How to Tell the Difference Between Kennel Cough and Heartworm in Dogs

Dogs are beloved members of our families, and their health is a top priority for responsible pet owners. Two potentially serious conditions that can affect dogs are kennel cough and heartworm disease. While both can cause discomfort and even life-threatening complications if left untreated, they are distinct illnesses with different causes, symptoms, and treatments. Understanding the difference between kennel cough and heartworm is crucial for ensuring your dog receives the appropriate care. This article will provide a comprehensive guide to differentiating these two conditions, empowering you to be a proactive advocate for your canine companion’s well-being.

Understanding Kennel Cough

Kennel cough, also known as canine infectious tracheobronchitis, is a highly contagious respiratory infection that affects dogs. It is characterized by inflammation of the trachea (windpipe) and bronchi (large airways in the lungs).

Causes of Kennel Cough

Kennel cough is not caused by a single pathogen but rather a complex of viruses and bacteria. Common culprits include:

  • Bordetella bronchiseptica (most common bacterial cause)
  • Canine adenovirus type 2
  • Canine parainfluenza virus
  • Canine distemper virus
  • Canine influenza virus
  • Mycoplasma species

Dogs often contract kennel cough in places where they are in close proximity to other dogs, such as kennels, dog parks, grooming facilities, and shelters. The pathogens spread through airborne droplets produced by coughing or sneezing, or through direct contact with contaminated surfaces. Stress, poor ventilation, and underlying health conditions can increase a dog’s susceptibility to kennel cough.

Symptoms of Kennel Cough

The hallmark symptom of kennel cough is a persistent, dry, hacking cough, often described as a “goose honk” sound. Other symptoms may include:

  • Retching or gagging
  • Runny nose
  • Eye discharge
  • Lethargy
  • Loss of appetite
  • Fever (in severe cases)

While kennel cough is typically mild and self-limiting, it can be more severe in puppies, elderly dogs, and dogs with weakened immune systems. It is important to consult a veterinarian for diagnosis and treatment, as secondary bacterial infections can occur.

Diagnosis and Treatment of Kennel Cough

A veterinarian can usually diagnose kennel cough based on a physical examination and the dog’s symptoms. In some cases, additional tests, such as a tracheal wash or chest X-rays, may be performed to rule out other respiratory conditions.

Treatment for kennel cough typically involves supportive care, such as rest, hydration, and cough suppressants. Antibiotics may be prescribed if a secondary bacterial infection is present. In severe cases, hospitalization and oxygen therapy may be necessary.

Understanding Heartworm Disease

Heartworm disease is a serious and potentially fatal parasitic disease caused by the parasitic worm Dirofilaria immitis. It affects dogs, cats, and other mammals.

Causes of Heartworm Disease

Heartworm disease is transmitted through the bite of infected mosquitoes. When a mosquito bites an infected animal, it ingests microfilariae (baby heartworms) circulating in the bloodstream. The microfilariae develop into infective larvae within the mosquito. When the mosquito bites another animal, it transmits the infective larvae, which then migrate through the tissues to the heart and lungs, where they mature into adult heartworms.

Heartworms can live for several years in the heart and lungs, causing significant damage to these organs and other vital systems. As the worm burden increases, the dog’s heart must work harder to pump blood, leading to heart failure and other serious complications.

Symptoms of Heartworm Disease

The symptoms of heartworm disease can vary depending on the severity of the infection and the dog’s activity level. In the early stages, many dogs show no symptoms at all. As the disease progresses, symptoms may include:

  • Persistent cough
  • Fatigue and lethargy
  • Exercise intolerance
  • Difficulty breathing
  • Weight loss
  • Swollen abdomen (due to fluid accumulation)
  • Heart murmur

In severe cases, heartworm disease can lead to caval syndrome, a life-threatening condition characterized by sudden collapse, severe respiratory distress, and jaundice.

Diagnosis and Treatment of Heartworm Disease

Heartworm disease is diagnosed through blood tests that detect the presence of heartworm antigens (proteins produced by adult female heartworms) or microfilariae.

Treatment for heartworm disease is complex and can be risky. It typically involves a series of injections of an adulticide drug to kill the adult heartworms. During treatment, the dog must be kept on strict exercise restriction to prevent complications such as pulmonary thromboembolism (blood clots in the lungs).

