Ask the Vet About Congestive Heart Failure in Dogs and Cats

Ask the Vet About Congestive Heart Failure in Dogs and Cats
Dr. MichaelDym
Dr. Michael Dym

As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.

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Date: Sep 27, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Vetmedin and Deramaxx
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Question:can I give my dog deramaxx if he has already been on vetmedin?

Answer:Probably - I would need to see his blood work to say for sure so ask your veterinarian, that has access to his blood work.

Date: Sep 1, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Coughing
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Question:What is The best way to stop the coughing?

Answer:If the coughing is secondary to congestive heart failure, diuretics, like lasix, seem to help the most. If you don't know why your your dog is coughing, they will cough for many reasons (heartworms, sensitive trachea, kennel cough and other infectious reasons, bronchitis, heart failure, cancer, etc etc).While coughing may be self-limiting in some cases, in other cases coughing may become severe or chronic and require veterinary evaluation and exam. Stool testing for parasites and chest x rays may be indicated. Blood work is also necessary in some cases, as well as to test for heartworm disease in dogs and cats. Here is a link to our article about coughing, other potential causes and various treatment options, both over-the-counter and prescription: https://www.1800petmeds.com/education/common-causes-coughing-pet-54.htm

Date: Aug 30, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Heart disease
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Question:Is too much water bad for our dog with heart failure? After his diagnosis and with his medication he's been drinking more water than usual...he didn't use to drink as much before.

Answer:He is probably taking a diuretic. That will make him drink more. Work with your veterinarian to adjust his water consumption (& medication dosages) if it is excessive but, in general, we usually try to continue to allow them free access to water at all times so they do not become dehydrated.

Date: Aug 9, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Congestive Heart Failure and Apoquel
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Question:My dog has seasonal skin allergies, and I usually give her apoquel a few weeks out of the year. About 6 months ago, she went into heart failure and now is on Furosemide, Enalapril, and Vetmedin. Are there any interactions between the drugs? Is it ok to give her the apoquel again? Are there any interactions with over the counter cortisol itch sprays and the heart failure medications?

Answer:Your veterinarian is definitely the best one to ask because there are a lot of variables involved with that many medications (what her blood work looks like, strength of the medications, vs her weight, etc.) so run that by them before starting anything.

Date: Aug 7, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Right side failure
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Question:Hi,I took my dog to the vet,I Paid a $150 in service,the vet didn't do much,I lost my job due to Covid,the vet wanted to due $1000 in test,if I had the money,I wouldn't of given it a second thought, I've been reading online alot about Natural Remedies using Uva ursi & Hawthorm Berry,my dog has improved,but still breathing heavily when resting,Doc could you give me some advice,what I can do, anything would be awesome... Please!!!

Answer:I don't know of any over-the-counter medications or homeopathic remedies that really help with congestive heart failure by themselves without being on prescription medications at the same time. Hopefully you got medication from your veterinarian while you were there. Here is a link to our article about treatment options for congestive heart failure: https://www.1800petmeds.com/education/congestive-heart-failure-treatment-dog-c.html

Date: Jul 17, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Noisy breathing
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Question:I have an 11 year old toy poodle, had a X-ray done & it shows a bulge in the pulmonary artery going from the lung to the heart. Is there any treatment for this or is this something she will have to live with?

Answer:I would really need to see her x-ray, examine her and know more about her history and clinical signs (coughing, etc.) to give you any kind of useful information. A referral to a veterinary cardiologist is always an option as well.

Date: Jul 12, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Meds
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Question:My doggy was diagnosed with heart failure. I ran into a couple who heard doggies cough they said to buy a med online that would really help with the cough. I don’t know the name exactly on how to spell it and couldn’t locate it here. Maybe you can help. Siokitem, Zyoquetem, Ciokiten does anything like that sound familiar

Answer:Diuretics like Lasix (furosemide) and spironolactone help the cough associated with congestive heart failure the most. Vetmedin (pimobendan) helps as well.

Date: Jul 3, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Congestive heart failure
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Question:My dog is all I have from my son passing away two years ago I must do all is possible to keep her alive she is my best friend, I have had vet put her on heart medicine and directis I have friend let me borrow oxygen machine I'm trying put ut in her nouse or mouth help the breathing I'm scared I could be hurting her more may I have your advice what to do or not do

Answer:I would really need to examine her, look at her x-rays, know the exact medications she is on with the dosage and how much she weighs to really properly advise you so definitely contact your veterinarian to get their advice because they have access to all of that information.

