Experienced and professional animal trainer provide their insights in answering this question :
A. Auto-immune hemolitic anemia is a disease which requires treatment for at least a few months and it may come back in future so it is better to have one vet in charge who decides on treatment and monitors progress. If your vet has retired you should take your dog’s full clinical history to a new vet who will be looking after her.

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Unfortunately, IMHA has a high mortality rate even in dogs that receive prompt treatment, with 50% to 70% of dogs dying of the disease in the first few weeks after diagnosis. In addition, there are reports that as many as 20% of dogs that recover from IMHA will relapse within the first year.
IMHA is considered to have a poor prognosis in dogs, with mortality rates of 50%–70% reported in older studies,6,13 and rates of ~30%–40% in more recent studies,14 presumably reflecting improvements in awareness of disease, speed of diagnosis, and availability of supportive care and blood products.
How long does it take to treat IMHA? Most dogs with IMHA require hospitalisation for around five days. Some may respond sooner, while others will require up to two weeks of hospitalisation depending on complications or if they require multiple blood transfusions.

Mortality approaches 70% so an aggressive approach is necessary. Multiple blood transfusions and immune-suppressive drugs are needed.

Results: We identified 1460 patients with primary AIHA, 1078 with secondary AIHA, 112 with CAD, and 130 801 comparators. One-year survival and median survival were, 82.7% and 9.8 years for primary AIHA, 69.1% and 3.3 years for secondary AIHA, and 85.5% and 8.8 years for CAD.
Median survival was 9.8 years in primary AIHA, 3.3 years for secondary AIHA, and 8.8 years for CAD.
Mild cases of autoimmune hemolytic anemia often require no treatment and resolve on their own. The most common treatments for the disorder include: treatment of underlying conditions. corticosteroids such as prednisone to suppress the immune response.
Adding fresh foods with iron in them to your dog`s diet can help boost this important mineral. To start, you can feed your dog canned sardines along with their regular food, raw egg yolk (from organic or local eggs), green vegetables, and beef liver.
In some cases of idiopathic AIHA, the dog will respond rapidly to treatment with immunosuppressive doses of corticosteroids (usually prednisone). In other cases, a combination of immunosuppressive medications, such as azathioprine or cyclosporine, may be needed to try to get the condition under control.
The prognosis with IMHA is variable, carrying a mortality rate of 30% to 70% within 1-2 months of diagnosis. If patients suffer IPT at the same time, or if the bone marrow is affected, the outlook may be worse. The condition can come back, and some animals need lifelong medication.
Anemic dogs also have little stamina or energy, so they seem listless or tire more easily. Additionally, weight loss, labored breathing, loss of appetite, a faster heart rate, or signs of blood loss (bloody nose, blood in the stool, urine, or vomit) may also be seen.
Immune-mediated hemolytic anemia is a serious medical condition that causes death in 20%-75% of affected animals. The risk of death depends on which signs are seen, but rapid drops in red blood cell counts, moderate to high white blood cell counts, abnormal bruising, and excessive clotting may indicate a higher risk.
What happens if hemolytic anemia is not treated? Severe hemolytic anemia can lead to serious heart conditions, including arrhythmia (abnormal heart rhythm), cardiomyopathy and heart failure.
Autoimmune hemolytic anemia (AIHA) might be associated with underlying hematological malignancies such as chronic lymphocytic leukemia. However, the association between AIHA and chronic myelogenous leukemia is extremely unusual.
The autoimmune hemolytic anemias are rare disorders characterized by the premature destruction (hemolysis) of red blood cells at a rate faster than they can be replaced. Acquired hemolytic anemias are non-genetic in origin.
Pain in the Upper Abdomen

The spleen is an organ in the abdomen that helps fight infection and filters out old or damaged blood cells. In hemolytic anemia, the spleen may be enlarged, which can be painful.

