This article comes with a warning. It covers topics such as death and euthanasia which some readers may find distressing.
Death, unfortunately, is inevitable and comes to us all, humans and animals alike. Our pets live such short lives in comparison to ours. And we are rarely prepared to lose them whenever their time comes. Unlike end-of-life decisions made for people, dog owners ultimately have the final say on how their pets will die. Occasionally, this decision is taken out of our hands due to an accident or sudden illness. But it is more likely that we will need to ‘help’ them if they are in pain or suffering. At this stage there are two choices to consider, we can either allow them to die ‘naturally’ or we can ‘put them to sleep’.
Table of content
Dying ‘naturally’, expectations vs. reality
First, let’s explore the concept of ‘dying naturally’. In human medical terms, a person is said to have ‘died of natural causes’ if they pass away from old age or disease as opposed to accident or trauma. This description seems to be appropriate for our canine companions too.
The widespread view of a natural death is generally influenced by what we have seen on TV or in the movies, which often shows someone dying peacefully in their sleep. There is also the false notion that wild animals will go off to die quietly under a bush.
Sadly, this rarely happens in real life.
In reality, dogs tend not to go to sleep feeling well and just not wake up. Dogs are tenacious and cling to life, often for far longer than we as vets or you as owners expect, despite serious medical conditions and great suffering. In fact, they usually experience many prolonged and unpleasant symptoms leading up to their death such as:
- Loss of mobility
- Loss of appetite or inability to eat
- Not drinking
- Extreme fatigue
- Vomiting
- Diarrhoea
- Incontinence
- Muscle twitching
- Confusion
- Change in temperament
- Altered respiration
- General discomfort
- Pain
If you decide to ‘let nature take its course’ you must be prepared for some distressing times. And perhaps heart-breaking memories of your dog in their final days. Veterinarians will be able to make them as comfortable as possible and manage their symptoms with medication. But it could take days, weeks or even months before they eventually die ‘naturally’.
Euthanasia
For humans, euthanasia and assisted suicide is only accessible in a handful of places across the globe (including some countries in Western Europe, Canada, Colombia and a number of States in North America). Whereas euthanasia (via injection) for our pets is universally legal. It is a service offered by the vast majority of veterinary practices across the world. Obviously, our dogs are unable to choose this option for themselves so the decision falls to us as their guardians.
The process of humane euthanasia in dogs involves giving an overdose of anaesthetic into the vein. It is usually administered into the front leg, but the injection can sometimes be given in other areas depending on the age and breed of the dog. Once the drug has been given, the dog will fall unconscious within seconds and then a few minutes later their heart will stop.
Most euthanasia proceeds peacefully without any difficulties and with minimal distress to the dog. Even if there are complications, it is still considered a more favourable option that could save you and your dog from days or weeks of suffering.
Advantages and disadvantages of a ‘natural’ death vs. euthanasia
There are, of course, advantages and disadvantages to both options, which is why this is such a difficult decision for any pet owner to make.
Allowing your dog to die ‘naturally’ at home, in a familiar environment, may be less frightening for them. However, it may be hard for you to watch. Alternatively, a great number of veterinarians offer ‘home visits’ to perform euthanasia which avoids the need to travel to the vet’s office.
There is sometimes less guilt associated with a ‘natural’ death, although this is a recognised sign of the grieving process so it is likely you will feel this emotion regardless of what you decide to do.
No pet owner wants to see their dog in pain or needlessly suffering and euthanasia can provide immediate relief from this anguish.
Euthanasia also gives you and your family a guaranteed chance to say goodbye to your beloved companion which cannot be assured with a ‘natural’ death.
Making the decision
Although the final decision will have to be made by you and your family, please remember you are not alone! Your veterinarian will be there to discuss all the options with you and offer advice and support to help you come to the right decision for you and your dog.
There are lots of factors that will be taken into consideration including your pet’s personality, their condition and quality of life (QOL), your personal ethics and beliefs as well as financial and practical aspects of caring for a dying pet.
If you need advice on end-of-life care for your dog or support following the death of your pet, please do not hesitate to get in touch with your veterinary practice.
