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She has a collapsed trachea. She is not overweight at all.

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She has a collapsed...

She has a collapsed trachea. She is not overweight at all. She has been on temaril p for over a year now, a small dose but symptoms are worsening. She is also on a small dose of lortab.

Veterinarian's Assistant: I'll do all I can to help. The Expert will know what to do. What is the dog's name and age?

Miss Baker and she is a o year old Pom

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about the dog?

9

Submitted: 7 months ago.Category: Dog Veterinary
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Answered in 6 minutes by:
1/3/2018
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 7 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 35,544
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 7 months ago

I'm sorry to hear of this with Miss Baker. There are quite a few of additional considerations for her. Please review my synopsis of collapsing trachea and then return to our conversation with additional questions or concerns if you wish...

Treatment for collapsing trachea is multimodal. It consists of cough suppressants, antiinflammatory medication (the steroids), 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 supplemental oxygen and the judicious use of sedatives and cough suppressants such as acepromazine and butorphanol respectively. Butorphanol is a narcotic antitussive which can lessen acute severe cough and respiratory distress. 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 leads to decreased lung expansion and increased breathing effort; antitussives which help reduce irritation or damage to the tracheal epithelium from chronic cough such as butorphanol, hydrocodone, or diphenoxylate hydrochloride and atropine; antiinflammatory therapy to decrease larygneal or tracheal inflammation - steroids should be tapered and discontinued after 5-7 days of use, however; bronchodilators may benefit dogs with intrathoracic - within the chest cavity - collapse or expiratory effort that doesn't improve with inital therapy - terbutaline, albuterol, and theophylline are bronchodilators to consider; and, finally, surgical stenting in the most severely affected dogs.

Feel free to share our conversation with Miss Baker's vet. Her prognosis for survival is good. With appropriate therapy most dogs show improvement but with varying degress of persistent symptoms. The prognosis for cure is poor because collapsing trachea is irreversible and progressive.

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