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
Satisfied Customers: 28646
Experience:  UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management
14008320
Type Your Dog Question Here...
Dr. Andy is online now
A new question is answered every 9 seconds

My dog was diagnosed with hemolytic anemia. She is a pug who

Resolved Question:

My dog was diagnosed with hemolytic anemia. She is a pug who also has diabetes. He blood value/count originally was at 11%. My vet told me to get her a blood transfusion. When I took her in her stomach was bloated, filled with fluid. The vet said she didn't need the transfusion because in 4 days, her red blood cell went up to 16%. She is now worried about heart problems. She is not hopeful about her prognosis because of the diabetes and anemia. If I test her for heart problems and then treat her, does she stand a chance to survive? My vet is saying I might want to consider euthanasia?
Submitted: 4 years ago.
Category: Dog
Expert:  Dr. Andy replied 4 years ago.

Hello,

Very complicated question as I cannot vouch for anything your vet is doing, doses, the specifics of the complete blood count, to name a few.

 

My answer is based solely upon a dog with diabetes and anemia.

 

Now, if there is no heart murmur, I have no idea why your vet is suddenly worried about heart problems. This makes no sense, unless they took chest x-rays already and saw a enlarged heart, heard a murmur, or heard a arrhythmia.

 

Now, prednisone is not the best thing to be giving a pet with diabetes, however, it can be done. If the diabetes is well regulated, than put all of your focus into treating the anemia. Therefore, the prednisone is the key to saving her life.

 

Consider euthanasia? Why. The anemia is beginning to improve, you didn't have to do a transfusion. Now, your vet isn't explaining everything. Stomach full of fluid. This is called ascites.

Perhaps your vet is blaming heart disease (right-sided) for fluid buildup in the belly.

It sounds to me this case is beyond your vet's experience level. Ascites can be caused by a lot of concurrent problems including low protein levels in the blood.

 

I think her prognosis could actually be quite fair in the right vets hands, assuming someone can properly diagnosis and treat why the fluid is in the belly.

 

If I were you....contact an internal medicine specialist ASAP and have them review everything. Or, request an immediate referral from your vet.

 

 

Find Various Specialists

--> Under "specialty" select SAIM = Small Animal Internal Medicine

--> Or, you can search for a Neurologist, Cardiologist or Oncologist

.

 

Good Luck

Dr. Andy

Customer: replied 4 years ago.
The vet at the animal emergency had me so confused, I didn't know what to do. At first she thought it was cancer. She did ultrasound and found no tumors. She then said it could be the right heart?? She did say she heard a murmur. Later she said she had ketosis. She just didn't know how to advise me. She said with so much going on, she didn't give a good prognosis and said euthanasia should be considered. I was going to take her to an internal specialist, but I didn't want to throw good money after bad. I just spent $5,000 on my other pug and he died after surgery when he aspirated his own vomit. To be competely honest, I believe the anemia presented after giving her Comfortis. She got very sick after that. If you believe there is hope I will get her to an internal specialist.
Expert:  Dr. Andy replied 4 years ago.

You need to get to an internist!

At least let them evaluate your pet and review everything that has been done. They will clarify all the questions and "stuff" that has been said by the other vet.

The ER vet may have been rushing, not personable, and just not devoted to talking in the laymans terms necessary to understand what is going on.

It's worth the consult!

 

I have not heard,personally, of any documented cases of anemica caused by Comfortis. Just so you know.

 

Hope that info helps.

Dr. Andy

Dr. Andy, Medical Director
Category: Dog
Satisfied Customers: 28646
Experience: UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management
Dr. Andy and 9 other Dog 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:

 
 
 
  • You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets! Linh Charleston, WV
< Last | Next >
  • You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets! Linh Charleston, WV
  • $1,000 spent at his vet, and I finally get the correct diagnosis from Nancy Holmes for $15 Carol Cedar Hill, MO
  • I think this is the greatest web site in the world. Thanks to all! Judy New Haven, CT
  • I have referred several friends to your web site. I'm impressed with how easy it is to use your site, the Experts available and the quickness of answers. Nina USA
  • I am completely pleased with the quick response that I received in our time of need for our dog, Jasmine. I couldn't believe how quick the response was and I thank you. It's good to know you're there!! Jasmine's Mom USA
  • Please let everyone involved with your site know that your Expert, Dr. Lucy, has saved my dog's life. I will recommend your site to all my pet loving friends. Thank you again for simply being there! Sonya G Easley, SC
  • Last night my Expert spent close to 3 hours working with me on my dog's illness. Thank you so much for this opportunity to share in her care and knowledge! Cathie M Pompano Beach, FL
 
 
 

Meet The Experts:

 
 
 
  • Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    2534
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
< Last | Next >
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    2534
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
  • http://ww2.justanswer.com/uploads/JA/Jav917/2012-2-20_54059_201221802254JoananddavidArchuleta3.64x64.jpg Joan's Avatar

    Joan

    Vet Tech

    Satisfied Customers:

    4544
    Vet Tech for over 30+ years working w/Dogs/Rescues
  • http://ww2.justanswer.com/uploads/JA/jadedangel57/2011-11-8_193134_janenewsm.64x64.jpg Jane Lefler's Avatar

    Jane Lefler

    Breeder,Behaviorist, formerVet Asst

    Satisfied Customers:

    13847
    Former vol Vet Assistant.Breeder 16+ years Dog trainer / behaviorist
  • http://ww2.justanswer.com/uploads/ER/ERPetNurse/2011-11-7_1293_b.64x64.jpg Candy's Avatar

    Candy

    Veterinary Technician

    Satisfied Customers:

    7108
    Practicing Veterinary Technician for 26 years.Former Veterinary Practice Owner, Technician Trainer
  • http://ww2.justanswer.com/uploads/BA/babybloo/2011-3-10_62613_DavidandI.64x64.jpg Theresa's Avatar

    Theresa

    A Voice for Your Pet

    Satisfied Customers:

    4704
    19+ years experience in small animal medicine
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    4430
    UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/VE/VetAnswers/2013-4-5_8257_prof10.64x64.jpg Scott Nimmo's Avatar

    Scott Nimmo

    Dog Veterinarian

    Satisfied Customers:

    3977
    BVMS, MRCVS.
 
 
 
Chat Now With A Dog Specialist
Dr. Andy
Dr. Andy
Dog Specialist
28646 Satisfied Customers
UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management