Discussion
My baby boy passed in hell at the ER vet suffered 3 days they wanted me to euthanize him the 1st day without receiving the test results back , they would not look for other problem that can cause this condition , I was read the riot act by one vet , she could not understand I needed to see my baby and hold him and spend time with him and see where he was at and that I wanted to take him home to pass peacefully with or without my vet … you can never time these things , she would not let me give him water or iv fluids would not do a dehydration test would not work with me on drug doses , he has allergies and reactions to to to much drugs he’s a light weight with so many allergies to food etc … they dehydrated him in the oxygen tank they would not give him 1/4 doses over the same therapeutic drug period of time … so if he had a reaction we would have a chance of stoping the drug without it harming him to much … she let him dehydrated for 2 days until he hot pancreatitis … they yelled at me wouldn’t let me give my baby water 1ml st a time , they hardly let me spend enough time with I’m one to twice a day 10 – 20 min … they watched me on camera during my visit and came barging when I gave him 1 ml of water he was so thirty I am so overwhelmed with anxiety and sadness it’s devastating… the 2nd to last day I demanded a blood test with pancreatitis with dehydration test told them he’s stressed out , they said he’s not … cat was unstable wanted to take him home … I fought with the vet … but when I left I thought he ll destabilize further and they have equipment to help him … next day another ER vet phoned said bp low needs fluids and his test is positive for dehydration and pancreatitis.., and instead of giving him a slow I’ve drip like the 1st day the put 40 ml under his skin and a drip it overloaded him and he died … I am devastated I should of taken him home when i saw how dehydrated he was and gave him an ibuprofen drip at home with my vet and let him die in peace at home in his favourite place surrounded by love peace and comfort with pain killer as he needed … not a bunch of drugs stress of the ER and thirst and pain from pancreatitis… I will always op for a humane peaceful death surrounded by love at home … VETSare not gods and make mistakes …. Especially ER vets … my baby boys vet was open minded enough to let me treat at home and let my animals die in peace
I’m really sorry to hear of your loss. However, giving any oral fluids to animals with some conditions can dramatically worsen their condition, and make them suffer even more. Your vets may not have agreed with you, but I have no doubt but that they wanted the best for your pet.
Dying at home “at peace” isn’t necessarily the best thing for your animal, even if it is for you.
I wish I had waited. My at home vet was ready 2 months ago.. but my pup was not. I regret agreeing to it. He knew.. and I believe he wanted to go out on his own. Every time I talked to him about it, he would turn away and not look at me. He stared at the door the day of the appointment. He started shaking when they came in (3 strangers and the vet) and the procedure was rushed. I was not prepared.. i was behind him and he was looking at them til his eyes closed. I regret making the call and listening to others.. i feel i betrayed him. He gave me his best for 13 years.. and i didn’t listen to him. Horrible in home euthanasia experience I cannot redo.
So sorry that happened to your sweet baby
I’m so sorry for your loss.. strong 13 years. my dog is currently on her last hours.. you see I feel at this moment it’s a huge regret for me not euthanizing her.. it’s hurting me to watch her go out this way, putting a fight up against it when she should get her rest already.. it all doesn’t make sense sometimes it’s them who are your true best friends..and it hurts having to make the last decision for them they don’t know any better.. neither do we know what’s the better. I’m sorry I can only relate.
I am so sorry for your loss, and for such an unfortunate experience.
But I would also ask – would it have been any easier on him if you’d waited another few months, potentially with him in pain all that time?
There’s no easy answer to when to call it a day: and yes, this might have been too early. But is it better for them to go a day too early or a day too late?
I think the issue here isn’t so much about the timing, as about the way the euthanasia was handled: perhaps you could have a chat to the home visit vets about your concerns? Because there may have been other things going on there; alternatively, perhaps they need to fine-tune their procedures?
I spent every minute of everyday with my tiny chihuahua Minnie until I took her to her end of life where she died in my arms. Now I’m feeling so guilty and wished I’d given her more time. I don’t know for sure if I did the right thing. I spent so much time protecting her from harm, feeding her, making her comfortable but in her last day took her to die. It’s crazy and I feel so sad, yes she had problems and had been breathing heavy but she was eating and drinking water and could still walk. She was super small and weighed only three pounds so it is hard to tell weather or not she couldn’t walk far . I just feel so guilty.
You really shouldn’t: it is always better to euthanase and old and/or ill dog a day too early than a day too late. It sounds like she had exemplary care from you, and that you have acted in her interests rather than your own. You have nothing to feel guilty for whatsoever.
