Experienced and professional animal trainer provide their insights in answering this question :
A. Heartworms are a concern in certain parts of the world, such as the USA and warmer parts of Canada, South America, Australia, Southern Europe, Japan, South East Asia and the Middle East. They are transmitted by mosquitoes sucking blood from an infected host and then passing the developed larvae onto a new host through a mosquito bite.

The mature heartworms can be up to 1ft long and can live for 5-7 years in dogs and 2-3 in cats. They live in the heart, lungs and associated blood vessels. The heartworms can cause lung disease, heart failure and even lead to death. Even after having removed the worms, the pet can still be left with damage to these areas.

Symptoms of heartworm infestation include coughing, weight loss, decrease in appetite and lethargy. In severe cases you may also notice pale gums, dark urine and laboured breathing, due to sudden blockages of blood flow produced by large numbers of worms.

Prevention is much better than the cure, and if you live in an area where heartworm is prevalent you should treat monthly year round. If you are unsure if it is a problem in your area, I suggest you ask your local vet. Also, your vet will be able to advise you about the most effective treatments available to you.

Treatment depends on the level of infestation and the veterinarian’s preferences. The pet will need to be stabilized before treatment can begin and exercise should be kept to an absolute minimum. In severe cases, surgical removal of the worms may be required.

How to Identify Common Pet Problems ?

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Melarsomine dihydrochloride (available under the trade names Immiticide and Diroban) is an arsenic-containing drug that is FDA-approved to kill adult heartworms in dogs. It`s given by deep injection into the back muscles to treat dogs with stabilized class 1, 2, and 3 heartworm disease.
An injectable drug, melarsomine (Immiticide®), is given to kill adult heartworms. Melarsomine kills adult heartworms in the heart and adjacent vessels. This drug is administered in a series of injections. Your veterinarian will determine the specific injection schedule according to your dog`s condition.
No one wants to hear that their dog has heartworm, but the good news is that most infected dogs can be successfully treated. The goal is to first stabilize your dog if he is showing signs of disease, then kill all adult and immature worms while keeping the side effects of treatment to a minimum.
Prognosis: heartworm treatment success rates

With the three-dose adulticide protocol described above, in conjunction with doxycycline and macrocyclic lactones as recommended by the American Heartworm Society, 98% of dogs will be cleared of heartworm infection.

Heartworm disease is dangerous and isn`t something to treat by yourself. You can treat your dog at home, but make sure you get help from a holistic vet or herbalist. You can find a holistic vet at ahvma.org or a homeopathic vet at theavh.org. Many will do phone consults, so they don`t have to be local.
Average Cost of Treatment. The average cost of heartworm treatment for dogs is often around $1,000. However, it can range from $500 to $1,100 or even more depending mainly on the size of your dog, veterinary bills, and the stage of the disease.
Dogs with heartworm disease can live high-quality lives as long as they are given appropriate care. After completing treatment and following your veterinarian`s recommenda- tions on heartworm disease testing and prevention, the chances of any long-term effects are very low.
Heartworm treatment is a process carried out through 4-6 months. During heartworm treatment the patient must stay confined while the heartworms are dying off to prevent embolisms and other health risks.
Signs of heartworm disease may include a mild persistent cough, reluctance to exercise, fatigue after moderate activity, decreased appetite, and weight loss. As heartworm disease progresses, pets may develop heart failure and the appearance of a swollen belly due to excess fluid in the abdomen.
How long after heartworm treatment can a dog be active? According to Dr. Marteney, your dog will have to wait about six months after his diagnosis before he can get back to all his favorite activities.
Because heartworms must be eliminated before they reach this adult stage, it is extremely important that heartworm preventives be administered strictly on schedule (monthly for oral and topical products and every 6 months or 12 months for the injectable).
Most dogs can be safely leash-walked during the treatment recovery period and providing appropriate chew toys can help relieve some of that stored up physical energy.
Slow Kill Method

While not generally recommended, another method of handling heartworms is to only attack the microfilaria, leaving existing adult heartworms to die of natural causes. This is known as the slow kill method. It`s cheaper and does not require a rest period and debilitating adulticide.

