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This is a discussion on Advanced heart disease and weather within the Dog Health forums, part of the Keeping and Caring for Dogs category; Originally Posted by Lakerfanalways With Pulmonary Hypertension he was given Viagra, his initial diagnosis said 6-9 months..but because he got Pneumonia in August, his lungs ...

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Old 11-09-2017, 07:13 PM
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With Pulmonary Hypertension he was given Viagra, his initial diagnosis said 6-9 months..but because he got Pneumonia in August, his lungs just couldnt take it..and he hardly went outside, his lungs were in bad shape so he just got pneumonia because his lungs developed it..and even though the meds did help, his lungs kept on producing mucus..Viagra is the only treatment for PH, there is no cure..I called EVERYWHERE I called Kentucky, San Jose, Tennessee, hoping to find someone to tell me something different, but they all said the same thing "We cant treat him without seeing him" and "Viagra is the only treatment" PH you will see the signs, he gets excited and just collapses, his tongue will turn blue from lack of oxygen, that is how you will know
Im sorry to hear about Nemos passing. For 2 years I have already started grieving Foxy even though he is still with us. It came to the point where our regular vet was no longer able to help once the meds she kept increasing him on werent fully helping. We moved to Michigan 8 months ago and thankfully we have several cardiologists in our city whereas in texas the neareat one was 4 hours away in albuaurque. Foxy has been seeing a cardiologist for 8 months now and it ia not a pretty penny. He was given a year to 3 at the beginning and then with some episodes he had and when he started viagra they said a year. It's been 4 months since and he is still strong. Just the cough, it's hard to differentiate between a cough due to progression of disease and the secondary issues he has that leads to the cough ><
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Old 11-09-2017, 07:32 PM
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Im sorry to hear about Nemos passing. For 2 years I have already started grieving Foxy even though he is still with us. It came to the point where our regular vet was no longer able to help once the meds she kept increasing him on werent fully helping. We moved to Michigan 8 months ago and thankfully we have several cardiologists in our city whereas in texas the neareat one was 4 hours away in albuaurque. Foxy has been seeing a cardiologist for 8 months now and it ia not a pretty penny. He was given a year to 3 at the beginning and then with some episodes he had and when he started viagra they said a year. It's been 4 months since and he is still strong. Just the cough, it's hard to differentiate between a cough due to progression of disease and the secondary issues he has that leads to the cough ><
So Fozy was diagnosed with heart failure/PH two years ago? Your pup is 9 years old, isnt that kind of young to have something like that? Nemo was we believe 15 years old, my sister got him from a doggy day care so really have no clue how old he was, but we figured around 14-15 yr mark. When Nemo was diagnosed with PH, his number was 140, his Doc said he had NEVER seen a number like that in a dog and was still alive so he has no idea how Nemo was even able to function. Unfortunately these trachea collapse issues is something common in small breeds..there is a surgery that can "fix" it, but can only be done if you catch it really early and even then, the surgery is so difficult who knows if the dog would even survive. I wish they would come up with something simpler to fix this, because what both our pups suffer and suffered from, is a result of the trachea collapse, coughing and coughing and coughing weakens the heart muscle over time. We doggysat Nemo for 12 days in December of 2016, the cough sounded different than usual, I even said "Sounds like he has emphazema" but of course his Vet would always say "Nemo's heart and lungs are fine" which makes NO sense, his heart and lungs are fine in December, fine in January, in Feb, early March, but late March BAM, he has a heart murmur and heart failure you dont get heart murmur in 1 day..that's why I wish Nemo had seen a cardiologist back in December but we didnt know, we put all our faith in his Vet, who messed up but didnt want to admit it.