I’m sorry but I’m dealing with an unexpected one right now and I just wanted to say that I completely disagree with Mr Harris. I only believe in euthanasia if it’s an emergency from traumatic injury or something along those lines otherwise I believe it’s my duty to allow them the opportunity to be comfortable cared for and loved until they decide on their terms when their will is done and they’re ready to let go. I don’t want to ever ask myself why I did it the day I did I don’t want there to be any doubt in my mind that they were ready to go it is true dogs will fight and cling to life they will fight really hard and I’ve had a few one cat and two dogs specifically come back from the brink when I say that I mean absolutely tacky eyeballs the brink of death my cat live two more years of very happy life until some idiot let him out and I lost him he was 20 years old and I had already said my goodbyes that night did everything I could for him and he was unresponsive and when I woke up in the morning he was sitting up in meowing at me so I will never make the choice for them I can’t do it they showed me unconditional loyalty and love and I have to do the same for them those are my feelings on the matter I understand there could be some discomfort there’s discomfort in life who am I to take it away and say no you can’t handle this my dogs stay by my side through every bit of pain I’ve gone through and I’ve gone through hell and back and none of them said no we’re going to go ahead and take this from you cuz you can’t handle it or we don’t want you to suffer and I’m grateful for that because you know what it’s going to take a lot more than anything anybody could ever imagine to put me under I will fight through anything so you know I have to give him that opportunity for them to fight for themselves that’s just my feeling of matter
My sweet Sophia was eight when she passed quietly at home. I spent the last day completely by her side as she slept and awoke to make sure I was there. I read that I could make her transition easy by not showing my sadness, not crying or begging her to stay. I comforted her and said I loved her and what a good girl she was and held my tears back. I have a photograph I took on my phone,it was only a few minutes later that she took one last look at me, changed positions and stopped breathing. It was a 24 hour process but I feel taking her to a vet to be “put down” would have been a terribly stressful experience for both of us.
Bottom line is it was the best of a bad situation. I was with her and able to calm her fears and I believe she passed knowing I loved her and we would meet again.
My Midge is 14. Declined quickly. No matter what we decide in these situations we can wish it went another way. I am retired. If someone wanted to hospice and do palliative care they would have to hire someone, take a week or more from work. Midge still gets up for water. When I see her moving I bring her to water or to pee. This is not fun but I am not going to end her life cycle for my comfort. No idea how this turns out. 8 days no food. Other than that it isn’t my job to end her fight since she is. She’s unaware of the outcome. I just keep thanking her, comforting her, giving meds to ease her. Feels right. I’m looking for struggling, any whimper, any sign of discomfort I will rebook. I’m not extending her life other than water & a little honey on her gums. If sunny tomorrow we bask in the sun on the grass under a cherry tree. Proving to myself that death is a part of life. Not always bad, scary, or miserable as we imagine.
Euthanasia is a blessing but not 100% necessary.
Our discomfort and fear of death determines some. This is when we choose.
We think our dogs rationalize as we do. They don’t question the process. If nothing dramatic occurs no reason to intervene.
I think you honor your pup, and your relationship. I hear what you said, you are alert for signs of suffering, and making sure it doesn’t happen. Your baby gets comfort, natural passing at home.Kudos!
If you were in the UK, putting your dog through that much suffering would be a criminal offence.
It’s not to ease YOUR suffering, it’s to ease hers.
Please, please, please, end her misery.
To compare somebody’s best attempt at loving and caring for their dog to a criminal offense is not only stupid, but also reflects a lack of compassion and respect. You speak of death and the “suffering” that accompanies it from a place of certainty, which is betrayed by the fact that you are a human who has yet to personally experience the process. Just take a look at the other comments on this page and it should be obvious to you that there is no perfect solution when faced with this challenge. The comment you replied to clearly stated that if there were noticeable signs of suffering they would take appropriate action. Death is as much of a process of life as birth is, and the experience is bound to be as unique as the individual. Please don’t project your insecurities with that process onto others.
Of course there’s no perfect solution. But there are very bad ones – such as leaving the dog to die without pain relief or other support. Do not project your own (very healthy, human) desire for a metacognitive good death onto an animal whose desire is to avoid suffering.
And I’m not comparing it to a criminal offence, I’m stating that it is one: over here, we have the Animal Welfare Act 2006 which makes it illegal not to seek veterinary attention in these situations.
Read the Animal Welfare Act David……I think you’re misinterpreting it which is pretty sad. Nothing in what was described in the above post would fall under a criminal offense per the Act. Head shake.
“(1)A person commits an offence if—
(a)an act of his, or a failure of his to act, causes an animal to suffer,
(b)he knew, or ought reasonably to have known, that the act, or failure to act, would have that effect or be likely to do so,
(c)the animal is a protected animal, and
(d)the suffering is unnecessary.”
Leaving an animal to die alone without establishing whether they are suffering because you believe they are not based on your own biases would be an offence.
Now, I do accept that not all animals that die on their own suffer. But I also think that most do, having seen the results too many times.
