Dog Veterinary

Ask a Dog Vet and Get Answers to Your Dog Health Questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

Dog Veterinary

My name is ***** *****, it's my pug, My vet showed me her

Customer Question
My name is ***** *****...
My name is ***** *****, it's my pug
JA: Thanks. Can you give me any more details about your issue?
Customer: My vet showed me her lung X-ray is 2/3 white and the lungs are sort of lying upon themselves from a collapsed trachea, my pug is 16, the prednisone stopped the honking noise but the antibiotic causes her to vomit, I 'm wondering if the vet is sugar coating the situation as when I asked her if this will shorten her life at all, she said oh no she will live a lot more than 1 year?
JA: OK got it. Last thing — Veterinarians generally expect a deposit of about $19 to help with your type of question (you only pay if satisfied). Now I'm going to take you to a page to place a secure deposit with JustAnswer. Don't worry, this chat is saved. After that, we will finish helping you.
Submitted: 1 year ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 1 hour by:
3/9/2016
Dog Veterinarian: Dr. Kara, Veterinarian replied 1 year ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 17,111
Experience: Over 20 years of experience as a veterinarian.
Verified

Hello, my name is***** and I have over 20 years of experience as a veterinarian.

I am sorry to hear that your pup has compromised lungs, and thus a decreased ability to exchange oxygen.

While a collapsed trachea can cause a cough, especially with excitement or exercise, I would not expect it to cause 2/3 of the chest to look white.

That usually indicates either pleural effusion (fluid in the space between the lungs and chest wall, due to infection, bleeding, inflammation, lymphatic duct being blocked, compressing the lungs and making them look like they are "floating") or pulmonary edema (fluid or tissue in the lung fields due to infection, heart disease, bleeding or altered blood flow or air flow due to a blocked airway or twisted lung lobe).

Here is a link to a picture of pleural effusion. Note that the lung fields have sharp edges, but the lungs themselves look small, don't extend to the chest wall and look like they are floating on fluid:

https://classconnection.s3.amazonaws.com/324/flashcards/1732324/png/pleural_effusion1355257413022.png

Here is a link to a picture of pulmonary edema. Note that the lung edges are not well defined, the white areas are patchy in some places rather that solid, and airways (bronchi) are outlined clearly due to fluid in the lungs around the airways rather than the fluid being outside the lung.

http://www.neuropetvet.com/wp-content/uploads/2015/07/rad-neurogenic-edema.png

If your little one has tracheal collapse she is more prone to developing secondary aspiration pneumonia. That will show up as white that looks like pulmonary edema in the front, bottom part of her lungs.

Aspiration pneumonia can be treated with antibiotics, so perhaps that is what your veterinarian means by this not shortening her life. But if she cannot tolerate the antibiotic she is taking now then she may need a different one.

If she had heart disease causing fluid tom accumulate in her lungs I would expect steroids to make her worse.

It is possible that there is a tumor in her chest causing pulmonary edema, as some types of cancer (for example lymphoma) do shrink with steroid use, although the effects are often short term.

In short I would want to be clear what is causing her lungfields to look abnromal, and if we believe this is related to aspiration pneumonia then we need to get her on an antibiotic her body tolerates.

Please let me know if you have any further questions.

Ask Your Own Dog Veterinary Question
Customer reply replied 1 year ago
hi, i am Randy I did not finish typing out my question when I hit enter and was not able to type anymore but i also wanted you to know that she has been making a "honking" noise for approx. 2 months. So ... Ian wondering, with approx. 2/3 of her lungs ( on her lung X-ray) being white and the radiologist says this white area is her lung tissue "laying down on top of itself", wouldn't you say she is suffering or would you say this area of white lung can come back to normal ...if she has a severely narrowed collapsed trachea? She is 16 years old. She is not overweight, she never was overweight.Is she at an end of life situation?The x-ray of her lungs do not look like the two examples you gave me the links to.
Lungs seem clearly defined at the edges with approximately 2/3 of them ( this 2/3 area starts to be white about 25% of the way down the lungs and continues to spread out from there to cover a wider area as it draws nearer to the bottom of the lungs.Our vet said that her lungs were this way because she was not taking deep breaths and her lungs have not been filling up and expanding as she breathes due to the collapsed trachea?
He is not sure if there is a bacterial component present.
This is the DACVR's findings:
Thorax: Regarding the right lateral and ventrodorsal thoracic radiographs :
The intrathoracic trachea is severely reduced in size and is almost completely collapsed at the thoracic inlet.There is mild increased soft tissue at the caudodorsal margin of the heat but this is also summated by increased pulmonary opacity on the lateral projection.The increase in caudal hilar pulmonary opacity is largely due to summated vascular markings and mild respiratory motion.There is no evidence of pulmonary parenchymal changes on the ventrodorsal radiograph. The mild increase in bronchial markings is within normal expectations for patients age.
Conclusion:
Tracheal Collapse. This is the likely cause for clinical signs.
Mild left atrial enlargement may be present, but is not likely clinically relevant.
What are your thoughts?
Customer reply replied 1 year ago
Thank You in advance.
Dog Veterinarian: Dr. Kara, Veterinarian replied 1 year ago

Thank you for the further information.

