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Signs A Dog is Dying of Cancer (Plus Advice for 8 Common Cancers)

Dr. Dawnetta Woodruff August 22, 2024 52 Comments

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The signs a dog is dying of cancer are something no dog parent wants to think about. But if your dog has cancer and is declining, you need to know what symptoms to be on the lookout for. To help provide guidance and support, integrative veterinarian Dr. Julie Buzby invited end-of-life-care veterinarian Dr. Dawnetta Woodruff to share some words of wisdom. Dr. Woodruff discusses the general signs a dog is dying of cancer and provides specific guidance about how to know if your dog is dying from eight common cancers.

Owner walking her dog during a sunset

When we bring a new dog into our lives, we anticipate years of love, fun and adventure! Dogs certainly bring us an abundance of joy during our time together. And we hope that our dogs will be very old before we must consider end-of-life decisions for them. Sometimes they are indeed blessed with a long and wonderful life before they get sick. However, other times, they receive a scary diagnosis like cancer at an age that feels all too young.

The American Veterinary Medical Association’s (AVMA) research on aging reports that one in four dogs will have a benign or malignant tumor at some time in their life, and that 50% of dogs over the age of 10 will develop cancer. This statistic means that most dog parents will someday hear the dreaded phrase, “Your dog has cancer.”

The word cancer itself brings up many questions and uncertainties. How will you know it is the right time to say goodbye to your dog? What signs tell you that a dog is dying of cancer?

What are the signs a dog is dying of cancer?

Although we wish for a simple answer to these questions, there are rarely “black and white” answers that apply to all cancers and all patients. Every dog’s disease will progress in a slightly different way. And every type of cancer will look and act a bit different.

Knowing what to watch for gives a measure of comfort in the middle of uncertainty. Your vet may be able to give you an average survival time based on what type of cancer your dog has. But even these estimates are somewhat of an educated guess. Some dogs will decline more rapidly than anticipated, while others may far outlive what is expected.

Typically, a canine cancer patient will show multiple signs that they are nearing the end of their life. You may notice one primary area of concern, or you may see that they are struggling with many different issues. The signs may happen gradually, or you may see many of them within a matter of days.

All of the following are signs that your dog with cancer is nearing the end of his or her life:

Not eating

A decrease in appetite may be due to pain, nausea, cancer within the GI tract, or a tumor putting pressure on your dog’s stomach. If you notice a lot of drooling and your dog keeps licking his or her lips, or if your dog is vomiting, it is important to discuss anti-nausea medications such as Cerenia for dogs with your dog’s veterinarian. You may also wish to ask about pain medications or appetite stimulants for dogs (when medically appropriate). 

These medications are good ways to keep your dog comfortable. They won’t stop the cancer from progressing. But they will help your dog feel better for the time he or she has left. However, if your dog with cancer is already on these medications and he or she is still not eating, this can be a sign that humane euthanasia is the kindest decision.

Golden Retriever refusing to eat his food  possibly due to cancer
Discuss with your vet if your dog stops eating. There may be treatments that can help.

Eating but losing weight

Sometimes dogs with cancer have a good appetite and may even seem more hungry than usual. Yet, they are still losing weight and growing more and more weak.

A body trying to fight cancer burns a lot of calories. And it is difficult for your dog to eat enough to make up for their increased caloric needs. Sometimes, the calories they are taking in just can’t compensate for the calories being lost. This leads to weight loss, muscle loss and associated weakness.

Or in some types of cancer, a dog may be eating a lot, but not absorbing the nutrients. Dogs in this situation might have diarrhea in addition to weight loss.

In the case of cancer, if your dog is losing weight but eating well, it may be time to set him or her free.

Not sleeping well

Your dog may sleep well during the day, but be awake and pacing all night. Or he or she may never sleep deeply, and take short naps throughout the day and night instead. Restlessness and an inability to truly relax is often a sign of pain, anxiety, or both. 

Your dog’s vet may be able to help relieve some pain and anxiety by prescribing palliative medications. So, if your dog isn’t sleeping well, please talk to your pup’s care team to see if there are additional things that may be helpful. Eventually, though, the medication will not last long enough, or will stop helping altogether. This can be a sign that the cancer has reached its end stages. 

Panting all the time

Many dogs will pant when they are hot or when they have been more active than normal. This type of panting usually resolves quickly when the dog rests or moves inside where it is cool. However, in dogs with cancer, panting can be a sign of distress. They may be dealing with internal stress from their disease, or with anxiety or pain.

If your dog is panting even when he or she is relaxed, be sure to discuss it with your vet. He or she may recommend adding new medications or changing dosages of current medications.

Difficulty breathing and abnormal gum color

Panting can also mean that dogs aren’t getting enough oxygen. If you notice open-mouth breathing, or your dog’s gums look blue, grey, or a “muddy” red color, he or she is experiencing a medical emergency. Being unable to get enough oxygen is a condition called “air hunger.” It is distressing for pet parents to watch, and can be traumatizing for a dog to experience.

Although we always want as much time with our dogs as we can get, it is kind to choose to euthanize a dog before air hunger happens (if possible). When changes happen more gradually, we can recognize those red flags and make a decision for euthanasia before a crisis occurs. However, sometimes a dog’s condition changes rapidly, and with very little warning. In these cases, if you are seeing air hunger, it is best to make an emergency vet visit as soon as possible.

Dog panting from cancer
Panting could be a sign of oxygen deficiency. Checking for gum color can be informative.

Pale gums

Some types of canine cancer are more prone to causing internal bleeding. For example, the liver and the spleen are very vascular organs, meaning they have a large blood supply. If your dog has a liver or spleen mass in dogs, or has cancer that has spread to these organs, he or she is at risk for internal bleeding.

You may notice that your dog’s belly looks bigger than normal (i.e. a pot-belled dog appearance). Or his or her gums may look pale pink or even white. Sometimes, dogs with internal bleeding can’t even stand up on their own.

If you see these symptoms, it is best to get care for your pup right away. Your vet may be able to stabilize him or her for a period of time. Or in other situations, it may be kindest to help your dog be free from his or her struggles before things get even worse.

Skin tumor turning red or purple

Many cancers happen internally, with no external evidence of their presence. But other types of cancer, such as mast cell tumors in dogs, occur on or near the skin. If a visible tumor is small, and your dog is in good health otherwise, surgery may be the best option. And it can even be curative.

