Today, Pim had an extensive check-up at the vet, including X-rays, an ultrasound, and a blood pressure evaluation.
As part of the process, we discovered some health issues that require attention and care. In this post, I’ll explain what each condition means, followed by Pim’s specific results and treatment plan.
What Did We Check and Why?
To ensure Pim’s well-being, the vet conducted the following:
X-Ray: To examine his lungs and airways for any abnormalities, like fluid buildup or tracheal issues.
Heart Ultrasound (Echocardiogram): To evaluate Pim’s heart function and check for any signs of disease.
Blood Pressure Measurement: To monitor his cardiovascular health.
These diagnostics provided us with a clear understanding of Pim’s current condition.
What Are Pim’s Diagnosed Conditions?
Mitral Valve Disease (MMVD, Stage B1)
MMVD is one of the most common heart conditions in dogs, especially in small breeds. It affects the mitral valve, located between the left atrium and left ventricle of the heart. Over time, the valve may degenerate and fail to close properly, leading to backflow of blood (called regurgitation).
Stage B1 means the condition is mild, with no significant heart enlargement and no symptoms like coughing or difficulty breathing. At this stage, no medication is required, but close monitoring is essential to ensure the disease doesn’t progress.
Collapsed Trachea (Grade I)
Tracheal collapse is a condition where the cartilage rings of the trachea weaken, causing the airway to narrow. This can result in coughing, wheezing, or difficulty breathing.
Grade I is the mildest form, with minimal narrowing. It’s often manageable with lifestyle changes and monitoring.
Fluid in the Lungs
Fluid in the lungs (pulmonary edema) can occur due to various reasons, including infections like bronchitis or bronchopneumonia. Pim’s X-ray showed signs of fluid buildup, likely resulting from respiratory issues rather than advanced heart failure.
Pim’s Results and Findings
Heart Ultrasound Results:
Heart Rate: 95 bpm, within the normal range for a calm, resting dog.
Ejection Fraction (EF): 71.05%, indicating that Pim’s heart is pumping blood efficiently.
No Heart Enlargement: This confirms his MMVD is in an early stage (B1).
No Turbulence in Blood Flow: There’s no severe regurgitation through the mitral valve.
X-Ray Findings:
Collapsed Trachea: Mild narrowing of the trachea was observed, correlating with his occasional coughing.
Fluid in the Lungs: Indicating inflammation or infection, consistent with bronchitis or bronchopneumonia.
Blood Pressure:
Pim’s blood pressure was within normal limits, which is reassuring and supports the MMVD B1 diagnosis.
Treatment Plan for Pim
Medications:
Diuretics (for 19 days): To reduce fluid buildup in his lungs.
Bromhexine: A mucolytic medication to help clear mucus from the airways.
Gentamicin: An antibiotic to treat any underlying infection causing the bronchitis.
Dietary Adjustments:
Pim will transition to a cardiac-specific diet to support his heart health. This means:
Low salt to prevent water retention and additional strain on the heart.
Limited snacks to maintain a balanced and heart-friendly diet.
Lifestyle Recommendations:
Monitor Breathing and Coughing: Watch for changes in his symptoms, such as increased coughing or labored breathing.
Regular Vet Check-Ups: Pim will need follow-ups to track his heart condition and lung health.
What’s Next for Pim?
Pim’s conditions are manageable, and he’s in good spirits despite everything. With the prescribed treatment and lifestyle adjustments, his symptoms should improve significantly. I’ll be monitoring him closely over the coming weeks and will update everyone on his progress.
Pim is such a brave boy and handled the vet visit like a champ. Thank you for sending him love and positive energy