Deciding when to euthanize a dog with Cushing’s disease can be heartbreaking. That’s why integrative veterinarian Dr. Julie Buzby invited her friend, end-of-life care veterinarian Dr. Dawnetta Woodruff, to share some heartfelt words of wisdom and comfort. Dr. Woodruff explains how to recognize the final stages of advanced Cushing’s disease and gives advice about when it might be time to say goodbye to your dear dog.
Finding out your dog has Cushing’s disease can feel stressful and overwhelming. What will this mean for your dog? Will you need to euthanize your dog because of his or her Cushing’s? How will you know it is the right time to put your dog down?
These are all valid questions. Dr. Buzby has already written an excellent in-depth blog on Cushing’s Disease in dogs that address the medical aspects of the disease. So I’ll quickly hit the high points before moving on to the goal of this article—preparing you for the challenging decisions that may lie ahead.
Cushing’s disease basics
In short, Cushing’s disease means that your dog’s body is producing an excessive amount of the steroid cortisol. This is problematic because having the correct amount of steroid hormones is important for the body to function correctly.
Normally, the pituitary gland (located in the brain) produces the ACTH hormone which tells the adrenal glands to produce cortisol. But, when either of these glands isn’t working correctly, steroid levels can become too low (i.e. Addison’s disease in dogs, which is also called hypoadrenocorticism). Or, they can become too high (i.e. Cushing’s disease, which is also called hyperadrenocorticism).
If your vet suspects your dog has Cushing’s disease, he or she will run blood tests (and possibly perform some imaging) to reach a diagnosis. Then, he or she will formulate a treatment plan, which usually involves lifelong medications like trilostane for dogs or surgery to remove a cortisol-producing adrenal gland tumor. Plus, your vet will discuss how to care for your dog with Cushing’s disease. And he or she can help answer the question in the back of your mind—how long can my dog live with Cushing’s disease?
What is the life expectancy for dogs with Cushing’s disease?
If you were to look at the various papers published in veterinary journals, you would see that the average survival time after diagnosis is 2-2.5 years for dogs with Cushing’s disease due to an ACTH-producing pituitary tumor (i.e. pituitary-dependent Cushing’s disease). And for dogs with an adrenal tumor (i.e. adrenal dependent Cushing’s disease), the average survival time is 1 year with medications and ranges from 1.5-4 years (depending on the paper) with surgery.
Keep in mind, though, that these numbers are averages. When it comes to looking at the prognosis for Cushing’s disease, accounting for the differences from one dog to another is important.
Some dogs receive a diagnosis of Cushing’s disease, and their disease seems to progress slowly. They are otherwise healthy enough to have surgery to treat an adrenal gland tumor in dogs (if indicated), they respond well to medications, and they continue enjoying a relatively normal life for years.
Other dogs go downhill much more rapidly. They may already be frail at the time of their diagnosis. Or they may have other life-altering diseases as well, such as diabetes, kidney failure in dogs, canine cognitive dysfunction, osteoarthritis in dogs, or heart disease in dogs. These dogs may seem worn down, have little energy to enjoy life, and have numerous secondary infections. In those cases, they may only live with Cushing’s for a short time (weeks to months) after their diagnosis.
How will I know when to euthanize my dog with Cushing’s disease?
These differences in outcome demonstrate that every dog and every disease process is different. And that is part of what makes Cushing’s such a frustrating disease for pet caretakers and veterinarians alike.
There is no definitive point where euthanasia becomes a clear-cut or easy decision. But knowing the signs of advanced Cushing’s disease, how to decide if you should keep going with treatments, and how to assess your dog’s quality of life, can help with the decision of when to put a dog down.
What are the symptoms of advanced Cushing’s disease in dogs?
Your dog’s Cushing’s disease may be worsening if you see the following signs:
- Significantly increased thirst in dogs (i.e. polydipsia) and severe increases in urination volume (i.e. polyuria)
- Frequent urinary tract infections (UTIs in dogs) because the excessive cortisol suppresses the immune system
- Dramatic weight gain, especially in the belly, gives a pot-bellied dog appearance
- Ravenous appetite, sometimes to the point of stealing food from the table or the counter
- Panting (even when your dog is not excited or hot)
- Rapid breathing (when your dog is at rest, or even sleeping)
- Weak muscles, which may make your dog unable to go for long walks, or cause problems jumping or climbing stairs
- Sleeping much more than normal (may include restless sleep)
- Loss of fur or thinning fur (including hair loss on a dog’s tail)
- Changes in skin pigmentation (especially the presence of new black pigment in the skin)
- Skin infections (i.e. pyoderma in dogs) that take a long time to heal, or don’t heal even with appropriate medications
- Smelly oily skin or wounds that ooze and seem tender to the touch
- Constant licking or chewing on the skin and itchy dog paws
- GI distress (diarrhea and/or vomiting)
- Sudden weakness or being a severely lethargic dog
- Confusion or disorientation (can look similar to the signs of dementia in dogs)
- Periods of time when your dog seems unresponsive, or can’t easily be woken up
- Collapse
What do you do if you see these signs?
If your dog is showing some of the symptoms on this list, it would be a good idea to schedule an appointment with your regular veterinarian. He or she may be able to adjust your dog’s medications. Or the vet may suggest adding another medication to help reduce the common symptoms of Cushing’s.
(Please note, sometimes the progression of symptoms is rapid, or your dog starts experiencing more severe symptoms like sudden weakness or collapse. In those situations, you may need to make an emergency vet visit rather than a regular appointment.)
Should I keep treating my dog’s Cushing’s disease and associated problems?
However, just because you can try a treatment, doesn’t always mean you should. Yes, the goal of treating a dog with Cushing’s disease is to control the cortisol levels and manage the dog’s symptoms. But it is also to find ways to minimize the overall decrease in your dog’s quality of life.
Some dogs take pills well. And they allow their family to bathe them and apply ointments to their skin to manage the skin problems that often accompany Cushing’s disease. For these sweet pups, the things you need to do to treat Cushing’s disease do not decrease their quality of life at all. And providing care may not be stressful for their human family.
On the other hand, some dogs have severe anxiety when it is bath time. A normally sweet pup may even try to bite when their skin is inflamed and painful due to their disease. Or they may have an extremely difficult time taking medications (even after trying Dr. Buzby’s tips for dogs who won’t take pills). This can mean that giving pills quickly becomes everyone’s least favorite part of the day. Alternatively, even if your dog takes pills well, some medications have unpleasant side effects that may decrease quality of life.
For these precious dogs, you need to look at the whole picture. There may come a time when decreasing their treatments is the best choice, even though their symptoms are worsening.
Deciding that enough is enough
In those cases where a dog no longer tolerates treatments, when the monetary commitment becomes too burdensome, or when caregiver fatigue is severe, it is time to consider euthanasia as the kindest option. There is no shame in admitting that your dog’s medical needs have become burdensome. We all wish we had an unlimited budget of money and time to devote to our pets. However, that is not often the case. And that is ok.
It is important to preserve the human-animal bond above all else. And a big part of preserving that bond is focusing more on the quality of your dog’s life than on the number of days.
