April is National Heartworm Awareness Month: Here’s What You Need to Know

Mosquitos play a key role in transmitting heartworms. According to Daily Paws, here’s how dogs get them:

1. Dogs, foxes, wolves, and coyotes infected with heartworms have baby worms in their bloodstream.
2. When a mosquito bites and feeds on these infected animals, it picks up the baby worms in the blood. Once inside the mosquito, these baby worms develop into infectious worms.
3. When the infected mosquito bites a dog, it leaves infectious worms on the dog’s skin.
4. The worms then crawl into the bite wound left by the mosquito, enter the dog’s bloodstream, and eventually end up in its heart or the blood vessels of its lungs.

The American Heartworm Society notes that adult heartworms can live up to seven years in a dog, meaning each mosquito season can increase the number of worms in an infected pet. If left untreated, dogs can end up having hundreds of heartworms.

Heartworm disease has been diagnosed in every state and is constantly spreading to new regions. The Companion Animal Parasite Council (CAPC) has parasite prevalence maps that can show you the number of positive canine heartworm tests in your area. It also has a 30-day parasite forecast map that rates infection risk from low to high by state and by county.

But even if you don’t live in a high-risk area, any dog that comes into contact with mosquitos is at risk. And because mosquitos can enter homes or bite dogs on bathroom breaks, even inside dogs can get the parasite.

As Daily Paws reports, most dogs diagnosed with heartworms don’t have any signs. Annual heartworm screenings during a pet’s annual exam tend to catch the parasites before they’re able to cause noticeable problems. The longer a pet is infected and the more worms they have, the more likely they are to have clinical signs.

“The most common signs of infection include not wanting to exercise, coughing, and vomiting,” Kleypas explains. “The most serious signs of disease occur in dogs with a lot of worms and include weight loss, severe coughing, difficulty breathing, pale gums, dark or bloody urine, collapse, and even death.”

Because the effects of heartworm disease get worse with time, it’s important to have your dog screened for heartworms at least once a year. This screening typically occurs during your dog’s annual wellness exam and involves two different tests: an antigen test and a microfilariae test. Neither test is 100 percent accurate, but using them in combination can yield better results:

• Antigen test: detects a type of protein mainly found in female adult heartworms; infection may go undetected if there are few worms, if only male worms are present, or if the infection is recent.
• Microfilariae test: detects the presence of microfilariae (baby heartworms) in the dog’s bloodstream; not all heartworm-infected dogs have microfilariae.

Annual testing is necessary for all dogs—even those on year-round heartworm prevention medication because no heartworm preventative is 100 percent effective, and mosquitoes can still infect your dog if you forget to give him his monthly dose of preventative or give it late, your dog spits out the meds when you’re not looking, or he rubs off a topical preventative.

If your dog tests positive for heartworms, your veterinarian will first closely evaluate your dog to make sure he’s healthy enough to undergo treatment. This will include blood tests and chest X-rays. Some dogs with serious infections need months of supportive therapies before they’re stable enough to be treated for heartworms. Your veterinarian will also ask you to restrict your dog’s exercise, as physical exertion can speed up heart and lung damage in infected dogs.

Once your dog is determined to be healthy enough for heartworm treatment, his exact course will depend on the severity of disease. Treatment typically involves multiple injections of melarsomine, a drug that kills adult heartworms. Additional medications may also be needed to kill microfilariae, reduce inflammation, control pain, or protect against bacterial infections. At the end of treatment, your dog will be placed on a monthly heartworm preventative medication.

Dogs with caval syndrome, in which the heartworms block blood vessels of the heart, will need to have the worms surgically removed before they can start the normal treatment regime. Sadly, dogs who have caval syndrome rarely survive.

According to Daily Paws, while most dogs test negative for adult heartworms after treatment, success can be costly in terms of time, money, and inconvenience (e.g. trying to keep your high-energy dog as calm as possible). It isn’t easy on the patient either. Moreover, dogs can carry the consequences of infection the rest of their lives.

The good news is that preventing heartworm disease is far easier and less expensive than treating it. There are several year-round preventative options available, and your veterinarian will work with you to find the best one for your pet. As an added bonus, many of these medications prevent other nasty parasites like fleas, hookworms, whipworms, and roundworms.

Whether your dog is a puppy or an adult, you will need to talk with your veterinarian before starting your dog on a heartworm preventative. Dogs over seven months of age need to be tested for heartworms first, as preventative medications can cause harm if the dog is already infected. Dogs and puppies that have just started heartworm prevention will also need to be tested more frequently.

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