What Are the Signs and Symptoms of Heartworms in Dogs?
Canine heartworm disease (dirofilaria immitis infection) results from the transmission of microscopic larvae to dogs, via mosquito bites. It is a potentially fatal disease affecting more than one million dogs in all fifty states of the USA. Even though heartworm preventive treatments have improved recently, along with increased public awareness, it still posses a severe threat to dogs health.
When the heartworm larvae mature into adults (which live in the top right ventricle of the heart and the pulmonary arteries), the infection starts to take its toll on its host.
The adult heartworms will occasionally spill over into the right atrium (top chamber of the heart) and the large blood vessels which return blood to the heart from the liver. This causes blood clots to develop in the lungs (from this obstruction) when worms occupy the pulmonary arteries. Congestive heart failure can result from the obstruction caused by a heavy infection.
The severity of symptoms very much depends on the size of the individual and the amount of worms present. Small pets will suffer more from smaller infections, than will large animals. Infected hosts will show different degrees of symptoms from loss of appetite, heart failure (from their decreased tolerance to exercise), coughing and wheezing, shortness of breath, weight loss and pulsation of blood flow which is visible in the neck veins.
When the pulmonary arteries are infected, a dog can cough up a bloody phlegm. If the veins from the liver are infected, liver failure may follow, including anaemia, jaundice and ascites ( fluid fill abdomen).
How Do I Know if My Dog Has Heartworms?
The diagnosis and treatment of heartworms is obstinate. Tests will often show negative results of the condition and there is no ‘approved’ treatment, which is not life threatening (to the dog).
A blood test called heartworm antigen test identifies the presence of adult female heartworms. Occasionally a false negative test occurs (failure to detect worms). This false reading could occur in a light infestation or of only male worms.
A microfilarial blood test relies on identifying microfilaria (microscopic forms female produced parasite). Again, a negative results can sometimes occur. About 10 to 25 percent of infected dogs do not have microiflariae in the blood stream. But this does not mean there is no infection.
An X-ray may show an enlarged right ventricle and enlarged pulmonary arteries.
An ECG (Echocardiography or cardiac ultrasound scanning) will sometimes show a disturbance of the heart rhythm, which reveals the presence of the adult worms.
How to Treat and Prevent Heartworms
The most effective initial treatment is to stop all exercise. After that, the type of medical treatment used will depend of the level of infection. But all treatments are dangerous to dogs and can cause death, because even a dead heartworm may cause a blockage and blood clot. In this case, a vet may prescribe aspirin to thin the blood and disperse the clot.
Compounds contain arsenic are given to kill adult worms, although arsenic causes a variety of side effects. The usual drug given is melarsomine (Immiticide) by injection. It has the widest margin of safety and kills over ninety percent of adult worms. Safer that previous treatments, melarsomine therapy may lead to other problems.
Arsenic treatment is more dangerous for older dogs. If your dog is old, your vet will discuss the pros and cons of their use. In this case you may be advised to administer a low daily dose of aspirin.
Four to five weeks after drug therapy, a further heartworm anitgen test may be done. If the results are negative, this usually means that all adult worms are dead. If the test if positive, your vet will discuss re-treatment.
A microfilaria concentration test will probably follow. If it is positive, the next step is to kill microfilariae. Either milbemycin oxime or ivermectin are can be administered, outside of there normally approved use.
Heartworm Prevention
First you should keep your dog indoors at times when mosquitoes are most active (or feeding), which is normally at dusk. If this not practical, you need use a heartworm preventative medication. This treatment should be given to your dog pre-mosquito season (about four weeks before), but if you do live in a region (or country) where they are active year round, treatment should also be given year round.
If you live in a highly infested area (of mosquitos) a new born puppy should be kept indoors and preventative medication should begin within eight weeks of them going outdoors.
When traveling with your dog to an endemic area, begin prevention one month before travel and continue until one month after returning home.
Can humans get heartworms from dogs?
No. However, you can possibly get an infection from a mosquito bite. But this is rare.