Assessing the quality of life for dogs with Cushing’s disease
While it is a critical part of decision-making, evaluating the quality of life is not an easy “one-step” process. However, there are several quality of life scales for dogs that can be helpful when filled out on a regular basis. Plus, you may want to consider the answers to these Cushing’s disease-focused quality of life questions:
- Is eating taking over your dog’s day? Has food become an obsession? Does he seem satisfied, or is he always hungry (even after just finishing a meal)?
- Is she drinking so much that she is having accidents in the house? Is she urinating in her bed?
- Is she able to keep herself clean, or does she allow you to clean her when needed?
- Is he able to enjoy his favorite things? Does he still hate the things he’s always hated (like the vacuum)?
- Is she able to sleep well at night, and does she seem awake during the day?
- Is his skin comfortable? Does he seem to lick and chew at himself every waking moment?
- If he needs medicated baths or topical medications, is he comfortable while these treatments are given?
If your dog’s appetite, hydration, hygiene, skin health, and sleep are all affected, the quality of life has dramatically decreased due to Cushing’s disease. At that point (or even before) it may be time to consider euthanasia as the kindest decision.
When is the “best time” to euthanize your dog with Cushing’s disease?
Most of the time, there is not one right day to put a dog down with Cushing’s. Instead, there tends to be a window of time where euthanasia is a kind and appropriate choice. As Cushing’s disease progresses, there will come a time when watching your dog continue to struggle is even harder than letting him or her go.
A dog whose skin always hurts, who is always hungry and thirsty, and who is restless and exhausted, is not a happy dog with a good quality of life. And neither is a dog who hates taking pills or being bathed. In these cases, setting him or her free from his or her struggles often becomes the most merciful choice.
The decision window
Some families are comfortable making the decision a little bit earlier in the course of the disease. Their dog may really hate vet visits and medications, so they take a more conservative approach to treatment. Choosing euthanasia early means they may miss a bit of quality time together. But it allows them to know they have helped their beloved dog avoid all suffering.
For other families, they need to wait longer, exhausting all options for treating and managing the disease. They know that their sweet pup may suffer for a short time. But to them, a few difficult days are worth it to ensure they were able to spend as many good days together as possible.
Neither decision is “right” or “wrong”—and the same family could make a different decision with two different dogs, even if they have the same disease. Each dog’s personality and ability to handle the struggles that come with Cushing’s disease is unique. That means there really is no “one-size-fits-all” answer.
Use your resources but also trust your instincts
When trying to make this difficult decision of when to euthanize your dog with Cushing’s disease, it can be helpful to seek the opinions of others. You may wish to consult with your dog’s regular veterinarian or a veterinarian who provides dog hospice care. Or you may want to ask trusted friends and family members for help.
All of these people can give you valuable advice as you weigh the severity of your dog’s illness. But it is important to remember that you know your pup better than anyone else. You are the one that spends every day with him or her. And you are the one who sees the true extent of his or her struggles.
If he or she seems brighter and happier when friends and family visit, or more alert and aware when you go to the vet’s office, other people may tell you he or she has more time. However, you are the one who sees your dog day in and day out. If you see the majority of his or her time is spent merely existing, instead of truly living, then it is no doubt a kind choice to set him or her free.
Give yourself grace and compassion. These decisions are never easy—but if you are trying your best to care for your pup and make a kind and reasonable decision, that is the best anyone could ask you to do.
How did you know when it was time to euthanize your dog with Cushing’s disease?
Please comment below.
Kelly Pederson says
Thank you for this post. Our beloved dog, Maliboo, has about 90% of the symptoms listed for Cushing’s. Although some days she still acts like a puppy, most days are sad. The past few days have involved a bit of diarrhea and I’m starting to think her time is coming. She has been so loving for almost 12 years. Again, thank you!
Julie Buzby DVM says
Dear Kelly,
I am so sorry you are facing some tough decisions about Maliboo’s quality of life. I wish you strength and comfort as you navigate this difficult path ahead. Bless you and your sweet girl. ♥
Michaela Dickhoff says
Did any of your pups have pain when lifting them up to the bed at night or pain at the back base of the head near neck?
Julie Buzby DVM says
Hi Michaela,
I am not sure who you were trying to address with this reply. From what you describe, I would be suspicious about spinal pain. These could be symptoms of IVDD. Here is a link to an article with more information: IVDD in Dogs: Why it Happens
As always, if you have any lingering concerns, don’t’ hesitate to reach out to your vet for guidance and support.
Jaime Clemens says
My dog Rudy is 11 1/2 years old. He was diagnosed with Cushing about 1 year ago but we believe he has had it for about two years. It started with drinking a ton of water and eating a lot. He got the pot belly pig look. We took him to the vet and they said the drinking was from the allergy meds. Then the belly got worse and we took him back to the vet again they did more tests and decided Cushing. Now he drinks normal but doesn’t eat hardly at all. Will go 12 or more hours without urinating. Has diarrhea and has lost the use of both hind legs. It started with one leg and then a week later he lost the use of the second leg. Blind and can hear slightly. He is on gabapentin and without it he shakes and is miserable. With it, he sleeps a lot, not much else. I’m struggling to make the rainbow decision. He is showing a lot of the late stage sign but some are confusing since he isn’t eating a lot, potting in the floor. Can you give me some guidance?
Julie Buzby DVM says
Dear Jaime,
My heart goes out to you as you face this emotional decision for Rudy. My best advice is to try and look at Rudy’s quality of life as a whole instead of watching for specific signs. Is he truly living of just merely existing? Does he still find joy in things he used to love? Does he seek out affection and enjoy attention from his family? Sometimes letting go is the most loving option and it is ok to say goodbye before all joy is lost and the only thing that remains is pain and suffering. I will attach links to other articles with great information and advice from other readers as well. Hoping you can find the answers you need to make the best choice for everyone involved. Bless you and your sweet boy.
1. Using a Quality of Life Scale for Dogs
2. Dog Euthanasia: Knowing When to Say Goodbye
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
Swarna says
My dog Rudy is 10 years and 3 months old. A boxer, diagnosed with Cushing in Nov2023. We have been treating him for multiple UTI, skin infection, etc. from Jan2023. Recently his water intake has increased and started stealing food from the counter top. Twice he ended up eating a dozen banana with the peel and the next day he was vomiting the whole day. He sleeps all the time. Pee’s in the bed. Zone outs. What should I do? Is he al his end stage ?
Julie Buzby DVM says
Hi Swarna,
I am sorry Rudy is having so many issues at the same time. Without examining him myself it is hard to make specific conclusions about his quality of life. Some of the symptoms you mentioned could be signs of dementia or cognitive dysfunction. I encourage you to reach out to your vet. They can evaluate him and give you their honest opinion on whether he is truly suffering or if there are things that could be done to improve his circumstances. Your vet is there to help guide you along this difficult path and offer advice. Hoping you can get the answers you need to make the best choice for your sweet boy. Wishing you all the best.
