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My old dog has Cushings & liver issues. When is it time to say goodbye?

Updated On September 23rd, 2025

Pet's info: Dog | Mixed Breed Small (up to 22lb) | Male | neutered | 13 years and 1 month old | 10 lbs

Tucker, my 13 year old york poo has been on phenobarbital for 12 years. Today he was diagnosed with Cushings disease. The vet also said there was hepatitis or pancreatitis, I can't remember. He said he would support any decision I make but would like to start him on medication which requires frequent blood tests and monitoring but may extend his life by 6 months. I am struggling with a decision. Tucker has no bladder control, he is not eating much, sleeps a lot and is disoriented. Any advice?

2 Answers

Most Helpful Answer

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Answered By Linda G, MS, DVM

Veterinarian

Published on November 28th, 2017

Hello, I am so sorry for your concerns about Tucker. I would guess that he is having issues with his liver, hense hepatitis, which can occur with long term phenobarb. use. The medication to control the symptoms of Cushings ( we can not completely cure this disease, as it involves a tumor on the adrenal gland or the pituitary gland), also has some side effects that require frequent blood work to monitor. You have a very hard decision to make, & it is wonderful that your veterinarian is there to support whatever you decide to do. Take a few days to try & put things is perspective. Weigh the good days against the bad days & decide what is in Tucker's best interest. It is hard to let a pet go, but if there is a choice between existing because a decision can not be made, & truly living, then please consider things this way. If you are not happy seeing Tucker this way, knowing that things will probably get worse, he can not be happy, either. I sympathize with your predicament. For all of us who love our pets, this is a day that always breaks our hearts. Take care.

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Other Answers

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    Answered By Mariya Gugel, DVM

    Veterinarian

    Published on

    I'm so sorry to hear about Tucker's diagnosis. I completely understand that this is a difficult decision to make, and unfortunately, it is a decision that many pet owns have to make at some point. In my experience, most people can tell when their pet has had enough. You need to remember, that no matter what you decide, you have provided Tucker with a great life with lots of love. As long as Tucker is not causing himself any harm, such as not eating food, or causing sores from poor bladder control. I obviously do not know Tucker the way you do, but I recommend reflecting on Tucker's life and thinking about the things that he loved no matter what. Was there a favorite toy or snack that he would always get excited for? A special person in his life that would get his tail wagging? If you feel that Tucker is unable to enjoy these things anymore, that may make your decision a little more clear. Ultimately, you are Tucker's guardian and know him best. I know this is a difficult time, and wish you all the best.

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