Heart failure in dogs, normal to defer X-ray and treat empirically?

Hi there! It sounds like you're dealing with a tough situation, and I'm glad you reached out for some clarity. Heart failure in dogs can indeed be complex, and sometimes veterinarians may opt to treat empirically, especially if they have a strong suspicion based on the clinical examination and history. This approach allows for immediate management, aiming to alleviate symptoms like coughing or difficulty breathing.



However, while empirical treatment can be an appropriate short-term step, getting an X-ray is valuable for a more definitive diagnosis. It helps assess the heart's size and shape, and check for fluid in the lungs, which are critical for tailoring the best treatment plan.



At home, ensure your dog rests comfortably and avoid strenuous activities for now. Monitor breathing carefully—look for rapid or labored breaths, lethargy, or a persistent cough. These could suggest worsening heart function or fluid buildup and warrant prompt veterinary attention.



If you notice any signs of distress or your dog's condition doesn't improve, I strongly encourage you to book a video consult with us here at Dial A Vet. We're here to support you and your furry friend every step of the way!