Experienced and professional animal trainer provide their insights in answering this question :
A. Heartworms are not generally painful, but the treatment can be painful depending on what approach you take. The age of the dog does not matter as much as the health and how long the dog has had heartworms and what type of damage has been done to the heart and other organs. You need x-rays and possibly an echocardiogram to see what the heart looks like and how it is functioning and check some bloodwork to ensure the rest of the organs are ok before you decide how he will do with the treatment.

How to Identify Common Pet Problems ?

Our sources include academic articles, blog posts, and personal essays from experienced pet care professionals :

Is heartworm painful? – Animal Hospital of Statesville. It`s not painful, per se, but they feel sick, uncomfortable, and they`re likely having difficulty breathing. They`re not perfusing very well, so they don`t feel well.
As heart worm disease advances, your dog could develop heart failure and a swollen belly from the excess fluid in his abdomen. If left untreated, heart worm can be fatal. The sooner the disease is detected, the better the chances the pet will recover.
A dog will become increasingly lethargic and start coughing more with the possibility of coughing up blood. Stage 4 — In the most advanced stage, the heart and lungs will show significant damage. The liver will also be enlarged. Dogs at this stage are very ill and are at risk of death.
Once mature, heartworms can live for 5 to 7 years in dogs and up to 2 or 3 years in cats. Because of the longevity of these worms, each mosquito season can lead to an increasing number of worms in an infected pet.
If the blood test comes back positive, then the following tests will also be performed to determine the stage and severity of the disease in order to determine the most appropriate treatment plan: A urinalysis, or the testing of a dog`s urine. An antigen test determines the presence of adult female heartworms.
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.
I would recommend that any dog before six months of age start on some sort of heartworm prevention. For those who are not on heartworm prevention, it`s never too late to visit your veterinarian, get tested, and start on heartworm prevention at any time.
Heartworms can also cause nosebleeds, pneumonia, high blood pressure, seizures, blindness, and excessive sleeping.
Heartworm disease can also lead to liver or kidney failure. Dogs that are exposed to a large number of infective larvae at once are at great risk of sudden death due to massive numbers of developing larvae bombarding the vascular system.
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.
Also, as the heartworms block vessels, the areas around these vessels will see fluid build-up, making it even harder for your dog to breathe and get oxygen, causing him to take more shallow, rapid breaths.
Your veterinarian is going to advise you that your heartworm positive dog should not do activities that keep the dog`s heart rate elevated. This means your heartworm positive dog should not run, jump, sprint, go for long walks, play chase, fetch, have zoomies, run up and down the stairs, and the like.
The medicine in the treatment (Immiticide) can cause a lot of inflammation at the injection site. This can occur no matter how smoothly things go and how little it seems to bother the dog at the time. This can range from being absolutely undetectable to a dog that is crying constantly with pain.
Stage 4 – Heartworms have caused severe damage to the animals heart, lungs, liver, and kidneys. In this stage, Caval syndrome is likely. Caval syndrome is when there is such a large amount of worms blocking blood flow to the heart that it creates a sudden life-threatening problem in need of quick surgical intervention.
In a way, yes. Your dog can feel the discomfort that goes hand-in-hand with the heartworms hatching from larvae stages into adulthood. They can also feel them migrating from one spot to another inside their body, specifically if they`re affecting your dog`s lungs and breathing.
Breathing Trouble

As dogs reach the mid-to-advanced stages of heartworm disease, they have more and more trouble breathing. They may wheeze or show signs that they are breathing too rapidly, or you might just notice your dog`s sides moving in and out faster than they used to.

The worms start to die immediately. As their bodies begin to decompose, pieces are “shed” into the dog`s bloodstream and filtered out through the dog`s lungs. This can cause the dog to cough and gag, or lead to a fatal pulmonary embolism.
The cough associated with heartworm disease in dogs is often likened to the sound of a goose honking. If your dog tends to get into coughing fits after activity or eating, and if those coughs sound harsh and honk-like, then she may have heartworm disease or another heart related concern.
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.

If you forget a month of preventative, make sure to give the next 2 doses on time to “catch up” for that missed month. If you miss several months in a row, you should give your vet a call for advice on when to plan for the next heartworm test and how to get started back on preventatives.
Heartworm in dogs

This predisposes the infected dog to aneurysms and clots. The clots can lead to infarction or blockage of a blood vessel, in the brain you know this as a stroke. Secondly, the heartworms can cause heart failure.

