My large dog coughs after drinking water and sometimes gags. Is this serious?

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Answer

Coughing or gagging after drinking water in a large dog can be concerning. It might indicate a problem called laryngeal paralysis, where the larynx doesn't open properly during swallowing, allowing water to enter the windpipe. Other possibilities include megaesophagus, a pharyngeal issue, or even a foreign body. Left untreated, chronic aspiration can lead to pneumonia. It's crucial to have this investigated by a veterinarian promptly. They will likely perform a thorough physical exam and possibly recommend imaging or a scope. Speak to Dial A Vet via a video consult should you need further guidance.
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