How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Andy Your Own Question

Dr. Andy
Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 28417
Experience:  UC Davis graduate, emphasis in dermatology, internal medicine, pain management
14008320
Type Your Dog Veterinary Question Here...
Dr. Andy is online now
A new question is answered every 9 seconds

dog: collapsed and quit breathing..emergency vet..platelet count

Resolved Question:

My dog collapsed and quit breathing for a minute last Saturday. He was saved by the emergency vet. They found that he had an extremely low platelet count and PT/PTT counts. He was given a transfusion and some other drugs and his counts went back to normal. Now he is on Doxycycline and Prednisone. He had previously been diagnosed as low heartworm positive, and started by our vet on a slow kill program, taking Heartguard each month and allowing the adult worms to die off naturally. The emergency vet said that he believed the emergency with my dog was caused by an adult heartworm dying off and a massive allergic reaction because of it. Now, my regular vet says that he doesn't think it was caused by a worm death. What are some possible causes for his collapse and near death? Thanks.
Submitted: 4 years ago.
Category: Dog Veterinary
Expert:  Dr. Andy replied 4 years ago.
Chat Conversation Started
Dr. Andy :

Hello. tough question to answer "definitively". I will wait for your reply, so I know you are there, and we can chat.

Customer:

Ok, I'm here.

Dr. Andy :

none of my answer came through to you. Let me resend now.

Expert:  Dr. Andy replied 4 years ago.
Chat Conversation Ended

If you are still working with your Expert on this question, you can post additional replies and receive additional information on this page.  If you received a satisfactory answer in Chat, you can accept the chat conversation above.
Expert:  Dr. Andy replied 4 years ago.

Okay

5:11 PM

bare with me a sec

5:13 PM

Okay. A few comments. I am a little suspicious for the heartworm issue causing all of these symptoms as well.

5:17 PM

With a really low platelet count, I would also be strongly considering an autoimmune thrombocytopenia.

5:18 PM

Autoimmune conditions are when the body attacks itself.

5:18 PM

This can happen with only the platelets resulting in a thrombocytopenia, as your pet has. Sometimes, it only happens with the red blood cells, and that is called a autoimmune hemolytic anemia.

5:20 PM

Now, the collapsing episode would NOT be connected to his low platelet count.

5:20 PM

That, in fact, probably could be induced by a dying heartworm.

5:21 PM

I like the plan to do the initial slow kill program. The only thing of question may be the prednisone dose. Ask your vet about "autoimmune thrombocytopenia". If they think it is possible, they may suggest doing a higher dose of prednisone initially.

5:21 PM

Dr. Andy

 

Again, sorry for delay. As you can see, I was typing to you, and it wasn't going through.

 

 

Thank you for using JustAnswer. I also greatly appreciate positive feedback, after you click accept, if you have found the advice helpful or informative. JustAnswer will only credit my time, if you click accept. Thanks. Dr. Andy

 

If I can be of any further assistance, just let me know.

Dr. Andy

Customer: replied 4 years ago.
Ok, so let me see if I understand what you think. There may be an autoimmune issue causing the low platelet count. Then, the collaspe was a separate issue that could have occured with a heartworm death. Do I have that right?
Expert:  Dr. Andy replied 4 years ago.

Yes. It is just hard for me to make a good connection between the worm dying off and causing the reaction, to also explain the low platelet count. Possible? Yes. But, to properly answer your question, I wanted to think a little bit outside of the box and mention the autoimmune theory.

 

Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 28417
Experience: UC Davis graduate, emphasis in dermatology, internal medicine, pain management
Dr. Andy and 4 other Dog Veterinary Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
< Last | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    13796
    UC Davis graduate, emphasis in dermatology, internal medicine, pain management
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    9550
    12 years of small animal, equine and pocket pet medicine and surgery.
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    7758
    DVM, Emergency Veterinarian, BS (Physiology)
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Dog Veterinarian

    Satisfied Customers:

    6598
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    6377
    13 years of experience as a small animal veterinarian
  • http://ww2.justanswer.com/uploads/BI/bigislandvet/2013-2-21_214244_IMG0357.64x64.JPG Dr. Michael Salkin's Avatar

    Dr. Michael Salkin

    Big Island Vet

    Satisfied Customers:

    6049
    University of California at Davis graduate veterinarian with 41 yrs. of experience.