Rieka van den Berg says
Dear dr Buzby,
Like so many other readers I’m very greatful for this article. Our 8.5 year old Maltese cross Tsi Tsu girl, Macey, has recently lost her sight in just 2 weeks. She also shows 80% of the Cussings symptoms. We initial started with preliminary tests to determine if it was SARDS or Cussings, but after hearing about the constant prosedures, prognosis and financial burden, we decided to stop. Going blind so suddenly took so much of her joy and adding the lethargy, hunger,thirst, urination already feels so cruel without her being subjected to all the tests. She seems to be adjusting and have started wagging her tail again and following me around. But she is more restless than before, and now also started panting in the evenings. For now we will keep an eye on her, but I want to thank you for giving us pup parents the (so very) needed ‘permission’ to say its OK to be merciful. Not only for their sakes, but for our hearts too.
God bless, Rieka
Julie Buzby DVM says
Dear Rieka,
My heart goes out to you as you face this emotional path ahead. You are absolutely right that it is OK to be merciful and offer peace and rest to a beloved senior pup. Take things day by day and make the most of the time you are gifted. Wishing you and Macey love and comfort. Bless you both. ♥
Jamie says
I have a 10-year-old Chihuahua who was diagnosed with Cushing’s in July. He went from fine to staring at walls, falling over and throwing up. He was 11lbs and got up to 18lbs! All he wanted to do was eat! Now he’s almost completely blind, doesn’t eat much, wants to drink like crazy, is peeing like crazy, and now has diarrhea. He’s now getting skinny. He’s my son’s dog, that is now off at college, and I’m getting worn down by constantly cleaning up poop, and washing his diapers to help with the peeing. He still seems ok. He just sleeps a lot and wanders around running into things. Are any of these signs that he’s in the final stage? I didn’t want to just put him down, but he gets worse, then seems ok. I’m so torn.
Julie Buzby DVM says
Dear Jamie,
I understand why you are conflicted and think it is good you are reaching out for advice. From what you describe, it sounds like your pup has entered the window of time where euthanasia is a loving option. It is ok to say goodbye before all joy is lost and the only thing that remains is suffering and pain. Dementia is cruel because all of the issues are mental and physically they can seem to be ok. But I am convinced that the suffering caused by mental disease is just as bad, if not worse, than physical disease. I hope you can find the guidance you need to make the best decision for everyone involved. Bless you and your family. ♥
Patty says
Dr. Buzby,
Thank you for the writing this thoughtful article. I have an appt tomorrow for my sweet girl Bailey. She was diagnosed with Cushing’s about 3 months ago. She is on meds but also has hip dysplasia and osteoarthritis. She can no longer take walks and is so focused on food. She often poops in the house and tears up all the trash looking for anything. I have scheduled and canceled euthanasia at least twice second guessing myself. I’ve come to the point where I can’t watch her suffer anymore. I love her so much and she has been with me through so many hard life obstacles. I am still second guessing myself as she can walk but clearly as signs of dementia and I feel waiting until her back end goes would be heartbreaking and unfair for her. Thank you for the information and I will go with my gut tomorrow even if it breaks my heart.
Julie Buzby DVM says
Dear Patty,
I am so sorry you had to say goodbye to Bailey. Even with knowing you made the right choice; it doesn’t lessen the grief over her absence. Hoping her memory will be with you always and be a source of joy in your life. Wishing you comfort and peace.
Brian says
Our 17 year old mutt, Bentley (he looks like tramp in Lady and the Tramp) has all the symptoms on your list, except the chewing and smell. I was looking on the internet to find out what was wrong with him, and narrowed it down to Cushing and so glad I found you blog. I wish I had found it sooner because Bentley would have greatly benefited for your “Toe Grips”, he hated shiny floors and would back our of our tiled kitchen.
Julie Buzby DVM says
Dear Brian,
I am so sorry Bentley is not doing well and you are facing some hard decisions about his quality of life. Sometimes saying goodbye is the most loving option and only way to offer relief and rest. Praying you will find the strength you need to navigate this emotional path. Wising you and your sweet boy comfort and peace.
CONNIE PARR says
I had to stop reading these posts or start crying. My 12-year-old 105 lb. Lab/Akita mix was diagnosed with Cushings last summer. She has times when she pants quite a bit and looks miserable. Last night she was under my feet all night and got on the couch with me, which she never does. She was panting so hard and shaking, I didn’t know what to do. I gave her a dose of her medication which seemed to help but this morning she was following me everywhere again. I had to go to work and she followed me down the stairs to the garage. It broke my heart to leave her. I’m at a loss at this point. I had someone at my house working yesterday while I was at work so maybe that stressed her out. She hasn’t been eating or drinking so it’s confusing since that’s a symptom of worsening Cushings. She also has arthritis so difficulty going up stairs has been normal for a while. I usually know when it’s time, I’ve had dogs all my life. I don’t feel like she is ready since a week ago she was still playing a little.
Julie Buzby DVM says
Dear Connie,
I am so sorry your girl is not doing well, and I understand why you are concerned. It sounds like she is nearing her window of time where saying goodbye can be the most loving option. I know you want to do what is best for her and feel certain you will know when to offer your beloved girl peace and rest. Trust your intuition. You know your girl better than anyone. Wishing you strength to navigate this difficult path and bless you both. ♥
Amanda says
Thank you for such a human article. My 11yo lab mix rescue, Blake, was diagnosed with Cushing 6mo ago. He had surgery to remove silicone dip cups from his stomach that he ate (due to the Cushing we didn’t know he had), then was diagnosed, and paid thousands. He’s on trilostane(?). We’re still trying to figure out his dose but he just seems so sad. He doesn’t bark when people come to the door anymore. Doesn’t get excited when he sees my father, who he loves. The only way I can get him to eat is by adding chicken, rice and beef broth to his food like a soup. He appears to be having tremors and shaking at times. His breathing is fast at times when he’s having the tremors. His back legs seem to be weakening some. He’s lost weight. He seems mildly disrupted during his sleep at night. I’m so worried about him every day. My heart breaks every time I see him shaking. I don’t know if he’s in pain. I’ve never had a dog before and definitely am not prepared for this. Our daughters will be heartbroken. Thank you for giving space to share.. this is so painful.
Julie Buzby DVM says
Dear Amanda,
My heart goes out to you as you face this difficult situation with Blake. I am sorry that despite treatment he still seems to be feeling bad and his health is declining. I wish I had some great advice or could tell you what to expect as you walk this emotional path. I can tell you that you are not alone and that I will be keeping you and your family in my thoughts. I hope that when the time comes to say goodbye, it will be clear, and I pray for your strength and comfort. Sending you all my best.♥
Ann says
Have you tried natural supplements such as Melatonin and Lignans? Myos for leg strength?
Patricia says
I am trying this supplement now. Honestly I’m not seeing results. My girl was on Vetoryl 120 mg and had no clinical improvements. I have taken her off the med and the only difference is more water consumption. I am at a loss on what to do. She is 7 and other than polydipsea and polyuria, she is the same dog she’s always been.
Julie Buzby DVM says
Hi Patricia,
I am sorry your girl is not showing the improvement that was expected after starting the Vetoryl. Honestly, if her symptoms are mild, she may be better off without treatment at this point. You can always ask for a consultation with an internal medicine specialist if needed. Hoping you can find the best way to keep her happy and enjoying life for many years to come.
