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When Do I Need to Take My Dog to the ER Vet?

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February 22, 2012 / (13) comments

I recently had a friend ask me, in hind-sight, why their middle-aged dog died at home "suddenly." They had noticed that their dog was "off" for a day and had a "really bad night." In other words, their dog was collapsed, couldn’t get up, wouldn’t eat, and had a few seizures in the middle of the night ("He looked like he was going to die, with his eyes rolling into his head").

 

Sadly, this dog died the following day (over 24 hours later) when it was en route to a veterinarian. Being that this dog had never seizured before, this was the dog’s clue that he needed to be taken to a vet ASAP. Not the next day. Now. In other words, as soon as you notice signs of your dog being "off," a veterinary visit is a must. After all, your dog can’t talk to you!

Rather than be hounded for free veterinary advice post-mortem, I would have rather helped them pre … that is, before their dog actually deteriorated to the point of death.

After all, this dog’s death could have been something as simple as xylitol poisoning, with the seizures occurring secondary to hypoglycemia (low blood sugar), something that is easily fixed in the ER.

News flash, people: Dogs don’t typically "die" suddenly at home, nor should they. As heart-breaking as it is, unless it’s from sudden acute internal bleeding (usually from a very aggressive cancer called hemangiosarcoma), or from pericardial effusion (abnormal blood accumulating around the heart sac), it’s something your emergency veterinarian could have treated. Some people also say that dogs will "suddenly die" of bloat — more scientifically known as gastric diliatation-volvulus (GDV) — however, I don’t believe this excuse. The clinical signs of GDV are pretty severe; after all, your dog’s stomach is twisted and needs emergency surgery.

Typically, signs of severe anxiety, pacing, attempting to vomit, a distended abdomen, and running up to you ("Take me to the veterinarian, mom!") are your classic signs of GDV. The more advanced stages follow: collapse, not being able to move, a racing heart, and labored breathing. If you fail to miss these signs, your dog will die at home, and will suffer slowly and painfully in the process due to severe hypovolemic shock. It’s a painful and terrible way of going, folks.

As an educated pet owner, you should know that resources abound: the Internet (albeit not always the most reliable source), a phone call to your local emergency veterinarian, and your veterinarian. Often times, the receptionist or veterinary technician may be able to help triage your dog’s problem over the phone and help you decide if it warrants an emergency veterinary visit.

When in doubt, take your dog or cat to the veterinarian or emergency veterinarian. Even though it may be expensive, the $135 for the emergency fee may give you the peace of mind that all is okay. No animal should have to die at home, as the signs are typically pretty severe for this to happen. And, it’s really painful and miserable to die at home when it could have been medically treated to begin with.

Even if you have financial limitations and know you can’t spend thousands of dollars in a veterinary ER, at least you can find out (1) what’s wrong with your pet, and (2) humanely euthanize so your pet doesn’t suffer at home to the point of death.

Signs that you should take your dog to an emergency veterinarian include:

 

  • Non-productive retching
  • Difficulty breathing
  • Constant coughing
  • Restlessness
  • Pale gums
  • An elevated heart rate (> 160 beats per minute at home)
  • Crying out in pain
  • Not being able to move
  • A distended abdomen
  • Extreme lethargy
  • Any significant amounts of bleeding
  • Any trauma
  • Not walking
  • Dragging the back legs
  • Any toxin ingestion or poisoning
  • Squinting, bulging, or painful eyeballs
  • Bloody urine
  • Straining to urinate

 

While this list isn’t inclusive, if you’re concerned enough, bring ‘em in. The time is a small sacrifice for your dog’s health and your piece of mind.

Next week, signs for cats that are a "must" visit to the ER.

 

 

Dr. Justine Lee

 

 

Image: Willow by Ryan Kemmers / via Flickr

 

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COMMENTS (13)
1
To the ER - Stat!
by TheOldBroad on 02/22/2012 07:16am

I cannot comprehend taking a wait-and-see approach if a critter has any of those symptoms.

Of course, I've been known to take a critter to the vet for meowing funny. (She was fine and they had the courtesy not to laugh at me.)

I figure that I'd much rather take the chance of being "today's humorous appointment" than to wait and be told that my critter could have been saved if I had come in sooner.

