home Dogs What to do if a dog has a swollen belly

What to do if a dog has a swollen belly

Accumulation of fluid

Bloating in a dog’s abdomen may be evidence of fluid accumulation in the abdominal cavity. This phenomenon, which is called ascites in veterinary medicine, is dangerous to the pet’s health and requires immediate action. Sometimes its life depends on how quickly the owner of the dog reacts to the situation. Fluid can accumulate against the background of liver and heart problems, as well as injuries.

If, in addition to an increase in the abdomen, the dog breathes heavily, drinks a lot and often goes to the toilet, moves a little, eats poorly, vomits it, and the mucous membranes turn blue, most likely we are talking about ascites. It is not recommended to try to treat this disease on your own. Better, without wasting time, go with your pet to the veterinary clinic.

Lack of physical activity

If the dog spends most of the time at home, lying on its bedding, there is a risk of digestive problems. Organs cease to function normally, gases stagnate and are able to inflate the abdomen, putting pressure on its walls.

A similar problem also arises if you walk your pet after eating. It is necessary to wait a while for the food to be absorbed.

Pyometra treatment

Treatment methods for pyometra again depend on its shape. A closed pyometra involves surgery to remove the uterus and ovaries. This method is considered radical, but the only way to keep the dog alive. Treatment of the open form of pyometra is carried out conservatively and includes the use of antibiotics, hormones and other medications that the veterinarian will prescribe after a detailed examination of the animal.

To prevent this serious disease, owners are advised to periodically check the hormone levels of their pets (especially when it comes to mature individuals). When an elevated progesterone level is already known, the veterinarian prescribes special medications to lower it.

Peritonitis treatment

Regardless of what causes peritonitis, the first thing a veterinarian does is to remove excess fluid from the peritoneum and prescribe a starvation diet to the dog so as not to provoke a second exacerbation. If peritonitis was preceded by intestinal or stomach perforation, then the pet must undergo a laparotomy.

After surgery, dogs are certainly prescribed a course of antibiotics.

Postoperative treatment includes the use of antibiotics to prevent the emergence of foci of infection in a weakened body? and pain relievers to help the dog recover from bouts of pain. In addition to these drugs? often prescribed drugs that improve the work of the heart, and other fortifying medications.

Chronic form

Most veterinarians agree that pet digestion is impaired when dry food is incorrectly selected or the dog eats from a common table. It is because of an unbalanced diet that chronic bloating develops. At the same time, the animal practically does not worry, behaves as usual. But if you do not take action, such a condition is fraught with malfunctions of the pancreas and liver.

How to properly feed your dog after bloating?

During the first 12 hours after fixing a dangerous condition, you should not give your pet food. After that, you can transfer it to a light dietary meal. The pet owner should adhere to these general rules:

  • Completely exclude fermented milk products from the menu until the animal is completely recovered. The fact is that they can easily provoke repeated bloating, which will not be easy to eliminate. Such food is especially dangerous for animals that have recently undergone surgery.
  • Strictly adhere to the recommended serving size for your pet. You need to feed him every hour. As you recover, the intervals between meals can be increased. This issue should be supervised by a veterinarian.
  • Give your pet finely chopped food. In the first days of treatment, the basis of the diet can be boiled rice with a small addition of meat. Gradually, it will be possible to introduce other products into the menu. This food is suitable for pets who have recently undergone surgery.
  • If possible, it is better to transfer the dog to premium ready-made feeds that do not contain prohibited products, while at the same time they contain a lot of nutrients. After your pet has fully recovered, you can easily transfer it to a regular mixture or natural food.

Since bloating can be associated with a variety of dangerous pathologies, it is recommended that a veterinarian picks up food for a sick pet. He must do this taking into account the characteristics of the breed, the existing diseases, the age and weight of the dog. The doctor’s recommendations in the presented case must be strictly observed.

Treatments for bloating

There is no universal treatment for bloating; any veterinarian will prescribe a series of tests to the animal before taking action. The only thing that precedes the examination of the dog is a surgical procedure designed to clean the abdominal cavity.