Dayna says
My sweet 12 year old Chihuahua, Meena, is believed to have cushings along with some other complications. Possibly a mass in her abdomen. This decision is so incredibly hard and it feels cruel to be the one to have to choose to end one of your best friends lives. But the more I see her suffer, the more I realize just how horrible it is to witness. Her belly seems like it can’t possibly get any larger or she might pop. Shes drinks bowls and bowls of water and continues to urinate in the house. Over the last month since her diagnosis, her legs have weekend much more to the point that she’s struggling to get around and can barely use the stairs. She goes to the bathroom even in her own bed. Then one morning, 2 weeks ago, she woke up with a big bump on her rear end/top of her tail, and when I went to touch her to see what it was…it exploded with puss. I couldn’t believe it. Even though all of this is happening, she’s still searching the floor for crumbs throughout the day, eating, and no poop accidents yet. I just can’t help but feel like “what kind of life is this for my poor girl.” I never want to make a decision out of convenience for myself or my family – I have to know it’s what best for her. And being so invested and so in love, it’s so hard. I truly am at a crossroads and this decision feels too hard. I found this article and felt like some of you here would understand, so I felt safe to comment. I appreciate this article and the support it brings to us dog parents trying to make such hard decisions. Thank you Dr. Buzby.
Julie Buzby DVM says
Dear Dayna,
I am so sorry Meena is not doing well and her health is declining. I know you would do anything for her as it is clear she is dearly loved. Thank you for being willing to share your story with us. As you know, it helps others to know they are not alone. I pray for your strength and comfort as you navigate this difficult path ahead. Wishing you both peace and hoping you can find a bit of joy in each day you are gifted. ♥
Jo Beth Speyer says
Thank you for the helpful article and for sharing the letters from people going through difficult times with their own pets with Cushings. It has been very helpful to me, as my husband and I are in the situation ourselves, having rescued a Lhasa Apso mix, who was then about 7 years old, three years ago. Kodi, now 10 years old, was diagnosed with Cushings about a year ago, and has been on Vetoryl ever since, which was helping his symptoms until recently. Now, he is exhibiting all the symptoms of Cushings, including the personality and behavioral changes mentioned by some others in this forum. He has become grumpy, lunging to try to nip small children and those who inadvertently bump him when he gets underfoot. He even bares his teeth at us when begging for food. He is now, when not sleeping or begging for food, whining, growling and barking endlessly. He is wearing a diaper all the time when in the house, but still has frequent accidents. He has always had separation anxiety, but now is even more agitated when left alone for short periods, peeing and pooping all over the house. He is showing signs of dementia, barking at the walls, and acting generally confused. His vision and hearing have deteriorated. We have made the difficult decision to take him to our vet tomorrow for euthanasia. I debated whether to have a different vet come to our home, but I decided that ,since Kodi is not frightened going to the vet’s office, and our vet has known him over time, and is very kind and compassionate, that it makes sense to go there instead. We will be in a room where Kodi can be on my lap when the shots are administered.
We have had other dogs put down in the past, and it is always so very painful, but having to figure out when is the right time with this terrible disease has made a difficult decision even harder.
Our vet has commented that we need to take our own quality of life into account, as well as that of our pet, in deciding when is the right time, and I think that is a fair and honest element to consider as well.
I appreciate this forum, which has been helpful to me, and obviously to many others.
Julie Buzby DVM says
Dear Jo Beth,
I am sorry for your loss of Kodi, but it sounds like it was the only way to free him from his suffering. I am glad you were able to say goodbye in a familiar and comfortable setting. I am sure your presence was a comfort to Kodi and hope his passing was smooth and peaceful. I pray his memory will be a blessing to you and stay with you always. Thank you for sharing your story with us. ♥
Amber Morris says
Ugh this is agonizing to read ! Our 9 year old frenchie was diagnosed w Cushings the middle of December. We did the first test and started medication right away . We did the 2nd test last weekend . The 2nd test came back all in the normal range . He doesn’t seem to be any different now then before we started the medicine. He has been peeing and pooping in the house occasionally over the last month even though he has access to the open dog door 247 . My poor guy just looks miserable most the time. Over the last week days he has had explosive diarrhea . I don’t know if this if just the stubborn frenchie part of him or if he is really just miserable. Even on the medication he still pants a lot and doesn’t sleep a lot either .
Julie Buzby DVM says
Dear Amber,
I am sorry your senior guy is having so much trouble and the medication doesn’t seem to be helping. Without examining your dog, myself, it is hard to make specific conclusions. But I am a bit suspicious that your guy may be experiencing some of the early symptoms of dementia on top of receiving this Cushing’s diagnosis. I know that does not help this situation, but it could be a good thing to discuss with your vet. I will attach links to other articles with more information. Also, you can always request a referral to a specialist if needed. Hoping you can get some answers soon and find the best way to restore your sweet boy’s quality of life.
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
Rae Koumoulis says
My Lucy is gone a month in one half now due to Cushings. She had most of the symptoms listed above. I could not be selfish and continue to watch her life deteriorate. My house is empty and my heart is broken. She was my “little mommie.”
It’s never easy to let a dog go but I wanted to give her the dignity and respect she gave me. 💔
Julie Buzby DVM says
Dear Rae,
I am sorry for your loss of Lucy. I can only imagine how difficult it is to be without her. You made a loving choice to free her from her struggles and give her the peace she deserved. May her memory be with you always and bring you joy. Bless you. ♥
Elayne says
I am glad to come across this article this morning, my Boston Terrier Kira was diagnosed with Cushings a month ago, although now looking back, I think she has had it for the last year or more. It just has progressed with huge skin problems (which doesn’t seem to bother her) but the excessive thirst and urination is out of control. The last 2 nights, she needs to get up to drink and pee several times a night and is not able to sleep and relax when she has always slept at night well. I am exhausted but I know it’s not about me. I have been trying to control it with natural supplements, but I don’t think they are working. I can’t honestly afford the treatment the vet recommends. Kira also has only 1 eye that has had an ulcer that we’ve been treating for the last 4 months, it just doesn’t want to heal. I know its because of the cushings. I feel the time is getting close but it’s so hard, but I know the kindest thing I can do for her is to let her go when it’s time. Thanks for the information provided here, it helps.
Julie Buzby DVM says
Dear Elayne,
My heart goes out to you as you face this difficult situation with Kira. I am sorry her health is declining, and she is starting to suffer. It does sound like you will have to make a decision about her quality of life sooner rather than later. I wish there was another way but sometimes saying goodbye is the most loving option. Praying for your strength and comfort. Bless you and your sweet girl.
Elayne says
Thank you, after reading your blog today, I made that difficult decision and laid my beautiful baby girl, Kira to rest. Thank you for this post, it is human, realistic and helpful. Although it doesn’t make it easier, I know she is no longer suffering in any way.
Julie Buzby DVM says
Dear Elayne,
I am glad the article was helpful and gave you the guidance you needed. I am so sorry you had to say goodbye to your beloved Kira. Wishing you healing and peace as you continue life’s journey. Bless you. ♥
Ashley says
Man oh man. These comments have me sobbing, partly because I know it is time for my sweet Abigail (we call her Punky) to be pain free, partly because I hate to think she won’t be with me much longer. I have felt it in my heart for the last few weeks that our time is coming to an end, but after 13.5 years, and nearly 6 of those being with Cushings, it feels like one more week won’t hurt and then it’s snowballed to nearly 2 months. She has about 90% of the things listed above going on, with a few skin issues and some dementia like symptoms cropping up at the end of last year. She’s always responded well to all treatments, but with the onslaught of new symptoms I feel it in my heart I am being selfish in keeping her here with us.
