What are potential things that make puppies get puppy strangles?

It seems like you're asking about "puppy strangles", but that's not a recognized medical term. It's possible you might be referring to one of these conditions:

* Streptococcal (Strep) Infection: This is a bacterial infection that can cause various symptoms in puppies, including swollen lymph nodes, fever, and difficulty breathing. This is more commonly called "Strep throat" in humans.

* Canine Infectious Respiratory Disease (CIRD): This is a complex of diseases that can affect puppies and dogs, including kennel cough, adenovirus infection, and parainfluenza. It can cause coughing, sneezing, and discharge from the nose and eyes.

* Laryngotracheitis (Kennel Cough): This highly contagious respiratory disease in dogs is caused by a variety of viruses and bacteria. It causes a distinctive, honking cough.

* Distemper: A serious viral disease that can cause various symptoms, including respiratory problems, seizures, and paralysis.

To clarify, could you tell me:

* What symptoms are you observing in the puppy?

* How old is the puppy?

* Has the puppy been vaccinated?

It's important to consult a veterinarian if you suspect your puppy has any health issues. They can diagnose the problem and provide appropriate treatment.