When to euthanize an ailing dog? Heartbreaking decision

juniper

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My rat terrier Teddy - the avatar driving my car - is 13 years old and has had cancer for about 3 years. It's anal sac adenocarcinoma - big lumps on his rectal area. http://veterinarymedicine.dvm360.com/identifying-and-treating-anal-sac-adenocarcinoma-dogs

It was found during a routine anal gland expression. He's lived much longer than the vets and canine cancer specialists thought he would. The canine surgeon said surgery would help (at over $6000) but would probably also cause problems such as inability to hold his poop in - poop could spill out at any time.

The consensus was to let him live as long as he was comfortable, then opt for euthanasia.

I've had animal put down before, due to medical problems. An 18-yr-old cat who had a stroke and lost the use of her legs. A Chihuahua who had a tumor in her neck and congestive heart failure, and suddenly couldn't breathe. A 17-yr-old cairn terrier who had kidney failure. It's always heartbreaking, but those were clear cut decisions.

This one is not.

Teddy is still active, although he sleeps a lot. He tries to catch his dog cookie treats. One eye is blind and the other is getting hazy, so his vision isn't the best anymore and doesn't like steps, but he's mostly the same old Teddy. Happy, devoted, eager for food, wanting to be near us around the house. His hunger is constant, due to the cancer using up so much of his energy.

The tumors are very large on his butt - round, stick out about 2 inches and cover side to side. The vet has said the inside growing is probably even larger. At last x-ray it hadn't spread beyond his back area, but it's beginning to cause some problems.

His behavior has changed in a few areas - most problematic is that he seems to have lost the knowledge about going outside to pee and poop. We have a dog door - in the past he was excellent on using it, never had an accident in the house. Now we have daily poop piles and pee stains. The vets told us that at some point he would probably not be able to poop, that the tumors would compress his rectum too much, but the opposite seems to be happening. He's lost control of his ability to hold it until he gets outside.

In the last couple of days he's also forgotten how to eat his kibble from the bowl on the floor. In the morning the dogs (we have two) get a bowl of wet food and a bowl of dry food each, in the same room but separate spaces. He'll eat the wet food but ignore the dry food bowl, but go searching around the other dog for more food. If I show him the dry food bowl he doesn't seem to recognize it - unless I pick it up and tip it toward him, and then he'll eat from it. Or if I hand feed him from the bowl, he'll eat the kibble. He just can't recognize the kibble in the bowl on the floor.

My husband thinks it's time we think about having him put down. He's tired of the constant poop messes and worries that things are going to get worse for Teddy. I am losing my own cancer battle and this is tearing me up emotionally. I'm not ready to let him go - he's my buddy dog! - but don't want him to suffer.

But he doesn't seem to be suffering - that's the dilemma. The situation is just - inconvenient, in my mind. Picking up poop and cleaning up pee stains, yucky yes but ok. I can hand feed him.

I won't leave my husband to face this problem alone, so at some point within the next 6 months maybe, we will take Teddy to his last vet visit. But when should that be? It doesn't seem right to end Teddy's life just because his habits are inconvenient ...

Damn it, this is making me cry too much. I need Teddy emotionally but that can't be the deciding factor. I have to do what's best for him. A friend, long ago, waited a day too long and came home to find her bull terrier had hemorrhaged blood all over the house. She wishes she'd had the courage to let her dog go peacefully.

But how to decide? :cry:

This is a long post - am I trying to justify myself or talk myself through this? I don't know. I'm really struggling with this. This post may be confusing but I don't have time right now to read back through it. Must get ready for job.

I'd appreciate your thoughts on this. Thank you.
 
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ElaineA

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Awww, juniper. :e2cry: and :e2grouphu

I don't think there's any one easy or right answer, as you already know. The situation is naturally complicated by your own health trial, too. My sister-in-law went through this decision with her dog a year ago. He was terminally ill, but he still enjoyed chasing his ball and the daring rabbits in their yard, and most of all, being around his people. One thing to remember is domestic dogs are wired to try to make us happy and feel secure. They'll do it to the very end, and it sometimes makes it hard to see when the time is right to help them pass if it comes to that. After a few days of grappling with the fact that her dog really was very near the end of his life, my sister-in-law was able to make the decision to take him in. But it had to evolve in her heart and mind. If Teddy's not suffering, you can certainly take at least a few days to absorb the full reality of the situation, allow yourself to shuffle through your thoughts and emotions as you are doing. I don't think it will ever be less than a struggle with a companion you've had for so long, but sometimes things come clearer after a few days, no matter which way you decide. You can allow yourself that much.