In-depth information on abdominal distention in dogs

The abdomen contains vital organs such as the stomach and intestines, liver, spleen, pancreas, kidneys, and bladder. It also contains numerous blood vessels, lymphatic vessels and lymph nodes, and the peritoneal cavity itself is lined with a thin special membrane that contributes to the sterility of the abdominal cavity.

swollen, belly

Our recommendations

If you notice that your dog has bloating and you think your dog is sick, call us for a veterinarian consultation. If bloating is due to vomiting or loss of consciousness, call immediately. These symptoms can be life-threatening for the animal.

Bloating in a dog

Abdominal distention is an abnormal enlargement of the abdominal cavity. This term is commonly used by veterinarians to describe the problem of excessive enlargement of the abdomen in dogs due to causes other than simple obesity.

One cause of bloating in a dog is fluid buildup. These can be different types of fluids, such as blood from internal hemorrhage (bleeding), urine from fissures in the bladder, exudate (cellular fluids like pus) from infection, as is the case with infectious peritonitis, and transudates (clear fluids ) that seep from the vessels.

Expansion of any abdominal organ can be another cause of bloating. This can be the liver, kidneys, or spleen. Expansion of the stomach with air (“bloating”) or liquid, or distension of the uterus during pregnancy can lead to bloating.

Tumors in the abdomen can also cause bloating in the abdomen. The tumor can be malignant (invasive cancer) or benign (abnormal, but not spreading to other tissues). A tumor can form in any part of the abdomen, including the intestines or lymph nodes (glands).

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Another cause may be a loss of abdominal muscle tone, with or without significant weight gain, and this can also lead to abdominal distension.

Very often we hear such stories: went out for a walk with the dog on the street, returned home, fed the dog and suddenly its hind legs gave up, the stomach began to swell and vomiting began (or there was an urge to vomit). The dog’s condition began to deteriorate rapidly and after an hour or two the dog cannot move independently.

The resulting pressure in the abdomen puts pressure on the sternum, which can make breathing difficult, and as a result, excessive pressure in the abdominal cavity can lead to a decrease in appetite. NOTE. It is very important for dog owners to recognize early abdominal distention as this can be a potentially life-threatening symptom and should be investigated carefully by a veterinarian.

When your dog has a swollen belly and you, not knowing what to do, are looking for advice on this topic on the Internet on the forums, we recommend not to self-medicate and experiment on your beloved pet. The fact is that there are many reasons for bloating in an animal, and the consequences of your experiment can disappoint you and your family.

Treating bloating in dogs

Of course, treatment for bloating depends on the underlying cause (diagnosis).

  • Abdominocentesis, or drainage of fluid from the abdominal cavity. If bloating causes pressure on the diaphragm (the membrane that separates the abdomen and lungs), which is accompanied by impaired breathing. In this case, fluid can be pumped out of the abdominal cavity with a needle. Accumulation of fluid that does not interfere with breathing is not removed.
  • Diuretics. Some types of fluid accumulation in the dog’s abdomen may be reduced by the administration of diuretics, which increase urination.
  • Surgical intervention. There are several reasons why bloating requires surgery (abdominal injuries, rupture).

How to call a veterinarian at home?

In order to call a veterinarian, you need:

  • Call the operator using the numbers indicated in the Contacts section;
  • Tell what happened to the animal;
  • Provide the address (street, house, front door, floor) where the veterinarian will arrive;
  • Specify the date and time of the doctor’s arrival

Call the veterinarian at home and he will definitely help you.

What diagnostics may be required to correctly diagnose bloating in a dog.

Veterinary care should include diagnostic tests to determine the cause of the abdominal distention and provide information to the owner, from which recommendations for treatment or care of the dog can be developed. Manipulations that a veterinarian may wish to perform include:

  • Complete medical history and examination
  • Abdominal radiographs (X-rays)
  • Abdominal ultrasound
  • Abdominocentesis (removal of fluid from the abdomen with a needle)
  • Thoracic radiographs (chest x-ray)
  • Blood tests such as biochemistry, complete blood count (CBC), and TP (total protein)
  • Analysis of urine
  • biopsy

Other specific tests that determine the condition and functionality of the liver or biopsy of affected tissues or organs.

What usually happens to a dog. Visible signs. Veterinarian advice.

  • Very rapid enlargement of the dog’s abdomen. Consider this visible sign as a medical emergency, especially if it is accompanied by vomiting, sudden weakness, or loss of consciousness in the dog.
  • Bloating that occurs from days to weeks. This condition also requires immediate veterinary attention.
  • Slow enlargement of the abdomen (belly). This condition requires more research if it is accompanied by loss of muscle mass or obesity in other parts of the body, decreased appetite, vomiting or diarrhea, changes in urinary habits, or decreased activity levels.