Some hemolytic anemias are rapid and life threatening, while others are slower and have more chronic problems. How severe the hemolytic anemia is depends on how quickly cells are being broken down and on how quickly the bone marrow can replace the red blood cells.
FDA has approved Pyrukynd (mitapivat) tablets to treat hemolytic anemia (a disorder in which red blood cells are destroyed faster than they can be made) in adults with pyruvate kinase (PK) deficiency.
Hemolytic anemia develops when there are not enough red blood cells because the body destroys them sooner than it should. Red blood cells carry oxygen around the body. Autoimmune hemolytic anemia (AIHA), or immune hemolytic anemia, happens when the immune system does not work properly.
Hemolytic disease of the newborn can be treated during pregnancy or after the baby is born. Treatment during pregnancy may include: blood transfusion. early delivery of the baby if severe complications arise and baby`s lungs are mature.
AIHA is a rare disease with an incidence of 1 to 3 per 100 000 people per year.
Studies have reported that large amounts of vitamin E improve hemolytic anemia caused by a genetic deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD).
Vitamin E deficiency can cause a form of anemia in which red blood cells rupture (hemolytic anemia Anemia due to excessive red blood cell destruction ). Premature infants who have a vitamin E deficiency are at risk of this serious disorder.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. My Shih-Tzu has autoimmune hemolytic anemia. We go to our local Banfield. Her Vet retired. Should she see only one Vet?
ANSWER : A. Auto-immune hemolitic anemia is a disease which requires treatment for at least a few months and it may come back in future so it is better to have one vet in charge who decides on treatment and monitors progress. If your vet has retired you should take your dog’s full clinical history to a new vet who will be looking after her.

Q. Which flea and tick drops are the best and why?
ANSWER : A. Your question is a good one, and unfortunately the answers are going to differ based on who you ask. Many vets are seeing resistance to Frontline, which has been the go-to product for many of us for many years. It contains the active ingredient Fipronil, which is very safe and typically extremely effective. I use it on my dogs and never see fleas or ticks. However other vets will tell you in their areas, for whatever reason, they are seeing fleas and ticks on dogs and cats on which this product was used.

Another reason opinions differ is that some people like to give an oral product, and some like to put a topical product directly on the skin. That’s a matter of personal preference mostly. Bravecto, as mentioned below, is one of those products. Most people find it safe and effective. It uses a different process that Frontline to kill fleas and ticks.

In general the products you buy over-the-counter are likely going to be less expensive and less effective than what you get from a vet. I think the reason is that the more expensive products contain newer insecticides, and likely less resistance to these products has built up in the flea and tick population but also they are maybe less “proven”, so it’s important for a vet to be involved in the use of the product in order to ensure that there won’t be a negative reaction to using it.

If I lived in an area where there was Lyme disease (in the US that’s the northeast and upper midwest) I’d most definitely add a tick collar to my standard oral or topical flea and tick prevention. AND I’d search both of my dogs everyday for ticks. It’s because nothing you buy will be 100% effective, and Lyme disease can be a very serious problem.

If you want to talk further and talk more specifically about where you live and what products you’re considering, I’d be happy to do a consult with you. Nobody here is paid to recommend products, but we do develop preferences based on what we use on our own pets and in our practices.

Q. My dog doesn’t eat, what should I do?
ANSWER : A. If this is a puppy, see a veterinarian immediately. Puppies should want to eat. Common causes for anorexia in puppies include viruses (parvo is a big one), parasitism, and foreign bodies. They need immediate care – go to an emergency vet if yours isn’t open. Puppies can get low blood sugar and dehydration very quickly.

If this is an adult dog and you observe other concerning signs, such as diarrhea or decreased energy, you should see a veterinarian.

If the dog seems otherwise bright and stable, try offering different types of food: wet food, canned tripe, or cooked chicken and rice. Some dogs will go for canned baby food: chicken, turkey, or beef as the main ingredient. Make sure there are no garlic or onions in the ingredients!

Causes of anorexia in adult dogs can range from less serious to severe. Younger dogs are more likely to get into trouble- they tend to eat things they shouldn’t, and can get foreign bodies from eating things like socks, or stomach upset from getting in the trash. Any dog may stop eating due to stress, or just being a picky eater. Middle aged dogs can stop eating when they’re stressed and also have Addison’s disease, which can be fatal. Older dogs tend to stop eating when they develop cancer or renal disease.

