My dog has heart failure. Why is he isolating outside and panting?

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! I'm sorry Chico is suffering from heart failure. Can you provide the milligrams (mg) of each medication? I don't think the medications are causing him to pant. If he hasn't had a recheck with your Vet in a while I would schedule one to be sure he isn't still in congestive heart failure or his heart has worsened He may need adjustments in his medications. There are other reasons too for an older dog to pant more: sensitivity to heat, Cushings disease, pain, fever and cancer in the lungs. I think you should have him rechecked by you Vet it is unlikely that he is on too much medications. I hope this helps and good luck!

I am worried that the increased heart rate may be more due to his heart failure and more fluids around his lungs or in his abdomen. I would talk to your vet about his meds. They may want to increase the dosage of all the meds to help him compensate. They may also add meds like a diuretic to help get some of the fluids off the chest. I am so sorry you are having to go through this. Right sided heart failure is usually caused by heartworms most commonly. Heartworms may not be very common in your area but it may be worth checking. If they haven't already, I would ask them to check for heartworms. I hope this helps!

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.

The elevated respiration and fainting may indicate that the meds are not controlling the heart failure well at this time. The movement you are seeing with the heartbeat may be related to the murmur getting more intense, or possibly due to an arrhythmia. Without evaluating the medical history and examining Heidi it's difficult to tell. I recommend having her evaluated by your vet sometime soon. Your vet should be able to help explain what's going on and may want to prescribe additional treatment. Heart failure is often a progressive disease, so it's expected that medications will change as the disease progresses. If Heidi is otherwise seeming happy, then I don't think you are being selfish by continuing treatment. I think it's worth consulting with your vet and seeing if anymore can be done to keep her from breathing hard and fainting. I hope that helps and Heidi gets better soon.

These are all great questions. I’m sorry you are having to navigate through this with Memi but he is lucky to have an owner as dedicated as you are! An increased respiratory rate and/or effort can be indicative of fluid build up in the lungs from heart failure. Sometimes this fluid can be heard on exam with a stethoscope and sometimes it can only be seen on X-rays. In my experience, the severity of the fluid build up correlates with the physical exam findings. Occasionally I may see fluid in an X-ray that I cannot hear on exam so I always recommend doing X-rays if I am suspicious of heart failure. The rate at which fluid builds up in th lungs can vary from dog to dog and case to case. There is no way to anticipate how quickly fluid will accumulate in Memi until it begins to happen. A diuretic like lasix can very effectively remove this fluid but, like with all drugs, has to be used with caution and the patient has to be monitored closely while on it. If Memi is still having difficulty breathing I would recommend requesting a recheck appointment with either your regular veterinarian or your cardiologist. I hope this helps! Please let us know if you have any other questions.

Congestive heart failure and pneumonia can certainly have very similar symptoms in dogs - breathing hard, coughing, laying around more than normal, etc. Chest x-rays and blood work would normally help to determine which of these problems your dog has, as results of these tests would be different in congestive heart failure vs. pneumonia. If you have a more specific question about your dog's particular situation, feel free to post again - we would be happy to try and help.

I'm so sorry that Jenny isn't feeling well. You are correct, it sounds like she is showing signs of congestive heart failure. Unfortunately there are no over the counter medications you can give her for this. She really needs to see a vet. She needs diuretics, ace inhibitors and a drug to help her heart contract better (pimobendan). With these medications on board many dogs can live for quite some time and have a good quality of life. Without the medications I am afraid she won't well. I found this website that may help you in finding some low cost vet care in your area: https://www.rspca.org.uk/whatwedo/care/vetcare I hope this helps. Best wishes to you and Jenny.