Causes of bloating in dogs

Abdominal distention can be caused by accumulation of fat, accumulation of fluid in the abdominal space, enlargement of the abdominal organs, or weakness of the abdominal muscles. Fluids that cause abdominal distension can be blood, urine, exudate, transudate, or any combination of these.

The reasons for these different types of peritoneal fluids in a dog are listed below:

Blood can fill the abdomen due to trauma, damage to blood vessels, normal inability to form blood clots, or tumors that rupture organs.

Urine can fill the abdomen and cause bloating. A ruptured bladder is usually the result of an animal’s injury (such as being hit by a car).

Exudates are cellular fluids. These types of fluids are often the result of an infection in the abdomen. A dog’s body can produce exudate in response to a bacterial infection that gets into the dog’s body as a result of a penetrating injury or rupture in the gastrointestinal tract. Such a course of events can occur as a result of the ingress of a foreign body, which “breaks” its way through the intestines. Exudation may also be associated with abdominal cancer (neoplastic effusion) or as a result of obstruction of lymphatic drainage (chyloid discharge). Lymphatic fluids are fluids that surround cells and are collected and transported by the lymphatic vessels into the bloodstream.

Transudates are clear fluids that do not contain many cells or protein, which appear in the peritoneum as a result of pressure resulting from blocking normal blood flow or from a decrease in the protein in the blood that holds water in the blood. Examples of processes that can cause transudates:

  • Right-sided heart failure, in which blood is “clogged” in the vessels and therefore cannot easily enter the heart. Congenital heart defects, cardiovascular disease (cardiomyopathy), arrhythmias (abnormal electrical activity of the heart), and pericardial disease are also potential causes of right-sided heart failure in dogs. However, heart failure is a very uncommon cause of abdominal fluid buildup in dogs.
  • Cirrhosis or fibrosis of the liver also causes changes in pressure in the blood vessels in the abdomen. In addition, cirrhosis leads to liver failure. When the liver gets sick, it doesn’t make the normal amount of albumin (a protein in the blood).
  • Loss of albumin through the kidney (or gastrointestinal tract) can lead to very low albumin levels. When albumin levels are too low, fluid is not retained in the blood and can therefore leak into the abdomen. Very rare in dogs.

Enlargement of any abdominal organ can cause bloating. Enlargement of the liver, kidneys, or spleen may be due to obstruction of fluid flow (blood flow or urine flow) or cell infiltration (cancer or leukemia cells or inflammatory blood cells).

Other causes of bloating that are not caused by fluid buildup include:

  • Distension of the stomach caused by gas (bloating) or distension of the uterus during pregnancy
  • Tumors in the abdomen, which may be malignant (invasive cancer) or benign, and may include any of the abdominal organs, including the intestines or glands
  • Loss of abdominal muscle tone with or without significant weight gain

Treating bloating in dogs at home

If signs of bloating appear, the pet owner needs to do the following:

  • Feel the stomach, determine where it is swollen most. If during this manipulation you hear noises similar to the crunching of snow, consult a doctor immediately. This condition indicates the development of peritonitis.
  • Limit access to food and water.
  • Give the dog 5-10 activated charcoal tablets for bloating.
  • With constipation, the beast can be helped at home with folk remedies. You should give him 5 tablespoons of vegetable oil. Further self-medication is not necessary, as it can harm your four-legged friend. The situation should be monitored by a doctor.

Further measures to save the dog are selected in accordance with the reasons for the bloating:

