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My Bichon has been coughing for months. He has been on

Customer Question
My Bichon has been...

My Bichon has been coughing for months. He has been on antibiotics, antihistamine and ah earth medicine. Nothing is helping. His stomach is super hard and when I push on it he coughs.

Veterinarian's Assistant: I'm sorry to hear that. Coughing can be worrying. The Expert will know what you should do. What is the dog's name and age?

Pilgrim and he is 12.

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

The vet took blood and exrays, but no valley fever and they said his heart looked okay. I have changed foods thinking it was a food allergy, but that didn’t change anything. He seems fine. I can send some videos of him coughing.

Submitted: 8 months ago.Category: Dog
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Answered in 1 hour by:
11/10/2017
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 8 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 34,823
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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Dog Specialist: Dr. Michael Salkin, Veterinarian replied 8 months ago

I'm sorry to hear of this with Pilgrim. Have his X-rays been reviewed by a specialist veterinary radiologist whom most us have on retainer for evaluating our films? Something is being missed. Dogs don't chronically cough at his advanced age unless conditions such as congestive heart failure, chronic sterile bronchitis, collapsing trachea/main stem bronchi, heartworm disease, pneumonias (bacterial, fungal), advanced cardiac disorders, or neoplasia are present in his lungfields.

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Customer reply replied 8 months ago
Just the vet looked at his exrays
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 8 months ago

Thank you. I would ask for them to be reviewed. The cost to you is usually minimal and the value of doing so can be immeasurable. I'm also concerned that his stomach is "super hard" which can indicate an abdominal effusion - free fluid in the abdominal cavity. When found concurrent with chronic coughing both right- and left-sided heart congestive heart failure are the most important considerations. Coughing when you press on an effusive abdomen suggests that you're producing a fluid wave which then irritates his diaphragm resulting in coughing. Please continue our conversation if you wish.

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