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Date:   17 November, 2011  
Focus:
 Small animals - dogs, cats, hamsters, guinea pigs, turtles & rabbits
Kennel Cough seldom but can cause death in puppies
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
 17 November, 2011  
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
The young generation prefers to text but it is not good when it comes to your pug's illness as illustrated in the following case.

Nov 13, 2011 10.59 am
Good morning Dr Sing. This is ... the owner of Zorro (Pug). We visited your clinic on 8th. My puppy was having kennel cough and runny nose. He used to eat well and was active but this morning, he is not having any food and keeps on sleeping. When he walks, he has difficulty walking due to heavy coughing. So he walks a bit and then just sits down and he is not active anymore. Antibiotic has not been finished yet but since he seems not well, should I bring him back to the clinic?

It would be much appreciated if you could reply to my sms.

 
dry hacking cough - kennel cough - new pug puppy, toapayohvets, singapore dry hacking cough - kennel cough - new pug puppy, toapayohvets, singapore
Nov 8, 2011. One day after purchase. Pug was coughing and had runny nose but was eating well


Nov 13, 2011 12.04 pm

Pl tel me

NO REPLY. I PHONED. NO RESPONSE.

Nov 13, 2011 9.31 pm
Dr Sing, I really need your help now with my pug. For all day, he rarely moved and seems no energy with him. Is there any chance we can bring him for emergency now?

I PHONED THE OWNER. As the pug was ok, I advised giving him a teaspoonful of honey + water and bring back to the clinic at 10 am on Nov 14.

On examination, the pug had copious amounts of nasal discharge. Difficulty in breathing. Some lung sounds, but no fever. I gave treatment and cough mixture.

"It is not possible to cage him 100% at home," I had advised the couple who brought the pug to me for examination one day after purchase on Nov 8.

"Play with the pug for only 5 minutes after meals which were given twice a day," I had advised. "Kennel cough is caused by virus and bacteria. Viral diseases do not have antibiotics but resting the puppy by confinement strictly in a cage will help speed recovery. Some cases take up to 3 weeks to recover."

In this case, the pug had space to run around as all puppies take advantage of freedom at a new house. He also hated taking medicine as he fought me when I syringe him 0.05 ml of the cough mixture.

"It is difficult to give him medicine by mouth," the young man said. "My pug rests his head on a soft toy," the gentleman said.
"Puppies do that when they can't breathe properly," I said. I rolled up a towel like a small pillow. The pug rested his neck on the edge of the pillow. Eyes bright but he was tired.

"Can we visit him for 15 minutes?" the gentleman asked.
"Yes," I said. "But this pug must be inside the cage for the next 2-3 days to rest." The couple came at 7 pm on the same day. Nursing, feeding, electrolytes and observation are made every 2 hourly to ensure that the pug is OK.
 

kennel cough 2 month old pug from breeder, toapayohvets, singapore kennel cough 2 month old pug from breeder, toapayohvets, singapore kennel cough 2 month old pug from breeder, toapayohvets, singapore
  kennel cough complicated, pug warded at Toa Payoh Vets, treatment, singapore  
After 3 days of confinement and treatment at Toa Payoh Vets, the pug becomes active and starts eating. On the morning of Day 3, I reviewed his condition. He was ravenous and could not stop eating the kibbles. He wanted to play. Two male Sec 3 students who came for work foreshadowing, were producing a video on kennel cough using my DSLR camera.

This pug went straight to the camera lens. He had loose stools and some coughing but was OK to go home.  I phoned the owner to take the pug home in the evening.  

UNCOMPLICATED KENNEL COUGH.
Coincidentally, another older pug from a young lady owner in her late 20s came to the Surgery with a friend on the afternoon of Nov 17, 2011 (Day 3 of hospitalisation for the above-mentioned younger pug).

This older pug had loose stools and I asked Dr Vanessa to handle the case. "Did your pug suffer from kennel cough?" I remembered seeing one sometime ago. 

"You were the one treating her when she was coughing," the young lady reminded me when I said I do not work at 8.30 pm and the vet would be Dr Jason Teo. That was one of those evenings I had been around as Dr Teo reported sick. I checked my medical record which I had taken an image to record this case and would post later. I did write "REST" in capital letters. 

"How long she took to recover?" I asked. "Was she closely confined?"
"Yes, for around 1 week," she said. She had strictly complied with my instructions to confine the pug completely. She put the pug in the crate in the kitchen, fed her and left her alone. This was unlike the above naughty pug that was allowed by the young couple out to wander and play. So, her pug had sufficient rest and recovered without complications.

Kennel cough can become complicated and need in-patient treatment sometimes.  

Texting your vet is not a good idea as it is risky and unprofessional  for a vet to diagnose a serious illness by texting as the history and latest situation must be known orally if not by examination.

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