What are anesthesia risks for senior dog with cancer, heart issues?

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. If it is possible, I would recommend having the x-rays done without sedation and depending on how the x-rays look and how her blood work looks, consider removal of the mass under anesthesia. She is not too old for anesthesia but the risk of anesthetic complications rises with age. As long as her heart, lungs and blood work are normal, she should be fine under anesthesia. 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.

Gumbo definitely is at increased anesthetic risk (risk of adverse events during anesthesia and risk of poor recovery) at age 14 (7-8 years of age is considered geriatric), even with normal blood work (normal liver/kidney values). In addition those are extremely large masses and surgical removal could definitely affect anal tone (result in incontinence) assuming that anesthesia and recovery do go well. There is also a possibility that the type of cancer Gumbo has is metastatic and has already spread to the lungs for which the prognosis is poor (chest rads would be recommended prior to proceeding with surgery). I would recommend bringing Gumbo to have the anal glands checked regularly to make sure that they are empty. I also recommend keeping Gumbo as comfortable as possible as consulting with your veterinarian about treatment and humane endpoints if the masses become ulcerated.

I don't blame you for being concerned! You're right that congestive heart failure does increase the risk associated with anesthetic procedures, so we want to be very cautious about going forward with surgery in dogs who have this problem. I would recommend sitting down with your veterinarian to discuss the pros and cons of doing the neuter surgery in Wesley's case. In particular, you may want to ask about his life expectancy with congestive heart failure, and whether it's likely that the testicular tumor will progress enough to cause any serious problems before that. If the tumor appears to be slow-growing and is not currently bothering him, it may be reasonable to leave it alone rather than take the risk of surgery.

The risk of anesthesia would probably be the biggest concern for Nevah. We always evaluate our patients and put them into a certain class of risk prior to the anesthesia. When we have patients with high anesthetic risk, we usually will notify the owner first, before we do anything, so they are comfortable with the procedure knowing the risk. We will also alter the drugs and procedure as necessary to avoid risk. A skinny healthy dog is not necessarily a risk. However, overly thin dogs may have an underlying health condition that is making them skinny. Before considering the risk, you would want to get bloodwork done on Nevah. This will show if there are any signs of organ failure or disease. Most veterinarians would require this prior to doing anesthesia on a dog this old. After all the information is acquired, your veterinarian would be able to advise you about the risk versus the benefit. If the dental disease is really bad and/or the lumps are cancerous, then the benefit would likely outweigh the risk in most of these situations. However, if the teeth are not too bad and the tumors appear benign, then it may not be worth the risk. I hope that helps.

I recommend a veterinary exam to check how infected the tooth is. If they listen to her heart and it is fine and her blood work is stable they may be able to do light sedation only and remove the infected tooth. Bad teeth are very painful and also the dental infection can worsen the liver problem so extracting it if it can be done safely would be my recommendation. Thanks for using Petco Pet Education Center, formerly Petcoach to help you care for Daisy.

Thank you for contacting Petco Pet Education Center, formerly Petcoach with your question about Abby and for providing pictures, they are very helpful. That is a nasty looking growth, and yes I would recommend having it removed. You should have a geriatric blood panel and urinalysis done on her before surgery. That will help assess accurately her anesthetic risk, but keep in mind many dogs her age have surgery with no issue. I would also recommend x-rays of her chest in case this growth is malignant. Malignant growths on the paw tend to metastasize to the the lungs. I hope this helps!

In a senior dog like Sandy, there is always a chance that a lump could be malignant. This does need to be seen by a vet. The vet can perform a test called a fine needle aspirate on it. To do this, the vet sticks a small needle into the lump while the dog is awake to get a sample of its cells, and examines the cells on a slide under a microscope. It's usually painless to the animal, and relatively quick to perform. Once the cause of the lump is diagnosed, the vet can discuss treatment options if needed. There are senior dogs who have anesthesia without problems, and that may be the case with Sandy. The lump needs to be diagnosed first before worrying about going to surgery, so give your vet a call in the morning to make an appointment. Best of luck, I hope this helps!