Dr. Buzby I greatly appreciate this article, it let’s me know that it is okay to ease her pain and let her finally be free, so thank you.
Julie Buzby DVM says
Dear Ashley,
I am so sorry you are facing this difficult decision for your beloved Abigail. As much as it will break your heart, you are right, it is ok to offer your pup peace and freedom from her struggles. I am glad the article brought you some clarity and comfort during this tough time. Wishing you happier days ahead and may the memories of the good times you shared with your sweet girl always bring you joy. ♥
Daryl Distefano says
I’m sitting here reading all your stories with tears rolling down my face.
My Sassy is 14 1/2 years old. She has had Cushing’s for about 3 1/2 years. I have treated her holistically, as I believe in preserving both my health and hers. I am 76 yrs. old and take no medications. I have taken vitamins, minerals and Amino acids my whole life snd retain great health at my age.
Sassy’s water drinking, urination, and now I have seen skin ulcers. She has been licking at the ones she can reach. She still power walks with me and my friends, but the walks are shorter.
I am trying to give my holistic vet a call. He mentioned months ago that a good barometer is that if she has more good days than bad ones, that will be your indicator that it might be time to let her go. This decision is complicated by the fact that I lost my husband 7 1/2 yrs. ago and it was the 3 of us, always together. I heard about how when a senior loses their mate and the dog is the remaining companion, it is like losing the mate all over again when they loose the dog, or the decision has to be made.
I can certainly understand that, as this call to the vet is going to be very hard for me to make.
Dr. Buzby, your above article has given me a clearer prospective. Thank you, for your insights. Strange, I just happened onto your site while Googling some Cushing information. Life certainly throws you some curves.
Julie Buzby DVM says
Dear Daryl,
My heart aches for you with the loss you have already endured. I am so sorry you are now facing this emotional decision for Sassy. I think it is good you are planning to reach out to your holistic vet. They can help assess your girl’s quality of life and guide you along this difficult path. I am glad you found this article and that it offered some insight. I will attach links to other articles with more information on making end of life choices that also contain great advice from other readers. Wishing you strength and comfort as you find a way forward. 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. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
4. Grieving the Loss of a Dog After Euthanasia (& Finding Peace)
Laura portwood says
I have been reading these articles trying to make the decision if it mollys time to let her go. Molly is my blue healer who has had cushions for over 4 years. We have been able to keep it under control with the vetroyl medication. She also has high thyroid which is rare in dogs. They said they see that in cats. But 2 1/2 years ago she tore her back ACL iwhich he have had her on restriction for bout 7-8 months and medication. She is a little over 13 years old. The past 4-5 months she managed to do something to her back hip. We have been doing chiropractic visits but could not get her past 2 weeks which she has the osteoarthritis. She has been getting adequil shots with labrel shot too to help her walk better since she has been falling a lot now. They just took her off her vetroyl and put her on steroid last hope to calm this down for her. Now we are back to the excessive drinking and urination.. in the past we had seen the obsessive eating but now she’s barley eating.. she has been very picky bout her little milk bone treats which have sat here all day. Her food is from yesterday because she didn’t eat her super last night and so it sat here all day and she finally ate tonight but not all of it. Being off her meds should make her hunger on top of her being on steroids too. We have been getting a lot of mixed signals if it’s time or not. This is so hard to figure out if it’s time.
Julie Buzby DVM says
Dear Laura,
Goodness, this is too much to be dealing with all at the same time! I am so sorry Molly is not feeling well and that her health is failing. Without examining her myself, it is hard to say if now is the time to let go. When a dog nears the end of their life, they enter a “window” of time where choosing euthanasia is a good option. Molly may have just entered her window. If this is the case, saying goodbye may not be an urgent matter but it also could be a loving option. I would rather let go one day too early than one day too late and allow unnecessary suffering. Please reach out to your vet for guidance and let them give you their honest opinion about Molly’s quality of life. I will attach links to other articles with more information. Wishing you the best as you navigate this difficult path.
1. Signs Your Dog is Dying: A Caring Message to Bring You Peace
2. Using a Quality of Life Scale for Dogs
3. Dog Euthanasia: Knowing When to Say Goodbye
Tina Crawford says
My daughters Aussie 13.75 years old has exhibited all the symptoms of Cushings. Hair loss,, thirst,, distended belly,, lethargy, weakness.. he cannot get up without he,he, but does get down stairs has collapsed at times.. we have not had a definitive diagnosis. He has had 2 scans but not a more detailed one which is 4-$500. He currently is on a liver pill as his blood work shows elevated levels and off the arthritis for a week and on Gapatin. Neither her vet or mine gas put him on any of the meds specific to Cushings. Just suggested a Chinese herbal. We know his time us coming but would like to try t b at if it would give him some relief .
Julie Buzby DVM says
Dear Tina,
I am sorry your daughter’s dog is facing this difficult situation. Hoping you can find a way to offer him some relief from these severe symptoms and restore his quality of life. Wising you all the best of luck. Bless you and your family.
Leah says
Thank you for this article, my 11 y/o Staffy Bikkie is booked tomorrow for the vet to come to our home and send her over the Rainbow Bridge. I’m heartbroken so I googled to make sure I am doing the right thing.
Reading your post was perfect, when others see her they say she’s okay, but I know she’s not. The last few days we’ve noticed blood on the floor and tiles, her elbows are hard and cracking, she struggles in the heat which she used to love and her drinking and urination is at a very high level. Her poor belly is so huge, she must be uncomfortable and her breathing at night has become loud and labored. Honestly, I think we waited too long, but she’s so happy when I look in her eyes it breaks my heart to think I’m going to be the one to make her go.
Julie Buzby DVM says
Dear Leah,
My thoughts are with you as you say goodbye to your beloved Bikkie today. I agree, it sounds like letting go is the only way to offer your girl freedom from her struggles and would be a loving act of kindness. I know you don’t want to have to make this emotional decision. But I can’t think of a more selfless act of love than to allow your own heart to break so that Bikkie can find peace and rest. Hoping her passing will be smooth and praying for your strength and comfort. Bless you and your sweet girl. ♥
Krysti says
Thank you for your comment about your Staffie. I haven’t found much on that breed being prone to Cushing’s, but my old girl (estimated to be around 14) has or has had pretty much every symptom listed for well over a year. I thought her pot belly was from worms from fleas, but I finally got all that under control & she still has it. After further Internet research, I found articles on Cushing’s. My Gypsea Girl shows signs of dementia & her eyes are starting to fail also. Her elbows, feet, & nose are affected with roughness & even extra growths on her paw pads. She has a few spots on her body & slight hairloss at the start of her tail, which I thought was from her itching before. Based on a Forbes article, she’s in stage 3-4. She’s collapsed a few times, doesn’t handle the heat at all (even worse than most Staffies), was urinating in the house in her sleep, has labored breathing & wheezing at times, but yet she still loves to cuddle, sleep, treats, etc. I know the time is close, but hopefully not too close. I just lost my 13 yr old mini-Rex rabbit yesterday. I don’t want to throw money at prolonging the inevitable though. She’s been a superb dog & I’ll never regret adopting her in the summer of 2019. I’m giving her extra treats knowing her end is near. She deserves all the happiness she can get. I’ll be very sad when it’s her time. I hope that you’re fairing well with the loss of your beloved Staffie. Again, thank you for confirming for me that they aren’t exempt from getting what my BF is calling an old age disease. I guess it’s so it’s easier for us to say goodbye.