But if your sweet pup has other health conditions, or if the tumor is in a place that makes surgical removal difficult, you may not be able to move forward with surgery. In this case, it is important to watch the cancerous mass for visible changes.

A dog’s cancer might begin to grow rapidly, doubling in size over a relatively short time. Or it may lose fur or begin to change colors. When one part of the tumor is losing fur and turns dark red or purple in color, the growth may soon rupture and become an open wound. This can be painful for your dog and the risk of infection is high.

If your pup seems to be showing several signs of overall decline, a color change on his or her tumor may indicate that putting your dog to sleep is the kindest option.

Lack of energy or sleeping all the time

As cancer is progressing, weakness and being a lethargic dog are very common symptoms. A simple walk outside to go potty, or going to the front door when the mail arrives, can cause your dog to be out of breath and exhausted. Your dog may still get excited, but tire out within just a few minutes.

Additionally, your dog may be sleeping most of the day and show a lack of interest in what is going on around him or her. Although there are still moments of joy, much of life is spent just existing rather than truly living. When this happens, it is likely that the bad moments are outweighing the good ones. And it is ok to set your dog free from his or her struggles before every single moment of joy is gone.

Dog sleeping on his owner's foot
Lethargy and progressing weakness can be a sign of cancer affecting your dog’s quality of life.

Signs a dog is dying of 8 common types of cancer

The symptoms we’ve already talked about can apply to almost any type of cancer. However, certain types of cancer have more specific signs to watch for.

Hemangiosarcoma (HSA)

Hemangiosarcoma in dogs is a highly invasive, aggressive blood cancer. It causes blood vessels to grow improperly, become leaky, and ultimately rupture. This rupture happens internally, and the consequences can vary from a small bleed to massive blood loss. HSA is very commonly found in the liver, spleen, heart, and skin.

The type of symptoms you see can vary depending on the severity of the bleeding and the location of your dog’s HSA. You will want to monitor your pup closely for pale gums, decreased energy, inability to stand, and breathing problems. These symptoms indicate that your sweet dog is in his or her final days, or even his or her final moments. When you see those symptoms, or even before you see them, it may be time to euthanize your dog with hemangiosarcoma.

Lymphoma (LSA)

Lymphoma in dogs is one of the most common types of cancer in dogs, accounting for up to 24% of canine cancer cases. It occurs when lymphocytes, a type of white blood cell within a dog’s immune system, start to multiply out of control.

This cancer can present in many different ways. It could show up as swollen dog lymph nodes inside the body, as well as externally. The external lymph nodes will be visually swollen under the chin or neck, in the armpits, in the inguinal area, and on the back of the legs. However, lymphoma may also present as a mass within the body, or as cancerous cells that are spread throughout the GI tract. 

Dogs with enlarged and painful lymph nodes may have trouble swallowing, decreased appetite, or breathing issues. And those with GI lymphoma may be vomiting or having diarrhea. All kinds of lymphoma can cause weakness, lethargy, anorexia, and weight loss. Also, if an individual lymph node enlarges enough to block circulation, you may see sudden swelling of the face, chest, abdomen, or legs.

Transitional cell carcinoma (TCC)

Bladder cancer in dogs is relatively common. And the most common kind is called TCC (transitional cell carcinoma). This type of cancer may originally look like repeated urinary tract infections (UTIs in dogs). A dog may have accidents in the house, blood in the urine, and frequent urination. The vet will treat a UTI (if present) with antibiotics. And or she may recommend chemotherapy in some cases. Or the dog may take palliative medication such as an NSAID or a steroid to help decrease swelling and increase comfort.

As bladder cancer progresses, the tumor can take up most of the space within the bladder. This makes a dog feel like they constantly have to go potty. And they may leak urine frequently. Your dog may also have pain that leads to restlessness, panting, pacing, and frequent squatting.

In the very end stages of bladder cancer, the tumor can fully block the flow of urine. These dogs will have sudden severe pain, and when they squat to potty they don’t get any urine out. This is a medical emergency that requires immediate help before the bladder ruptures.

Golden Retriever in a field
Bladder cancer can eventually lead to your dog being unable to urinate.

Liver cancer

There are many types of liver cancer in dogs. Some liver cancers form a solitary mass in one lobe of the liver. These cancers may respond well to surgery as a treatment option. Other types of liver cancer can occur in multiple locations, creating a more nodular cancer that is present throughout all of the liver lobes. These kinds of cancer are more likely to require chemotherapy or palliative care.

Cancer that has spread throughout the liver may decrease the liver’s overall function. Toxins can build up within the bloodstream. And your sweet dog may experience weakness, lethargy, and jaundice. A dog with jaundice will have a yellow look to the whites of their eyes, the inside of their ears, their gums, and even their skin. When a dog with liver cancer is jaundiced, they are in the very final stages of their disease.

Liver cancers are also at risk for bleeding. The tumor tissue may become friable (i.e. fragile) and can be damaged or ruptured by normal activities like playing, jumping, or even flopping down on the floor. If your dog with liver cancer suddenly collapses, or can’t get up on his or her own, it is important to evaluate your dog for signs of bleeding (as discussed in the section on hemangiosarcoma).

Prostate cancer

An enlarged prostate in dogs can be common in older male dogs. In many cases, benign prostatic hyperplasia or BPH (the condition most likely to be responsible for prostate enlargement in intact males) is hormone responsive. So it can resolve by having your dog neutered. Thankfully, prostate cancer in dogs is much less common than BPH. But it does occur, and it can be devastating if your beloved dog is the one struggling with it.

The prostate gland wraps around the urethra (i.e. the tube that carries urine from the bladder to the outside of the body). For this reason, when the prostate is enlarged, a dog will often present with urinary issues. The symptoms can look like a urinary tract infection or bladder tumor. Your dog may be squatting to urinate in multiple places, but only dribbling urine. He may also have abdominal pain, lethargy, weakness, and weight loss. It is worth noting too that pain from prostate cancer can mimic that of hind limb osteoarthritis in dogs.

If your dog with prostate cancer is dealing with a lot of pain, or the inability to urinate, it is kindest to let him go.