There is no one-size-fits-all recipe to know when the right time is to take your dog to the vet. The moral of this story is, if it’s not getting better, your pup feels bad, or you’re worried – go see the vet!

Read Full Q/A … : My Dog Won’t Eat

Q. My dog isnt eating his biscuits and is shaking a little. He wants to cuddle a lot. I think somethings wrong with his stomach. Constipated often.. 🙁
ANSWER : A. Sounds like your dog has some gastrointestinal distress going on. Frequent constipation is kind of an unusual thing to see in dogs, but certainly if that’s going on it can cause discomfort and nausea. Adding fiber to his diet may help in the long run, however it’s probably not going to help right now, since he’s not eating. I would recommend taking him in to see your vet ASAP, as these are kind of general signs you’re describing and many things could be going on. He needs a good exam by your vet and possibly some lab work and/or x-rays to help figure out what’s going on and how to help him. If he’s got a blockage from chronic constipation your vet can give him an enema for relief.

Q. My dog cracked his nail horizontally, I put neosporine on it with gauze and a sock for no snagging. What should I do and what would a vet cost?
ANSWER : A. It depends on how deep it’s cut and if it’s going to snag on something and rip the entire nail off. It would probably be best to go to the vet now rather than later when a more serious injury occurs. The cost really depends on where you live and what the vet decides to do. I really can’t give much of an estimate other than the initial cost of a sick exam (which also varies from vet to vet). Call the vet and when you make the appointment ask how much a sick exam costs, that will be your initial payment (Amount just to see the vet).

Q. We think our dog had a stroke:( he is 14 years old, a cocker spaniel mix. Do we need to take him to an emergency vet or should he be fine until mornin
ANSWER : A. If it was a stroke (vestibular syndrome) there is little the vet will do for the first 24-48 hours apart from giving an anti vomiting injection. You need to wait and see how well the dog responds after the episode to see if he fully recovers, sometimes they partially recover but may end up with a head tilt.
If it was a seizure they normally only last seconds and then within an hour the dog is back to normal. Again you don`t need to consult your vet straight away but monitor him. Some dogs may have one seizure but never again. If this is what it was then see your vet if your dog has another one.

Q. I think my cat was bitten on his front foot by a vole. It is tender, he’s careful of it. I see no wound, possible slight swelling of pad. Take to vet?
ANSWER : A. A vole’s teeth a quite sharp but small. The puncture wounds would be very small and may even close over, so that you can’t see them. First, if your pet is not current on rabies, go to the veterinarian right away. A vole is a type of rodent, and rodents can carry rabies (although voles are not major carriers). Better safe than sorry. Otherwise, wash the affected foot with warm warm and monitor carefuily. If the foot becomes swollen, develops an odor, feels very warm to the touch, or you see oozing pus, head to the vet. Also, go to the vet if the cat continues to favor the foot more than a day or two.

Q. My cat is one year old. He has diarrhea, not eating last for one day. This problem is too with my other 2 cats and one is died.
ANSWER : A. His not eating is the most concerning for me. They cannot go more than a few days without eating or they risk liver damage. Your cat needs to be seen by your vet for an exam and bloodwork to determine the cause for your cat’s loss of appetite. Based on the findings, your vet will be able to give you a clearer picture of what is going on with your cat and be able to offer you treatment options.

Try enticing your pet to eat with beef or chicken baby food that does not contain onion or garlic powder. Onion and garlic causes anemia. Warm it in the microwave for a few seconds. Stir it with your finger first to make sure there are no hot spots and that it isn’t too hot. This makes it more aromatic and appealing to your pet. Wetting dry food or mixing wet food with low sodium chicken broth, also warmed, might entice your pet to eat. Some cats like to be petted while they eat, some want to be left alone. You’ll know your cat’s habits and be able to act accordingly.