Vestibular disease in dogs
Vestibular disease affects balance. 'Old dog vestibular syndrome' comes on suddenly in older dogs and often improves on its own, while inner-ear infections and brain problems are other causes.
Last updated: October 2026 · 3 sources · see sources
Signs to watch for
- Head tilt
- Falling or circling
- Flicking eye movements
- Nausea or vomiting
- Reluctance to stand
Trouble breathing, collapse, repeated vomiting, not peeing, or a seizure that lasts more than a few minutes needs a vet right away. See when to see a vet.
How vets diagnose it
Your vet does an ear and neurologic exam. Ear cleaning and imaging, sometimes an MRI, may be needed to find the cause. [2][3]
How it's treated
Supportive care includes anti-nausea medicine, help with eating and walking, and treating any ear infection. [2][3]
Medicines your vet may mention: Cerenia. We don't list doses; your vet will decide what fits your pet.
What it costs to diagnose and manage
These are typical US ranges from the sources listed. Your pet's costs depend on how severe things are, the tests your vet recommends, your pet's size and where you live. Ask your vet for a written estimate.
Outlook
Dogs with idiopathic vestibular disease often improve over a few days to weeks, though a slight head tilt can remain. [2][3]
Common questions
What is vestibular disease in dogs?
Vestibular disease affects balance. 'Old dog vestibular syndrome' comes on suddenly in older dogs and often improves on its own, while inner-ear infections and brain problems are other causes.
What are the signs of vestibular disease?
Common signs include: head tilt, falling or circling, flicking eye movements, nausea or vomiting, reluctance to stand.
How do vets diagnose vestibular disease?
Your vet does an ear and neurologic exam. Ear cleaning and imaging, sometimes an MRI, may be needed to find the cause.
How is vestibular disease treated?
Supportive care includes anti-nausea medicine, help with eating and walking, and treating any ear infection.
How much does vestibular disease cost to treat?
Diagnosis (exam and tests): $200–$500; Treatment: $200–$500. Costs vary with severity, tests, your pet's size and where you live.
Related
This page is general information for pet owners, not veterinary advice. Talk to your vet about your own pet.