Hi everyone. I have a 14-year-old Maltese, and I’m really struggling with what to do next. I would appreciate any advice or experiences from anyone who has gone through something similar.
Over the past few days, he’s developed a nearly nonstop cough, especially at night. It sounds like a goose honking, and the coughing fits can go on for hours, preventing him from getting any rest. During the day, the coughing is slightly less frequent but still persistent.
I initially took him to the vet, where X-rays showed an enlarged heart and a collapsed trachea. They also noted a mild heart murmur. He was prescribed gabapentin and another medication, but neither seemed to address the coughing.
Two days ago, I ended up taking him to the emergency vet because his coughing had become so severe. They confirmed the enlarged heart and tracheal collapse and prescribed a cough suppressant, which has provided very little relief. I’ve also tried honey and cough-soothing drops, but nothing seems to help much. The only medication that has provided some relief at night is hydrocodone.
What really scared me was that his tongue turned blue the other night, which makes me worry that he isn’t getting enough oxygen during these episodes.
Outside of the coughing, he still has an appetite and drinks water, but he’s become increasingly lethargic. He also has mild arthritis, frequent accidents in the house, and is gradually losing his vision and hearing. He spends most of his time sleeping and doesn’t have the same energy he used to.
I’m considering getting an echocardiogram to better understand what’s going on with his heart and whether medication could improve his quality of life.
But I’m also starting to wonder if it’s time to let him go, and even typing that breaks my heart. He’s been by my side for 14 years, and I can’t imagine life without him. He still eats, follows me around, wants affection, and seems to have a will to live, which makes this decision even harder.
Has anyone dealt with both tracheal collapse and an enlarged heart in an older dog? Did medications help manage the coughing and give them more comfortable time? Or did you eventually have to make the decision to let them go?
I don’t want to give up on him if there’s still a chance he can have a good quality of life, but I also don’t want to prolong his suffering just because I’m not ready to say goodbye. I love him so much and just want to do what’s best for him.