My dog is panting, thirsty, restless. Should I go to the ER?

I would recommend having your dog seen as soon as possible if her symptoms are not improving tomorrow, even if this means taking her in to another vet or an emergency vet. Diseases we worry about with these symptoms include Cushings Disease (where the adrenal glands produce too much steroids), diabetes, kidney disease and liver disease. Some of these conditions can worsen quickly and become life threatening so having her examined and having bloodwork and urinalysis done as soon as possible to determine the underlying cause is the safest way to proceed.

The doctor wants to test Jazzy for a disease called Cushings Disease which can cause these symptoms. Cushings is not an easy disease to diagnose. This diagnosis usually requires a few blood tests and an abdominal ultrasound. This disease is treatable so you should pursue the tests as you can. Cushings disease is generally slowly progressive so you likely have time to work through things as you can.

Some common symptoms of Cushings's are panting, increased thirst/urination, but these are also common symptoms of many diseases. Bloodwork and endocrine testing can help to ferret that out. Neurologic symptoms can sometimes be present with Cushing's if there is a larger tumor in the pituitary gland but seizures can also be caused by other things as well so an MRI is typically required. CT can sometimes be used if a pituitary mass is strongly suspected. Itchy feet is typically caused by allergies which may also be associated with secondary infection. Next steps are to see your vet for an exam, bloodwork, and endocrine testing. Abdominal ultrasound and blood pressure measurement are also typical next steps. I hope this helps and thank you for using Petco Pet Education Center, formerly Petcoach!

Ketoconazole is not known to cause excessive panting directly, but panting can be seen in general in dogs with Cushing's. Unless you are seeing other signs of significant illness, I would continue to monitor her for the time being. Look for any sort of vomiting, diarrhea, jaundice (yellowing), bleeding, or generalized increased lethargy. If any of these begin to occur, consider taking her to a hospital for treatment and diagnostics. Hope this is helpful.

Hi there! You are correct that Cushing's disease would be a common cause of the symptoms you are describing in an older dog (excessive panting, weight gain, and drinking/urinating more than normal) - however, there are also other illnesses that could cause this, so diagnostic testing would be needed as a first step to find out if Cushing's disease is even the problem or not. It would be EXTREMELY unsafe to start Vetoryl or any other medication for this condition without even knowing for sure if Tily has it, since these meds would be very dangerous for a dog to take if they weren't needed, and close monitoring of cortisol levels is needed for dogs who are on medication for Cushing's disease because if the dosing isn't right they can get very sick or even die. So this would be a problem that you would need to work closely with your veterinarian to diagnose and treat safely - it's not something you can do yourself at home, just based on guessing. If taking Tily to the vet is difficult for you, I would suggest calling around to some local clinics to see if there is anyone in your area who does house call visits. A mobile veterinarian could examine Tily and take the required lab samples (usually blood and urine testing, as a starting point), and then go from there depending on what is found.

Hello, yes these sings if persistent could be indicative of certain deseases such as cushings or diabetes. Other causes of these signs may include something more benign such as a UTI. If he continues to have these signs or if you note increased urinations, lethargy and loss of appetite than he should be evaluated by his veterinarian. He may need blood work and a urinalysis to screen for these. Hope this helps and best of luck.

My biggest concern is that your vet is talking about hyperadrenocorticism also known as Cushing's disease. This is what I think of when you discuss those symptoms, liver enzyme elevations and adrenal issues. Cushings is where they produce too much cortisol in their system. You can do a test to rule this in or out. You can have your vet do a low dose dexamethasone test OR a ACTH stimulation test. If it comes up positive then you can treat with the disease with a daily medicine called trilostane to help the symptoms. But you cannot cure cushings. I hope this helps and will help guide you in a conversation with your vet if this is actually what your vet thinks is going on.