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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.
The coughing up blood needs to be addressed. This is not a normal and likely is secondary to symptoms caused by the heartworms. I would recommend having him examined no later than tomorrow and if you're able to have him seen overnight at the ER this would be more ideal. In some cases the blood will simply be from irritation, but in other cases it may be a sign of a minor hemorrhage with a more major hemorrhage to come. Early intervention is recommended, when possible.
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