Bone cancer

Bone cancer is common in dogs, and unfortunately, it can happen at any age. The most common type of bone cancer is osteosarcoma in dogs (OSA). Other types include fibrosarcoma, chondrosarcoma, multiple myeloma, and metastatic tumors. These tumors may be treated differently, but they all cause similar symptoms as they progress. 

Initially, the symptoms of bone cancer may look similar to the signs of arthritis in dogs. Your dog might be limping after exercise, and the pain may respond well to pain medications. However, as the cancer progresses, the pain in the bones becomes more severe. Medications may still help, but may not alleviate all of the pain. You might see visible swelling of the affected leg, and your dog may be very sensitive to touch in this area.

Pain, fractures, and respiratory issues are common with bone cancer

As bone cancer proliferates (i.e. grows), it weakens the structure of the bone itself. A weakened bone is more likely to break under normal pressure, such as from walking. This is called a pathological fracture.

If you see that your dog’s limping has gotten more severe, the leg is swelling, and he or she does not want you to touch the leg, it is likely that your dog either has a pathologic fracture, or that one may be happening soon. A fractured leg can also cause sudden inability to use the leg, or the inability to get up. If you see these symptoms, your pup needs to see a veterinarian right away.

Bone cancers can also spread to other parts of the body, such as the lungs. If your dog with osteosarcoma begins to cough, or has difficulty breathing, it is likely that the cancer is affecting the lungs as well as the bones. You may be able to manage the coughing and shortness of breath for a while. But it means your dog’s good quality time is quickly coming to a close.

Nasal or oral cancer

Nasal tumors in dogs and dog mouth cancer can be a challenge to manage. There are many different types of cancer that may grow in these places. Carcinomas and sarcomas are common and can be very locally invasive. In other words, they cause a lot of damage in the nose, mouth, and surrounding bone. However, oral or nasal cancers may or may not spread to other parts of the body.

Because these tumors are locally invasive, you may see swelling of the face, nose, and mouth. Or the dog may have bloody saliva or dog nose bleeds. The cancerous tissue is more likely to get infected. So you may notice yellow or green discharge from the nose or smell a rotten odor (i.e. bad breath in dogs) when your dog breathes.

As the tumor progresses, you may notice your dog bleeding from the nose or mouth, making loud snoring or breathing noises, or having trouble swallowing. Plus, the dog could experience swelling that deforms the face. These changes are unpleasant for your dog. And he or she might be rubbing or pawing at the face or the nose as a symptom of discomfort. At this point, your vet may prescribe steroids, NSAIDs or other pain medications, and even antibiotics to help your dog feel better. 

However, when your dog with nasal or oral cancer is nearing the end of his or her life, you may see anorexia, lethargy, increased bleeding episodes, and uncontrolled pain. Medications can help, but it is merciful to set him or her free before a crisis.

Brain tumors

Brain tumors in dogs may originate in the brain or spread to the brain from other locations. A vet can typically diagnose brain cancer using advanced imaging such as an MRI or a CT scan. However, often due to lack of availability, financial constraints, or concurrent health issues, advanced imaging is not performed. In that case, the vet will say the dog has a suspected brain tumor.

If your sweet dog has a suspected or confirmed brain tumor, your veterinarian may recommend medication for pain, anxiety, or seizures. Many times, seizures in dogs are the main symptom of brain tumors in dogs. If they are happening frequently (typically more often than once a month), your dog may benefit from anti-seizure drugs like zonisamide for dogs.

These medications will decrease the frequency and/or the severity of the seizure episodes. However, as a brain tumor progresses, even the best medications will not be able to keep the seizures at bay. Your dog with a brain tumor may begin to have cluster seizures (many seizures in a row), or longer seizures (upwards of 3 to 5 minutes). And the phase after the seizures (called the post-ictal phase) where your dog is lethargic and disoriented may last longer. At this point, euthanasia is a kind option.

Additionally, you may even see your dog exhibiting permanent changes in attitude or behavior. If your dog with a brain tumor begins to act confused or aggressive, and these changes are not responsive to medications, it may be kindest to choose euthanasia before things worsen even further.

Work with your vet to develop a plan for your dog’s cancer

Dog standing in a field at sunset to represent end-of-life for a dog with cancer
Discuss with your veterinarian if you would like to consult with an oncologist.

No matter what kind of cancer your dog is facing, the “what-ifs” can be scary. Your veterinarian may recommend seeing a veterinary specialist near you if you wish to pursue advanced cancer treatments like chemotherapy and radiation.

If these therapies are not a good option, or if they are no longer helping, it is good to let your vet know that you are interested in dog hospice care or palliative care. You might even want to seek out a hospice and palliative care veterinarian to guide you regarding the best medications for comfort care.

Think through when it is time to say goodbye

In these difficult times, it is important to keep in mind that your dog doesn’t think of life as “long” or “short.” What they focus on is the here and now. You will always want more time with your beloved canine. Yet, all the “bonus time” still won’t feel like enough because our hearts are never quite ready to say goodbye. So when cancer is present, it is good to have a plan for evaluating your dog’s quality of life.

You may want to use a quality of life scale for dogs. Or you could talk with your family and make a list of your dog’s favorite things. Then together you can evaluate if he or she is still able to enjoy those things. Some dog parents find it helpful to keep track of their dog’s good days and bad days on a calendar. Then they can determine if the good days still outnumber the bad. Additionally, you can factor in your dog’s overall comfort, activity level, and playfulness.

It can also be helpful to talk to supportive friends and family or join a pet loss support group. Plus, you could consider reaching out to a counselor as you work through anticipatory grief (i.e. the sorrow that comes from thinking about losing your beloved pet).

Think of setting your dog free as your final gift of love

Remember, you love your dog deeply, and your dog knows how much you love him or her! Dogs are good at knowing our intentions and they understand when we are trying to help. At the end of a cancer journey, the final act of love and the final way to help our dogs is to spoil them with their favorite things, and then set them free.

How did you know when it was time to euthanize your dog with cancer?

Please comment below.

Filed Under: Common Dog Health Problems, Our Blog: The Buzby Bark

Reader Interactions

Comments

  1. Marlon Colman says

    November 14, 2025 at 8:13 pm

    Today I lost my daughter, Frida. She was a 10-year-old black Chow Chow. She developed cancer on her tongue; the veterinarian removed the part that was visible about 20 days ago, but it ended up coming back, and the tests showed it had already spread throughout her body. Until the very end she ate and drank plenty of water, and that comforts me in an inexplicable way. I’m crying as I write this, but they were the happiest 10 years of my life. I will always love her.