I'm so, so, so sorry. My thoughts are with you and Teddy. :Hug2:
 

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Oh, Junie, I am so sorry.

If it were me, I'd feel the way you do -- as long as the dog was not suffering and getting some happiness from life, I'd put up with all the messes. (I understand your husband's feelings, but I know I'd want to keep my buddy as long as feasible.)

Have you talked with your vet, and told him/her exactly what you told us, and gotten his/her take? That's what I'd do. And if the vet confirmed the dog was still having quality of life, I'd talk to my husband about how you feel. Of course your own cancer fight will affect how you feel. And of course you don't want the dog to suffer. But if he's not suffering, and you can deal with the little messes...I say keep him around.

We put our dog to sleep when the vet confirmed the tipping point was reached, and the dog was starting to suffer more than she was enjoying life. The vet was great and very understanding about talking us through the decision.

I know you'll make the right call, Junie, whatever you decide.
 

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You don't mention if you've discussed with your vet when would be the right time.

When I had an ailing cat, the vet was very sympathetic and had a lot of good advice for me. She wouldn't tell me when the right time was, but she as at least able to educate me on the signs of discomfort and able to give me references for how bad it was going to get.
 

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In my experience, when they stop showing interest in food - as seems to be happening now, with the selective rejection of dry kibble - it's about time to let go. They may not actively show pain and misery, but Something's Not Right in there. Something's shutting down.

If he were still eating well and the only issue was incontinence, I'd suggest "doggy diapers". (I had cats wearing them at varying times - worked great.) But the food thing... that was always a trigger that they weren't interested in living anymore. I still remember the look on Domino's face when he finally looked down at the tuna-laced baby food I'd been trying to feed him, looked up at me, and seemed to ask "What am I supposed to do with this, again?" He was a cat, but the sentiment's the same. I really looked at him then, and realized he was more gone than there - thin, dull-coated, he didn't even look like himself anymore. He was ready to go... so I had to let him go.

Never easy, but sometimes love sucks that way.
 

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I'm so, so sorry to hear this. Such a tough decision.:Hug2:

I'm with the others, I'd talk it over with your vet. Only they will be able to give you a decision on whether Teddy is suffering.
 

MaeZe

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Ohhh, that's so hard.

I have two older dogs that have accidents. One throws up and the other pees when she's nervous. I made a nice place for them in the kitchen with dog beds, towels, potty pads and a baby gate. That's where they stay when I'm not home and at bedtime. It makes it easier to deal with.

From your description, I suspect your dog doesn't have much more time regardless. :cry: If I didn't think my dog was in pain, well, let's just say that would be the deciding factor for me. It can't be easy when your own health isn't good.
 

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:Hug2: Juniper,

I know exactly what you're going through with your Teddy. I just went through it this month with my Barricade and I let him go. His health problem was dementia. He too forgot to go outside and when we would go out he'd walk around and sniff, sometimes he'd go but other times, he forgot why we were there and he just enjoyed outside. He was having attacks in the house where he'd become paranoid, hyperventilate and hide. Other times he'd be his happy bouncy self and I would let the episodes pass, clean up his messes and just go on with life with him.

He would get lost in the house and one day he was afraid of his food bowl. I had to walk him over to it and encourage him to eat. He was still scared, grabbed some food and ran down the hall to eat it. For me it was the problem with food. Cade loved food more than anything else. I always joked he would have sold me down the river for one milk bone. I knew even though he was still having good days it was time.

It was a miserable decision to make but I knew I had to do what was best for him. As much as I wanted him with me his bad days were getting to be more than his good days.

I can only imagine how your health problems are making this decision even tougher for you. You're not giving up on you and you can't give up on Teddy.

My advice is to see how Teddy's days are, when the bad days start to out number the good it is time. Wee wee pads are a big help if Teddy will know to use them.

My love and support to you both.
 

