The signs of your pet's health problems are becoming more pronounced, indicating a need for urgent medical attention. Seek prompt veterinary consultation to address your pet's escalating health issues effectively.

Bella is 11 and has sundowners and probably cancer my cooce 8s to make her comfort and I just sent a question regarding Ruby my dig with heartworms and Bella cones in pantingvand shaking her head

It sounds like Bella is experiencing some discomfort with her ears, which is causing her to shake her head and pant. Given her age and existing conditions, it's important to ensure she is as comfortable as possible.

Head shaking in dogs is often a sign of ear issues such as infections, mites, or irritation. Since Bella is already on an ear cleanser, it’s good to continue using it as directed. Here are a few steps you can take to help her at home:

First, make sure you are cleaning her ears gently and as recommended by your vet. Over-cleaning can sometimes cause irritation, so it's important to follow the prescribed frequency.

Next, look inside her ears for any signs of redness, swelling, discharge, or foul odor. These could indicate an infection or other issues that might need more than just cleaning.

Given that Bella has sundowners syndrome, maintaining a calm and quiet environment can help reduce stress, which might be contributing to her panting.

Additionally, keep an eye on her for any additional symptoms like ear scratching, loss of balance, or changes in behavior. These could indicate a more serious issue that might need veterinary attention.

Ensure she has access to fresh water and a comfortable resting place. Panting can sometimes be a sign of pain or anxiety, so making her environment as stress-free as possible is key.

If her symptoms persist or worsen, or if you notice any signs of severe discomfort or infection, it would be best to consult your veterinarian. They might need to examine her ears more closely and possibly prescribe medication to address any underlying issues.

If you have any further questions, please feel free to ask. Thank you.

I know Bella needs to be seen too. My vet us 5 minutes from my house and they do home visits. That's what we'll have to do today. Just so you know. If the lumps on her are malignant we will make sure she stays comfortable, until we can't. I put some eardrops in her ears already after reading your reply, they were for Coopers ear infection a few months ago. It's always in the middle of the night. Ty again Dr Deliman .

It's wonderful that you have access to a vet who can make home visits.

Regarding the lumps, it's completely understandable to be concerned. Keeping Bella comfortable and closely monitoring her condition is the best course of action for now.

I sincerely hope that Bella and all your dogs are well.

Dr Deliman you are seriously one in a million. Seriously I pray you know what an impact your advice and kind words have left on my heart. And support you don't get at some vets in person, much less on an app. But I wanted to update you. Ruby breathing much better thanks to steroids she started today. And I know it's a temporary fix but it's let her breathe normal for the 1st time in 2 weeks. Tomorrow she will have an xray buy not wanting to stress her anymore today than she already was, you're advice and the calm I felt after reading your message just made me be grateful of your kind words. I had a cool mist humidifier going my air-conditioner was set on 64 lol they loved how cold it was in here, lol. Bella's high frequency music up loud on alexa and I even had it very dark even when the sun came up. She was much better from the tension that left me after I read all your recommendations. Thank you again. So we'll see tomorrow what exactly we need to do. I appreciate you.

You're very welcome! I'm delighted to hear that my advice has been beneficial for you and your dogs. Your dedication to their well-being is truly admirable.

I'm pleased to know that Ruby's breathing has improved with the steroids and that Bella is feeling more comfortable. Your efforts to create a calm and soothing environment for them are fantastic and can significantly enhance their comfort and reduce stress.

If you have any questions in the future, please try using the app again. I will do my best to provide a better answer the next time!

I wish you and your dogs the best of health.