2
If it were only that easy
by ssrichey on 02/22/2012 10:53am

Last year I was living in rural Mississippi where pet perspectives are very different and there are no emergency clinics. My dog had a bulging eyeball, couldn't stand/walk and was screaming in pain on a Sunday afternoon. After calling everyone I knew to track down the vet (who forgot to turn on the emergency phone forwarding that weekend), I finally got a call 5 hours after onset. The vet would not drive into the office to see me or to euthanize my pet. She worked me in the next morning around 9:30. The last 18 hours of my little dog's life was pure torture for all of us. I'll never forget or forgive that horrible ending. Sometimes you seek help but still can't get any.

by Dr Justine Lee on 02/22/2012 06:01pm

Heartbroken to hear this, and thank you for trying to do your best for your pet!

by PetMom1 on 02/22/2012 07:47pm

SRichey, I am so very sorry for what your dog had to go through. That must have been a horrible thing to witness, knowing that you could do nothing to help her, and that the person who could have was AWOL on the job. I'm so sorry.

3
I second the motion
by PetMom1 on 02/22/2012 07:35pm

As S Richey said, if only it were that easy, Dr. Lee. We did take our dog to a specialty clinic, where she was seen by an intern. She presented with tachycardia (which was noted in the records), pale gums (also noted), as well as extreme lethargy and melena, which had persisted for a week (and we had already taken her to our primary care vet twice, prior to getting the appointment at the specialty clinic.) Yet, in spite of these very serious symptoms, she was "treated" with Panacur and metamucil sprinkled over her food.(and her fecal was negative, and was done by our PC vet) So, sometimes, even though the pet parents recognize the severity of the situation, the vet does not.
Thank you for a very informative article, Dr. Lee. I sincerely hope when others bring their family members to a vet, they will be more fortunate than we were.

by Dr Justine Lee on 02/23/2012 12:54pm

Aghhh! So sorry to hear this. I have to admit that when I was an intern (back in 1997), I know I made some mistakes too. Not an excuse at all, but when in doubt, trust yourself and go with your gut instinct. Glad your regular veterinarian was able to help!

by PetMom1 on 02/23/2012 08:39pm

Dr. Lee, thank you for the empathy. Actually, our dog died at the veterinary specialty clinic when her stomach ruptured from an ulcer. We took her there and requested an endoscopy, which was never performed, because in our opinion, they did not take our concerns that she may have an ulcer seriously. And the intern in question was being supervised by a vet that we never saw (not a specialist), until our dog was in emergency surgery.
Something which neither my husband nor I will ever get over. Thank you for caring, Dr. Lee.

4
if only
by rockjdog on 02/27/2012 04:15pm

"the $135 for the emergency fee". Never found an emergency hospital around me for that price. The closest one to me starts at 450.00 just for the exam.

by Dr Justine Lee on 02/27/2012 05:15pm

Hmmm, that doesn't sound right. I'd call today to verify, as it's important to know you have resources around. That typically includes the initial work up (blood work) too. Exam fees are rarely - if EVER - above $200 in veterinary medicine. Please keep us posted!

by rockjdog on 02/28/2012 11:44am

Nope all true. Welcome to New York baby. I have taken Rock there three times. Once was a false alarm for bloat, 450 bucks is what they charged for an intial exam. When Rock really did bloat they charged me six grand and they wanted 3500.00 up front before they would do anything. They are 10 miles away. I think the animal medical center on 62st in Manhattan is cheaper but it takes me an hour to get to them.
To see a specialist with an appointment at this place is 200 but that is not an emergency.
The veterinary behaviorist there charges the most of any specialist at 400.00 for a consult.

by My5beagles on 02/27/2012 06:46pm

Holy cow Rockjdog that's really expensive. The last time I had Sweet Lilly at the e-vet it was $99.00 to walk in the door. I have two emergency hospitals within 75 miles and will take my pets to the closer one if it's a simple issue(stitches etc). The best one is in Akron and it is state of the art(brand spanking new addition which Belle the beagle financed) which costs about 125.00 to walk in with an emergency. I haven't priced them in the last year but I have to run up for an eye appointment for one of the pack and will look into it to be sure. Honestly they do such wonderful work that truly I'd pay just about anything they asked. I often joke with the amount I've spent on one beagle there I could of had one really nice used car. She's one I won't trade in......

by rockjdog on 02/28/2012 12:06pm

Amen! I think I have spent at least 16,000 (thats a 2006 Subaru Forester)just on Rock alone. After all that my girl Molly is insured against any and all disease ( including hereditary ) up to 12,000 with petplan.
However I would not trade Rock for a forester or a 100,000 or for a 1,000,000. Some things are just priceless .

5
animal advice
by Stacey Beck on 11/26/2012 01:14pm

Thanks for the advice! I'm glad there are people who are as big of pet lovers as me and post things like this. My sister has the Algonquin animal hospital on speed dial in her phone just in case something happens. Hopefully she will never have to use it though. This is great info, thanks again for sharing.

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