  • Surgical treatment is prescribed for peritonitis, volvulus, and uterine suppuration. After the operation, the pet is prescribed a strict diet, antibiotics, complete rest.
  • With ascites, excess fluid is pumped out of the abdominal cavity. In the future, drug therapy is prescribed, aimed at stopping the cause of bloating.
  • With helminthiasis, an antiparasitic treatment of the pet is carried out. It can be done at home. Drugs against worms are recommended to be taken not only by a sick animal, but also by other animals living in the same apartment or private house.
  • If a large amount of gases has accumulated in the animal’s stomach, they are removed using a special probe. In some cases, a puncture of the abdominal wall is performed. To eliminate pain syndrome, antispasmodics, analgesics are prescribed.
  • When the blood thickens, the pet is prescribed droppers with saline.
  • Accumulation of masses in the stomach may require catheterization or minimally invasive surgery. Only a highly qualified doctor can treat the beast, since with this technique, there are high risks of trauma to internal organs, for example, the spleen.
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With a timely visit to the doctor, the prognosis for the pet is positive. As a rule, in one visit, it is possible to eliminate the cause of the bloating, as well as prevent its reappearance. Only with peritonitis, purulent inflammation of internal organs and volvulus of the stomach remain high risks of complications and death of the pet. In this situation, only competent treatment, adherence to the doctor’s prescriptions and a quick response to any deterioration in the dog’s condition can save his life.

Prevention of bloating

In order to prevent gastric bloat, it is recommended to feed the dogs after a walk, especially if active games or training are planned. Portion should be moderate.

swollen, belly

It is also recommended for large and giant breeds of dogs to carry out preventive gastropexy, stomach hemming.

Avoid gas-forming foods in the dog’s diet: sweet, starchy foods, cabbage, legumes.

Perform deworming (worming treatment) regularly. Best of all, drugs such as Drontal, Kanikvantel, Milbemax, Milprazon, Endogard, Pratel, Cestal, Prokoks cope with this. Processing should be carried out 3-4 times a year.

For the prevention of other conditions, it is recommended to carry out an annual medical examination of the dog, especially after 5 years. It includes a general and biochemical blood test, ultrasound of the abdominal cavity, pressure measurement, urine and feces examination.

To enlarge the picture, click on it

Accumulation of fluid

Dropsy of the abdominal cavity

Bloating in a dog’s abdomen may be evidence of fluid accumulation in the abdominal cavity. This phenomenon, which is called ascites in veterinary medicine, is dangerous to the pet’s health and requires immediate action. Sometimes its life depends on how quickly the owner of the dog reacts to the situation. Fluid can accumulate against the background of liver and heart problems, as well as injuries.

If, in addition to an increase in the abdomen, the dog breathes heavily, drinks a lot and often goes to the toilet, moves a little, eats poorly, vomits it, and the mucous membranes turn blue, most likely we are talking about ascites. It is not recommended to try to treat this disease on your own. Better, without wasting time, go with your pet to the veterinary clinic.

Why does the dog have a swollen belly: defeat by worms

Flatulence is not the only reason a dog has a bloated stomach after eating. Worms are a common disease in pets. If there are too many of them, they cause disruption of the digestive tract, bloating. The structure of the blisters is unclear, heterogeneous. Sometimes parasite infestation is noticed late, because symptoms appear if they do not have enough food. Signs:

  • No weight gain, although the dog eats a lot.
  • Loves fatty foods, asks for sweets.
  • Traces of parasites in the feces.
  • Bloating on the abdomen and sides.

We urgently need to carry out deworming by giving a remedy from a veterinary pharmacy. A complete course is mandatory! Further, after the cure, prophylactic treatment is carried out once every 3 months, with all pets.

The dog’s belly is swollen and is breathing heavily. Bloating in a dog. causes and what to do

4,529 pet owners read this article

Abdominal distention is an abnormal enlargement of the abdominal cavity. This term is commonly used by veterinarians to describe the problem of excessive enlargement of the abdomen in dogs due to causes other than simple obesity.

One cause of bloating in a dog is fluid buildup. These can be different types of fluids, such as blood from internal hemorrhage (bleeding), urine from fissures in the bladder, exudate (cellular fluids like pus) from infection, as is the case with infectious peritonitis, and transudates (clear fluids ) that seep from the vessels.

Expansion of any abdominal organ can be another cause of bloating. This can be the liver, kidneys, or spleen. Expansion of the stomach with air (“bloating”) or liquid, or distension of the uterus during pregnancy can lead to bloating.

Tumors in the abdomen can also cause bloating in the abdomen. The tumor can be malignant (invasive cancer) or benign (abnormal, but not spreading to other tissues). A tumor can form in any part of the abdomen, including the intestines or lymph nodes (glands).

Another cause may be a loss of abdominal muscle tone, with or without significant weight gain, and this can also lead to abdominal distension.

