My dog had teeth pulled, now coughing, not eating, and pancreatitis.

Hi. Yes it is normal to havevsime coughing or irritation there after an endotraceal tube is used. If it continues beyond 3-5 days, or if there are also other signs, I would call your veterinarian first thing in the morning.

Yes you should take her to the ER as soon as possible, i do not know if the symptoms are related to the procedure she had, that is definitely a possibility though. she will probably need an xray done and a course of antibiotics.

Thanks for using Petco Pet Education Center, formerly Petcoach! Loss of appetite and vomiting can be observed with many conditions such as gastroenteritis, dietary indiscretion, kidney disease, pancreatitis, among many other possibilities. While the dental disease may be related to her not eating well, I do not expect that to be related to the vomiting. I recommend that you have Cowlee evaluated by your veterinarian for further assessment and treatment. They would be able to check for these possibilities and others depending on the findings on exam. Treatment would be based on findings. Good luck and have a good night! Hoping for a speedy recovery!

Your dog needs to be seen by a vet for diagnosis and treatment of this condition, if you have not already done this. If your dog needs a dental cleaning and/or extractions and is healthy enough for anesthesia, this will be the best help for her. Bad teeth and gums harbor loads of bacteria, as they swallow, these bacteria flood the rest of the body and will cause a number of health problems, the most concerning and critical of which is heart disease, called vegetative endocarditis. Bacterial infections in other locations of the body, such as the mouth (periodontal disease), the bones, the prostate or uterus, the kidneys, the intestines, or the skin, including abscesses and bite wounds may all be associated with the development of heart valve infection and inflammation. Invasive diagnostic or surgical procedures that force bacteria into the bloodstream, immunosuppressive drugs or treatments, and cancer also increase the risk of developing endocarditis. Most of the clinical signs are associated with left-sided congestive heart failure: coughing, difficulty breathing, exercise intolerance, and lethargy. Many dogs will develop a heart murmur as the condition progresses. High systolic blood pressure is diagnosed in many dogs with endocarditis. In the acute state, while the infection is active, a low-grade fever, general malaise and a history of infection, often in the mouth, is noted. In the acute stages of endocarditis, antibiotics are indicated and are commonly prescribed but they will not reverse the damage to the valves. Once valvular insufficiency and congestive heart failure develop, treatment is focused on treating the irreversible heart disease and the associated clinical signs. Because the condition is irreversible, prevention is essential. Routine oral care including thorough cleaning and polishing by your veterinarian and proper home care in the form of brushing and rinsing is one of the best defenses against endocarditis.

A mild post intubation cough can sometimes be present for a day or 2 from irritation but it should resolve quickly. If the cough is persistent and especially if the cough is productive, moist, or accompanied by nasal discharge, decreased appetite, or lethargy than this would be more concerning. With recent anesthesia we would then consider aspiration pneumonia and heart failure as possibilites. The easiest thing to do is to have a recheck for chest xrays to rule out something more serious. I hope this helps and thank you for using Petco Pet Education Center, formerly Petcoach!

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. After being intubated, sometimes the tube placed in the airway can cause irritation leading to a cough or other abnormal breathing sounds. What you are describing sounds almost as if Token has an excessive soft palate causing the snoring sound. I would recommend taking him back to the veterinarian that performed the dental cleaning and having him / her examine Token so that the most appropriate diagnostic and treatment recommendations can be made. I would consider having x-rays taken of the airway to ensure that everything is normal. I hope this helps guide you in the right direction. Please let me know if you have any other questions or concerns and I would be more than happy to help you further.

Hi there and thank you for using pet coach to address your concern. It is difficult to say for sure what the problem is since I do not have the lab work in front of me. If she is having symptoms of pancreatitis she most likely needs medications to help relieve these symptoms along with initiating a low fat diet. I would also want to know why she is now developing pancreatitis and at her age, I would strongly recommend an abdominal ultrasound if she is not improving. Prescription diets like Hills low fat I/D might be the best for her long term. If you have not initiated a bland diet, please follow my guide below. If there is no improvement or she worsens, you should take her back to your veterinarian for a recheck, further diagnostics and treatment. I hope this helps! Please let me know if you have any other questions or concerns. I am also available via consultation if needed. GENERAL INFORMATION A bland diet is a diet that is soft and highly digestible. It is low in fiber, fat and protein and is high in carbohydrates. Bland diets are generally composed of a single carbohydrate source and a single lean protein source. The most common bland diet is boiled rice and boiled lean chicken breast, without skin and bones. Since bland diets are low in fiber, stool production slows and defecation is less frequent. Bland diets are fed to rest the gastric system and to help promote normal stool formation. Animals that are physically sick should not be fed bland diets as a method of treatment. PRIOR TO FEEDING A BLAND DIET Pets should be fasted for 12 to 24 hours. Young animals should not be fasted for more than 12 hours. Fasting will allow the intestinal system to relax and minimize acid secretions that may irritate and inflame the intestinal lining. During the fast small amounts of water or ice chips may be provided. Never fast a sick animal, it may cause disease progression and death. BASIC BOILED RICE AND CHICKEN BLAND DIET RECIPE CARBOHYDRATE SOURCE: Boiled white rice LEAN PROTEIN SOURCE: Chicken breast, no skin and bones BOILED RICE: 1 part white rice with 3 parts water boiled for 20 – 25 minutes or until the rice is easily crushed. BOILED CHICKEN: De-fat chicken breast and boil in water for 10 – 15 minutes or until the chicken meat is easily pulled apart and cooked all way through. MIXING INSTRUCTIONS: Finely chop the lean protein and mix 2 cups carbohydrate source and ½ cup lean protein source. STORAGE INSTRUCTIONS: Bland diets can be premade and stored in the refrigerator for a maximum of 48 hours. The bland diet can be cooked in a batch and frozen in feeding sized portions to minimize preparation time. Thaw and warm the frozen diet prior to feeding. PERMITTED LEAN PROTEIN SUBSTITUTIONS Pork loin, egg whites, low fat cottage cheese. 7% low fat hamburger, plain low fat yogurt. PERMITTED CARBOHYDRATE SUBSTITUTIONS Boiled potatoes, boiled spaghetti, Minute rice. PERMITTED COMMERCIAL BLAND DIETS Science Prescription Diet I/D, Eukanuba Veterinary Diet Low Residue, Royal Canin Veterinary Diet Intestinal HE. FEEDING INSTRUCTIONS Estimate 25% of your animal’s diet and feed that amount of the bland diet every 6 – 8 hours. Smaller animals will require less and larger animals will require more adhering to the same carbohydrate to lean protein source ratio. The bland diet should be fed for 4 -5 days with no treats or other food sources until stools are firm. TRANSITION BACK TO A NORMAL DIET Never transition back to a regular diet rapidly. Transition back to the regular diet over a 1 week period. Start by adding 25% of the regular diet to 75% of the bland diet and feed that combination for 2 days. If stools continue to be firm then continue substituting the regular diet in 25% increments and feeding the combination in 2 day time intervals until the diet is 100% regular diet. Minimize treats for 1 week after moving the diet back to 100% regular diet.