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  • Pulmonary hypertension means that the peak blood pressure in the arteries of the lungs is much higher than normal. Several abnormalities can lead to high blood pressure in the arteries of the lungs and many of the underlying reasons involve the heart. There are many signs of pulmonary hypertension including exercise intolerance, difficulty breathing with or without exertion/exercise, rapid breathing, coughing, spitting up blood from the lungs, fainting, and more. There are many potential causes of pulmonary hypertension. Several medications are available to treat your dog. It is important to maintain a low-stress environment while any underlying cardiac or respiratory disease is treated and managed. Activity may need to be restricted. It is essential to monitor dogs with pulmonary hypertension for worsening of clinical signs. Periodic physical examinations, blood pressure monitoring, and ultrasound evaluations of the heart will also be important. The long-term prognosis is very guarded for dogs with pulmonary hypertension.

  • Pulmonary thromboembolism describes a condition in which a blood clot lodges in one of the pulmonary arteries, blocking blood flow into the portion of the lung served by that artery. The signs of pulmonary thromboembolism include sudden difficulty breathing, rapid breathing, decreased appetite, fainting, coughing, spitting up blood, weakness, exercise intolerance, and the inability to get comfortable. Sudden death is possible. This article discusses potential causes, treatment, and prognosis.

  • Pulsed electromagnetic field (PEMF) therapy is the use of a generated electromagnetic field to affect changes in tissues of the body. PEMF is believed to have beneficial pain-relieving and healing effects but definitive clinical evidence or a positive benefit is currently lacking. Potential benefits and contraindications are discussed.

  • Pyelonephritis is an upper urinary tract infection. Many dogs have no clinical signs when they have pyelonephritis, although they may have signs of lower urinary tract disease. Pyelonephritis is usually caused by a bacterial infection that moves up the urinary tract from the bladder to the kidneys. There are several developmental, medical, and procedural conditions that increase the risk for pyelonephritis. Antibiotics are used to treat pyelonephritis and are chosen based on testing the urine for bacteria and antibiotic sensitivity. Overall, dogs with sudden pyelonephritis do well and return to normal health with appropriate treatment unless they also have kidney stones, chronic kidney disease, urinary tract obstruction, or cancer in the urinary tract.

  • Pyoderma is a bacterial skin infection that can affect all areas of the skin, including skin folds, often seen as red, pus-filled pustules. Treatment may require oral or topical medications and it is always a good idea to practice good hygiene. Pyoderma carries a good prognosis for recovery but recurring or chronic cases may require longer treatment and additional testing to determine an underlying cause.

  • Pyometra is a serious and life-threatening infection in the uterus, occurring in female dogs who have not been spayed. The condition must be treated quickly and aggressively. The preferred treatment is to surgically remove the uterus and ovaries by performing an ovariohysterectomy. There is a medical approach to treating pyometra, although the success rate is highly variable and not without considerable risk and potential long-term complications.

  • Pyothorax occurs when pus or inflammatory fluids collect in the space around the lungs causing fever, anorexia, lethargy, and difficulty breathing. It is diagnosed through history, physical exam, radiographs, and thoracocentesis. Treatment with oral antibiotics is essential and may involve repeated thoracocentesis or the placement of a chest drain.

  • Pyrantel pamoate is given by mouth and is used on and off label to treat intestinal parasites in many species. Give as directed. Side effects are uncommon but may include stomach upset, such as vomiting or diarrhea. Do not use in pets that are allergic to it. If a negative reaction occurs, call your veterinarian.

  • A herder through and through, the Pyr Shep is an energetic dog that needs a job. They become very attached to their owners, with a keen sense of their mood.

  • Pyrethrin insecticides are naturally derived from the Chrysanthemum (mum) species of flower, and pyrethroids are the synthetic versions. The use of pyrethrins/pyrethroids is generally safe in dogs; however, cats and fish are very sensitive to these products.