My unspayed dog has heart/stomach issues. How to get diagnosis?

Question

Vet said there's slight inflammation of Maicah's heart, stomach is pushed up -possible pyometra based on her history. See latest xray + old 1/17 sonogram pic attached. Waiting for head vet's feedback based on this am's ultrasound. Maicah is 10-12yo, had 2 CSections- prev. vet did not spay on her last csection, said her uterus was damaged (from prev pregnancies before i adopted her) & there was adhesion so it's risky. How can we get an accurate diagnosis? Is operation still a good option? Thanks! Pet's info: Dog | Mixed Breed Small (up to 22lb) | Female | 8.25 lbs

Kevin Sanada, DVM · Accepted Answer

Unfortunately, the x-rays are not showing up as well here as the originals would, so I'll comment on what I see, but I could easily be missing something. The heart does not appear enlarged, but their are some distended arteries in the x-ray that make me suspicious of heart disease and more specifically heartworm. The abdomen is generally distended and the liver appears somewhat enlarged. This can happen with the heart disease I mentioned or some other condition affecting the liver. I do not see an obvious pyometra on the x-rays or ultrasound (sonogram). I wish I could help you with the other questions, but it's impossible without me knowing the cat's full history, or having the opportunity to examine the cat myself. One thing we can offer on Petco Pet Education Center, formerly Petcoach is a consultation. This is a service that you would have to pay for, but it would allow you to text back-and-forth with one of our experts and send as many pictures as you want. With these consultations, we can help to identify the problems by gaining all the necessary information. Otherwise, you may seek a second opinion from another veterinarian in your area. I hope this is somewhat helpful and everything turns out OK Maicah.

My unspayed dog has heart/stomach issues. How to get diagnosis?

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