Very often we hear such stories: went out for a walk with the dog on the street, returned home, fed the dog and suddenly its hind legs gave up, the stomach began to swell and vomiting began (or there was an urge to vomit). The dog’s condition began to deteriorate rapidly and after an hour or two the dog cannot move independently.

The resulting pressure in the abdomen puts pressure on the sternum, which can make breathing difficult, and as a result, excessive pressure in the abdominal cavity can lead to a decrease in appetite. NOTE. It is very important for dog owners to recognize early abdominal distention as this can be a potentially life-threatening symptom and should be investigated carefully by a veterinarian.

When your dog has a swollen belly and you, not knowing what to do, are looking for advice on this topic on the Internet on the forums, we recommend not to self-medicate and experiment on your beloved pet. The fact is that there are many reasons for bloating in an animal, and the consequences of your experiment can disappoint you and your family.

Treating bloating in dogs

Of course, treatment for bloating depends on the underlying cause (diagnosis).

  • Abdominocentesis, or drainage of fluid from the abdominal cavity. If bloating causes pressure on the diaphragm (the membrane that separates the abdomen and lungs), which is accompanied by impaired breathing. In this case, fluid can be pumped out of the abdominal cavity with a needle. Accumulation of fluid that does not interfere with breathing is not removed.
  • Diuretics. Some types of fluid accumulation in the dog’s abdomen may be reduced by the administration of diuretics, which increase urination.
  • Surgical intervention. There are several reasons why bloating requires surgery (abdominal injuries, rupture).

If you notice that your dog has bloating and you think your dog is sick, call us for a veterinarian consultation. If bloating is due to vomiting or loss of consciousness, call immediately. These symptoms can be life-threatening for the animal.

How to properly feed your dog after bloating?

During the first 12 hours after fixing a dangerous condition, you should not give your pet food. After that, you can transfer it to a light dietary meal. The pet owner should adhere to these general rules:

  • Completely exclude fermented milk products from the menu until the animal is completely recovered. The fact is that they can easily provoke repeated bloating, which will not be easy to eliminate. Such food is especially dangerous for animals that have recently undergone surgery.
  • Strictly adhere to the recommended serving size for your pet. You need to feed him every hour. As you recover, the intervals between meals can be increased. This issue should be supervised by a veterinarian.
  • Give your pet finely chopped food. In the first days of treatment, the basis of the diet can be boiled rice with a small addition of meat. Gradually, it will be possible to introduce other products into the menu. This food is suitable for pets who have recently undergone surgery.
  • If possible, it is better to transfer the dog to premium ready-made feeds that do not contain prohibited products, while at the same time they contain a lot of nutrients. After your pet has fully recovered, you can easily transfer it to a regular mixture or natural food.
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Dog Bloated Stomach Home Remedies

Since bloating can be associated with a variety of dangerous pathologies, it is recommended that a veterinarian picks up food for a sick pet. He must do this taking into account the characteristics of the breed, the existing diseases, the age and weight of the dog. The doctor’s recommendations in the presented case must be strictly observed.

What to do if your dog has bloating? Causes and treatment

What diagnostics may be required to correctly diagnose bloating in a dog.

Veterinary care should include diagnostic tests to determine the cause of the abdominal distention and provide information to the owner, from which recommendations for treatment or care of the dog can be developed. Manipulations that a veterinarian may wish to perform include:

  • Complete medical history and examination
  • Abdominal radiographs (X-rays)
  • Abdominal ultrasound
  • Abdominocentesis (removal of fluid from the abdomen with a needle)
  • Thoracic radiographs (chest x-ray)
  • Blood tests such as biochemistry, complete blood count (CBC), and TP (total protein)
  • Analysis of urine
  • biopsy

Other specific tests that determine the condition and functionality of the liver or biopsy of affected tissues or organs.

Pyometra

Purulent inflammation of the uterus of unsterilized animals. During “empty” heat, the cervix opens slightly, which can serve as an “entry ticket” for infection. In addition, regular hormonal disruptions weaken the immune system. As a result, in the uterine cavity, the inflammatory process begins and the formation of pus.

Exudate, over time, completely fills the uterus, stretching its walls, leaks from the loop. Bloating in small-breed dogs or a bulging “hematoma” in large dogs, elevated body temperature, uncontrolled water intake and purulent discharge from the genitals indicate pyometra. Treatment most often involves removing the uterus.

