What is the differential diagnosis (Ddx) for a dog shaking?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 14, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for a Dog Shaking

  • Single most likely diagnosis:
    • Anxiety or stress: This is a common cause of shaking in dogs, often triggered by loud noises, separation, or new environments.
  • Other Likely diagnoses:
    • Pain or discomfort: Dogs may shake due to underlying medical issues such as arthritis, dental problems, or injuries.
    • Hypoglycemia (low blood sugar): This can cause shaking, especially in dogs with diabetes or those that have gone without food for an extended period.
    • Hyperthermia (heatstroke) or hypothermia: Extreme temperatures can lead to shaking in dogs.
    • Seizure activity: Some dogs may exhibit shaking as a precursor to or after a seizure.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
    • Neurological disorders (e.g., epilepsy, vestibular disease): These conditions can cause shaking and require prompt veterinary attention.
    • Insecticide or toxin exposure: Certain toxins can cause shaking, and timely treatment is crucial.
    • Addison's disease (adrenal insufficiency): This hormonal disorder can lead to shaking, among other symptoms.
  • Rare diagnoses:
    • Generalized tremor syndrome: A rare condition characterized by persistent shaking, often with no identifiable cause.
    • White dog shaker syndrome: A rare condition affecting small, white dogs, causing shaking and tremors.
    • Distemper: A viral disease that can cause shaking, among other symptoms, although it is relatively rare in vaccinated dogs.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.