Thank you for your patience. Holt's combination of symptoms is definitely concerning here, and while these could all be related, it is less likely. It is good to hear he is up to date with his vaccinations, but even so, kennel cough is a combination of different virii and bacteria and we can't vaccinate for all of them, so that could certainly be the cause here. Other possible causes include anything from a primary lung infection, heart or lung worm (hopefully he is up to date with treatment), a foreign body, or even a primary cardiovascular issue (which may also explain the swollen abdomen). The swollen abdomen itself could be related to the surgery, related to his bladder repair, or due to some other issue including anything from an enlarged organ, to constipation. Whatever the case, the immediate concern is how Holt is doing right now. If he is off food or not drinking properly, or if his breathing seems to be particularly affected, then you really should do what you can to get him seen tonight.
Hopefully he isn't too bad right now in which case getting him seen tomorrow by your regular vet (ideally the surgeon), is the next best step. Here they can carefully palpate his abdomen and take a fluid sample if fluid is felt in the abdomen. They may opt for an ultrasound to ensure the recovery and healing is going well and that this abdominal enlargement isn't related to the at. Likewise, they will also have a very careful listen to Holt's chest and palpate his throat to rule out some out some of the potential causes listed above.
For tonight, please keep a close eye on his mucus membranes, capillary refill time and respiratory rate as follows:
Mucus membranes - flip his lip and look at the color of his gums. They should maintain a nice salmon pink color. Get him to the emergency Vet if they appear white or very pale pink, or if they are a dark deep red color.
Capillary Refill time - this measures blood perfusion and test this by putting your thumb on his gum to apply pressure. After you release your thumb you will see the gum blanch. Capillary refill time is the amount of time it takes (in seconds) for the gum to return to a healthy pink color from the blanched white color. If 2 seconds or less don't worry - if it is taking significantly more time, again - off to the emergency Vet.
Respiratory Rate - if he is continuously panting throughout the night, this is a sign of shock and or pain and a signal for a trip to the emergency Vet.
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