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My 13 yr old lhasa mix dog was diagnosed with a level 3

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My 13 yr old...

My 13 yr old lhasa mix dog was diagnosed with a level 3 heart murmur via stethoscope. Having panting & coughing symptoms. Lower activity. Have had thoracic x-rays and blood work. He has increased appetite & thirst, weight gain & pxoofy belly. Those symptoms & tests indicate cushings disease. My sister is a vet in Arizona. I'm in Florida. When she looked at the x-rays & reports, which she also sent to vet friend at University of Washington, they felt he has signs of cardiopulmonary disease, hypertension lungs. They feel we should get echocardiogram done for further info. They said treating heart & lung disease is lots less monet than cushings, and that cushings can just kind of sit there as treating won't increase or improve his quality of life much. Treating heart & lungs would improve lifespan & quality of life, and that meds for that aren't super expensive. Do you think cost of echo is warr as noted? His trachea is collapsing also, some heart enlargement. They said pulmonary hypertension is tricky to diagnose & not everyone who does echos would catch it. Do you know as none in Tampa Bay area qualified for this? Thanks. Elaine

Veterinarian's Assistant: I'll do all I can to help. Problems with drinking can be serious. I'm glad you noticed it. The Expert will know what to do. What is the dog's name?

Spunky

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

He takes rimadyl, nexgard, hear guard, and apoquel. He drinks lots of water & acts like he's ravenous, linking floor, empty bowl, getting in trash etc. He gets coughing some

Submitted: 10 months ago.Category: Dog
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Answered in 6 minutes by:
9/27/2017
Dog Specialist: Scott Perry, Veterinarian replied 10 months ago
Scott Perry
Scott Perry, Veterinarian
Category: Dog
Satisfied Customers: 3,591
Experience: DVM
Verified

Hello. My name is***** and I am a veterinarian that can answer your question. I understand Spunky has a grade 3 heart murmur, enlarged heart, possible pulmonary hypertension, possible Cushing's disease, and a collapsed trachea. Your question is whether or not an echocardiogram (i.e. ultrasound of the heart) is justified based on these problems. Is that a correct summary of your question?

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