Julie Buzby DVM says
Dear Krysti,
I am so sorry you are facing this difficult situation with your Gypsea Girl. She is lucky to have found you when she did, and I am certain you made her senior years extra special. Thank you for sharing your story with us. Make the most of the time you are gifted, and I wish you both all happiness and joy during these final days. ♥
Anna Hayes says
Thank you so much for this article. I had to put my sweet Darla a mini Schnauzer down in September. I cannot tell you how hard it was.
She would have been 15 in December.
Darla and I had a special bond. She was my baby girl. She was diagnosed with Cushings 7 years ago. So I feel very blessed after reading this. We battled all of those symptoms she had everyone of them. I gave baths to keep her comfortable and used ointments on her sores.
It really got bad before I put her down. It was like she was getting dementia. She was blind and then lost her hearing. She slept most of the time. I had to keep pads in the hall because of excessive urination. When I put her on the porch she started just going on the porch. I kept telling myself there was more that I could do, but she was getting worse. So on 9/16/23 I took her to the emergency vet and put her down . I sobbed. I was by myself. But the sweetest Vet tech was there. Without her assuring me I was doing the right thing, I just don’t know. Maybe I waited to long. It’s not easy. I wished I would have read this before. I don’t know maybe this will help someone. She went through so much. But she loved her mama. So I tried and tried I was exhausted too, and she was worn out. Again thank you. It even helps now.
Thank you, Anna
Julie Buzby DVM says
Dear Anna,
My heart goes out to you as you work through your grief over the loss of your beloved Darla. What a blessing that amazing vet tech was there to help guide you through the emotional process of saying goodbye. I am glad the article was comforting and offered some peace of mind. Thank you for sharing your story with us. Wishing you happier days ahead and may the memories of the good times you shared with Darla stay with you forever. ♥
Sarah Jane McCrory says
Our JR girl is 12 years old and was diagnosed with Cushing’s earlier this year. Her fur is especially thin down her back end while I have noticed her fur at the top of her back and near her shoulders has a yellow tinge to it. She has very little in toys now (she was never one for real hyper play with toys), but it is at zero now. I have a male JR as well and we got them new toys and our girl never looked near them.
She constantly just wants to eat and drink water. She is overweight due to the disease with the pot belly that comes with Cushing’s.
I am looking everyday for signs that she still has quality of life. But as time goes on, I worry that she doesn’t.
Julie Buzby DVM says
Dear Sara,
My heart goes out to you as you face this difficult situation with your senior girl. It does sound like you will have to make some tough choices very soon and I wish I could spare you from that. Praying for your comfort and strength as you navigate this unknown path. Bless you and your sweet girl. ♥
Karen Fanwick says
As I read through the letters above it is nice to know that I am not the only one struggling with this. My 14 y/o mixed breed rescue was diagnosed with Cushings 3.5 years ago. She has done fairly well on the Vetoryl until just recently. We moved to FL and she tolerated the move fairly well, but lately has been having numerous accidents in the house even an hour after we just went out so she could do her biz. I get upset with her even though I know she cannot help it. I am not getting enough sleep as she has me up early in the morning or in the night to take her out. She paces and pants all the time so I have no sign that she needs to go out. Feeling right now that I am approaching that time of saying goodbye. It tears me up as she has been the most wonderful dog. We have an appointment with the vet next week and we will discuss options. Just wanted to weigh in that we all struggle to say goodbye to our pets…
Julie Buzby DVM says
Dear Karen,
My heart goes out to you as you face this difficult decision for your senior girl. I hope your vet can help guide you through this emotional process and offer their expert advice. Thank you for sharing your story with us. Praying whenever the time comes your girl’s passing will be smooth and peaceful. Wishing you strength and comfort for your heart. ♥
Brady says
Thank you so much for this article and advice. Our sweet 11 year old English Bulldog Gertie was diagnosed with Cushing’s a few months ago as we started to notice scabs on her skin and her hair falling out. Wanting to sleep all the time and constantly eat were always normal bulldog features that we never thought were an issue. Over the last two months the hair loss and dermatitis’ has spread all over her back, down her legs and is now showing on her face and head. It has broken our heart watching and beautiful girl lose her fur and battle these ugly scabs and scars. She has been on antibiotics and medicated baths for the past few months and at times we feel it works but it just keeps spreading to new areas. She takes meds well and suffers through her weekly baths and at times we see our sweet girl still want to play or go on a short walk but we can see how uncomfortable her skin has made her and the muscle issues increasing. We feel so lucky to have had a Bulldog live longer than expected but when do we make the decision to let her go so she can live a more comfortable life? Not to mention the connection she has had with our 6 year old daughter since birth. What is the final straw that helps us make that decision?
Julie Buzby DVM says
Dear Brady,
My heart goes out to you as you navigate this difficult path. I wish there was something specific I could tell you to watch for, but each case is so different. Is Gertie really living or just existing? Are there still things or activities that bring her joy (like the short walks and playing you mentioned)? If you are looking for more medical treatments to try, I would recommend asking for a consultation with a dermatology specialist. As far as knowing when it is time to say goodbye, I will attach links to other articles with more information and great advice from other readers. I generally think it is better to let go one day to early rather than one day too late and allow unnecessary suffering. I just don’t know if Gertie fits into the “suffering” category at this point. Have you asked your vet their opinion about her quality of life? Hoping there is still a way to give your sweet girl some relief and restore her health and happiness. Wishing you and your family comfort and clarity in decision making.
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
Kim says
Hello. We have an almost 15 yr pug mix (Poe) who has had cushings for 3 years. Almost all of the final stage symptoms started a few weeks ago, with vomit and diarrhea beginning a few days ago. She is tired and has the look in her eyes I’ve seen before saying she is ready. Just looking for any advice. Everything on this page has already been helpful.
Julie Buzby DVM says
Dear Kim,
I am sorry Poe’s health is staring to decline and you are facing some difficult decisions. I wish I could tell you when the “right time” would come and understand how emotional it is to even consider saying goodbye. I will attach links to other articles with more information and great advice from other readers. Hoping you will find the guidance you need to help navigate this tough path. Wishing you comfort and strength. Bless you all. ♥
1. Using a Quality of Life Scale for Dogs
2. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
3. Signs Your Dog is Dying: A Caring Message to Bring You Peace
4. In-Home Dog Euthanasia: Heartfelt Answers to 12 FAQs
Kat M says
I find I am crying as I read this page and as I write this because 5 months ago I had a healthy dog, other than the Pancreatitis Bear has, which I am managing with low-fat strict diet. But he was ‘normal’ otherwise, though maybe he had an increase in appetite.
But I traveled away from home for an extended time and Bear swallowed some of the other dog’s toy and had to have emergency surgery. I told them that he had been ravenously hungry lately and they suggested it could be cushings.