I would love to see her radiographs.

It does sound like her trachea is very narrowed within her chest, such that there is very poor gas exchange, and thus I can understand that she is probably battling to pull air into her lungs. There also appears to be increased tissue density around the base of the heart where the mainstem bronchi (air ways to her lungs) connect to her trachea. That can be due to lymph node enlarge from infection, collapse and inflammation of the bronchi due to infection or the increased amount of force/pressure as she struggles to pull air into her lungs.

I suspect that there is also some mild to moderate heart enlargement as the heart works hard to circulate blood as best as it can to get oxygen out to the body.

Without observing her I cannot say what her quality of life is now, but I assume she cannot do much with those sort of restrictions to her airways.

I would try adding a bronchodilator to the mix of medication, such as theophylline. It can't hurt and may help.

If she cannot tolerate the antibiotic she was on it is worth trying another. There are several that have good efficacy against the bacteria we tend to find in the respiratory tract.

Tracheal collapse can be miserable, and eventually secondary heart disease often develops.

I understand that you are struggling with whether it is appropriate to consider letting her go via humane euthanasia now. I try and guide clients on this very difficult decision by asking them if they believe they would want to live the way their beloved pet is.

I ask if their pet is still able to do the things that they have always enjoyed (albeit for a shorter period of time).

I also ask if they believe that their pet is comfortable most of the time and is living with dignity.

And I ask if there is something else we can do to improve quality of life, in this case perhaps a bronchodilator may work for a bit.

I ask about their socializing compared to normal. Does she seem to be hiding herself away when she always wanted to be in the middle of things, or is she suddenly clingy when she used to be very independent?

If she cannot walk even a short distance without coughing or needing a rest, if she is eating poorly, then we know that she isn't feeling herself.

You live with her day, so if you honestly answer these questions I believe you will come to the best decision for your girl.

I believe humane euthanasia is a gift we can give our pets when their quality of life is poor, and owners are absolutely the best people to evaluate that. As veterinarians we see pets for a short time when they often have an adrenaline rush from being in the clinic. We often don't see a true picture of day to day life.

Please let me know if you have any further questions.

Ask Your Own Dog Veterinary Question
Customer reply replied 1 year ago
Thank You for your insightful answer.
I will e-mail you her x-rays but could you also recommend ( this would not be any type of prescribing thing), just a recommendation of an antibiotic ?
Dog Veterinarian: Dr. Kara, Veterinarian replied 1 year ago

You can upload the radiographs here from your computer by clicking on the paperclip icon at the top of the textbox.

Or you can post them to a file sharing site like imgur (imgur.com) and give me the link.

I'm not sure what she has taken but common antibiotics for respiratory infections include Amoxicillin, Clavamox, Cephalexin, and Doxycycline.

Ask Your Own Dog Veterinary Question
Customer reply replied 1 year ago
Here are her x-rays...is there an address i can send them to...i need to send them from another computer ...not this one and its a new computer ...may i send to " just answer " or something with a web address?
Dog Veterinarian: Dr. Kara, Veterinarian replied 1 year ago

It may take a few days for me to get them but you can send them to customer service and ask that they be directed to Dr. Kara. Make sure to reference this question with the link: http://professional.justanswer.com/chat/index/d9a06cdfa9784d2a86b850090a1b24d3

contact email for customer support is:

*****@******.***

Ask Your Own Dog Veterinary Question
Customer reply replied 1 year ago
Thanks So Much !!! You're an Angel.
They may read From: Computer 1 ***@******.***
and the 2 attachments (x-rays) are titled Molly0000.jpg and Molly 0001.jpg
Thanks again !
Dog Veterinarian: Dr. Kara, Veterinarian replied 1 year ago

No worries as long as you ask that they forward them to Dr. Kara and you reference this question I can put them together.

Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. Kara, Veterinarian replied 1 year ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Kara
Ask Your Own Dog Veterinary Question
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 17,111
17,111 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian.