Dog bloated stomach home remedy | Dog Stomach Swelling: Causes and Treatment

Causes and Ways to Eliminate Bloating in Dogs

Endless dysbacteriosis and bloating have become everyday human companions. Recently, the uncomfortable ailment has become a popular diagnosis among smaller brothers. Bloating in a dog is a multifaceted symptom that indicates an inappropriate diet at best, an incurable disease at worst.

Other Causes of Bloating in Dogs

The first thing that the veterinarian will ask when complaining of bloating is how long have the worms been “driven”? As a preventive measure, dogs are supposed to be dewormed every 3 months, if the procedure is missed or the pet is taken from the street. worms are guaranteed to be damaged! Within 8-12 months, the parasites grow and multiply, curling up into a ball, which is constantly increasing in size. “Concubines” stretch the walls of the peritoneum, which visually looks like bloating, especially in small dogs.

Bloating, in the classic sense

Dogs, by their nature, are predators and flour, sweet and other foods containing “fast” carbohydrates are alien to their digestion. By pampering your pet with a slice of pizza or bun, you interfere with the “normal” metabolism. All foods, including vegetables, which provide “fast energy”, induce the fermentation process.

The bacteria that ferment love sugar. Eating carbohydrates, microorganisms release gas, which collects in bubbles and rises. The longer food is digested, the more gas accumulates in the cavity of the stomach and intestines. A strong dog that has eaten a little “harm” gets rid of the trouble naturally. through the anus.

Need to know! In medicine and veterinary medicine, the process of removing gases from the intestine is called flatulence.

What if the dog is constantly “puffy”? At the initial stage, you can help the pet yourself. Your goals:

  • Reduce the pressure of gases on the abdominal wall. we give children’s drugs for bloating (Espumisan and analogues).
  • To activate the intestinal microflora. Hilak Forte or an analogue. At the rate of 5 drops per 5 kg of weight.
  • Remove puffiness and irritation. Smecta, Enterosgel.
  • Gently cleanse the intestines. Duphalac or equivalent.

Note! If you have the opportunity to purchase special veterinary drugs for bloating or show your dog to a doctor. use it! The instructions described above apply to situations where there are no alternatives.

Did it help? Well! Reconsider the dog’s diet again, eliminate the product that did not fit the pet by elimination. If your dog’s symptoms of bloating get worse:

  • Profuse drooling appeared.
  • The belly is puffed up strongly, the dog strains its hind legs, whines.
  • Unsuccessful vomiting is observed. If the dog starts vomiting. watch, to prevent dehydration, drink Rehydron. The pet pulled out 1-2 times and it became easier. the body itself found a way out of the situation. Vomiting repeated more than 4 times a day, the masses have a strong putrid odor, yellow color or foam strongly. to the veterinarian!

You have failed to reduce or relieve bloating in your dog within 24 hours, which means you can’t wait any longer. Stretching, the stomach and intestines displace the ligaments that fix the internal organs. Going out for a walk, jumping off the couch, climbing the stairs, the dog can provoke a change in the position of the stomach or intestines in the abdominal cavity. volvulus.

Important! Volvulus of the intestines or stomach is an acute condition requiring urgent surgical intervention!

Peritonitis

Acute inflammatory process, accompanied by the release of fluid, blood or pus into the abdominal cavity. The reasons are so varied that it is impossible to list them completely. from trauma to exacerbation of a “hidden” chronic disease. Do not try to guess how to treat peritonitis, especially do not diagnose yourself! The dog has a chance to survive, with a comprehensive examination and timely professional assistance.

Ascites

Not a disease, but a consequence. fluid constantly accumulates in the abdominal cavity of the animal. an effusion from the surrounding tissues. A dog chronically suffering from diseases of the heart, kidneys, lungs, liver, any system or organ, eventually “comes” to ascites or death. The root cause of ascites is difficult to identify, years pass before its appearance, and at the time of detection, the heart, liver and kidneys are “worn out” to an extreme degree.

often than not, the owner is encouraged to consider the option of euthanasia. The second option prolongs the life of the pet, but requires lifelong home treatment and regular visits to the veterinarian. Fluid is pumped out of the abdominal cavity of the dog and complex supportive therapy is performed. Depending on the efficiency of the heart, with enhanced treatment, the dog can live 2-12 months, cases of remission are practically not encountered.

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