You know what might help with the cough, a humidifier, I read online sometimes it helps. It didnt really help Nemo at all but there is no harm in trying, just plain water it might help relieve the trachea and help him breathe better. Keep him inside as much as possible in cold weather, to prevent him from getting pneumonia, since his lungs are compromised..sometimes something can happen no matter what you try. And be on the lookout for any sound of mucus from him, even the slightest, you can tell, if you hear anything weird take him to his Cardiologist. I am praying for lil Fozy, so young..these diseases its horrible trust me it comes out of no where. We live in SoCal and there is only one pet cemetery here, its in Calabasas, a beautiful place he is buried with his favorite squeaky toy and baby blankie he had since he was a young pup. My sweet angel I miss him everyday I hope you have many many years left with your sweet Fozy
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Old 11-09-2017, 07:47 PM
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So Fozy was diagnosed with heart failure/PH two years ago? Your pup is 9 years old, isnt that kind of young to have something like that? Nemo was we believe 15 years old, my sister got him from a doggy day care so really have no clue how old he was, but we figured around 14-15 yr mark. When Nemo was diagnosed with PH, his number was 140, his Doc said he had NEVER seen a number like that in a dog and was still alive so he has no idea how Nemo was even able to function. Unfortunately these trachea collapse issues is something common in small breeds..there is a surgery that can "fix" it, but can only be done if you catch it really early and even then, the surgery is so difficult who knows if the dog would even survive. I wish they would come up with something simpler to fix this, because what both our pups suffer and suffered from, is a result of the trachea collapse, coughing and coughing and coughing weakens the heart muscle over time. We doggysat Nemo for 12 days in December of 2016, the cough sounded different than usual, I even said "Sounds like he has emphazema" but of course his Vet would always say "Nemo's heart and lungs are fine" which makes NO sense, his heart and lungs are fine in December, fine in January, in Feb, early March, but late March BAM, he has a heart murmur and heart failure you dont get heart murmur in 1 day..that's why I wish Nemo had seen a cardiologist back in December but we didnt know, we put all our faith in his Vet, who messed up but didnt want to admit it.
You know what might help with the cough, a humidifier, I read online sometimes it helps. It didnt really help Nemo at all but there is no harm in trying, just plain water it might help relieve the trachea and help him breathe better. Keep him inside as much as possible in cold weather, to prevent him from getting pneumonia, since his lungs are compromised..sometimes something can happen no matter what you try. And be on the lookout for any sound of mucus from him, even the slightest, you can tell, if you hear anything weird take him to his Cardiologist. I am praying for lil Fozy, so young..these diseases its horrible trust me it comes out of no where. We live in SoCal and there is only one pet cemetery here, its in Calabasas, a beautiful place he is buried with his favorite squeaky toy and baby blankie he had since he was a young pup. My sweet angel I miss him everyday I hope you have many many years left with your sweet Fozy
Let me clarify, 2 years ago is when they said he had an enlarged heart and maybe not such an advanced stage of heart disease but they put him in enalapril and pimibendan. The hypertension started in July. 9 years is really young but our vet says at that age a dog is already considered geriatric. He had a heart murmur from a young age maybe as early az 2 and he would cough a lot due to his collapsed trachea since 2 years old. All the vets he ever saw would just say there was nothing for us to do but treat the cough with supressants when it got worse, but we never knew when worse was and he saw many vets. It wasnt until a trip abroad that the vet wanted to do xrays because of the murmur and bam! Heart disease. 3 months earlier our vet had to do lots of testing blood titers etc cause of our travel and not even then did they tell me we needed to check him out. I was always so concerned about the cough so it baffles me how vets just let it slide and dont give it much importance until symptoms are dire. It sounds like you did all you possibly could with nemo and its hard to think your vet did not suggest a cardiologist (i didnt know either until my vet suggested it and that was after his CHF episode). Would also have been nice to know earlier before it got to that point that there are specialists out there that can give a more accurate diagnosis. Foxy has a check up due at the end of next month. I hope he can make it until then because i cant afford the costs to be taking him to get all the tests they need every couple months.