Dr. Kara is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

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:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

902 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,087 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr. Gary

Dr. Gary

Dog Veterinarian

9,949 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

9,704 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Dr. Bruce

Dr. Bruce

Veterinarian

8,945 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,442 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
My 13 yr old dog Max was diagnosed with lymphoma cancer 5
My 13 yr old dog Max was diagnosed with lymphoma cancer 5 months ago. He is being treated with prednisone. Today I noticed a large tumor on the outside toe of his paw. It looks "seedy". He has a few o… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
I woke up to find my 20 lb beagle chewing on amoxicillin
I woke up to find my 20 lb beagle chewing on amoxicillin pills … read more
Dr Scott Nimmo
Dr Scott Nimmo
Dog Veterinarian
9,704 satisfied customers
I dropped an amoxicillin capsule and my. 50 Pound dog ate
Her name is***** is 4 years old, Hal f terrier and Hal f Corgi. I rescued her three years ago from North Carolina. … read more
Dr. Dan
Dr. Dan
Veterinarian and practice owner
Doctoral Degree
5,375 satisfied customers
How does lymphoma show up in a dogs eyes. Is that even
Not at this time. I am wondering because I thought it was in an entire system… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My chihuahua was given liquid amoxicillin to treat an
my chihuahua was given liquid amoxicillin to treat an infection in his teeth. this was on wednesday. i've noticed that he started looking a little bloated. he's been active..still eating and drinking,… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
She has lymphoma and her lymph nodes in the neck are slowly
she has lymphoma and her lymph nodes in the neck are slowly cutting off her air. I've tried everything. I need to know if there is something out there that can reduce them. She's on prednisone but no … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
My 22 lb schnauzer just ate a 500mg amoxicillin tablet
My 22 lb schnauzer just ate a 500mg amoxicillin tablet prescribed for my larger dog. What should I do?… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,442 satisfied customers
Diagnosed this week with Lymphoma. My dog has arthritis in
diagnosed this week with Lymphoma. My dog has arthritis in her hips and has been on Carprofen and tramodol for years to control pain. Oncologist pulled her off of Carprofen and switched her to Gabapen… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Vomiting and bloody diarrhea after taking Cephalexin for
Vomiting and bloody diarrhea after taking Cephalexin for 21/2days. Had a mass removed one week before. He chewed his stitches out and had to go back and have staples put in. At that time they put him … read more
Dr. Kara
Dr. Kara
Veterinarian
17,111 satisfied customers
Vomiting and bloody diarrhea after taking Cephalexin for
Vomiting and bloody diarrhea after taking Cephalexin for 21/2days. Had a mass removed one week before. He chewed his stitches out and had to go back and have staples put in. At that time they put him … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,236 satisfied customers
Heart disease...he was seen about a month and a half ago.
Heart disease...he was seen about a month and a half ago. He's been losing a lot of weight and I see him wilting away as each day goes on. How do I know when it's time to lay him to rest? I'm not sure… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My english bulldog was diagnosed with lymphoma sarcoma, he
Hi, My english bulldog was diagnosed with lymphoma sarcoma b, he had 3 round of chemo and after 10 days he had a very high fever and labored breathing, we rushed him to the er and his fever went down … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
8,945 satisfied customers
I need a prescription for cephalexin 500 mg for skin
I need a prescription for cephalexin 500 mg for skin infection how can I get that … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,236 satisfied customers
My shar pei was diagnosed with aggressive lymphoma in July.
My shar pei was diagnosed with aggressive lymphoma in July. The vet put him on prednisone and he has been on it for about a month. He has started panting and excessive drooling does that mean the lymp… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
I have a 15 year old Yorkie-Poo with advanced heart disease
I have a 15 year old Yorkie-Poo with advanced heart disease who has been on heart meds for over a year. In June of 2016 the vet said she probably only had another 12 months left so we are already on b… read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,236 satisfied customers
My dog is being treated with amoxicillin for an ear
My dog is being treated with amoxicillin for an ear infection. She now developed a dry cough and the vet prescribed clindamycin. Do I continue with both, or stop the amoxicillin? … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Is a needle aspiration for lymphoma likely to produce a
is a needle aspiration for lymphoma likely to produce a false negative? … read more
Richard Rawling
Richard Rawling
Veterinary Surgeon
BVMS
629 satisfied customers
She was recently diagnosed with lymphoma and leukemia. At
She was recently diagnosed with lymphoma and leukemia. At that time her eye was bleeding, her plateletts were low and she had some other slight bleeding problems. The vet put her on prednisone and tha… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x