How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Michael Salkin Your Own Question

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 25207
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
55012488
Type Your Dog Question Here...
Dr. Michael Salkin is online now

Our 11 year old cocker spaniel has had a severe bronchial cough/bronchietisis(?)

Customer Question

Our 11 year old cocker spaniel has had a severe bronchial cough/bronchietisis(?) since the beginning of the year. She has been examined under anaesthetic, had an x-ray + second opinion on the x-ray to confirm the initial diagnosis. She's been prescribed clavaseptin and then some stronger antbiotics plus powder to break up phlegm and also steriods. The condition has not improved one bit. We are currently giving her pholcodine, but again no improvement. Frustrating after spending £600 + on vets' fees.
Our dog is well despite this persistent problem - eating, drinking and exercising normally The cough is quite distressing to hear.
Any ideas, please?
Many thanks,
Rob Pugh
Submitted: 2 years ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 2 years ago.
Aloha! You're speaking to Dr. Michael Salkin
I'm sorry to hear of this with Ruby and I understand your frustration. Cocker spaniels as a breed are overrepresented with bronchiectasis. This is an irreversible pathologic dilation of airways due to destruction of the elastic and muscular components of the airway walls. Treatment should focus on identifying and treating an underlying cause of chronic inflammation (e.g., chronic bronchitis, infection) if present. Long-term managment is focused on decreasing inflammation, enhancing mucociliary clearance, and appropriate antimicrobial treatment of secondary infection - all of which you've mentioned in the history you provided.

I don't see mention of humidification or nebulization which enhances mucociliary function by increasing water content of the mucociliary blanket. I would also consider inhalant therapy in a dog who hasn't improved with current therapy. Please discuss with Ruby's vet the use of a metered dose inhalant glucocorticoid (e.g., flunisolide: empirically start at 110mcg/actuation, one puff using a spacer every 12 hours; decrease to 44mcg/actuation, one puff using a spacer every 12 hours thereafter). Avoid cough suppressants because they further impair mucocilary clearance.

I regret that Ruby can't be cured (unless her bronchietasis were focal and the lung removed) and must be treated chronically by balancing antibiotics for secondary infections and antiinflammatory doses of corticosteroids. In the absence of life-threatening infection or serious underlying disease (e.g., neoplasia) long-term survival is possible.

Please respond with further questions or concerns if you wish.
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 25207
Experience: University of California at Davis graduate veterinarian with 44 years of experience.
Dr. Michael Salkin and other Dog Specialists are ready to help you
Expert:  Dr. Michael Salkin replied 2 years ago.
Thank you for your kind accept. I appreciate it.

I'm going to check back with you in a few weeks for an update. Feel free to return to our conversation - even after rating - prior to my contacting you if you wish.

Please disregard the info request.

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Rebecca

    Rebecca

    Dog Veterinarian

    Satisfied Customers:

    293
    Veterinarian for more than 30 years
< Previous | Next >
  • http://ww2.justanswer.com/uploads/TO/tomasicvet/2011-3-15_20483_RTI.64x64.jpg Rebecca's Avatar

    Rebecca

    Dog Veterinarian

    Satisfied Customers:

    293
    Veterinarian for more than 30 years
  • http://ww2.justanswer.com/uploads/MS/msb13sm/2011-3-7_52612_Dr.B.64x64.JPG Dr. Matt's Avatar

    Dr. Matt

    Veterinarian

    Satisfied Customers:

    2354
    DVM - 13 years experience in canine medicine and surgery.
  • http://ww2.justanswer.com/uploads/DR/Dr. Gene/2012-6-29_2247_20120223174645649.64x64.jpg Dr. Gene's Avatar

    Dr. Gene

    Veterinarian

    Satisfied Customers:

    1048
    DVM degree from Ontario Veterinary College
  • http://ww2.justanswer.com/uploads/VE/Vet help/2012-11-3_20182_Avatar2.64x64.png Vet help's Avatar

    Vet help

    Veterinarian

    Satisfied Customers:

    963
    12 yrs experience as a small animal veterinarian; 21 yrs exp. in the animal care field
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/KR/kritrdr/2014-3-26_152042_Dr.Gray1.64x64.jpg Dr. Dan's Avatar

    Dr. Dan

    Dog Veterinarian

    Satisfied Customers:

    2143
    12 years of experience with domestic and exotic dogs, PLEASE rate my service when satisfied.
  • http://ww2.justanswer.com/uploads/DJ/djan2000/djan2000_avatar.64x64.jpg Dr. Dave's Avatar

    Dr. Dave

    Veterinarian

    Satisfied Customers:

    2053
    21 years small animal general and emergency practice