Here I am a month after surgery and he’s drinking more water than I noticed before and has had some accidents in the house that he never had at home five months ago and previously.
It’s as if I have a different dog from the one I had at home 5 months ago. He doesn’t seem to have any of the other symptoms other than ravenous appetite, drinking more water, and urinating more but I understand those may be the first signs?
He’s always had a kind of pot belly, so that’s difficult to determine.
He’s a chihuahua mix. Could his cushings have come on over these 5 months I was away from home? Could the abdominal surgery have caused something with his sudden ‘incontinence’ issues? Am I seeing the first signs of Cushings and in denial? He doesn’t seem to have any other of the symptoms – yet? He’s a rescue so age is anywhere 10-11 years old. Thank you for this article.
Julie Buzby DVM says
Hi Kat,
I am sorry you are facing this unknown path and understand why you are worried. What you describe does sound like Cushing’s disease but of course it would require some testing to get a definitive diagnosis. Has Bear had blood work done recently? It would be good to get a baseline of his internal organ function prior to proceeding with other diagnostics. Try not to think the worst and take this one day at a time. Reach out to your vet and give them the opportunity to answer your questions and guide you through this process. Praying for healing and comfort. Bless you and your sweet boy.
sharon L. johnston says
we had and have 2 cairn terriers, cagney and lacey. cagney started to drink alot of water and peeing all the time. she was almost 9 at the time. her nose was so dry and she was gaining weight fast. the vet ran tests and discovered cushings disease. the medicine didn’t seem to help her at all. i took her back to the vet for her routine blood work and vet said she was doing fine. that night she started acting strange, whinning drinking alot. i let her outside and she was running in circles and collasped. we rushed her to emergency vet. when we got her there she seemed better when vet checked her. but then it happened again, vet said she had a heart attack and was blind. thats when we decided we didn’t want her to suffer anymore(11-21-21).well here it is 2 years later and our beloved lacey has cushings too. my heart is breaking. i hope medicine helps her for a while. sharo
Julie Buzby DVM says
Dear Sharon,
I am so sorry you are facing this difficult situation with Lacey. I can only imagine the worry it must bring you after all you endured with Cagney a few years ago. I too am praying this time will be different and that your girl will respond favorably to the treatment. Wishing you all the best and hoping for many happy years ahead.
Lozzy says
hii..
just posting on the behalf of my parents.. there dog who is nearly 15, has cushings disease, they are calling a vet this week as they feel its the right time for him to be PTS. however they want to know they are doing the right thing.
he is now constantly having diarrhoea accidents around 4 times a day everyday, constantly wanting to eat and drink, hes very distant from us all now, doesn’t like to be fussed anymore.. hes lost majority of his fur on his tail, he’s chewing his feet like mad 😫
I’ve told them it’s for the best but they just want to hear it from someone else.
thank you
Julie Buzby DVM says
Dear Lozzy,
I am sorry you were in this difficult situation with your parents. I hope you were able to find the advice and guidance needed from the articles and comments left by other readers. What a blessing your parents had you to help navigate this emotional path. Wishing you all comfort and peace. Bless you and your family.
CJ says
Hello Dr. Buzby and thank you in advance for your help.
My dog will be 13 y/o in Ocotber of 2023. She was diagnosed with Cushing’s Disease and Diabetes about 15 Months ago. Since the diagnosis she has gone through most of the symptoms related to Cushing’s Disease. For example, excessive drinking, constant urination, constant eating or searching for food, tummy bloating, panting, and many, many accidents with urination.
Lately, since taking Veteryl and Vetsulin because her symptoms have increased, she has lost so much weight that she looks anorexic. She also has alopecia and she is nearly bald as a result. It’s so very tough to watch my best buddy slowly deteriorate. Her vision and hearing have been greatly affected. She often has bloody and loose stool. She shakes a lot and sleeps a lot. I often feel selfish by keeping her with me, but I have to be sure that euthanasia is the right answer. It seems like it would be a gift to her, as her skin seems to itch often and she seems uncomfortable.
Any help would be so great. THANK YOU
Julie Buzby DVM says
Dear CJ,
My heart goes out to you as you face this difficult situation with your senior girl. You are right that sometimes saying goodbye is the most loving option and only way to give a beloved pup freedom from their struggles. I always think it is better to say goodbye one day to early rather than one day too late and allow unnecessary suffering. It is ok to choose euthanasia while there is still some quality of life. I wouldn’t want to wait until all joy is gone and the only thing remaining is anxiety and pain. I will attach links to other articles with more information and great advice from other readers. I am hopeful you will find what you are looking for and be able to make the best choice for you and your sweet girl. Praying for your strength as you navigate this emotional path. Bless you both. ♥
1. Using a Quality of Life Scale for Dogs
2. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
Tracey Hancock says
Hi CJ
I feel I could have written your letter almost word for word about my little JRT Tizzy. Another recent side effect is that she has become very bad tempered, mostly when disturbed or “hurt” e.g when she’s gotten under someone’s feet. She’s nipping at our other elderly dog who can’t quite work out what he’s done! I’m struggling to know when is the right time to end her struggles as on some days she brightens up. I really feel your dilemma as it mirrors my own so much.
Julie Buzby DVM says
Dear Tracey,
My heart goes out to you as you face this difficult situation with Tizzy. I am sorry she is struggling with these worrisome behaviors. Praying for your strength and clarity to know the best way to proceed. Bless you and your sweet girl. ♥
Cassie Stanford says
Hey CJ and Dr. Buzby,
I came across your comment and it’s currently hitting home. Our dog, Nova was diagnosed in March with Cushings. She was eating a lot, excessively drinking water, urinating on herself, and so forth. The vet started her on Vetoryl. Nova has lost 34 pounds and looks completely emaciated. She lays around, eye sight going, the hair the shaved to do ultrasound never grew back. It’s pitiful.
Dr. Busby, is the emancipated state caused by the disease or a side effect of the medicine? Just wondering.
Anyway, CJ I hope your dear buddy is doing better. My husband and I are preparing ourselves to say goodbye.
Julie Buzby DVM says
Hi Cassie,
I am sorry your girl is not doing well, and you are facing some difficult decisions. Cushing’s causes the loss of lean muscle mass and can cause some gain in weight due to accumulation of fat. Vetoryl will help to reverse this fat/weight gain. But once the fat is gone it reveals the muscle loss that the fat tends to cover up. So, in a way, they both contribute to the emaciated look. I will keep you in my thoughts as you navigate this emotional path ahead. Wishing you comfort and peace. Bless you and Nova. ♥
Kim says
My 14 year old Maltese is diagnosed with Cushing’s Disease as well as chronic kidney disease. He is the sweetest boy ever ever it hurts me so badly to see him deteriorating. He is constantly drinking and needing to urinate and when he does urinate it is a small lake. HE is aways licking the floor, the wall, the crate (if he’s in the crate), licking the food bowls. HE appears confused as to when to eat or it could just be he is always hungry. He has started to have some urine accidents in the house. I was told we got start him on some meds to help with increased thirst, however the meds can be also counterintuitive to the chronic kidney disease portion of his life. What suggests if any could you provide on how to best proceed. Thank you in advance! ~ Kim and Chef (my little old man)
Julie Buzby DVM says
Hi Kim,
I am so sorry you are in this difficult situation with your senior dog. Without playing a personal role in your dog’s medical care it is hard to make specific recommendations. All the symptoms you are describing could be due to worsening kidney disease alone so it is impossible to know if treating the Cushing’s disease would improve them. It sounds like your boy’s health is declining and you may be faced with considering humane euthanasia before too long. If that is the case, then I don’t think it would hurt to try the medication and see if it can help a bit. Whether the medication causes negative side effects or just offers no benefit really won’t change the outcome. But on the chance it could help, it might be worth trying. Hoping Chef will remain happy and peaceful through this process. Wishing you both the best.