Ivermectin does not kill adult heartworms. Ivermectin does shorten the lifespan of adult heartworms. Ivermectin does sterilize adult heartworms. Ivermectin does kill microfilaria (keeping the dog from being a source of contagion) • Ivermectin does kill L3 and L4 larvae (preventing new infections).
Although Heartgard and other heartworm medicines require a prescription, at PetMeds®, we make the ordering process easy. Our pharmacy department will verify your pet`s prescription for you by calling or faxing your veterinarian.
Treatment for stages 1-2:

Prednisone is a corticosteroid that will help reduce blood clots in the lungs, and doxycycline is an antibiotic that will kill the bacteria living inside the heartworms. One or two months after this course is started, your veterinarian will administer a drug called melarsomine.

Six months after they bite your dog and inject those larval microfilariae heartworms into your dogs, it takes that six months for them to develop into that adult worm. So generally, it`s anywhere from six to 12 months after they`ve been bitten; you may start noticing signs in your pet.
Discussion. Hemoptysis (expectoration or coughing up of blood) has been reported as a consequence of severe heartworm infection in dogs,2-6 although it remains a relatively uncommon finding. Even fewer reports exist of dogs coughing up or vomiting up adult heartworms.
Even if heartworm infection is treated, we all know it does serious, permanent damage to the body.
Allowing vigorous activity at any time in these 8 weeks can cause the weakened heartworms to shatter, causing a clot of worm fragments that blocks off blood flow to the lungs, brain, or other organs (“shaking the tree” phenomenon). This causes a stroke or sudden death.
Heartworm prevention

Puppies can begin heartworm preventative medication from as young as 6/8 weeks old. If your pup is a little older (age 6 months plus) it is important that she is given a heartworm test before preventative medication is given.

Heartworm disease is a serious and invisible threat to dogs. Unlike fleas and ticks, you can`t see heartworms on your dog. By the time heartworm symptoms become apparent, it`s often too late for the dog to make a full recovery.
Symptoms of heartworm disease can include:

Weight loss. Sudden collapse. Increased thirst (due to kidney disease)

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. My cat is excessively scrstching herself., to the point she has sores. She is strictly an indoor cat. Did have flees been treated for 2 months
ANSWER : A. For every flea you see on your pet, there are 100 more in the environment. Get your pet on a good topical or oral flea control through your vet. In flea control, you get what you pay for. Consider asking your vet for a dose of Capstar. It helps get the problem under control by killing the fleas on the pet starting in five minutes but only lasts for 24 hours.

You need to treat your home environment. If you use a pest control service, tell them you are having a flea problem and they can adjust their treatment. Use a premise spray that also contains an IGR, insect growth regulator. This keeps eggs and larvae from maturing into adults and helps break the life cycle. Also, vacuum EVERY DAY, throwing out the bag or emptying the canister every time into an outside receptacle and spraying the contents with insecticide to kill the fleas you’ve vacuumed up.

Treat your yard too, since fleas are opportunistic and will hop a ride into your home on your pant leg without you knowing it. Concentrate on areas under bushes, in the shade. Fleas are less likely to be located in open sunny areas where it gets hot.

If chemicals are a problem, you can use borax. Sprinkle it into rugs, into corners and under furniture, use a broom to work it into the fibers and let it sit for hours, days even. It won’t hurt you or your pet to have it present. Then vacuum it up, reapply as needed. Food grade diatomaceous earth can be gotten from a health food store and worked into the rugs and corners in the same way as borax. These treatments aren’t as fast and effective as chemical insecticides but they can help.

You might want to consider boarding your pet for the day at your vet, to give you the opportunity to flea bomb your house without having to worry about your pet being exposed. They can bathe your pet and give a dose of Capstar while you treat your home.

Be patient, you may have to repeat these steps multiple times 10-14 days apart to help break the flea life cycle.

Skin problems can have a variety of causes, sometimes more than one. It is important to have the problem checked by your vet to determine if there is a medical cause for your pet’s skin issues and treat accordingly.

In pets of all ages, fleas, food allergies and exposure to chemical irritants such as cleaners and soaps can be a cause. Any one of these may not be enough to trigger the breakouts, depending on how sensitive your pet is, but a combination can be enough to start the itch-scratch cycle. Finding out the cause and eliminating it is the best course of action. With flea allergies, if your pet is sensitive enough, a single bite can cause them to break out scratch enough to tear their skin.

Check for fleas with a flea comb. Look for fleas and/or tiny black granules, like coarse black pepper. This is flea feces, consisting of digested, dried blood. You may find tiny white particles, like salt, which are the flea eggs. Applying a good topical monthly flea treatment and aggressively treating your house and yard will help break the flea life cycle.

