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Hello. My 11 year old male Pekingese has been suffering with seizures for a few years but of decreased length and intensity after adenocarcinoma (benign) / perianal tumours (benign) removal with neutering 1.5 year ago. Three days ago, he almost had what I thought was another seizure. Had all the pre-ictal phase symptoms but never went into seizing, though it took just as long to recover. His tongue was bluish. He had another such episode in early August and the first two in January with "normal" seizures in between (not that great many). I was actually happy thinking that meant his seizures were getting milder :( ... that's what I thought it was and not what the vet later suspected (syncope). Friday morning, I took him to the vet for a totally unrelated health issue. He was sedated to have X-rays taken to determine cruciate ligament rupture etc. The vet also drew blood and was very worried when he heard his heart... He told me it was very bad and asked to have chest X-rays taken as well. Vet said they showed an enlarged heart, fluid accumulation and a windpipe parallel to his spine... He was prescribed Lasix (0.5 40mg tablet/day, for 10 days) and Fortekor (0.5 5mg tablet/day)... My questions: What could have caused this? He's been very inactive, almost sedentary due to his leg issues, could this have contributed to DCM? Is the fluid accumulation always a sign of heart failure? Could it be anyhting other than DCM/CHF? Other than those episodes earlier mentioned and some minor intermittent breathing problems (was told it was nothing to worry about, he's a Peke right?) he didn't have any other symptoms... He has had a tight belly for sometime now and again I was told it was nothing to worry about (since I noticed it immediately following his adenectomy & neuter and was flat out told I was being paranoid)... The vet on Friday also did an ultrasound on his belly but didn't say anything about fluids there... just commended on "all the fat"... Which brings me to my next question. Can a dog with advanced DCM not suffer from weight loss? By the way, he got fat only when he stopped going for his regular walkies. What about nutritional DCM? Is that form of DCM reversible? Can that also result in fluid in the lungs if untreated? Or just heart enlargement? Would the defficiencies causing it show up on the general blood work results? or would the vet have to run specific tests? I can't really ask all this as our vet is running out of patience with me... Symptoms wise, there's has been a lot of panting for some time now with slight wheezing sounds, but it was a fierce humid summer this year so again, thought nothing of it. No coughing yet... ever! Just weird gagging (like when he drinks water too fast or goes the wrong way) on very rare occasions. Is it possible for DCM / CHF to be in an advanced stage with no cough? When DCM is diagnosed and medication is started will the damage stop at that point, will it slow down or will the disease progress at the same rate while the symptoms are merely masked? Why hasn't my vet prescribed Vetmedin? Lastly, how long do you honestly think he has? I need to know even though I'm genuinely afraid I will follow shortly after... He's my only son, my baby, my life :( Thank you for your time. I am anxiously awaiting your response. Here's a couple of pictures (taken a while ago) to help you put a face to the name... I don't take pictures of him anymore... It breakes my heart :(