Dogs with heavy worm burdens, have been infected for a long time, or are very active, often show obvious symptoms. There are four classes, or stages, of heartworm disease.
The adult worms die in a few days and start to decompose. As they break up, they are carried to the lungs where they lodge in the small blood vessels and are eventually reabsorbed by the body.
The average lifespan of heartworms in untreated pets is 5-7 years in dogs and 2-3 years in cats. Virtually 100% of dogs exposed to infective heartworm larvae become infected; in cats, this number drops to 61% to 90%.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

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. Whenever I take my dog on walks he always barks at people and others dogs in my neighborhood. What should I do to resolve the problem
ANSWER : A. The very first thing to do is to make sure your dog is getting sufficient physical and mental exercise every day. A tired dog is a good, happy dog and one who is less likely to bark from boredom or frustration. Depending on his breed, age, and health, your dog may require several long walks as well as a good game of chasing the ball and playing with some interactive toys.

Figure out what he gets out of barking and remove it. Don’t give your dog the opportunity to continue the barking behavior.

Ignore your dog’s barking for as long as it takes him to stop. That means don’t give him attention at all while he’s barking. Your attention only rewards him for being noisy. Don’t talk to, don’t touch, or even look at him. When he finally quiets, even to take a breath, reward him with a treat. To be successful with this method, you must wait as long as it takes for him to stop barking. Yelling at him is the equivalent of barking with him.

Get your dog accustomed to whatever causes him to bark. Start with whatever makes him bark at a distance. It must be far enough away that he doesn’t bark when he sees it. Feed him lots of good treats. Move the stimulus a little closer (perhaps as little as a few inches or a few feet to start) and feed treats. If the stimulus moves out of sight, stop giving your dog treats. You want your dog to learn that the appearance of the stimulus leads to good things.

Teach your dog the ‘quiet’ command. Oddly, the first step is to teach your dog to bark on command. Give your dog the command to “speak,” wait for him to bark two or three times, and then stick a tasty treat in front of his nose. When he stops barking to sniff the treat, praise him and give him the treat. Repeat until he starts barking as soon as you say “speak.” Once your dog can reliably bark on command, teach him the “quiet” command. In a calm environment with no distractions, tell him to “speak.” When he starts barking, say “quiet” and stick a treat in front of his nose. Praise him for being quiet and give him the treat.

As in all training, always end training on a good note, even if it is just for obeying something very simple, like the ‘sit’ command. If you dog regresses in training, go back to the last thing he did successfully and reinforce that before moving on again. Keep sessions short, 15-20 minutes max, and do this several times a day.

Q. Rescued a dog almost two weeks ago, and now that her kennel cough is gone her personality shines!! No previous training, how should I start?
ANSWER : A. POST FOUR:

After your dog is familiar with the behavior you lured from scratch, and taught to your dog, you can start to use the “no-reward marker” I talked about. What you do is ask the dog to perform the behavior, and if the dog does not perform the behavior, you simply say your no-reward marker (choose one: eh-eh, hey, uh-oh, oops) show them the treat, put it behind your back, and BRIEFLY ignore your dog. Just turn your back for a second or two, before turning back to your dog and saying, “let’s try that again.” When you’re ready to start over with your dog, make sure you move around. If you are repeating the same cue while in the same position, while your dog is in the same position, you are likely to receive the same results. The more you move around, and start fresh, the better your chances are of having your dog listen to your cue the second time around. BIG rewards when they dog it successfully! Lots of praise and treats.

My no-reward marker is “hey.” When my dog does something wrong I say, “hey” and she immediately understands that she needs to offer a different behavior. This is clear to her. I don’t have to say it in a mean way, I simply say, “hey” in a normal tone of voice and she understands what the word means.