    On her last day, we knew it was fair to let her go, to end her suffering. She had lost movement in her back legs and began crying in pain, even with medication. We called the vet early in the morning and arranged to take her in. An hour before we left, she was sitting by the door (she could no longer lie down), and she had an attack and passed away. I thank God that she left us at home, without suffering, and that I had the honor of being her father. I will love her forever.

    To everyone going through this, there is no true comfort that can be offered, but love them. We are everything to them. It doesn’t matter what religion you believe in or if you don’t believe in any take good care of your dog and know when it’s time to let them go, if necessary.

    I’ve cried, I’ve screamed, but I only want to hold on to the good memories of her. Do the same, and know this: no matter what city, state, or country you and your dog are in, you will be honored in this life or the next. Be grateful that these rare jewels fell into your hands and became part of your family; others would abandon them for much less, but you, the one reading this -> believe me <-, you’re an incredible human being, and your little animal will always be happy to have had you as their owner.

    Reply
    • Dr. Julie Buzby says

      November 17, 2025 at 12:14 pm

      Marlon,
      My heart goes out to you on the loss of Frida. It is clear that she was a much loved and highly valued member of your family. What you wrote is so beautiful and heartfelt, and I completely agree with you. Thank you for sharing a her story and these wise words for other dog parents who are going through the same thing. May the good memories you made together be a blessing as you mourn this loss.

      Reply
    • Dee says

      November 30, 2025 at 2:08 am

      Writing from South Africa. I’m so sorry for your family’s lose. Your story and mine has me crying. I’ve been up all night with my 13 year old maltese dog, vomiting and diarrhea, He has mast cell tumor cancer. It is the worst experience; one day I will say I don’t want him operated on, just peace and supportive care, the next day I am bargaining and contemplating opps and chemo, and when I ask the vets if he were there boy what would they do, they prefer not to say.
      It’s so hard to play God. Strange isn’t it that god spelled backwards is dog.

      Reply
      • Julie Buzby DVM says

        December 3, 2025 at 10:35 am

        Dear Dee,
        My heart aches for you as you face these difficult decisions about your dog’s quality of life. Praying for clarity and wishing you and your sweet boy peace.

        Reply
  2. Corinne Middlehurst says

    October 1, 2025 at 4:07 pm

    My dog first got cancer this time last year, we had it removed then again beginning of the year, since then she got more lumps and bumps here there and everywhere , we decided no more operations as she’s 10 now and it’s not fair, however she had other ideas and chewed one of the lumps resulting in an emergency op and they took 3 others while she was under she’s bounced back quicker than ever this time , she was left with one tumor on her leg on the muscle, they decided it wasn’t fair to remove that as it would have been to major for her. Since op (3weeks ago) I’ve found 3 more lumps on her, vet said we don’t have long left. But she’s fine , I’m so confused and concerned, will she just suddenly go down hill? As apart from the obvious (lumps) there is no more signs

    Reply
    • Julie Buzby DVM says

      October 11, 2025 at 8:38 pm

      Hi Corinne,
      I am sorry you are facing this difficult situation with your senior pup. I wish I could offer some insight, but without knowing what type of cancer your girl is dealing with, it is hard to give specifics about prognosis and what to expect as things progress. It would be best to talk to your vet and have them provide more details about your girl’s condition. Hoping you will be able to keep her happy and comfortable for as long as possible. Bless you both. ♥

      Reply
  3. Penny Wendt says

    September 1, 2025 at 10:20 pm

    Our dog Zoe has a rare form of cutaneous lymphoma. It is only affecting her muzzle. She is still. Eating well, follows me around in the kitchen all day. Sleeps well at night and still enjoys short walks. I’m very conflicted as the tumors are staring to really grow and if she bumps her face or rolls around on the floor they start to really bleed. We have her on antibiotics so that there’s no infection . I’m very conflicted as to whether it is time now. I can’t tell if they really are painful to her because she does not paw at her mouth and she literally will eat anything. I give her soft or hard. Her breath is definitely foul and it awful to see them.

    She just isn’t exhibiting any classic signs of being in pain, so I feel guilty even entertaining sending over the rainbow bridge now.

    Reply
    • Julie Buzby DVM says

      September 5, 2025 at 10:00 am

      Dear Penny,
      I am sorry Zoe is living with this terrible cancer. I understand your concern and think it is wise you are taking her quality of life into consideration. Even if saying goodbye is not urgent at this point, it can still be a loving choice. I would rather let go one day too early than one day too late and allow unnecessary suffering. It may be a good idea to get established with a hospice vet. They can make house calls and help guide you through these emotional final stages. I will attach links to other articles with more information and great advice from other readers as well. Praying for strength and clarity. Bless you and your sweet girl.

      1. Dog Hospice Care Can Bring Peace and Dignity to Your Dog’s Final Days
      2. Using a Quality of Life Scale for Dogs
      3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
      4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace

      Reply
  4. Lesley Hughes says

    August 31, 2025 at 10:41 am

    Hi.
    I have a 14 year old male Lurcher. He has had a cough for well over a year. Only manifests itself when we go on a walk and he does any kind of running, or if it is really hot. One day he took an internal sneeze. Normally I can stop them, but this time I couldn’t. I took him to the vet and the vet said she found a small lump on his thyroid gland. She ran some bloods and fang me to say it looked like he had cancer of the thyroid. I asked her how long I would have him if no surgery was given (He had already gone through a major double hernia surgery in February and I didn’t feel, given his age, that it would be in his best interests to put him through more, as the prognosis wasn’t brilliant) She said about two months. That was about 3 months ago now. I can feel the lump. It moves around, it doesn’t feel ‘attached’ so to speak. He is eating, drinking, going to the toilet as normal. His cough hasn’t worsened and sometimes when I take him on a walk, he goes really slow, but this is usually when he knows we are going back to the house. I took him on a different walk today and he has been running around, leaping over heather etc. his eyes are very bright. I have no idea what to do, other than just keep monitoring him for anything getting worse. So far, things seem to be on an even keel. I can’t understand how he hasn’t gone down hill rapidly, like the vet said? I am so grateful he is here and doing ok for now, but I know he is on borrowed time really. I feel blessed for every moment I have him, but will not let him suffer. I hope I really know when ‘that time’ comes and make the right decision. It’s such an awful decision for anyone to make.