If you use plastic bowls, this is a possible cause for hair loss, though this tends to be on the chin, where their skin touches the bowl while they eat. If you suspect this to be the culprit, try changing the bowls to glass, metal or ceramic.

Food allergies are often caused by sensitivity to a protein in the food. Hill’s Science Diet offers some non-prescription options for sensitive skin as well as prescription hypoallergenic foods for more severe cases. Royal Canin carries limited protein diets that may also offer some relief. Your vet can recommend a specific diet that will help.

If there is no relief or not enough, consider getting your pet checked by a veterinary dermatologist and having allergy testing done.

Q. How do I know if my pet has heartworms? What is the treatment?
ANSWER : A. Heartworms are a concern in certain parts of the world, such as the USA and warmer parts of Canada, South America, Australia, Southern Europe, Japan, South East Asia and the Middle East. They are transmitted by mosquitoes sucking blood from an infected host and then passing the developed larvae onto a new host through a mosquito bite.

The mature heartworms can be up to 1ft long and can live for 5-7 years in dogs and 2-3 in cats. They live in the heart, lungs and associated blood vessels. The heartworms can cause lung disease, heart failure and even lead to death. Even after having removed the worms, the pet can still be left with damage to these areas.

Symptoms of heartworm infestation include coughing, weight loss, decrease in appetite and lethargy. In severe cases you may also notice pale gums, dark urine and laboured breathing, due to sudden blockages of blood flow produced by large numbers of worms.

Prevention is much better than the cure, and if you live in an area where heartworm is prevalent you should treat monthly year round. If you are unsure if it is a problem in your area, I suggest you ask your local vet. Also, your vet will be able to advise you about the most effective treatments available to you.

Treatment depends on the level of infestation and the veterinarian’s preferences. The pet will need to be stabilized before treatment can begin and exercise should be kept to an absolute minimum. In severe cases, surgical removal of the worms may be required.

Q. How do I determine how much my overweight pet should weigh?
ANSWER : A. There are many tools to determine overweight and obesity levels in pets. A new tool, morphometric measurements and body fat index, are available to accurately determine a pet’s ideal weight; this will allow an accurate determination of the amount of food a pet should receive to achieve weight loss. Feeding the correct amount will lead to greater weight loss success.

There are many weight loss food options to help pets reach their ideal weight. Your veterinarian can help make a ideal weight recommendation. Here are some tips to help your dog lose weight in a healthy and safe way:

1. Diet: Providing a healthy and well balanced diet is essential to your pet’s overall health. Finding the right food for your dog can be a challenging process. For those overweight animals many commercial dog companies offer weight loss diets, but it is important to evaluate food labels for adequate nutritional content.

You want to ensure you are not missing other essential vitamin or mineral content. Volume of food is also important and the amount of food that works for one breed of dog may not be the same for another breed of dog. Portion control as opposed to free-choice feeding can help your dog to drop a few unnecessary pounds.

There are also prescription weight loss foods designed by veterinary nutritionists, such as Hill’s r/d (http://bit.ly/1AoENSd). Some pet owners find that home cooking is the best option for helping to provide a well-balanced and realistic diet plan. There are websites such as balanceit.com that offers recipes to fit your dog’s specific needs. Consulting with your veterinarian or a veterinary nutritionist to find the appropriate diet is a great way to help your dog be as healthy as possible.

2. Exercise: Another great tactic for weight loss for your dog is exercise. Whether this is through running, walking or playing with a favorite toy all of these are wonderful types of exercise to help keep your dog at a lean and healthy weight.

For those pet owners with busy schedules utilizing professional dog walking services or playtime through dog daycare services is another option. It has been shown that those pet owners that exercise regularly with their pets generally live a healthier lifestyle.

3. Physical therapy: As animals age pet owners offer encounter their favorite canine having more difficulty walking and have a dwindling desire to play with toys. Physical therapy, specifically hydrotherapy is a wonderful way to help older and arthritic animals gain more mobility and lose weight. Hydrotherapy has been proven to have several therapeutic effects on the body including, muscle strengthening, relief of swelling, decreased joint pain, less stiffness in limbs, improved circulation, weight loss, and increased tissue healing to name a few. For more information on the benefits of hydrotherapy:
http://bit.ly/1w1qqoy

4. Veterinary visit and blood work: Weight gain can also be related to underlying health concerns such as hypothyroidism or other endocrine disorders. Scheduling a veterinary evaluation and routine blood work can be another important component in increasing the longevity of your dog’s life. Conditions such as hypothyroidism that predispose dogs to gain weight can be treated with a daily medication to improve hormonal balance. If feel that your dog is unnecessarily overweight there can be an underlying health condition that needs to be addressed.