Once you’ve built up that connection and communication with your new dog, you can work on all kinds of fun behaviors! I personally enjoy the more zen-like behaviors: https://www.youtube.com/watch?v=ruy9UMcuGh8

I like to teach my dog fun tricks that offer her a “job” to do of sorts like object retrieval: https://www.youtube.com/watch?v=I4iertZSva8

(object retrieval training completed; what it looks like: https://www.youtube.com/watch?v=jx0Dml28FGY)

Scent-games are fun too! Very confidence building. Hide a REALLY smelly treat in a box, and place that box in a line of boxes. Let your dog go in the room while saying something like “search!” or “find it!” and watch them hunt for that smelly treat! Lots of rewards when they find it!

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. Is heartworms painful for dogs ? What to expect in a old dog with heartworms ?
ANSWER : A. Heartworms are not generally painful, but the treatment can be painful depending on what approach you take. The age of the dog does not matter as much as the health and how long the dog has had heartworms and what type of damage has been done to the heart and other organs. You need x-rays and possibly an echocardiogram to see what the heart looks like and how it is functioning and check some bloodwork to ensure the rest of the organs are ok before you decide how he will do with the treatment.

Q. My 4 yr old male Catahoula Leopard Dog mix is a rescue. He’s become very possessive of me around larger dogs. How can I correct this behavior?
ANSWER : A. Sudden behavior changes can sometimes indicate an underlying health issue, so scheduling a checkup with your regular vet is always the first step. Once any health issues have been addressed, then you can address the behavioral ones. It is very common for dogs to become “possessive” of people or objects when around other dogs or people, and is called location guarding. Possession of objects or places can be a little easier to manage, however possession around other dogs can be treated as well. Working from a distance in a technique called BAT or Behavioral Adjustment Training may help. This technique involves your dog and another calm dog. Start off at a far distance and then move in until your dog becomes reactive or wary of the other dog. Move back a small amount and wait for your dog to become calm. If he shows calm behavior, reward with lots of praise, treats and love! If he becomes agitated or possessive, move back until he is calm, or stop the session completely and try again later. While this may take some time, it can help dogs learn that other dogs are not a threat to them or their people. Reading more information about BAT training or contacting a local trainer in your area can help with further advice and techniques!

Q. My Beagle listens to me, but cries & whines when I’m gone & doesn’t listen to my parents. I adopted him just a couple days ago. Any tips for my folks?
ANSWER : A. I really highly doubt that your Beagle listens to you and has formed a connection with you in just a couple of days. It takes months to build up any kind of serious connection with your dog. You need to work on communication with your dog through training them to understand different cues. For instance the Leave-It cue: https://www.youtube.com/watch?v=R1TS5nA7z5Q

You have to work on bonding with your dog through mental stimulation. Training is very important. Luring each new behavior from scratch, and training using treats is how you form a strong bond with your new dog. No scolding is ever necessary… work on being calm, and positive, all the time.

If your dog is crying/whining when you leave, this may be separation anxiety. You’re going to have to separation train this dog from scratch. This dog needs to learn that separation can be a good thing! Tell your “folks” to NOT scold the dog when he is crying/whining after you leave, because that will make your dog MORE anxious when you leave next time. Your dog will be dwelling on the negative if your parents fuel your dogs negative feelings towards you leaving. FUN things should happen when you leave. Your parents should pull out the treats and start doing some basic obedience training with your dog. Your parents should stuff a Kong filled with awesome treats (peanut butter) and give it to him so he feels happy when you leave.

I have some excellent separation anxiety exercises you can work on. If you’d like, you can purchase a consultation with me, and I will go over how to separation train from scratch. It will make your dog comfortable being alone, guaranteed.

Read Full Q/A … : I Don't Like My Mother

Q. My cocker spaniel is 9 years old. He has involuntary bowel movements (little drops) very frequently, especially when he is asleep.
ANSWER : A. Is your dog on a senior dog food? I would get your dog on a high quality high protien dog food. Ask a pet store assosicate or your regular vet for a food recommendation. When you buy a better food the dog will have to eat less to get the same amount of energy from the food. The dog has to eat more of the cheaper foods to get the energy it needs from it. Meaning more poop and buying more food. So the cost really evens out. So the lessen your dogs bowel movements get on a better senior dog food. Next talk to your vet they may have a recommendation. If you switch dogs do it slowly by mixing the foods. Start with 10% new 90% old mixed for at least a week until you have switched to 100% new 0% old. Senior foods have more fiber to help with bowel movements. Take the dog outside to go potty more frequently, right before bed time.

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