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This is such a hard decision. We went through something similar with the older dog in my avatar picture. She didn't have cancer, but she couldn't see or hear anymore but was having a harder and harder time walking and was starting to poop in her bed when sleeping at night. She was better some days, worse others, but there was never a dramatic event. When she started to lose interest in food (she'd always been a voracious eater), we decided it was time.

With Teddy it sounds like his decline has been gradual. He may be losing his sense of smell as well as his vision. Or maybe he's developing some canine dementia, which could be unrelated to the cancer. Either of these would make it harder for him to find and respond to his kibbles. Since he isn't in acute pain, you have some time to make a decision and weigh what's best for you at this time. It isn't selfish to keep him for your sake if he isn't suffering. I'm addition to watching closely for signs of physical discomfort, I've found it's helpful to have a list of things that give your dog or cat pleasure, things like food, toys, walks, being petted, sniffing around outside etc. When they're no longer interested in their favorite things, I feel it's time.

I'm very sorry you have to go through this while struggling with your own illness. My thoughts are with you.
 

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From your description, I suspect your dog doesn't have much more time regardless. :cry: If I didn't think my dog was in pain, well, let's just say that would be the deciding factor for me. It can't be easy when your own health isn't good.

The lack of pain really does make the decision so much harder. I had to put down my dog, Chance, about six months ago. He had wobbler's disease, a congenital deterioration of the neck vertebrae that slowly destroyed his mobility. His deterioration was a slow burn over a five-year period from when he was first diagnosed. Even at the end, he wasn't in pain. He was as happy as ever, good appetite, no problems with incontinence, and that tail wagged just as joyfully as ever when I came home each day. His body just wouldn't do what he wanted it to do. I agonized over when the right time would be, and I was afraid I wouldn't know. Was it time when he became unwilling to walk on the wood portions of the floors because his feet would slip and he'd fall over? No, we put down zelda-trails of area rugs to give him purchase. Was it time when he couldn't get up and down the back steps on his own? No. He had a harness, and as long as I helped him up and down the steps to keep him from falling, he was okay. He was sensible enough that he'd wait to traverse them until I was there to give him that support, like an old man clinging to a handrail.

In the end, though, I knew. Teddy's your dog, and you know him better than anyone else does. When the time comes, you'll know too.

*Hugs.* It's so hard...
 

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Oh, Junie, I am so sorry.

If it were me, I'd feel the way you do -- as long as the dog was not suffering and getting some happiness from life, I'd put up with all the messes. (I understand your husband's feelings, but I know I'd want to keep my buddy as long as feasible.)

Have you talked with your vet, and told him/her exactly what you told us, and gotten his/her take? That's what I'd do. And if the vet confirmed the dog was still having quality of life, I'd talk to my husband about how you feel. Of course your own cancer fight will affect how you feel. And of course you don't want the dog to suffer. But if he's not suffering, and you can deal with the little messes...I say keep him around.

We put our dog to sleep when the vet confirmed the tipping point was reached, and the dog was starting to suffer more than she was enjoying life. The vet was great and very understanding about talking us through the decision.

I know you'll make the right call, Junie, whatever you decide.


This. And im so, so sorry. But yes, if they arent suffering ill put up with alnost anything. Lack of any Interest in food is usually my indication we re done. As much as you adore your teddy, i think youll know. And again, im so sorry.
 

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Are you sure he's not recognizing the dry food? Or just he doesn't want it anymore, for whatever reason? (hard to chew, makes him poop more, I don't know?)

I vote for letting him naturally live out his life.
 

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Oh Juniper, I'm so sorry.

It's a really tough decision. Especially when they aren't in pain. Talk to your vet so that you will know what to look out for.

And we will be hear when you need to talk it out.
 

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If he doesn't appear to be suffering, let him live out his last "good" (from his point of view) days. It's really all he has left, and you'll probably know when they're up. Keep in mind the problems he's causing will be over when his time comes, so what little he has left, let him have it. I'm really sorry you have to go through this. But I think it'll be best for everyone's peace including yours if you let him enjoy what little time he has left, spoil him, and make it all about him. He can deteriorate and die very quickly now, so don't let any good day go to waste.
If you rush this, you'll torment yourself forever. I've had to take this decision before, and just when it was all too late and the injection was made, my sweet 11-year-old cat Sozo's eyes lit up like they hadn't in days and he squeezed my hand as if he'd suddenly decided he wanted to enjoy another day. The next second, his eyes clouded over and his paw fell out of my hand. These things haunt you. This is something you should do later rather than sooner.
 

juniper

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His vets are surprised he's still alive, and that the tumors haven't constricted his rectum so much that he's unable to poop. That's what they thought would happen and they said that would be the time to let him go.