5. Healthy treats: Pet owners love the chance to reward their favorite canine companion with treats and most dogs jump at the chance to consume these delicious products. The problem is many treats, which can include commercial dog treats or table scrapes can add many unnecessary calories to your dog’s daily intake. Reading labels and making note of the calories in these treats is an important component of understanding your dog’s overall health. Treats should not exceed more than 10 percent of your pet’s daily calories. There are healthier treats that can be offered to your pet to keep calories lower yet provide a fuller sensation. A pet owner can add steamed or pureed vegetables, such as carrots, green beans or sweet potato to add more fiber and thus a fuller feeling for your dog.

Q. Vet is saying our dog has heartworm based on a sonogram. All tests are negative and he has no cough. I am very confused
ANSWER : A. Very rarely, a dog can have a heartworm infection and still test negative on an antigen test since the antigen tested for is produced only by the female worms. If the heartworms were not fully mature, or there were only male worms present, the antigen test result in infected animals would be falsely negative. This means the test result is negative when the animal is really infected.

An antibody test will be positive even if only one male worm is present. But this test has a downfall, too. Although it is very good at giving positive results when an infection is present, a positive antibody test just means the animal has been exposed to heartworms, but may or may not currently have heartworm disease. A negative antibody test means the animal has never been exposed to heartworms.

If they are actually seeing the heartworms via ultrasound, I would follow precautions by restricting exercise. This requirement might be difficult to adhere to, especially if your dog is accustomed to being active. But your dog’s normal physical activities must be restricted as soon as the diagnosis is confirmed, because physical exertion increases the rate at which the heartworms cause damage in the heart and lungs. The more severe the symptoms, the less activity your dog should have. And the diagnosis should be confirmed. Once a dog tests positive on an antigen test, the diagnosis should be confirmed with an additional—and different—test. Because the treatment regimen for heartworm is both expensive and complex, your veterinarian will want to be absolutely sure that treatment is necessary.

Q. How do I FINALLY rid all 4 of my cats of tapeworms after 2 years of dealing with it? Fleas seem to be controlled. I know they are the vector.
ANSWER : A. If your cats keep getting tapeworms, then they are picking up fleas from somewhere. Fleas will hitch a ride on your pant leg from outside.

Get your pet on a good topical or oral flea control through your vet. In flea control, you get what you pay for. Consider asking your vet for a dose of Capstar. It helps get the problem under control by killing the fleas on the pet starting in five minutes but only lasts for 24 hours.

You need to treat your home environment. If you use a pest control service, tell them you are having a flea problem and they can adjust their treatment. Use a premise spray that also contains an IGR, insect growth regulator. This keeps eggs and larvae from maturing into adults and helps break the life cycle. Also, vacuum EVERY DAY, throwing out the bag or emptying the canister every time into an outside receptacle and spraying the contents with insecticide to kill the fleas you’ve vacuumed up.

Treat your yard too, since fleas are opportunistic and will hop a ride into your home on your pant leg without you knowing it. Concentrate on areas under bushes, in the shade. Fleas are less likely to be located in open sunny areas where it gets hot.

You can also use borax. Sprinkle it into rugs, into corners and under furniture, use a broom to work it into the fibers and let it sit for hours, days even. It won’t hurt you or your pet to have it present. Then vacuum it up, reapply as needed. Food grade diatomaceous earth can be worked into the rugs and corners in the same way as borax. These treatments aren’t as fast and effective as chemical insecticides but they can help.

You might want to consider boarding your pet for the day at your vet, to give you the opportunity to flea bomb your house without having to worry about your pet being exposed. They can bathe your pet and give a dose of Capstar while you treat your home.

Be patient, you may have to repeat these steps multiple times 10-14 days apart to help break the life cycle.

Q. How do I know if I am losing my cat. She is 8 and weighs about 20lbs. She is having issues breathing and I don’t have any money to take her to the vet
ANSWER : A. Your cat really should be seen by a vet. Her weight may be the only thing causing her breathing problems, but without an exam, there’s no way to know for sure.

If you are in financial difficulty, there are ways of still getting your pet treated by a veterinarian. Ask if they take Care Credit and apply online. This is a credit card specifically for medical, dental, and veterinary expenses.

