of life rather than a barrier to it.
How well your dog thrives depends on a few key factors:
- Frequency and severity of seizures: Dogs with mild or well-controlled seizures usually do very well.
- Response to medication: Anti-seizure drugs, when properly dosed and monitored, help many dogs live comfortably with fewer or no seizures.
- Overall health and breed: Some breeds are more prone to severe epilepsy, and other health conditions may affect outcomes, but even dogs with more frequent seizures can enjoy a good quality of life if managed carefully.
It’s important to remember: dogs with epilepsy are not frequently euthanized simply because of the diagnosis. Epilepsy is usually manageable, and most dogs respond well to treatment, careful monitoring, and a loving, structured environment.
That said, euthanasia is sometimes considered, but only in specific, heart-wrenching situations, such as:
- Severe, uncontrolled seizures: If seizures are very frequent, prolonged, or resistant to treatment, and the dog’s overall well-being suffers.
- Medication side effects: Some dogs may have adverse reactions that make management challenging.
- Repeated injuries or stress: Seizures causing trauma or extreme anxiety for the dog or family.
- Caregiver limitations: When a pet parent cannot safely manage medications or emergency care.
Even in these cases, veterinarians and loving owners focus first on medical management, comfort, and quality of life. Most dogs respond well to anti-seizure medications, environmental adjustments, and thoughtful day-to-day care.
The bottom line is this: a diagnosis of epilepsy is not a sentence, it’s a new journey. With knowledge, preparation, and your calm, loving presence, your dog can continue to play, explore, and share joyful moments with you for years to come. Epilepsy may be part of their life story, but it doesn’t define it.
The One Health Angle
Epilepsy isn’t contagious, but its management connects human and veterinary medicine. Many anti-seizure drugs used in dogs are adapted from human medicine. Also, the stress response in pets and owners during seizures highlights the shared emotional health aspect of One Health: a calm owner can make all the difference to a panicked dog.
Final Thoughts
Living with a dog who has epilepsy can feel overwhelming at times, but it’s also a journey full of love, resilience, and trust. Each seizure may be frightening, but every calm, measured response you give your dog strengthens your bond and keeps them safe. With proper veterinary care, consistent medication, a well-prepared environment, and your steady presence, dogs with epilepsy can continue to chase balls, cuddle on the couch, and fill your home with joy for many years.
Remember, epilepsy is just one part of your dog’s story - it doesn’t define who they are or the life you share. By learning, observing, and caring with compassion, you turn fear into action and uncertainty into confidence.
Take Action Today
Have you ever witnessed a seizure in your dog? Take a moment to write down what happened: the time, duration, triggers, and recovery signs. Share your observations with your vet and start your seizure diary today. Every detail helps create a safer, healthier, and happier life for your furry family member.
Your calm, consistent care is one of the most powerful tools in your dog’s epilepsy journey - start building that confidence now.
Next Step: Now that you know what epilepsy in dogs looks like and why it happens, let’s take it a step further. Did you know that caring for an epileptic dog can look very different depending on where you live? Whether it’s a bustling city or a quiet countryside village, access to care, lifestyle, and daily challenges all shape how pet parents manage this condition.
Keep an eye out for our next Feature Friday: Canine Epilepsy Management in Urban vs. Rural Settings
Stay caring. Stay compassionate. Stay Vortexy.
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