Hello and thank you. I have a 12-year-old Pitbull mix named flower who had heartworm and she was treated with the three shot series back in June of 2025 and then 3 weeks ago she had a mammary gland tumor removed. Three days after surgery she started honking heaving and coughing. I’m afraid her heartworm has come back. She still eats and drinks and gets up but doesn’t look comfortable All she does is walk around and cough, spit up . I don’t have the strength to put her down but I’ve also spent thousands and I’m at a loss of what to do. Any advice would be helpful Thank you

Our female German Shepherd dog is 5 years old and has had chronic liquid diarrhea for 5 months. Other symptoms are weight loss, sporadic inappetence and vomiting. Her energy is normal and bright. History of Pika, but no obvious ingestion of foreign objects during this interval. Three fecal studies mostly negative, two blood panels not conclusive (some levels low-normal). Two courses of Metronidazole (no effect), Three courses Amoxi/Clav (effective until finished), Panacur, probiotics, Cobalequin, special diets. Now on Hills GI Biome diet. Negative for EPI. Low B12. Vet has advised that this is antibiotic responsive diarrhea.

Went to an internal medicine specialist today upon referral. Ultrasound shows a tumour and intestinal thickening, lymph node activity. We are being steered toward open surgery to resect the intestine for possible, but unknown, malignancy and removal. Vet cannot explain why the diarrhea is antibiotic responsive, if malignant tumour. We are doing yet another expanded fecal study and Pancreatitis test to determine if coincident. We are already $3,800 into diagnostics with no real answers or help as to the root cause. Dog improves significantly with normal stools while on the Amoxi/Clav, but regresses immediately to liquid diarrhea when treatment stops.

Surgery recommended that may or may not be curative ($6,500). Of course, we hate to put our dog through this if futile, but understand that cancer cannot be diagnosed through imaging. Can anyone offer insights to either affirm our path or offer alternative ideas? Why the improved response to the antibiotics if a tumour is the cause? Thank you kindly.

My four year old male Doberman (Oskar) seen at emergency vet Sunday 1/4 for excessive vomiting (10 times right after breakfast) . X-rays /labs/fluids. Suspected hiatal hernia. Vomiting has stopped. They felt he was critical. They transferred us to a larger ER as they were not equipped to handle this. Ultrasound and another xray performed. Dog is stable. First two vets at this location felt wait and watch. Third vet says we need to repair with surgery. Sending us to internal med for barium swallow. We are at about $ 6000 so far. Thank god we have insurance.
History of intermittent regurgitation while eating. No other symptoms. No reflux. No drooling. No weight loss. Only happens in the mornings after breakfast every few months. Nothing as severe as Sunday. Only once or twice then done. Happy energetic dog. History of allergies. Testing done. Tried immunotherapy Itchy skin , runny eyes. Managing on raw diet last three years. Cleared his skin for the most part. Avoided apoquel and cytopoint. Used Zyrtec. Previously tried hydrolyzed protein foods at around a year old. This is when regurgitation started ( coincidence? )he would also refuse to eat it. Bottom line do you think we should we consider surgery ? We do yearly echos and own our own holter monitor. We pinch penny’s to give them good care as these dogs mean so much to us. Feel we are being pushed into a very expensive and possibly risky surgery and I HATE putting my dogs under anesthesia. My own vet left the practice and I’m trying to find another that might be a good fit. I’m in NH and it’s not easy. Thank you !

Four year old mn Doberman seen at emergency vet for excessive vomiting (10 times right after breakfast) . X-rays /labs/fluids. Suspected hiatal hernia. Vomiting has stopped. They felt he was critical. They transferred us to a larger ER as they were not equipped to handle this. Ultrasound and another xray performed. Dog is stable. First two vets at this location felt wait and watch. Third vet says we need to repair with surgery. Sending us to internal med for barium swallow. We are at about $ 6000 so far. Thank god we have insurance.
History of intermittent regurgitation while eating. No other symptoms. No reflux. No drooling. No weight loss. Only happens in the mornings after breakfast every few months. Nothing as severe as Sunday. Only once or twice then done. Happy energetic dog. History of allergies. Testing done. Tried immunotherapy Itchy skin , runny eyes. Managing on raw diet last three years. Previously tried hydrolyzed protein foods at around a year old. This is when regurgitation started ( coincidence? ). Bottom line should we consider surgery ? We do yearly echos and own our own holter monitor. We pinch penny’s to give them good care as these dogs mean so much to us. Feel we are being pushed into a very expensive and possibly risky surgery and I HATE putting my dogs under anesthesia.

Four year old mn Doberman seen at emergency vet for excessive vomiting (10 times right after breakfast) . X-rays /labs/fluids. Suspected hiatal hernia. Vomiting has stopped. They felt he was critical. They transferred us to a larger ER as they were not equipped to handle this. Ultrasound and another xray performed. Dog is stable. First two vets at this location felt wait and watch. Third vet says we need to repair with surgery. Sending us to internal med for barium swallow. We are at about $ 6000 so far. Thank god we have insurance.
History of intermittent regurgitation while eating. No other symptoms. No reflux. No drooling. No weight loss. Only happens in the mornings after breakfast every few months. Nothing as severe as Sunday. Only once or twice then done. Happy energetic dog. History of allergies. Testing done. Tried immunotherapy Itchy skin , runny eyes. Managing on raw diet last three years. Previously tried hydrolyzed protein foods at around a year old. This is when regurgitation started ( coincidence? ). Bottom line should we consider surgery ? We do yearly echos and own our own holter monitor. We pinch penny’s to give them good care as these dogs mean so much to us. Feel we are being pushed into a very expensive and possibly risky surgery and I HATE putting my dogs under anesthesia.

My 14 year old dachshund is post op day 7 from cervical spine surgery. He has a very similar presentation to Hank, and I’m seeing some signs of progress (peeing and pooping, grooming, sitting sternal, pain seems more controlled), but he really has very little use of his right front and back leg. I saw that you encouraged a lot of movement with Hank in the second week and he made a quick recovery; however the paperwork from our vet says strict rest and only ambulation to eliminate. What is your take on this?