Call a local animal shelter or college of veterinary medicine in your area and ask if they have a low- or no-cost veterinary care program.

GiveForward and Youcaring.com are crowd funding websites that help you raise money to help take care of your pets

Harley’s Hope Foundation is an organization that ensures low income pet parents and their companion or service animals remain together when issues arise.

Many breed rescues and groups have specials funds available for owners who need financial assistance, such as the Special Needs Dobermans, Labrador Lifeline, and Pitbull Rescue Central.

Banfield Pet Hospital has its own programs for owners that can’t afford their pet’s care.

Feline Veterinary Emergency Assistance (FVEAP) works with seniors, people with disabilities, people who

have lost their job, good Samaritans who rescue a cat or kitten who may need financial assistance to save a beloved companion.

The Feline Veterinary Emergency Assistance Program is a nonprofit 501 (c)(3) organization that provides financial assistance to cat and kitten guardians who are unable to afford veterinary services to save their companions when life-threatening illness or injury strikes.

God’s Creatures Ministry helps pay for veterinarian bills for those who need help.

IMOM is dedicated to insure that no companion animal has to be euthanized simply because their caretaker

is financially challenged.

The Onyx & Breezy Foundation has many programs including helping people with medical bills. They are a good resource for information.

Brown Dog Foundation provides funding to families with a sick pet that would likely respond to treatment, but due to circumstances, there is not enough money immediately available to pay.

Some groups help with specific disease, such as Canine Cancer Awareness, The Magic Bullet Fund, Helping Harley Fund, and Muffin Diabetes Fund.

The Pet Fund and Redrover.org are great sources for help to care for your pet.

The Humane Society website has many links to other organizations that help with veterinary expenses.

Read Full Q/A … : Vetinfo

Q. Need help, we have done flea bath ,sprayed the house and used charts ultra guard pro and still have fleas .how can we get rid of them
ANSWER : A. For every flea you see on your pet, there are 100 more in the environment. Get your pet on a good topical or oral flea control through your vet. In flea control, you get what you pay for. Consider asking your vet for a dose of Capstar. It helps get the problem under control by killing the fleas on the pet starting in five minutes but only lasts for 24 hours.

You need to treat your home environment. If you use a pest control service, tell them you are having a flea problem and they can adjust their treatment. Use a premise spray that also contains an IGR, insect growth regulator. This keeps eggs and larvae from maturing into adults and helps break the life cycle. Also, vacuum EVERY DAY, throwing out the bag or emptying the canister every time into an outside receptacle and spraying the contents with insecticide to kill the fleas you’ve vacuumed up.

Treat your yard too, since fleas are opportunistic and will hop a ride into your home on your pant leg without you knowing it. Concentrate on areas under bushes, in the shade. Fleas are less likely to be located in open sunny areas where it gets hot.

If chemicals are a problem, you can use borax. Sprinkle it into rugs, into corners and under furniture, use a broom to work it into the fibers and let it sit for hours, days even. It won’t hurt you or your pet to have it present. Then vacuum it up, reapply as needed. Food grade diatomaceous earth can be gotten from a health food store and worked into the rugs and corners in the same way as borax. These treatments aren’t as fast and effective as chemical insecticides but they can help.

You might want to consider boarding your pet for the day at your vet, to give you the opportunity to flea bomb your house without having to worry about your pet being exposed. They can bathe your pet and give a dose of Capstar while you treat your home.

Be patient, you may have to repeat these steps multiple times 10-14 days apart to help break the flea life cycle.

Q. Can giving a dog heartworm preventative to a dog that has heartworms make them sick?
ANSWER : A. YES. Never give a heartworm medication to a dog positive for heartworm unless instructed to do so by a vet.

Heartworm medications require a negative test prior to administration. This is due to the fact that giving a heartworm medication to a dog that is positive may kill off the adult worms too quickly. This can cause worms to become lodged in smaller blood vessels in the body which may lead to loss of blood to vital body parts and organs.

If your dog is heartworm positive, treatment usually involves a slow administration of medications to kill the worms under veterinary monitoring. Some vets may recommend hospitalizing a dog during their first treatment so that emergency care can be given if there is an adverse reaction or a worm becomes lodged in a vessel. A more recent procedure is to do a day-long “fast” die off of worms under monitor to prevent worms from repopulating that may occur during a longer term treatment.