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Question:

Dog diagnosed with Babesiosis, anemia worsened 4 days after starting treatment

I'm really hoping for some advice or shared experiences here because I'm feeling pretty overwhelmed. Four days ago, my sweet Lab, Charlie, was diagnosed with Babesiosis. The vet started him on treatment right away, but instead of getting better, his anemia seems to have worsened. It's breaking my heart to see his energy levels drop so drastically. He's usually so full of life, but now he just lies there, barely wagging his tail. I'm doing everything the vet told me, but I'm scared I'm missing something. Has anyone else been through this with their dog? Did it get worse before it got better? Any suggestions or just some reassurance would mean the world to me right now. Thanks, everyone.

Answer:

Hello there,

I’m sorry to hear about your pup’s struggles with Babesiosis. This illness, caused by tiny parasites that invade red blood cells, can be quite serious, especially as it leads to anemia, which seems to be a concern for your dog right now. Sometimes, initial treatments might not stop the anemia from temporarily worsening because the parasites cause ongoing damage until medication takes full effect.

In some cases, this can happen if the medication needs more time to fully address the infection, or if there's an issue with how the medication was absorbed. Also, stress on your dog’s body can sometimes exacerbate anemia initially.

At home, ensure your dog gets plenty of rest and has a quiet space to relax. Encourage them to drink water and offer easy-to-eat, high-quality foods. You might also try offering some foods rich in iron, like cooked meats, which can help support red blood cell production, but only if they're already part of their diet.

Keep an eye out for any signs of severe weakness, pale gums, rapid breathing, or dark urine, which could indicate a more urgent issue. If you spot any of these signs or if your dog doesn’t start improving soon, it’s important to seek further help.

For the most tailored advice, consider booking a video consult with us at Dial A Vet. We’re here to provide the support and guidance your pup needs to feel better soon!

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 17, 2025

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The "Ask a Vet" forum on Dial A Vet offers general information and helpful tips on pet health, but it's not a substitute for professional veterinary care. The advice here doesn't create a veterinarian-client-patient relationship, and our vets can't diagnose or treat your pet remotely. For emergencies or specific medical concerns, always contact your local veterinarian immediately. Your pet's health is unique, and decisions should only be made after consulting with a qualified professional. By using this forum, you acknowledge these limitations and agree to seek in-person veterinary advice for all your pet's health needs. View our content guidelines.
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