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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 28982
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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Collapsing tracheia on female yorkie..gotten worse with

Customer Question

collapsing tracheia on female yorkie..gotten worse with coughing and struggle of breathing
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

I'm sorry to hear of this with Penny. This can be a frustrating disorder to manage. Treatment consists of cough suppressants - honey is reasonable but there are more potent suppressants available, antinflammatory medication, bronchodilators, and in severe cases, surgically, fluoroscopically, or endoscopically placed stents to decrease the severity and frequency of cough and associated clinical signs. Acute general treatment involves oxygen and the judicious use of sedates and cough suppressants such as the prescription butorphanol. A low-dose tranquilizer such as the prescription acepromazine can provide sedation that breaks the cycle of airway irritation and coughing when a bout of extremely severe, collapsing trachea-related coughing occurs.

Chronic treatment involves weight loss because obesity will worsen the symptoms of these dogs. Antitussives such as the butorphanol and also hydrocodone or diphenoxylate with atropine should be considered. Antiinflammatory therapy such as with prednisone and bronchodilator therapy with terbutaline or albuterol has been very helpful. It would be prudent to have Penny's vet X-ray Penny's chest in case a secondary bronchitis or pneumonia has developed requiring more intensive therapy involving long-term antibiotics in addition to the drugs mentioned above.

Please respond with further questions or concerns if you wish.