Additional Opinion

Hi Vets I reside in Vietnam, where mistakes and miss-diagnosis is common, i mean hell the people still kill and eat dogs so trusting any vets opinion is tough here. So hoping other qualified vets within this group can give me confidence on diagnosis and treatment here. Attached: - video of my girl coughing at night - original xrays taken yesterday - same xrays with areas of concern indicated - conversation thread with head vet based in another city (actual vet clinic name has been edited within app) - photo of medication prescribed Everything has been cropped slightly to remove veterinary clinic name. My girl is a 9 month old mixed toy poodle. 2.6kg weight Last 4 weeks coughing, sometimes sneezing. Once or twice retching with only one occurrence of puke. - No mucus discharge from mouth, nose, eyes. - First vet i visited said kennel cough, (no pcr or scans/xrays) and 5 day anti-inflammation med prescribed. - Last few days loss of appetite. Triggered me to visit a different vet and insist on xrays and blood analysis She was at the 2nd vet given some immediate treatment, glucose, antibiotics shot (in photo attached) Measures i have taken before visiting recent vet (2 days ago): - stopped using ac (sleeps in a pen next to my bed) - put a humidifier by her bed - bought a nebuliser though was advised by vet to not use as causes stress - i am not sure if doing a steam room in shower cubicle would help. Yesterdays visit scared the heck out me hence me posting for hopefully a 3rd qualified opinion here. Thanks Bobby Update 1st Feb: - No blood parasites - First fecal test shows no intestinal parasite either. - Another fecal test with sedimentation technique is due in next few days Update 2nd Feb - i started her on the antibiotics today along with the medication she already started - it might just be my bad hearing but her cough this morning sounded more wet...if that makes sense

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I'm not a vet but sure one will comment soon and give you some sound advice considering were you are located. You sound like a very good "parent" to your little girl. You have done more than most pet owners would do. Hopefully the antibiotics will help. Have you tried changing food? Maybe it could be allergies to food or something else? Wishing you and your girl the best!

Hello.  I have a veterinary degree and a lot of years experience but this is my current job, so not practising.  The first thing to say is that we are in no position to give second opinions ; your vets has more information than us because they have seen, examined and listened to your dog, which we have not.  Of the two of us, your vet has more information about your dog than I do, making a second opinion inappropriate. It is not normal to scan or x ray a dog to diagnose kennel cough.  In the UK this would be a presumptive diagnosis based on a characteristic, acute (rapid) onset bronchial cough, often tracheal pinch positive, with otherwise clear airways.   It is rarely treated with antibiotics because many of the causes are viral and short lived.  Anti inflammatories, rest and isolation to prevent spread are the routine treatment. What concerns me is that the problem then progressed to include loss of appetite - were the antiinflammatories being given at this point?  It would be normal to return to the same vet for continuity but given your situation I can understand why you tried elsewhere. I think that the bottom line is that it is impossible to assess your dog at this distance.   If your dog does have KC (unable to see the radiographs but I haven't accessed these because you are not my client) the first vets' would be appropriate treatment.  But I don't know that.  It sounds as though you may need a true second opinion which is beyond the scope of this service.  It may be worth asking other ex-pats with pets to get a quick consensus on which vets locally use Western evidence based Medicine, or whether you can get a true telemedicine consultation with a vet that you trust, because asking different vets who all give you different treatments can, as you suspected, be unhelpful.   I hope that something there helps.