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My name is***** and I am sorry to hear that Ginger seems to have a more distended abdomen.
This can be caused by many different things-
-GDV (as you previously suggested, but those dogs look awful, as you know)
-tumor in the spleen or liver or other (intestines, pancreas)
-bleeding into the abdomen from above tumor or blood clotting problem
-other fluid in the abdomen say from right sided heart failure or low blood protein level
-hypothyroidism (severe and chronic)
-severe uncontrolled diabetesI would recommend starting with a physical exam and complete blood work and urinalysis. This will determine if there is fluid or solids in the abdomen and if there is a metabolic cause. Abdominal ultrasound is also very helpful in making the diagnosis.
Does this help? What other questions do you have?
How is Ginger tonight? Were you able to talk to her veterinarian about causes of distended abdomen? Do you have more questions for me?