If exercise or excitement cause the treated dog's heart rate to rise, pieces of decomposing worms can be forced into the tiny blood vessels of the lungs, causing further complications. The more pronounced the clinical signs of heartworm disease are, the more restricted any activity or excitement need to be.
While your dog is undergoing treatment, be sure to avoid the following: Visitors: While new people might cheer your dog up, they can also get her too excited, which is good for her spirits, but not for her ailing body.
DURING TREATMENT
Dogs who are allowed to run or play during this time can develop life-threatening problems similar to a massive stroke. Treatment makes the heartworms fragile, so the body can break them down slowly over the next 8 weeks.
Try a game of stationary catch or use a clicker to train him to follow quiet commands while he's in his crate. Keeping your treated dog calm and quiet is one of the most important responsibilities a pet owner has during heartworm treatment.
The American Heartworm Society does state that exercise restriction should begin the same day the diagnosis is confirmed. Usually, my vet instructs me to keep my heartworm positive dog from engaging in any activity that elevates the heart rate until the end of treatment.
Strict rest is imperative for 6-8 weeks. This means that your pet can be leashed walked outside to urinate and defecated, but must come back inside to rest. Do not allow your pet to run, jump, climb stairs, or play rough with other dogs or children.
Some dogs experience nausea and are lethargic. These symptoms will usually ease over a couple of days. Though some dogs do not experience the muscle soreness, it is important not to pick up the dog or put any pressure on the back for 2‐4 days after the injections.
The medicine in the treatment (Immiticide) can cause a lot of inflammation at the injection site. This can occur no matter how smoothly things go and how little it seems to bother the dog at the time. This can range from being absolutely undetectable to a dog that is crying constantly with pain.
Enforced Rest is ESSENTIAL! Positively NO Strenuous Exercise for 8 weeks! The heartworms will die over the next 6 weeks. As they die and are broken down, pieces of them could lodge in other parts of the body's blood vessels, causing unnecessary complications–if your pet's activity is too strenuous.
Do the heartworm treatment injections hurt? The injections are given within the muscle and can indeed be uncomfortable, but the inflammation that develops within the days following creates the most discomfort. Restlessness, panting, trembling and reduced appetite can all be signs that the dog is uncomfortable.
Signs of heartworm disease may include a mild persistent cough, reluctance to exercise, fatigue after moderate activity, decreased appetite, and weight loss. As heartworm disease progresses, pets may develop heart failure and the appearance of a swollen belly due to excess fluid in the abdomen.
Heartworm preventives do not kill adult heartworms. Also, giving a heartworm preventive to a dog infected with adult heartworms may be harmful or deadly. If microfilariae are in the dog's bloodstream, the preventive may cause the microfilariae to suddenly die, triggering a shock-like reaction and possibly death.
What are the side effects of heartworm treatment in dogs? Treatment for heartworm can cause serious complications for your pet's health and can be potentially toxic to the dog's body. Many dogs experience soreness and swelling at the site of their injections.
Approximately 6 months after treatment is completed, your veterinarian will perform a heartworm test to confirm that all heartworms have been eliminated. To avoid the possibility of your dog contracting heartworm disease again, you will want to administer heartworm prevention year-round for the rest of his life.
Prognosis: heartworm treatment success rates
With the three-dose adulticide protocol described above, in conjunction with doxycycline and macrocyclic lactones as recommended by the American Heartworm Society, 98% of dogs will be cleared of heartworm infection.
The adult worms die in a few days and start to decompose. As they break up, they are carried to the lungs where they lodge in the small blood vessels and are eventually reabsorbed by the body.
According to the American Heartworm Society, I=if you are doing a fast-kill protocol, your heartworm-positive dog should not exercise for a minimum of 4 months, and the recommendations seem to be shifting to even 6 months – from diagnosis to 8 weeks after treatment is completed.
Treatment involves using very harsh arsenic-based drug to kill the adult heartworms. This medication is painful to administer and can lead to injection site reactions in some patients.
Recovery Symptoms
Increased energy - Even though your dog may begin to feel better after a few days, it is still important that he rest and refrain from exercise, so you'll need to continue to confine him for the first month. This means no walks and no playtime.
Additionally, you may see dead worms in your dog's stool for a few days following treatment, or your dog may have diarrhea as they digest the dead worms. Most of the time, regardless of what you see in their stool, recently dewormed dogs behave like normal.
This means that if one opts to treat a heartworm positive dog with an ivermectin heartworm preventive only, one can expect the dog to remain heartworm positive for a good 2 years and the heartworm disease will be progressing during that 2 years.
Dogs that have a high number of heartworms often develop symptoms such as pronounced and persistent coughing, difficulty breathing, and exercise intolerance. In more severe cases, dogs may also experience fainting or collapse, pale mucous membranes, weakness, elevated heart rate (tachycardia) and severe lethargy.
In a way, yes. Your dog can feel the discomfort that goes hand-in-hand with the heartworms hatching from larvae stages into adulthood. They can also feel them migrating from one spot to another inside their body, specifically if they're affecting your dog's lungs and breathing.
If you forget a month of preventative, make sure to give the next 2 doses on time to "catch up" for that missed month. If you miss several months in a row, you should give your vet a call for advice on when to plan for the next heartworm test and how to get started back on preventatives.