Dog pale, cold after heartworm shot & missed meds. ER or normal?

The injection can be very painful. This could be why she is shivering. If it persists, contact your veterinarian and ask about pain management. If she becomes extremely lethargic or extremely painful, have her rechecked by your veterinarian or at the nearest veterinary ER.

Any change in breathing warrants a trip to the vet for a recheck. While it’s possible that there’s nothing wrong, you could also be noticing the beginning of a complication of heartworm treatment. Pulmonary thromboembolism can occur when dying worms become lodged in the small blood vessels of the lungs. Your vet might want to take a chest x-ray.

I would take him to the emergency clinic if you can. My main fear is always an allergic reaction which can cause shock and be life-threatening. It may be that Othello just needs some pain medication or a steroid but better safe than sorry.

Thank you for contacting Petco Pet Education Center, formerly Petcoach with your question. Poor Boots! If he won't let you touch his back, I'd be concerned he may have some pain there. Rest him tonight. Take him out to potty on a leash, and bring him right back in when he's done. First thing in the morning, have him checked out by a vet. The vet can diagnose what is causing his pain, and can treat him. Now if he's extremely painful, having trouble breathing, and/or is lethargic, I would rush him into a vet immediately. In that case, please take him into an ER vet clinic; if there isn't one in your area, there will be a vet on call for emergencies. The information to reach that vet is found on a clinic's answering machine or website. I hope this helps!

Side effects can be common after heartworm treatment shots. You can see soreness and swelling at the site of the injection, and abscesses can form over time in this spot. Definitely let your vet know of Charlie is very uncomfortable or if his condition appears to be worsening over time. The most severe problems are related to the sudden death of large amounts of heartworms. Get Charlie into a vet right away if you notice a cough or a pre-existing cough becomes worse, he has difficulty breathing, pants excessively, becomes weak or lethargic, collapses, he has a significant drop in exercise, he starts vomiting, drools a lot, or has diarrhea. Best of luck, I hope this helps!

This treatment could cause lethargy, it's quite common and this is one of the reason restriction is a must. if she becomes too lethargic you might need to take her to the ER, especially if you notice abnormal breathing.

I'm sorry Aria has heartworms! The fact that she is lethargic and has a decrease in appetite is concerning, and this can be due to the sudden death of a large number of worms from the treatment. When a dog becomes lethargic as well as has a significant decrease in appetite, it's recommended to have them seen by a vet right away. I would take her into an ER vet clinic; if there isn't one in your area, there will be a vet on call for emergencies. The information to reach that vet is found on a clinic's answering machine or website. She needs to be checked out by a vet to make sure everything is ok. I hope this helps and that she feels better soon!