He's still pooping fine, just all over the place. He ate his kibble today without help. He's wandering around me now, waiting for me to pick up the bowls and give him the Good Dog morning cookie.

The cancer is making his back leg muscles atrophy and he's not at steady as he used to be. Sometimes can jump up onto and off the bed, sometimes needs to be lifted. No matter what, he's still seems happy.

We'll make another family vet appointment and talk with her. She's the one who found the cancer and is very sympathetic and tender.
 

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Several weeks ago we had to put my boyfriend's senior cat to sleep. He was apparently 19+ years old.

My boyfriend was so upset that he had his mom and me go to the vet instead. It was the first time I've ever been through anything like that.

You will probably know when the time is, but if he seems lively to an extent, let him live longer. You likely have time to think this over.
 

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So many have given you great advice or perspectives, juniper. I can only say I believe you'll know when it's the right time and will do the selfless thing. I want to say I'm happy you have friends at AW for you to lean on. :Hug2:
 

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I have no advice here, but I know you'll make the right decision. Nobody on here knows the full extent of the circumstances but you and your partner do, and together you'll be able to make the best decision for a bad situation.

Thinking of you, Juniper, and sending love and hugs your way.
 

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If you rush this, you'll torment yourself forever. I've had to take this decision before, and just when it was all too late and the injection was made, my sweet 11-year-old cat Sozo's eyes lit up like they hadn't in days and he squeezed my hand as if he'd suddenly decided he wanted to enjoy another day. The next second, his eyes clouded over and his paw fell out of my hand. These things haunt you. This is something you should do later rather than sooner.

Or maybe sweet Sozo was suddenly out of pain, and grateful to be released.

In situations like this, it's easy to interpret our loved one's actions through the lens of our own emotions. We can never truly know what's going on in the minds and bodies of our pets. All we can do is love them, and do what feels most loving. And sometimes that's letting them go.

Juniper, wishing you and Teddy comfort.
 
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juniper

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Thank you all for your thoughts and kind comments.

We have a "quality of life" check up scheduled for Friday morning. It will be with the vet who first found Teddy's cancer almost 4 years ago and has been tracking him since.

Teddy is better in the mornings but by the end of the day is rather apathetic about everything and has trouble standing up once his legs skitter out from under him on the floor. We put down hallway and kitchen rugs a few months ago but there's still some areas of wood and his back legs just can't cope with that.

He's had a good run of life and I wish we could have him longer, but I think his end is near. :cry:
 

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Sending huge hugs, juniper. Such a tough time.:Hug2:
 

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I'm so sorry, Juniper. I hope your remaining days with Teddy are as good as they can be.
 

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If you rush this, you'll torment yourself forever. I've had to take this decision before, and just when it was all too late and the injection was made, my sweet 11-year-old cat Sozo's eyes lit up like they hadn't in days and he squeezed my hand as if he'd suddenly decided he wanted to enjoy another day. The next second, his eyes clouded over and his paw fell out of my hand. These things haunt you. This is something you should do later rather than sooner.

Or maybe sweet Sozo was suddenly out of pain, and grateful to be released.
My cat behaved very much the same way when we had her euthanized. This is how I interpreted it. More as a "Thank you for ending my suffering."
 

juniper

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So - we took Teddy for his last car ride yesterday morning. The vet said she thought it was time, that he probably wasn't feeling well a lot of the time, plus he'd developed glaucoma in one eye. She said we could put him on pain meds but it would just be temporary fix.

We made the decision to let him go, and she injected a sleeping dose into him. She said it would probably sting and many dogs fret about it, but he just lay there, his head laying on my left arm. We stayed like that until the doctor was sure he was deeply asleep, then they took him away and put an IV into his leg and brought him back. We wanted to be with him as he passed. She put the euthanasia drug into the IV, and in just a minute or two he was gone.

We decided to have him cremated and returned to us, which will be about a week. We'll bury him in the memorial area in our backyard.

He was a wonderful dog, and very brave until the end. I'm keeping him as my avatar for awhile.