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Old 11-09-2017, 08:05 PM
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Let me clarify, 2 years ago is when they said he had an enlarged heart and maybe not such an advanced stage of heart disease but they put him in enalapril and pimibendan. The hypertension started in July. 9 years is really young but our vet says at that age a dog is already considered geriatric. He had a heart murmur from a young age maybe as early az 2 and he would cough a lot due to his collapsed trachea since 2 years old. All the vets he ever saw would just say there was nothing for us to do but treat the cough with supressants when it got worse, but we never knew when worse was and he saw many vets. It wasnt until a trip abroad that the vet wanted to do xrays because of the murmur and bam! Heart disease. 3 months earlier our vet had to do lots of testing blood titers etc cause of our travel and not even then did they tell me we needed to check him out. I was always so concerned about the cough so it baffles me how vets just let it slide and dont give it much importance until symptoms are dire. It sounds like you did all you possibly could with nemo and its hard to think your vet did not suggest a cardiologist (i didnt know either until my vet suggested it and that was after his CHF episode). Would also have been nice to know earlier before it got to that point that there are specialists out there that can give a more accurate diagnosis. Foxy has a check up due at the end of next month. I hope he can make it until then because i cant afford the costs to be taking him to get all the tests they need every couple months.
Poor Foxy so horrible he has to go through this. I hope that he can keep on fighting even though this is a terminal disease that he can keep fighting through it.how much viagra does he take? Nemo would take sometimes half a pill when he would cough real bad but the side effect of viagra on him(Since Nemo had a very very sensitive stomach) he would get diarrhea from it real bad. Does Foxy collapse a lot or does the Viagra help him breathe good? Nemo was on Vetmadine thankfully it did not give him any bad side effects with his pancreas or tummy if he had only the heart murmur issue he would still be alive but the PH that is what did him in..and the way it happened, so fast out of no where..the only "strange" thing that occurred the night before he had issues breathing and had fluid in his heart/lungs was when my sis called she said "Nemo is fine but he did a strange thing, he came to the kitchen from the bedroom and just sat down for a second" I thought, Ok whats the big deal he sat down so what..but she said it was the way he did it, like his back legs collapsed on him, he had no issues breathing, seemed perfectly fine, she said after a few seconds he got back up and acted normal..she said "I guess he's just getting old" but I thought to myself, what if the trachea collapse is doing harm to his heart..and the next day there it was..maybe if he had gone to the Vet that night something could have been done, but they would have probably laughed at her for bringing him in
So sorry that Foxy has to go through this, and from such a young age. Must be something in the chihuahua breed because Ive never heard of dogs having heart murmurs at such a young age, so horrible..really really wish they could find a cure. I hope his next Vet appointment goes well..whatever it takes to keep him alive and well
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Old 11-09-2017, 08:22 PM
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Poor Foxy so horrible he has to go through this. I hope that he can keep on fighting even though this is a terminal disease that he can keep fighting through it.how much viagra does he take? Nemo would take sometimes half a pill when he would cough real bad but the side effect of viagra on him(Since Nemo had a very very sensitive stomach) he would get diarrhea from it real bad. Does Foxy collapse a lot or does the Viagra help him breathe good? Nemo was on Vetmadine thankfully it did not give him any bad side effects with his pancreas or tummy if he had only the heart murmur issue he would still be alive but the PH that is what did him in..and the way it happened, so fast out of no where..the only "strange" thing that occurred the night before he had issues breathing and had fluid in his heart/lungs was when my sis called she said "Nemo is fine but he did a strange thing, he came to the kitchen from the bedroom and just sat down for a second" I thought, Ok whats the big deal he sat down so what..but she said it was the way he did it, like his back legs collapsed on him, he had no issues breathing, seemed perfectly fine, she said after a few seconds he got back up and acted normal..she said "I guess he's just getting old" but I thought to myself, what if the trachea collapse is doing harm to his heart..and the next day there it was..maybe if he had gone to the Vet that night something could have been done, but they would have probably laughed at her for bringing him in
So sorry that Foxy has to go through this, and from such a young age. Must be something in the chihuahua breed because Ive never heard of dogs having heart murmurs at such a young age, so horrible..really really wish they could find a cure. I hope his next Vet appointment goes well..whatever it takes to keep him alive and well
Thank you very much I wish i could upload a pic. He really doesnt look sick it's only the cough that he gets every time he drinks water (he has done that for years and years) and when he walks fast or gets excited (and come on dogs are always happy and excited so he coughs a lot through the day). But the viagra he takes half twice daily. No ill effects from the 6 meds he takes daily. He only collapsed once and thats when we found out he had hypertension but after the meds it never happened again. I knew something was wrong because for that whole day he was sleeping in the tile bathroom and it was extremely odd he woukd never choose to sleep in a cold bathroom over sitting with us on the couch etc. As soon as he collapsed that day for a second he went into the emergency and we had to wait until morning because cardiologist only work 9-5 pm! They did not know if he would survive it was so scary! I think the fact that its been a slow progression of the disease vs a sudden onset has helped in treating him or so our vet says.