    Reply
    • Julie Buzby DVM says

      September 30, 2025 at 10:06 am

      Dear Lesley,
      I am sorry your boy has received this devastating diagnosis. What a blessing he is still feeling well and does not seem to be exhibiting any severe symptoms at this point. I am not sure how much time there will be until he starts to decline. I will attach links to other articles with more information on monitoring for quality of life and how to know when to say goodbye. Try not to worry about the “what ifs” and make the most of each day you are gifted. Praying for comfort and peace for you and your sweet pup.

      1. Using a Quality of Life Scale for Dogs
      2. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
      3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace

      Reply
  5. guy rushworth says

    July 11, 2025 at 11:01 am

    Hi,
    I completely sympathise with all of the commenters on this brilliant article as we just discovered our beautiful boy Fred, a 9 year old Springer Spaniel has lung cancer. He’d slowed down significantly in walks over the past few weeks and last Friday we decided to take him to Vet as he just seemed off colour and had laboured breathing which included a cough. Fred was taking approximately 65 breaths a minute which we knew to not be right. Vet gave him anti biotics and booked him in for a precautionary X-ray this Mk day. Got the call soon after. His lungs are filled with fluid and he has several tumours dotted about his lungs. They gave him Prednisolen steroid which appeared to have kept things at bay but only enough for 5 doses. His last was today. He has an appetite but isn’t drinking water. He spends most of his day laid in his favourite spot, keeping an eye over everyone and occasionally gets up if he hears the fridge door go. Do you think that once the steroids wear off we will see that rapid decline? He is losing SO much weight even though his calorie intake is higher than normal and yet he isn’t going on walks as it’s too hot here currently and he doesn’t have the energy.

    Thanks

    Reply
    • Julie Buzby DVM says

      August 18, 2025 at 2:58 pm

      Dear Guy,
      I am so sorry Fred has received this devastating diagnosis. Yes, there is usually a steady decline at some point once the steroids are discontinued. I know you will be facing some difficult choices soon but hope you can make the most of the time you are gifted. Praying for comfort and peace for you and your sweet boy.

      Reply
  6. Marian Johnson says

    June 30, 2025 at 10:51 am

    I am heartbroken. Our 7 year old pug has multiple tumors on her lungs. She was coughing funny and spat out blood several times. We took her to the vet, where x-rays showed the tumors. It’s now 3 weeks later and she has rapidly gone downhill: breathing is labored, energy level very low, gets frozen standing in the middle of the floor, seems confused. We are taking her today to the vet to say good-bye. I truly thought we had longer with her, but I don’t want her to suffer one more day. I can’t believe it. I am so sad. Thank you.

    Reply
    • Julie Buzby DVM says

      August 13, 2025 at 2:30 pm

      Dear Marian,
      I am so sorry for the loss of your beloved Pug. I know you would have done anything to give her more time but am glad you were able to free her from suffering and offer her peace. I hope her passing was smooth and pray for healing for your heart. May her memory be with you always as you continue life’s journey. ♥

      Reply
  7. Leonora says

    June 9, 2025 at 12:38 am

    my 12 year old boston/Yorkie was diagnosed with liver cancer few days ago. after seeing 3 Vet doctors. I was devastated and broke down to tears while talking to the Vet Doctor. I was told that she has at least a week to live and I should plan or consider Euthanasia so she doesn’t suffer. this is the 4th day now but my baby is eating well and still plays. I don’t let her play too much. because I don’t want her to hurt her belly. early evening today…I started crying again. she hasn’t poop all day but she ate. I am worried that her liver is not processing the food. I have to be prepared for the worst thing. my husband told me to think the good days and the joy she brought to us. I am 67 now and I had her when she was 6 months old. My dear Kiyumo…. I will always love you and I will always have a place in my heart. Although I am hoping for miracle. she might live a little longer. I’ve been praying if I can be with her even for few more months or years. I will probably be ready and trained myself to accept reality.

    Reply
    • Julie Buzby DVM says

      July 19, 2025 at 10:34 am

      Dear Lenora,
      My heart aches for you as you prepare to say goodbye to your beloved Kiyumo. I know you would do anything to give her more time but am glad you are able to offer her peace and spare her from unnecessary suffering. Try to make the most of the time you are gifted and find joy in each day. May her memory stay with you always and continue to be a blessing in your life.

      Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace

      Grieving the Loss of a Dog After Euthanasia (& Finding Peace)

      Reply
  8. Leeanne says

    June 4, 2025 at 8:31 am

    My 4 year old Rottweiler Charlie was diagnosed with bone cancer last week his leg is very swollen it’s happened over the last 3 weeks the vet also thinks it’s gone to his lungs , he’s a big gorgeous boy 47kilos , he’s still very interested in food and still loving his pats from the kids I just don’t know when will be the right time for him , how will I know

    Reply
    • Julie Buzby DVM says

      July 18, 2025 at 8:45 pm

      Dear Leeanne,
      I am so sorry your boy has received this devastating diagnosis. As soon as you notice that the pain medications are not able to adequately manage his symptoms, then it would be best to say goodbye. The tricky part with this type of cancer is it can eat through the bone and end up causing a traumatic fracture which would leave your boy unable to walk and in an emergency situation. It is ok to let go before all joy is lost and the only thing that remains is pain. I would rather say goodbye one day too early than one day too late and allow unnecessary suffering. Hoping you will know when the time is right and praying for clarity and strength. Bless you and your family. ♥