Date: Jun 28, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Heart enlargement
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Question: My vet give Steroid vaccine to my 12 and six months old Chihuahua because he have a severe coughing ... and he said that my dog is a fitghter but he will leaving soon what is sign if the dog dying with heart engagement and fluid in lungs ???

Answer:I hope he is on medication for his heart failure - there are many good ones that really help. (Steroids are generally contraindicated so maybe the injection was something else.) Here is a link to our article about congestive heart failure: what to look for and various treatment options: https://www.1800petmeds.com/education/congestive-heart-failure

Date: Jun 24, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Rx
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Question:My vet wrote us an rx for Pimobendan 2.5 mg #90 Can you fill this rx

Answer:Yes - they should be able to - follow this link, then click on the 2.5mg tablets to order them: https://www.1800petmeds.com/Vetmedin+%28pimobendan%29-prod10980.html

Date: Jun 23, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Food for dog with serious congestive heart problem
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Question:Dog is under vet care with appropriate meds. Vet suggested Hill's Heart Care H/D which I have been buying from Petmeds (along with his meds). He hates the food & is losing weight. Can you suggest a wet food alternative? Thank you

Answer:Your veterinarian is the best one to ask for sure - the prescription diets formulated for heart disease patients are the best - there are a few different brands - if your veterinarian doesn't carry the other brands, they may have to special order it for you - but the decision will be based on the severity of his congestive heart failure.

Date: Jun 23, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Heart medication
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Question:Is Enalapril, 5 mg And Pimobendan 5mg Do these two medications do the same thing? Are they similar? My dog is having trouble breathing, last week her heart was slightly enlarged. I was trying to find a less expensive medication than the Enalapril 5mg., 135 tab. I was told that the Pimobendan 5mg is a lot cheaper and helps in the same way. Thank you.

Answer:No, these 2 medications are entirely different but both are often very helpful in a dog with congestive heart failure. So is a diurectic like furosemide, which is very cheap. Many dogs need to be on all 3 medications. Pimobendan, in general, is most expensive, but can potentially help the most as well.

Date: Jun 23, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: Congestive Heart Failure
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Question:Our senior chihuahua has a worsened murmur and congestive heart failure. He's currently on Enalapril, Tamaril P, and his vet added furesomide a month ago. He's started to have a bad reaction to the furesomide. Something like a mini seizure, rapid breathing, head thrown back. He comes out of it before we can get him to the vet. Do you have any recommendations on something he can take in place of the furesomide?? His cough isn't controlled any longer with just the other two meds. He is seeing his vet in 2 days for further testing...

Answer:That is not a common side effect of furosemide and it is easily the best diuretic to help with the cough, so maybe try a lower dosage. There are other diuretics but they don't work quite as well, like Spironolactone.

Date: Jun 17, 2020
Category: Congestive Heart Failure
Pet Type: Cat
Topic: Heart murmur
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Question:Hello my 9.5 week old male sphynx was diagnosed today with a grade 2 heart murmur vet wasn’t to concerned said we will monitor it. He’s super active eating perfectly. Should I seek a second opinion? I’m kinda nervous now

Answer:First see if it's still there at his next visit if he is having no problems right now - his next visit should be in 3-4 weeks. Then see if it's getting louder or quieter. Louder - yes, 2nd opinion with cardiologist. Quieter = continue to monitor.

Date: Jun 16, 2020
Category: Congestive Heart Failure
Pet Type: Dog
Topic: end of life
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Question:My dog recently past from Hemangiosarcoma with both heart and spleen involvement. I have a few questions about the end of her life. The pericardial effusion was causing many arrhythmia, which worsened during the last week of her life. We kept her home and were giving her Gabapentin, Trazadone, acepromazine, Yunnan Baiyao and CBD oil. 1. on her last day she became very stiff and went into full rigors immediately after passing. I am wondering what would have caused this? was it from the combo of medications I was giving? and do you think this caused her pain? 2. The last 3 days was having many fatal arrhythmia, but she was converting herself out of them. before and after she passed I was listening to her heart with my stethoscope and she took one last breath and then went into bradycardia with the full arrest and her heart stopped. Shortly after she went into what sounded and felt as a Vtach. Have you heard of this happening after death? We stayed with her at home and tried to keep her comfortable during her last week. I worry that she may have felt some pain and fear through this even though I kept her pretty sedated. And wondering what your thoughts are.

Answer: I am wondering what would have caused this? probably the cancer. was it from the combo of medications I was giving? no, very doubtful - and do you think this caused her pain? just like when people pass away, it is very hard (impossible) to really know but it sounds like you had good medications and did all that you could. I am sorry for your loss! I know it's hard but I can tell how much she was loved!

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