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Old 11-09-2017, 09:19 PM
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Thank you very much I wish i could upload a pic. He really doesnt look sick it's only the cough that he gets every time he drinks water (he has done that for years and years) and when he walks fast or gets excited (and come on dogs are always happy and excited so he coughs a lot through the day). But the viagra he takes half twice daily. No ill effects from the 6 meds he takes daily. He only collapsed once and thats when we found out he had hypertension but after the meds it never happened again. I knew something was wrong because for that whole day he was sleeping in the tile bathroom and it was extremely odd he woukd never choose to sleep in a cold bathroom over sitting with us on the couch etc. As soon as he collapsed that day for a second he went into the emergency and we had to wait until morning because cardiologist only work 9-5 pm! They did not know if he would survive it was so scary! I think the fact that its been a slow progression of the disease vs a sudden onset has helped in treating him or so our vet says.
The cough is the scary part because you dont know if he is going to stop..my sis would always check Nemo's tongue to see if its bright red(Which it should be) or blue..blue means of course not enough oxygen so she would constantly check. I think the reason why Nemo only survived for 5 1/2 months is because he was diagnosed at such a late stage, his PH numbers were so sky high the doc had no clue how he was still alive..the earlier you find the disease the more likely you can manage it. Nemo would collapse every other day, sometimes twice a day because he was always excited about something, it was his personality he was such a happy pup, even with this horrible disease he never showed it. It says online that sometimes dogs can survive 2 yrs with PH, I guess it all depends how they respond to treatment..as long as the Viagra is helping and he's able to be happy and breathe good that is what matters..the cough, sometimes we put a sweater on Nemo and covered up his neck when it was cold it would help a little bit and keep the house warm. Im glad you have a good Cardiologist for Foxy, I wish that Nemo's vet had recommended one we would have taken him to see him, but I think Nemo's vet was always too busy, never took the time to really look at him, I mean honestly, a teeth cleaning can cure a trachea collapse, well he thought so, total waste of time he didnt cough for 1 whole day probably cause he was doped up


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Old 11-09-2017, 09:39 PM
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The cough is the scary part because you dont know if he is going to stop..my sis would always check Nemo's tongue to see if its bright red(Which it should be) or blue..blue means of course not enough oxygen so she would constantly check. I think the reason why Nemo only survived for 5 1/2 months is because he was diagnosed at such a late stage, his PH numbers were so sky high the doc had no clue how he was still alive..the earlier you find the disease the more likely you can manage it. Nemo would collapse every other day, sometimes twice a day because he was always excited about something, it was his personality he was such a happy pup, even with this horrible disease he never showed it. It says online that sometimes dogs can survive 2 yrs with PH, I guess it all depends how they respond to treatment..as long as the Viagra is helping and he's able to be happy and breathe good that is what matters..the cough, sometimes we put a sweater on Nemo and covered up his neck when it was cold it would help a little bit and keep the house warm. Im glad you have a good Cardiologist for Foxy, I wish that Nemo's vet had recommended one we would have taken him to see him, but I think Nemo's vet was always too busy, never took the time to really look at him, I mean honestly, a teeth cleaning can cure a trachea collapse, well he thought so, total waste of time he didnt cough for 1 whole day probably cause he was doped up