      Reply
  9. Alison says

    June 4, 2025 at 12:08 am

    Our estimated 12 year old Pitty mix has been blessed, as have we – with a wonderful life together as a family.
    Around the beginning of March, dad was giving Ava her evening massage on our sofa when he noticed a lump on her left side behind her front leg. Of course the following morning I called to make a veterinary appointment which was just a few months after her annual exam. They took an X-ray and aspirated. Upon results, they suggested she be seen by a surgeon. I immediately took her for that appointment and they actually biopsied that same day, on a Saturday afternoon! Unfortunately they delivered the bad news to us the following week and as the tumor was aggressively growing – we learned the only option was to remove as much of it as they could, very invasively replace the maximum amount of ribs and reconstruct her abdominal wall but it was also already metastasizing to her lungs. Even with the possibility of chemo pills and crossing state lines for radiation, it would maybe only increase her life by 2-3 months her oncologist told us. Without that, she may live around two more months. Well we are in June and she eats, drinks, pees and poos daily, maybe a bit more…& she walks to her leash so we take very short walks compared to our 30-60 minutes daily from the first day she came home that truly feels like yesterday. She lays in and out in the sun. Looks out the window when she can. Just stopped going upstairs and looks up at them as she had her morning routine to run up then crawl in bed with dad till he woke up after I put her out after the kids went to school for 11 years of mornings! Same thing, everyday I am very regimented. So hard to see this, but I am 53 and have lived very few years without a canine. They are special and I can’t imagine our family at this or anytime after a pretty unusual decade+ with this actual perfect pup, to have to live without her. I dread to think about, but we know when we adopt they are here only temporarily. It is just never easy and seems to go by way too fast. We are continuing the palliative care and everyday is just closer to the end. We know that we also do not want her to suffer, so taking it one day at a time till we know we have to take her last car ride she otherwise would love to be going to the beach or anywhere with us. I will never forget the way she would watch me cook or in my office I tell her, no one will ever look at mommy the way you do Ava 💕 my girl furever! Nothing like the love of a dog and will do it all again as I have been my whole life and there are too many that need a home.

    Reply
    • Julie Buzby DVM says

      July 18, 2025 at 8:31 pm

      Dear Alison,
      My heart aches for you as you face these last days with your beloved Ava. She sounds like such an amazing pup. I can only imagine how emotional this process will be for you and your family. Try to make the most of the time you are gifted and enjoy every moment. Praying for your strength and comfort. Bless you all. ♥

      Reply
  10. Faith Van Riel says

    May 11, 2025 at 10:14 pm

    Bella is 8 yrs old. We just found out she has bone cancer in front leg. She limps a lot. Vet gave us pain meds. Can’t amputate too hard for bearing weight on a front leg and not guarantee she would recover after surgery. It may have started spreading to her lungs as we notice she is drinking more and panting more. It’s like waiting for a bomb to go off if her leg breaks we can’t repair as it’s disintegrated. And if her leg holds out it may spread to her organs. It’s one or the other. Right now we give her all the love and attention we can as we are retired. We pray the day it comes she is ready to go over the rainbow bridge with all our love and tears❤️

    Reply
    • Julie Buzby DVM says

      June 2, 2025 at 10:28 am

      Dear Faith,
      I am sorry Bella has received this devastating diagnosis. I am glad you are trying to make the most of the time you are gifted and pray you can all find some joy in each day. Just know that you don’t have to wait until a tragic injury occurs to say goodbye. You have the option to give your sweet girl a peaceful passing and spare her from unnecessary suffering. Don’t forget you can lean on your vet for guidance and advice. Wishing you all peace and comfort as you navigate this emotional path. Bless you. ♥

      Reply
    • Annie says

      July 9, 2025 at 3:11 pm

      My beagle has had breast can removed a few times and it comes right back but it’s not just breast it has spread. She is always sleeping and always thirsty. But she can’t control her urine and now bowel movements. Urinating in sleep and now there is blood in urine. There has definitely been changes and I have been trying to keep up with her constant urinating but it’s hard when at work. It’s hard to tell if in pain but she doesn’t do much. Still eats and drinks but losing weight and her stomach is always so round but she pees all the time. I just don’t know what to do.

      Reply
      • Julie Buzby DVM says

        August 16, 2025 at 7:51 pm

        Dear Annie,
        My heart aches for you as you face this difficult situation with your Beagle. From what you describe, it sounds like your pup may be nearing her final days. As a dog reaches the end of their life, they enter a window of time where saying goodbye may not be urgent but can still be a loving option. I think your girl may be in her window. It is ok to let go before all joy is lost and the only thing that remains is pain. I would rather say goodbye one day too early than one day too late and allow unnecessary suffering. Would you say your girl is truly living or merely existing? Does she still seek affection from those she loves? Are their activities or things she still enjoys and make her happy? Don’t forget you can always ask your vet to do a quality-of-life evaluation if you need some extra guidance. I will attach links to other articles with more information and great comments from other readers as well. Hoping you can find the answers you need to make the best decision for you and your pup. Praying for clarity and peace.

        1. Using a Quality of Life Scale for Dogs
        2. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
        3. Dog Euthanasia: Knowing When to Say Goodbye
        4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace

        Reply
  11. Debbie says

    February 1, 2025 at 3:59 pm

    Hi my 12 year old was diagnosed in July with liver cancer She was given 6-9 months. A couple days ago her right rear foot started to swell. Is that a sign that her time is getting close? Thanks

    Reply
    • Julie Buzby DVM says

      February 5, 2025 at 11:24 am

      Hi Debbie,
      I understand your concern for your senior girl. I agree this new swelling that has developed is worrisome. Unfortunately, without examining her myself it is hard to offer specific conclusions or know if this is related to the liver cancer. Your best course of action is to contact your vet and schedule an appointment to have your pup evaluated. Hoping for clear answers and praying for a positive outcome for your sweet girl.

      Reply
  12. Brenda L Schroeder says

    January 28, 2025 at 7:37 pm

    I empathize with anyone losing their beloved pet. My 14 year old has cancer. I am a single person whose 2 dogs have been my support system for years. Just lost my mom to cancer a year ago. Anticipating more grief as I put my chihuahua down. Part of life and our pets are part of our family. I see my pet deteriorating quickly. Empathy tells me to not let her suffer much longer and set her free.

    Reply
    • Julie Buzby DVM says

      January 28, 2025 at 9:00 pm

      Dear Brenda,
      My heart goes out to you as you face this difficult decision for your senior pup. I am so sorry for all the loss you have experienced and hope you have the support and love you need at home. Praying for strength and comfort for the emotional days ahead. Bless you. ♥

      Reply
      • Renee says

        April 10, 2025 at 12:29 pm

        I found your website as I’m looking to get another Golden Retriever. We lost our much loved Maggie last fall to cancer. It took so long to get her test results back. She passed before we even received them..We love Goldens, I really want to find a Breader whom puts breading health first. 8 1/2 years isn’t long enough.. Maggie was in great health she never had any signs until 1 bump popped up. I got her to a vet 4 days later.. the vet schedule her for surgery 2 days later. She past away one week later. She had no signs until the bump. Then she was gone in less than two weeks later.. I feel bad for anyone that has to go through loosing their family member. Because that’s what they are.

