Hi there,
This is indeed a very stressful and distressing situation, especially when it affects the relationship between your two dogs and your own sleep.
To answer your main question directly: yes, it usually settles down once the phantom pregnancy has completely subsided, but it requires strict safety management in the meantime.
Why is she reacting this way?
A phantom pregnancy causes a real hormonal upheaval (a sharp drop in progesterone and a rise in prolactin). In your larger dog’s mind, she thinks she is a "mum" and is trying to protect an imaginary litter or resources she deems vital for raising her future puppies. Here are the solutions to manage the crisis right now:
1. Separate them when you're out and during feeding: This is an absolute safety requirement. Never feed the two dogs side by side while this hormonal crisis is ongoing. Feed them in separate rooms to avoid any resource guarding.
2. Manage sleep and nights: Since you are stressed and the situation is tense, do not take any unnecessary risks in the bed for now. If the larger dog is fixating and the tension is palpable, temporarily isolate one of the two dogs at night in a safe bed or an adjacent room, or have the larger dog sleep in a crate or an open playpen with an item of your clothing until the hormonal storm passes. This will ensure everyone gets some rest.
3. Hide or remove "maternity substitutes": If she is mothering toys or soft toys and protecting them, discreetly remove them from her environment so as not to reinforce her nesting behaviours and maternal hyper-attachment.
4. Consult your vet without delay: This is the most important point. Since the situation is escalating (aggression, refusal to eat), contact your vet today. They can prescribe a lactation suppressant treatment (often in the form of tablets or a syrup that blocks prolactin) which will stop the phantom pregnancy in its tracks within a few days and lower that aggressive hormonal pressure.
And for the future?
You are absolutely right: scheduling her to be spayed as soon as this episode is over is the best permanent solution. For dogs prone to recurring phantom pregnancies, this prevents the cycle from repeating and reduces the risk of future uterine infections (pyometra) or mammary tumours.
While waiting for the vet's treatment, play it safe and do not leave them without direct supervision. Everything should return to normal quickly once her hormones have stabilised!
Best wishes,
Léo Mettas.
This is not a substitute for medical advice – consult a vet if needed.