All good tips. Ill make sure to dress him up. We have just had our first snow of the year so it's starting to get pretty cold. Thats crazy that they would recommend a teeth cleaning though. When he made the recommendation were they not aware of the heart disease? Intubating a dog with tracheal collapse is trickier they can stop breathing which is why I never did a teeth cleaning since I was always so worried and now its impossible with all the heart problems. Thinking back I wish i would have cleaned his teeth a few years back before his heart got worse because he has such bad teeth now. Our vet has us checking breathing rate that was extremely helpful in monitoring before chf full on develops. When he was struggling his breathing rate was through the roof for months on and off it was scary. But since we balanced his drugs better 4 months ago its very steady and less worries. It's just that damn cough thats always worrying us so much when it starts increasing again :/
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Old 11-09-2017, 09:55 PM
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All good tips. Ill make sure to dress him up. We have just had our first snow of the year so it's starting to get pretty cold. Thats crazy that they would recommend a teeth cleaning though. When he made the recommendation were they not aware of the heart disease? Intubating a dog with tracheal collapse is trickier they can stop breathing which is why I never did a teeth cleaning since I was always so worried and now its impossible with all the heart problems. Thinking back I wish i would have cleaned his teeth a few years back before his heart got worse because he has such bad teeth now. Our vet has us checking breathing rate that was extremely helpful in monitoring before chf full on develops. When he was struggling his breathing rate was through the roof for months on and off it was scary. But since we balanced his drugs better 4 months ago its very steady and less worries. It's just that damn cough thats always worrying us so much when it starts increasing again :/
Nemo's breath smelled pretty darn awful so the Vet thought that maybe the bacteria from his teeth when he swallowed was irritating his trachea which would cause him to cough. I mean I sorta get the idea but it was crazy to think that a teeth cleaning would solve this issue there would be lines of people getting teeth cleanings for their pups if that were true. Actually the incubation was recommended because the Vet told my sis that if something from the teeth cleaning goes into his trachea he could start coughing and since he would be asleep he could stop breathing so the incubation was the best thing. My sis took him for a 2nd opinion she was so worried that Nemo would not wake up from it but the 2nd Vet said he would do fine and he did, but the cough didnt go away, just for that one day..not sure if it was because he was doped up or they gave him something after wards but he didnt cough once, til the next morning than it started again. When Nemo had pneumonia in August he was on 14 meds per day total..because some meds were 3 times a day, it was just horrible..a dog with good lungs would have been able to fight it but his lungs were so bad his lungs created its own mucus. The poor baby in the last week of his life, I think he was just so tired, he refused to poop, and when he did he would scream first, than collapse, then poo. I think he was dreading pooping because his body was just so tired he was dreading to do it because he was weak. He died on his own terms in my brother in laws arms I remember like it was yesterday, at least he died in the arms of those who loved him. I know that all dogs die eventually, but if someone had told me a year ago this is what would kill him I would have said they are full of it
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Old 11-09-2017, 10:04 PM
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Nemo's breath smelled pretty darn awful so the Vet thought that maybe the bacteria from his teeth when he swallowed was irritating his trachea which would cause him to cough. I mean I sorta get the idea but it was crazy to think that a teeth cleaning would solve this issue there would be lines of people getting teeth cleanings for their pups if that were true. Actually the incubation was recommended because the Vet told my sis that if something from the teeth cleaning goes into his trachea he could start coughing and since he would be asleep he could stop breathing so the incubation was the best thing. My sis took him for a 2nd opinion she was so worried that Nemo would not wake up from it but the 2nd Vet said he would do fine and he did, but the cough didnt go away, just for that one day..not sure if it was because he was doped up or they gave him something after wards but he didnt cough once, til