        Reply
        • Julie Buzby DVM says

          April 10, 2025 at 2:02 pm

          Dear Renee,
          I am so sorry for your loss of Maggie. I can only imagine the hole that has been left in your heart without her by your side. I hope you can find the perfect pup to fill your home with love and joy. Wishing you peace and comfort for your heart as you continue life’s journey.

          Reply
  13. Nancy OMalley says

    January 22, 2025 at 2:19 pm

    My 6 yr old boxer who we absolutely adore and love was diagnosed with pancreatic cancer and lymphoma it was confirmed by a second opinion, he was placed on gabapentin and steroids, he was doing better on them just like his normal self but when we decreased the steroids per vets order he became lethargic , stopped eating and increased panting so we went back giving them twice a day he is still panting lying on the floor most of the time and has been wetting the bed and drinking water like crazy . Since we realize the steroids are keeping him alive are we being mean or should we be kind and let him go. I would love your thoughts.

    Reply
    • Julie Buzby DVM says

      March 17, 2025 at 8:56 am

      Dear Nancy,
      My heart goes out to you as you face these final days with your beloved boy. It is ok to continue with hospice care as long as your dog’s pain is being well managed. If you think the steroids are not able to control his discomfort and he is suffering, then saying goodbye would be the most loving option. I can only imagine how difficult this must be and pray for your strength and peace. Wishing you clarity as you make some tough decisions. Bless you and your sweet boy.

      Reply
  14. Charles Colasante says

    January 7, 2025 at 4:31 am

    Hi, My dog plays and eats good still. The vet gave him 6 to 9 months. He’s on like 14 months. Is it bad to give him to God a little earlier? He suffers at night can’t sleep.. Breathing heavy and looks like he’s not feeling good at all. I just want him to be happy.. I don’t want him to.go but I don’t want him to suffer anymore.. it’s hard because he still plays. The toys I buy wakes him up for a little while until the toy is destroyed and then he’s back to feeling like crap. He still eats good too. It’s not fear to him. The vet won’t give me any stronger medication

    Reply
    • Julie Buzby DVM says

      March 12, 2025 at 1:56 pm

      Dear Charles,
      I am sorry your pup’s health is declining, and you are faced with the difficult decision of when to say goodbye. It is definitely ok to let go before all joy is lost and the only thing that remains is pain. You know your boy better than anyone, and if you think he is suffering then it is ok to choose a peaceful passing for him. I would rather let go one day too early than one day too late and allow unnecessary suffering. It is clear you love your boy dearly and have his best interest in mind. Wishing you strength and clarity to navigate this emotional path. Bless you and your sweet boy.

      Reply
  15. George Gary says

    December 14, 2024 at 5:28 pm

    We just got the dianosis back on our child aka Bailey. She is a bull terrier and the sweetest “little ” dog anyone could hope for. We got her from a friend who was in his last days of battling cancer. Quite ironic don’t you think. Both my wife and partner are in our “golden “years and Bailey has filled our hearts with so much joy. We haven”t saw the oncologist yet ( will do that next week) . I am hoping that we can keep her around a little longer without putting her thru all the misery associated with chemo and if We do get the bad diagnosis I hope that I will be man enough to make the decision that is best for her. And I also want to let people know that the “bully” breeds are not the monsters that we have led to believe. Stubborn,yes, Loving , a resounding(hell yes).

    Reply
    • Julie Buzby DVM says

      February 19, 2025 at 1:59 pm

      Hi George,
      My heart goes out to you as you wait for Bailey’s results. I agree that bully breeds are amazing (and some of my favorite patients)! I think it is great you want to do what is best for her even if that means focusing on comfort care instead of treatment. Bailey is very lucky to have you advocating for her health and well-being. Praying for clear answers and a positive outcome. Feel free to keep us updated on her condition. Bless you all and give your sweet girl a hug for me. ♥

      Reply
  16. Lyndsey says

    December 12, 2024 at 3:16 am

    my 13 year old jack Russel has bladder cancer and is struggling to pee, has blood in her urine and excessively licks herself. this last two weeks she is sleeping more, and will sit and stare as though she’s looking through you. she has a good appetite and is drinking well but continues to loose weight. she is starting to become unsteady and has weakness in her back legs. she is wanting cuddles all the time, how do I tell if she is in pain? and how do I know when it’s time to let her go?

    Reply
    • Julie Buzby DVM says

      February 17, 2025 at 3:47 pm

      Dear Lyndsey,
      I am sorry your senior girl is living with the effects of bladder cancer. The excessive licking is usually a sign of discomfort/pain in the area. When quality of life starts to diminish, each dog has a “window” of time when saying goodbye can be a loving option but may not necessarily be urgent. I do think your pup has probably entered her window. With that being said, as long as you have good pain meds on board it is ok to give her more time. But if she is showing signs of distress then letting go could be the only way to spare her from unnecessary suffering. I will attach links to other articles with more information and advice on how to make this emotional decision. Praying for your strength and comfort as you face this difficult situation. Bless you and your sweet girl.

      1. Bladder Cancer in Dogs: A Guide to Transitional Cell Carcinoma (TCC)
      2. Using a Quality of Life Scale for Dogs
      3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
      4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace

      Reply
      • Chelsea La Fata says

        September 12, 2025 at 2:24 am

        My 13 year old staffordshire terrier/beagle mix, Penny, has mast cell cancer that has spread to her internal organs under her rib cage. It’s pretty much everywhere. She was diagnosed about a year ago and it was inoperable. She is still around but has declined the last few weeks. We took her back to the vet last week and got some meds for nausea since she wasn’t interested in food. She now has a very good appetite and yesterday she played for a couple minutes but she is very tired and clearly in pain. She cries and moans at night even after rimadyl and tramadol as well as a calming medicine and nausea medicine. She’s still happy, but incontinence has also started happening. She is getting weaker and I think it might be time but then I second guess that I’m cutting her life short because she’s a very happy girl still, until night time it seems. I’m questioning and going back and forth with this decision. I lost my 8 year old boxer last September from cancer as well that we did not know about until she collapsed from internal bleeding and only made it to the vet just before passing very unexpectedly. It’s been rough, but I don’t want Penny to have a painful passing like my boxer did. Do you think it’s time or should I try to help her pain with some other medicine and give her more time? I need some advice.