After adulticide treatment, the dog will need to be monitored closely for any signs of complications. Additional medications may be prescribed to manage inflammation and prevent secondary infections.

Key Differences Between Kennel Cough and Heartworm

While both kennel cough and heartworm disease can cause coughing and respiratory distress, several key differences can help distinguish between the two conditions.

| Feature | Kennel Cough | Heartworm Disease |
| :—————- | :—————————————- | :————————————————- |
| Cause | Viral and/or bacterial infection | Parasitic worm (Dirofilaria immitis) |
| Transmission | Airborne droplets, direct contact | Mosquito bites |
| Primary Symptoms | Dry, hacking cough (“goose honk”), runny nose | Cough, fatigue, exercise intolerance, difficulty breathing |
| Contagious | Highly contagious to other dogs | Not contagious between dogs |
| Prevention | Vaccination, avoiding crowded environments | Year-round heartworm prevention medication |
| Treatment | Supportive care, antibiotics (if needed) | Adulticide injections, exercise restriction |

Type of Cough

Kennel cough is known for its distinctive dry, hacking cough that is often described as a “goose honk.” The cough may be triggered by excitement, exercise, or pressure on the trachea. In contrast, the cough associated with heartworm disease is typically a persistent, soft cough that worsens with exercise. It is often accompanied by other symptoms such as fatigue and difficulty breathing.

Presence of Other Symptoms

Kennel cough often presents with other symptoms such as a runny nose, eye discharge, and mild lethargy. Heartworm disease, on the other hand, may cause more systemic symptoms such as fatigue, exercise intolerance, weight loss, and swollen abdomen.

Risk Factors

Dogs that spend time in kennels, dog parks, or other crowded environments are at higher risk of contracting kennel cough. Heartworm disease is more prevalent in areas with high mosquito populations. Dogs that are not on year-round heartworm prevention medication are at significantly higher risk of developing heartworm disease.

Seasonality

Kennel cough can occur year-round, but it is more common during periods of increased dog gatherings, such as boarding during holidays. Heartworm transmission is more likely to occur during mosquito season, which typically spans from spring to fall.

The Importance of Veterinary Diagnosis

It is crucial to consult a veterinarian for an accurate diagnosis if you suspect your dog has either kennel cough or heartworm disease. While some symptoms may overlap, the underlying causes and treatment approaches are vastly different.

A veterinarian can perform a thorough physical examination, review your dog’s medical history, and conduct appropriate diagnostic tests to determine the correct diagnosis. Early diagnosis and treatment are essential for preventing serious complications and ensuring the best possible outcome for your dog.

Prevention is Key

Preventive measures are essential for protecting your dog from both kennel cough and heartworm disease.

Preventing Kennel Cough

  • Vaccination: The Bordetella vaccine is available to help protect against the most common bacterial cause of kennel cough. It is often recommended for dogs that frequent kennels, dog parks, or other crowded environments.
  • Avoidance: Minimize your dog’s exposure to crowded environments where kennel cough is more likely to spread.
  • Good Hygiene: Practice good hygiene by washing your hands after interacting with other dogs and disinfecting shared items such as water bowls and toys.
  • Boost Immune System: Ensure your dog has a strong immune system through proper nutrition, exercise, and stress management.

Preventing Heartworm Disease

  • Year-Round Prevention Medication: Administer year-round heartworm prevention medication as prescribed by your veterinarian. These medications are highly effective at preventing heartworm infection when given consistently.
  • Mosquito Control: Take steps to reduce mosquito populations around your home, such as eliminating standing water and using mosquito repellent products.
  • Regular Testing: Have your dog tested for heartworm disease annually, even if they are on prevention medication. This is important to ensure that the medication is working effectively and to detect any early infections.

Conclusion

Differentiating between kennel cough and heartworm disease is crucial for ensuring your dog receives the appropriate and timely treatment. While both conditions can cause coughing and respiratory distress, they are distinct illnesses with different causes, symptoms, and prevention strategies. By understanding the key differences between these two conditions and working closely with your veterinarian, you can protect your canine companion from the potentially devastating effects of both kennel cough and heartworm disease. Prioritizing prevention and seeking prompt veterinary care are essential steps in safeguarding your dog’s health and well-being.