How can you say her suffering like he said she hadn’t whimpered she hadn’t shown any signs of discomfort she just isn’t interested in eating they can pass away peacefully without showing signs of discomfort they can become weak and lethargic and pass away gently that’s not abuse that’s not letting them suffer that’s them live their life
Animals feel pain and discomfort totally different than us I am the last person to preach religion to anybody but I am spiritual and when they’re ready to move on they will and who the hell am I to tell them when their time is up. A miracle can’t happen if you don’t give it the opportunity
letttakethemals feel pain and discomfort totally different than we do and short of a very clear whimper or demonstration of pain I dare you to demonstrate how you can tell me what emotional state or physical state the animal is in short of an blunt outward display if they’re not yelping if they’re not in distress who the hell are we to take that away from them
Dogs and especially cats are very good at hiding pain but MRI and other tests have demonstrated they they experience it in very similar ways to us. But unfortunately many owners are very bad at recognising the degree of suffering. It is cruel to prolong an animal’s life in pain hoping for a miracle, full stop. If the pain and other symptoms are well controlled, with medication, then we’re in a different situation – I’m very much in favour of palliative care. But don’t imagine that just leaving them lying there, potentially in agony, is a kind or a right or even a legal decision.
Again, David (not sure what your expertise level is by the way!) you are off base in your response. Animals in discomfort definitely show that they’re in discomfort. Animals who are peacefully sleeping and have their loving owners petting and talking to them are clearly not suffering in some terrible way. While sometimes euthanasia is necessary when they are clearly suffering, what you suggest is every animal dying a natural and relatively comfortably should be put to death. Maybe it makes you feel better to try to rationalize all this in your mind so that you don’t have to put in the work required of caring for your animals in their final days. I don’t know, but it’s clear others see through your weak responses.
You are sadly in error. Animals can certainly suffer without their owners noticing. A really good example of this is osteoarthritis, which is horribly badly underdiagnosed – and the genuinely loving owners usually genuinely believe that the animal is fine, even when they are in excruciating pain.
And I think you are in error….so guess we’ll leave it at that!
That’s beautiful, thanks for sharing.
Thank You,very touching and beautiful.My Lilly passed away this afternoon and I am wracked with guilt for not having the euthanasia.I knew she was dying & when I saw her taking a turn for the worse I called her vet Saturday & she made us an appointment for euthanasia on Monday.She did die in my arms but it wasn’t peaceful to start till the last few minutes. I don’t know if I hadn’t backed out of an appointment for euthanasia that my granddaughter made for me with a different vet last week maybe I would still feel guilty. I don’t know what the answer is & I wonder if there’s some kind of support group or therapy for this.We adopted her from the animal shelter in 2010.
My Dixie died early yesterday morning alone in her crate. I found her, still warm early in the morning. We were ready to take her for ultrasound as we didn’t know what was going on with her after taking her to two emergency vets. She needed better diagnostics not a available where we live. I feel so guilty , although we loved her the night before then she went into her crate. We didn’t know then it would be the last time we would see her alive.
You are so fortunate to have spent so much time with your fur babe before she passed. This is the first dog we have ever had die at home We probably should not waited half a day before taking her for ultrasound 50 miles from us . We had no idea after X-rays and pain meds she was that bad-just something very wrong,
Today she is being cremated and I am completely shut down with grief and guilt and ‘what if’s”
Greyhound, I sure hope you are feeling better, and NOT feeling guilt. Dogs can be such stoics when it comes to their own comfort; sometimes you just don’t know when they are in pain or to what degree. They are so stoic, in fact, that when it’s just a matter of pain, they just accept it as the way things “are” at that moment. They never ask “Why?” They just accept it— unless of course they’re suffering from an acute injury. I owned a Labrador back in the 90s who was very gamey– he loved retrieving, and I was training him for his “Junior Hunter” title. One day during training, he took off for a retrieve, and halfway there, jumped almost straight up and then kept going. I figured he stepped on a thorn or something. He ran back to me with his retrieve as happily as he took off after it. I checked his paws and found nothing. Long story short, I discovered an hour later that he had almost impaled himself on a piece of rebar stuck in a chunk of concrete that someone had dumped out there and I just had not SEEN, even though we’d trained there many times. STUPID, careless me. 🙁 Thankfully, it had gone in at an angle and had punctured his skin but not an organ. I rushed him to the vet. They irrigated it and he was fine in a couple of weeks. But he never let on that he was hurting… I just *happened* to notice it. THAT’S how blind they can be to their own troubles.
Your Dixie went quickly. If she had been in acute pain, you would’ve known it. She just slipped away quietly.
My 13 year old terrier passed away here at home a week ago today. I gave him Rimadyl under the direction of my vet, to keep him “comfortable,” and he, too, went pretty quickly. I wrestled with the decision– to keep him as comfortable as possible at home, or to take him in. Although he had been declining, he was still having more good, happy days than bad days, and his appetite was fine until the morning of the day before. IF he had made it through that last day, I would’ve taken him in the next morning. In the end, I feel I made the right decision and am extremely thankful. Every situation is different. But oh, how my heart aches for his presence!!!
Be as forgiving to yourself as Dixie would’ve been to you. Hugs to you!