Other signs may include changes in breathing, confusion, restlessness, hiding, loss of bladder or bowel control, and reduced interest in family members. Some dogs may also show signs of pain such as trembling, whining, panting, or difficulty finding a comfortable position.
These symptoms do not always mean death is imminent, because many can also occur with treatable illnesses. A veterinarian can evaluate your dog, manage pain, explain what is happening, and help you judge their quality of life.
During this time, keep your dog warm, clean, comfortable, and close to the people they trust. Offer favorite foods if appropriate, minimize stress, and follow veterinary advice so their remaining time can be as peaceful and pain-free as possible.