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Richard Rawling
Richard Rawling,
Category: Dog
Satisfied Customers: 731
Experience:  Veterinary Surgeon at Tameside Veterinary Clinic
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I am from India. My dog is under treatment for heart

Customer Question

Hi! I am from India.
JA: I'll do all I can to help. What is wrong with the dog?
Customer: My dog is under treatment for heart ailment, DCM n CHF, from the past two years. One month back he developed lack of appetite. FOR DOING ROUTINE investigations, his SGPT is 166 n serum creatinine 1.9, after these reports vet put him on T. Phosphadityl choline. Initially he ate for few days but again there's lack of interest in food. In our society 2-3 female dogs are on heat period. Now can it be due to female dogs that he's not eating properly? I got his test done 2weeks back. BTW can u suggest me medicine or further investigations that need to be done.
JA: The Veterinarian will know if your dog will be able to digest that. What is the dog's name?
Customer: Sasha
JA: Is there anything else important you think the Veterinarian should know about Sasha?
Customer: He's neutered
Submitted: 2 months ago.
Category: Dog
Expert:  Richard Rawling replied 2 months ago.

Hi, i`m Richard, a Veterinarian from the UK. Hopefully I can help today.

Expert:  Richard Rawling replied 2 months ago.

What medication is your dog currently receiving? What investigations has he had done so far?

Customer: replied 2 months ago.
He's under treatment for myxomitral valve disease. Tab. Rami oral 20mg B.D, tab pimobendan 5mg by, tab Lasix 40mg by, tab diltiazem 30mg bd
Expert:  Richard Rawling replied 2 months ago.

has he had an ultrasound scan to confirm the diagnosis?

Customer: replied 2 months ago.
For raised sgpt (116) he's taking liver supplement tab. Phosphadityl choline with vitamins E n zinc. He had undergone routine blood test for decreased appetite. I didn't get the ultrasound. As for that I need to take him to another city. His serum creatinine is raised. As far as heart ailment goes he had undergone blood test, egg, echo n chest x ray.
Expert:  Richard Rawling replied 2 months ago.

echo is a heart ultrasound so it sounds like he has had a thorough work up. Do you have specific concerns regarding his treatment. As for his meds and investigations, it sounds like your vet has done a very thorough job. My staple treatments for these cases are pimobendan and lasix, occasionally diltiazem or fortekor if they are not coping well.

Customer: replied 2 months ago.
Right now my concern is about his decrease appetite. He's not liking food at all. Last time when we got his blood test done i.e two weeks back his sgpt - 116 and serum creatinine :1.9 was raised. From the past two weeks he's on liver supplement. He has shown improvement but since yesterday not eating again. Moreover there are few bitches in our area who are on heat, can his decrease appetite be due to this? Or do we need to get any investigation done or can we give him some other supplement? Because of this it's getting difficult to give him medicines for heart ailment. Place where I live don't have good version, have to travel to another city. Kindly help
Customer: replied 2 months ago.
Vets *
Expert:  Richard Rawling replied 2 months ago.

My apologies. I have misunderstood and thought you were concerned about his heart treatment.

Yes, we can often be in this situation with these patients. They are often on such a cocktail of meds and the very fact that the meds are in the food can put them off it. Do you have any problems giving him the pimobendan before food?

You are right, bitches in heat can dramatically affect local males so this could be a factor also.

Customer: replied 2 months ago.
I tried giving him pimobendan before food but it made him vomit few times. What can we do now with his decrease appetite? But I will try giving him pimobendan before meals.
Expert:  Richard Rawling replied 2 months ago.

If it makes him vomit on an empty stomach, he is better having it with food. It is claimed to have better absorption on an empty stomach but that is of little use if he is not keeping it down. I would try and limit his medications initially. Maybe try and stick to his pimobendan and lasix with his meals initially. If he is eating better then try and give him the other meds after he eats. This will help tell if he has reduced appetite simply to avoid the meds in his food.

If his appetite remains reduced, especially if he has vomiting episodes, it would be worth ahving his blood work checked again to make sure his liver issues are not worsening.

You can try offering a light diet which is tasty to try and encourage him to eat - plain boiled chicken and rice, a little scrambled egg, plain white fish or light cottage cheese.

Expert:  Richard Rawling replied 2 months ago.
Hi,

I'm just following up on our conversation about your pet. How is everything going?

DrRawlingVet