        Reply
        • Julie Buzby DVM says

          October 4, 2025 at 9:38 am

          Dear Chelsea,
          My heart goes out to you as you face this difficult situation with your senior girl. From what you describe, it sounds like Penny is in constant pain but is managing to fight through it during the day and still offer some signs of happiness. Dogs are great at masking discomfort and will wag their tail and eat despite suffering. It is ok to let go before all joy is lost and the only thing that remains is pain. I would rather say goodbye one day too early than one day too late and allow unnecessary suffering. I will attach links to other articles with more information on how to determine quality of life and how to know when to say goodbye. Praying for clarity and strength as you navigate this emotional path. Bless you and your sweet girl. ♥

          1. Using a Quality of Life Scale for Dogs
          2. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
          3. Dog Euthanasia: Knowing When to Say Goodbye
          4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace

          Reply
  17. Ray says

    October 1, 2024 at 4:13 am

    excellent information, and everything stated is so accurate

    Reply
    • Julie Buzby DVM says

      October 1, 2024 at 9:04 am

      Hi Ray,
      Thank you for the positive feedback about the article! Best wishes to you and yours.

      Reply
      • Karissa says

        January 6, 2025 at 3:46 pm

        Hello,
        My dog have anal gland cancer, she was given 6 to 9 months to live. It has been 9 months, and I think she is getting close to her end. But what is a sign of going to pass away? I don’t think I have experienced that before.

        Reply
        • Julie Buzby DVM says

          January 6, 2025 at 3:55 pm

          Hi Karissa,
          My heart goes out to you as you face these final days with your beloved pup. The signs leading up to passing away can vairy depending on the dog and what disease process their body is fighting. In general, they will stop eating and drinking, become lethargic and sleep most of the time. They may also begin to have trouble breathing or seem restless and uncomfortable. Here is a link to another article with more information: Signs Your Dog is Dying: A Caring Message to Bring You Peace
          Please keep your vet informed of how things are going. They are a good resource for what to expect and can offer emotional support as you move through the end stages. Praying for comfort and peace. Bless you and your sweet girl. ♥

          Reply
  18. Lynne Massey says

    September 29, 2024 at 6:35 pm

    We just found out our Australian Shepherd has cancer. He will be 14 the day after Christmas. We recently moved to hot Florida from Ohio and Blue immediately had a hard time breathing. He was the typical frisbee dog and loves water. His panting and difficulty getting up makes me so sad now that we know he has two hard tumors on spine and lung. It’s going to be tough to say goodbye to the best dog anyone could ask for

    Reply
    • Julie Buzby DVM says

      October 29, 2024 at 9:15 am

      Dear Lynne,
      I am so sorry Blue is staring to have trouble breathing and his health is declining. It is clear he is dearly loved, and I am certain he knows how much he means to your family. Try to make the most of the time you are gifted and fill each day with joy. Praying for your comfort and strength as you face these difficult days ahead. Bless you and your sweet boy.

      Reply
  19. Sarah Ruggeri says

    August 25, 2024 at 10:27 am

    My cat had nasal cancer for a good year and a half or so before we found an oral tumor. Even then after removing the oral tumor he was pretty happy. About 4 or 5 months later I noticed his nose swelling more, to the point of bleeding. He was rubbing his face with his paw so much that he had a sore in his paw. Like the article said, he definitely ate but was losing weight. And I noticed him coughing a little here and there but not the hairball cough. I know he would have held on longer for me, but I did not want to wait until he was suffering most days. Letting him go before he got to that point (in my opinion) was the kinder choice.

    Reply
    • Julie Buzby DVM says

      September 10, 2024 at 9:18 am

      Hi Sarah,
      I am sorry for the loss of your cat. Nasal cancer can be very painful, and I am glad you were able to offer your beloved boy a peaceful passing. Saying goodbye is hard but it can be the most loving choice and only way to give freedom from suffering. Thank you for sharing your story with us. Wishing you comfort for your heart and brighter days ahead.

      Reply
  20. Sherry Hunter says

    August 24, 2024 at 1:16 pm

    My baby boy Jake has TCC and I just found out a few weeks ago. He’s the best boy I’ve ever had in my entire 64 years on this planet. I’m beyond devastated by the fact that he won’t be able to live his best life out here in Yosemite California. I love him more than words could possibly express. There has never been a dog that has had a more loving heart and a more beautiful soul than Jake.
    We got him from the Lancaster shelter, he was 4 months old and the happiest boy ever. He’s a boxer pit mix, black and white. He’s a beautiful boy. My heart aches for him already. I’m not going to be alright without him. He’s my everything. He taught me things in my life that I needed to learn and he has been such an important part of my life during the most difficult times of my life and he has never ever let me. Not once. I’m devastated

    Reply
    • Julie Buzby DVM says

      September 10, 2024 at 8:39 am

      Dear Sherry,
      My heart aches for you as you face these last days with Jake. He sounds like an amazing pup, and I am certain he knows how much he is loved. Try to make the most of the time you are gifted and find joy in each day. Praying for comfort and peace for you both. Bless you and your sweet boy.

      Reply
    • Loeell says

      October 23, 2024 at 2:58 pm

      We just found out our pitbull boy Jake 13 years old has cancer. We’ve had him since we rescued him at about 7 months. Like you he has been the best 4 legged kid you could have.. We are in our 60’s+ and just the thought of putting Jake down is so hard. He still eats great and gets around but pants non stop except when he finally lies down. I know the time is close to say goodbye but just so darn hard.im sure your Jake is in a good place now and I’m sure my Jake will be in a good place also! You take care

      Reply
      • Julie Buzby DVM says

        October 28, 2024 at 8:54 pm

        Dear Loeell,
        Thank you for sharing your experience with our readers. Wishing you and your sweet boy comfort and peace. ♥

        Reply

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