
In acute cases, IMHA can be life-threatening condition requiring emergency treatment. In such cases your dog will be hospitalized. The primary treatment concern will be to stop the destruction of further RBCs and stabilize the patient. Blood transfusions may be required in cases where extensive bleeding or profound anemia is present. Fluid therapy is used to correct and maintain the body's fluid levels. In those cases that do not respond to medical treatment, your veterinarian may decide to remove the spleen to protect your dog from further complications. Your dog's progress will be monitored and emergency treatment continued until it is completely out of danger.
Strict cage rest may be required while your dog is stabilizing. Some patient respond well, while for others, long-term treatment is required; some dogs may require life-long treatment. Emergency treatment will be continued until your dog is completely out of danger. After successful treatment, your veterinarian will schedule follow-up visits every week in the first month, and later, every month for six months. Laboratory testing will be performed at each visit to evaluate the status of the disease. If your veterinarian has recommended life-long treatment for your dog, 2‒3 visits per year may be required.