Rest for 60 days (ideally in a crate): Rest is the single most important factor to successful heartworm treatment. This means 4 weeks of strict rest for your dog after each melarsomine injection.
It is critical that your pet be kept under strict exercise restriction and confinement for 4 weeks after each phase of the heartworm treatment. Life threatening complications may arise if your pet is not confined. Specifically, your dog should not be allowed to run loose, play with other dogs, or go for any long walks.
From the first injection until six to eight weeks following the last injection, it will be absolutely essential to keep your dog quiet. That means strictly restricting all exercise and activity that would elevate your dog's heart rate or increase his blood pressure.
The exercise restriction during melarsomine treatment is so important. As the heartworms die, they float around in the bloodstream and lodge in the walls of blood vessels. If your dog exercises too hard, the fragments can get shoved into narrowing blood vessels potentially causing a blockage/embolism and even death.
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.
All physical exertion must be stopped beginning the day of the first injection, 24 hours a day, for the full 8-week period, to reduce the risk of serious (catastrophic) heartworm-related problems.
“No running, jumping, playing or high-impact exercise as these activities may cause the worms to break loose and cause significant harm to the pet being treated.”
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.
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.
Dogs with heartworm disease can live high-quality lives as long as they are given appropriate care. After completing treatment and following your veterinarian's recommenda- tions on heartworm disease testing and prevention, the chances of any long-term effects are very low.
Heartworms can also cause nosebleeds, pneumonia, high blood pressure, seizures, blindness, and excessive sleeping.
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.
This means 4 weeks of strict rest for your dog after each melarsomine injection. I know that sounds like a really long time, but if the heart rate and breathing rate are kept low while the treatment is attacking the heartworms, there is less chance of the fragments moving into the lungs and causing severe damage.
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.
Heartworm preventatives can cause serious side effects in some dogs, including depression, lethargy, vomiting, anorexia, diarrhea, dilation of the pupil, loss of balance, staggering, convulsions, and hy-persalivation.
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.
Though some dogs do not experience the muscle soreness, it is particularly important not to pick up the dog or put any pressure on the back for 2-4 days after the injections. Even a gentle dog might cry out and snap in pain if that area is touched.
Some dogs may feel nauseated from their heartworms as well, and may vomit often just because they feel so sick with the disease. Vomiting does not occur in every dog that has heartworms.
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.
Is heartworm painful? - Animal Hospital of Statesville. It's not painful, per se, but they feel sick, uncomfortable, and they're likely having difficulty breathing. They're not perfusing very well, so they don't feel well.
After treatment, the adult worms die and are carried by the blood to the lungs where they lodge in small blood vessels. There they decompose and are absorbed by the body over a period of several months.
Discussion. Hemoptysis (expectoration or coughing up of blood) has been reported as a consequence of severe heartworm infection in dogs,2-6 although it remains a relatively uncommon finding. Even fewer reports exist of dogs coughing up or vomiting up adult heartworms.
That's when the worms die and shift position. The dog may have a fever, cough, lose appetite, have trouble breathing, or cough up blood. Sometimes you don't see any of those things, but you can just tell that your dog doesn't feel good.
You may be surprised to still see live worms in your dog's feces after deworming them, but this is normal. While this can be an unpleasant image, it's actually a good thing — it means the worms are no longer living inside your dog!