the next morning than it started again. When Nemo had pneumonia in August he was on 14 meds per day total..because some meds were 3 times a day, it was just horrible..a dog with good lungs would have been able to fight it but his lungs were so bad his lungs created its own mucus. The poor baby in the last week of his life, I think he was just so tired, he refused to poop, and when he did he would scream first, than collapse, then poo. I think he was dreading pooping because his body was just so tired he was dreading to do it because he was weak. He died on his own terms in my brother in laws arms I remember like it was yesterday, at least he died in the arms of those who loved him. I know that all dogs die eventually, but if someone had told me a year ago this is what would kill him I would have said they are full of it
Oh man. That sounds like it must have been so hard to watch your pup deteriorate like that. I know death is inevitable and every pet eventually passes on, it just makes me so sad my boy just turned 9 and is going through all this. I hope he doesn't get as sick as yours did and that I can make the tough decision when it comes to it. Our cardiologist made it very clear she would let me know when it was time because she knows how hard its been for us all. Foxys on 6 different meds for 4 months now so its 15 pills a day also D: i guess when you thinj of it i know he is pretty sick but you just cant tell by looking he seems so young and full of life and he is young. At least your baby lived such a full long life! If i can extend foxys for even 2 more years I will be so grateful.
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Old 11-10-2017, 07:20 PM
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Oh man. That sounds like it must have been so hard to watch your pup deteriorate like that. I know death is inevitable and every pet eventually passes on, it just makes me so sad my boy just turned 9 and is going through all this. I hope he doesn't get as sick as yours did and that I can make the tough decision when it comes to it. Our cardiologist made it very clear she would let me know when it was time because she knows how hard its been for us all. Foxys on 6 different meds for 4 months now so its 15 pills a day also D: i guess when you thinj of it i know he is pretty sick but you just cant tell by looking he seems so young and full of life and he is young. At least your baby lived such a full long life! If i can extend foxys for even 2 more years I will be so grateful.
We let Nemo go on his own..my sister just couldn't go through with putting him to sleep because everyday when she thought this is it Nemo would bounce back and be good as new, she couldn't put him down knowing he would be begging for steak and bread..so she wanted him to go peacefully on his own, in his own home and that is what he did..even with all the Viagra she gave him a whole pill that morning it made zero difference..as long as your pup is happy, able to walk around, doesn't have trouble breathing, doesn't need to go to the ER for oxygen, than he is OK..you can control the control with the cough suppressant, maybe with a humidifier sometimes it would help Nemo, not all the time but it did help..and also wearing warm clothing..whenever it was cold and Nemo went outside he would start coughing more.that sound, that is the coughing sound you dont soon forget, must be the worst sound in the world I hated that sound..you can hear the difference when its something to do with the lungs or the trachea. I really really wish they would find a cure for this, so many dogs suffer from it and yet they have yet to come up with a cure, a fix, something..Viagra is fine but it doesnt last long, after a while the dog needs more and more to survive it just stinks..some breeds gets this condition while others dont, its a genetic thing, same with trachea collapse, small breeds get it, while big dogs dont. Big dogs have their own issues, cancer, etc..so every breed has something. Please keep me updated on Foxy I will pray for him. He doesn't sound as serious as when Nemo was diagnosed, Ive read some dogs can live 2 yrs with hypertension, I find that hard to believe but who knows..will keep him in my thoughts and prayers.
Here is a picture of our Nesmo..I didnt know how to upload one here so just uploaded it on one of those online sites. look at how happy he was, that is how I will remember him
https://imgur.com/a/pPv7K
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