What are the primary symptoms of kennel cough versus heartworm in dogs?

Kennel cough is primarily characterized by a harsh, dry, hacking cough, often described as a goose honk. Other symptoms can include a runny nose, sneezing, eye discharge, and lethargy. While the cough is the most prominent sign, it’s important to note that most dogs with kennel cough will still be relatively alert and have a good appetite.

Heartworm disease, on the other hand, often presents with more subtle and progressive symptoms. Early stages may show no signs at all. As the disease progresses, symptoms may include a mild persistent cough (different in sound from kennel cough), fatigue, decreased appetite, weight loss, difficulty breathing, and exercise intolerance. In advanced cases, it can lead to heart failure, which manifests as a swollen abdomen and pale gums.

How contagious are kennel cough and heartworm?

Kennel cough is highly contagious and spreads easily among dogs in close proximity, especially in environments like kennels, dog parks, and grooming facilities. It’s primarily transmitted through airborne droplets produced when an infected dog coughs or sneezes. Direct contact with contaminated surfaces, such as shared water bowls or toys, can also spread the infection.

Heartworm, however, is not contagious from dog to dog. It is transmitted exclusively through the bite of an infected mosquito. When a mosquito bites a heartworm-positive animal, it ingests microfilariae (immature heartworms) which then develop into infective larvae within the mosquito. When the infected mosquito bites another dog, it transmits these larvae, which then migrate to the heart and lungs to mature into adult heartworms.

Can a dog have both kennel cough and heartworm at the same time?

Yes, it is entirely possible for a dog to contract both kennel cough and heartworm simultaneously. These are two distinct diseases with different causes and transmission methods. Therefore, having one does not provide immunity or protection against the other.

This underscores the importance of regular veterinary check-ups and preventative care. Annual heartworm testing and preventative medication are crucial, even if your dog is coughing. Similarly, vaccination against common causes of kennel cough is recommended, especially for dogs that frequent social settings with other dogs.

How are kennel cough and heartworm diagnosed?

Kennel cough is often diagnosed based on clinical signs, particularly the characteristic cough, and a physical examination by a veterinarian. While specific tests aren’t always necessary, a tracheal wash or culture may be performed in severe or persistent cases to identify the specific bacteria or virus causing the infection.

Heartworm diagnosis relies on blood tests that detect the presence of heartworm antigens (proteins released by adult female heartworms) or microfilariae in the bloodstream. The antigen test is more commonly used and highly accurate. A confirmatory test, such as a microfilariae test or echocardiogram (ultrasound of the heart), may be performed to confirm the diagnosis and assess the severity of the disease.

What are the treatment options for kennel cough versus heartworm?

Kennel cough treatment often focuses on supportive care, such as rest, good nutrition, and cough suppressants to alleviate symptoms. Antibiotics may be prescribed if a secondary bacterial infection is present. In many cases, kennel cough resolves on its own within a few weeks.

Heartworm treatment is more complex and involves a series of injections with an adulticide drug to kill the adult heartworms. This treatment protocol, administered by a veterinarian, is typically followed by a period of restricted exercise to prevent complications. Supportive medications and careful monitoring are essential throughout the treatment process.

How can I prevent kennel cough and heartworm?

Kennel cough prevention primarily involves vaccination, which is available in injectable and intranasal forms. Avoiding contact with sick dogs and maintaining good hygiene practices, such as disinfecting shared water bowls and toys, can also help reduce the risk of transmission.

Heartworm prevention is achieved through monthly preventative medications, available in oral and topical forms, prescribed by a veterinarian. These medications kill the heartworm larvae before they can mature into adult worms and cause damage. Regular heartworm testing is also crucial to ensure the preventative medication is effective and that your dog remains heartworm-free.

What is the long-term prognosis for dogs with kennel cough versus heartworm?

The prognosis for dogs with kennel cough is generally excellent. Most dogs recover fully within a few weeks with appropriate care and treatment. However, complications can arise in very young, elderly, or immunocompromised dogs, potentially leading to pneumonia.

The long-term prognosis for heartworm-infected dogs depends on the severity of the disease and the success of the treatment. While treatment can be effective, it carries risks, and some damage to the heart and lungs may be irreversible. Early diagnosis and treatment significantly improve the chances of a full recovery and minimize long-term health problems.

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