My dog has enlarged heart, lung fluid, not eating after meds. What now?

Hello and welcome to Petco Pet Education Center, formerly Petcoach. I am sorry that Odie isn't feeling well. The heart on the x-rays is very big, so treatment for the heart disease is a good idea. One of the medications given typically with heart disease is a drug called Furosemide, and this usually makes them drink and pee a lot. Other medications for heart disease including Benazepril (Fortekor) and Pimobendan (Vetmedin). Benazepril can be hard on the kidneys so follow up bloodwork is recommended. If Odie is not improving with the medications he might need higher doses. Also, if he isn't eating and drinking, I would be concerned about another disease process going on, and would recommend bloodwork. You can always try a 24 hour emergency center if you can't get into your local vet for a consult. I hope he feels better soon. I wouldn't change any medications you are giving now without talking to a vet first, and it sounds like Odie needs to be seen soon. Best of luck with Odie.

Thank you for submitting your question regarding Adrian. I am sorry to hear about all of her recent troubles. I would give her water through a syringe in small frequent amounts. One of the main medications for heart failure is furosemide (lasix). This is a diuretic to pull fluid off the lungs. This medication is life saving, but can cause dehydration and secondary kidney damage. So it is important for her to stay hydrated. Hopefully her attitude and appetite will pick up once the medications are working. Her breathing rate and effort are big indicators if the heart drugs are working. Her respiratory rate should be less than 30 breaths/min when resting if the fluid has resolved. She should also breathe easily and without obvious effort. The diarrhea can be secondary to the heart disease itself or even the stress of illness. Hopefully it will resolve with the new medication. If she is struggling to breathe, isn't eating or drinking well tomorrow and the diarrhea persists, she will need to see her veterinarian again. It is important to carefully monitor her blood work and blood pressure after starting heart medications. I hope this information helps!

Unfortunately the dilation of the heart cannot be reversed, but the medications will help to slow its progression and improve the other side effects of enlarged heart. The vetmedin helps the heart pump faster and harder, the furosemide reduces fluid build up in the lungs and the benazepril stops maladaptive pathways being activated. You should see a difference in him within a week or two, the medication can help to improve quality of life greatly.

Poor guy. The coughing is mainly due to fluid bulid up in the lungs. If the coughing has not improved then ask you vet if adjustments can be made to his current medications, in particulra the Libeo (Furosemide), which is designed to pull fluid off the lungs, reducing the cough. He is on all the medications currently recommended for heart failure dogs, so the best thing to do is increase his medications and perhaps get him on a cardiac prescription diet (i.e. Hill's Science Diet H/D). Also understand that heart medication is not curing the disease, it is merely managing it to buy your pet more time. Unfortuantely the medication may reach a point where it is no longer effective when the disease has progressed too far. I do hope that we have not reached that point yet, and perhaps can still make adjustments in Kenzo's medications to help manage his heart disease for a while longer. Here is more information on heart disease --> https://veterinarypartner.vin.com/default.aspx?pid=19239&id=8501760 Best of luck moving forward with Kenzo and managing his heart disease. Take care.

Hi. Is your pet on medications for heart failure? If so, and still coughing, your veterinarian may need to reassess xrays and possibly increase doses of medication. Prognosis for heart failure is guarded to poor. I'm sorry she isn't feeling well

Hello and welcome to Petco Pet Education Center, formerly Petcoach. Heart disease affecting the lungs occurs when the heart is unable to pump the blood forward well, and the pressure back-up in the lungs causes fluid to seep out into the lungs, and the lungs fill up like a sponge filling up with water. The medications for heart disease include a diuretic which will essentially 'ring out' that sponge. It pulls fluid out of the body, and therefore out of the lungs. For this reason Rocky will drink and pee a lot on the medication. The other medications work by making the heart pump better (Pimobendan is the usual drug of choice for this) as well as decreasing the blood pressure so the heart can pump in a forward direction more easily (ACE inhibitor usually). Depending on the level of heart disease your vet will choose 1, or all 3, of these medications. Some dogs respond very well to medications and can live for a while, with changes in the medications every once and a while. Some dogs unfortunately don't respond well to the medication. It all depends on how severe the heart is at this point, as well as how well Rocky will respond to medications. You can get an echo (ultrasound of the heart) to determine exactly how bad the heart is at this point, or just see how he responds to the medications. His best chance is to be diligent about his medications, don't let them run out as he will need to be on them for the rest of his life, and do your follow up appointments as your vet is recommending. Best of luck with Rocky.

Thanks for using Petco Pet Education Center, formerly Petcoach. I am so sorry to hear about Bizou! Unfortunately, if he is in congestive heart failure, the only treatment is the lasix pill (furosemide). Depending on how severe his condition is, he may not survive without hospitalization with oxygen and injectible lasix. Your vet may have a strong suspicion of this if Bizou has a heart murmur and many crackles in the lungs (we can hear with the stethoscope). However, even that is not enough to definitively diagnose it. I have seen a couple dogs I was sure were in heart failure and when I took the x-rays, it turned out to be pneumonia or cancer. If you can at all afford it, go for the xrays so you at least know what you are dealing with - if it's cancer instead of heart failure, that may change your approach. If it is heart failure, it will give a clue as to how serious. If you can't afford the x-rays, treat for whatever the vet thinks is most likely. If heart failure is it, the most commonly prescribed medications are furosemide, enalapril, and pimobendan (though there are others). Finally, if he is still struggling for air, his tongue/gums are any color other than bright pink, or the vet thinks it is serious enough to require oxygen, and you cannot pay for treatment, I would strongly consider euthanasia. Dying by gasping and struggling for air while drowning in your own fluids is a horrible way to go - I've seen it several times. Please feel free to reach out to me via consultation if you'd like to to have a more detailed conversation with you. Best wishes to you and Bizou.