Maryanne McGrath says
My 13.5 year old puggle Molly was being looked after for a heart valve leak. I noted her change in being more lethargic etc and ultimately my girl was recently diagnosed with both cancer (mass cell tumors) and cushings. She basically sleeps as much of the day as she can. In between she drinks a ton of water and is always trying to eat and even takes food right from my son’s hand that he is trying to eat. She has suddenly started to also try to eat human feces. I’m afraid that the diagnosis came and things are going downhill quickly. Is it possible we are nearing the end soon? We are regularly in contact with the vet but I love her so much I can’t tell if we are in the window or if we have time. Anything you can shed light on is helpful. Not much info on this combo of illness.
Julie Buzby DVM says
Dear Maryanne,
I am sorry you are in this difficult situation with Molly. I commend you for closely monitoring her quality of life and think it is good you are reaching out for advice. From what you have described, I am not sure if Molly has entered her “window”, but it sounds like it may not be far off. I will attach links to other articles with more information on how to decide when is best to say goodbye. Molly is a lucky girl to have you advocating for her health and well-being. My thoughts are with you both as you continue on this emotional path.
1. Using a Quality of Life Scale for Dogs
2. Dog Euthanasia: Knowing When to Say Goodbye
3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
Silke Manlapaz says
My dog just had a LDDS test done and the results were normal. Is there a more accurate test?
My 14 year old doggy just had laryngeal tie back surgery and is acting like he has cushings since then (water!)…. the test fo cushings is negative- but what else could cause an elevated ALK?
He got steroids after his surgery but that is now 2 months ago.
Julie Buzby DVM says
Hi Silke,
I am sorry you are in this difficult situation with your pup and understand your concern. Unfortunately, this sounds like quite a complicated case with so many issues contributing at once. I will attach links to other articles that address some of what you mentioned. Without playing a personal role in your dog’s medical care it is hard to make conclusions and recommendations. It may be a good time to ask for a referral to a specialist. Hoping you can find the answers you need. You are doing a great job advocating for your dog’s health and well-being. Keep up the good work!
1. Cushing’s Disease in Dogs: Symptoms, Diagnosis, Medications
2. What Does a High ALP in Dogs Mean?
ann says
I appreciate the list of symptoms of more advanced Cushing’s to watch for. I have a Bichon appx 14 years (shelter dog, so not sure) who was diagnosed about 6 months ago — after ruling out other stuff. The medication to suppress his adrenal function just made him sleep all the time, so we are doing all the holistic things — all of them, at a pretty high co$t — and doing follow up tests on his urine and blood and cortisol. I feel like we caught it “early” when his only real symptom was that he’d slowed down and developed a pot belly. But I see other symptoms creeping in, while others improve. Right now he has good days and good weeks and bad ones, too. And it’s all tangled up with him being older anyway. He’s promised me he’ll die in his sleep so I don’t have to decide. I am going to hold him to that. 😉
Julie Buzby DVM says
Hi Ann,
I am sorry your Bichon is dealing with the symptoms of Cushing’s disease. I wish I could keep you from having to endure this difficult path ahead, although it seems like you are doing good at keeping your thoughts positive and holding onto hope (your last comment made me laugh). Feel free to keep us updated as time progresses. I am curious to know how you feel about the results of the holistic therapy. Wishing you and your sweet boy all the best. Take care and keep up the good work. ♥
Stefanie Crawford says
My 7 yr old Boston was diagnosed with borderline Cushings this wk. Her 1st lab result level was elevated, but the following results were at the max of the normal range (1.4). Her liver enzymes were a bit elevated as well. Per u/s her liver and adrenal glands were normal size. However, gallbladder had sludge/debri, and she had steroid hepatopathy. We started her on Ursodiol for the gallbladder and Cush Away for the probable Cushings. She is overweight and will scarf down just about anything. We’re trying to get her to lose wgt with measured food intake, fewer treats, and more walks. She’s only lost 0.4 lbs. I haven’t noticed a big wgt gain or excessive drinking. She’s peed in the house a few times over the last few months despite having a doggy door. She was negative for a UTI. Since she’s “borderline” and “not a slam dunk” per my veterinarian, what can we expect as far as progression goes? Are there any other treatment options we should consider, or maybe even other diagnoses besides Cushings? I keep reading life expectancy is 2-2.5 yrs after diagnosis, but she’s too young for that prognosis. I know this is not a cut and dried situation, and she’s in the “gray zone.” Any advice or opinions would be so appreciated.
Julie Buzby DVM says
Hi Stefanie,
I am sorry your Boston has received this difficult diagnosis. What a blessing your vet was so thorough with the testing and was able to offer some treatment even though your pup is in the “gray zone”. I think you are doing what you can for now and am not sure I have any additional recommendations. Your girl is very lucky to have you advocating for her health and well-being. Wishing you both the best and keep up the good work!
Tabitha says
Hello, I have a question. My 15 yr old dog Saphira has just been diagnosed with an adrenal gland mass after an ultrasound was performed to see if she had kidney or bladder stones. She’s been on two different antibiotics for blood in her urine over the last few weeks. The ultrasound showed no stones, but just tonight there’s blood in her urine again. I don’t have the finances to keep getting test after test for her, but I don’t know if now is the time to let her go. She is still playful on some days, but not everyday. I’ve had her since she was 8 weeks old. Thank you for your advice.
Julie Buzby DVM says
Dear Tabitha,
I am sorry you are facing this difficult situation with your senior girl. It is always ok to forgo testing and treatment and opt for palliative care instead. The goal with either option is to make sure your girl is happy and comfortable. With palliative care you are focusing on quality time and not quantity. With that being said, I am not sure if euthanasia is the best choice at this time. It is hard to give advice about when to say goodbye without examining your pup myself. Even if she is not playful, as long as she is happy, pain free, comfortable, and in good spirits, it may be ok to wait a bit longer. I will attach links to other articles with more information and great advice from other readers. Ultimately, you have to trust your intuition. You love your girl the most and know her better than anyone. Wishing you strength to navigate this unknown path ahead. Bless you both. ♥
1. Using a Quality of Life Scale for Dogs
2. Dog Hospice Care Can Bring Peace and Dignity to Your Dog’s Final Days
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
Kari Beringer says
I’m waiting for the test results to see if our 10 year old Pomeranian has Cushings. If he does we will provide treatment for him. I read on the internet that the life span of dogs with Cushings is two years. I can’t find if they mean without meds. Do you know?
Currently he is on an antibiotic and anti fungal medication to treat his skin problems.
Do you recommend any books regarding this disease?
Thank you all for sharing your experiences.
Julie Buzby DVM says
Hi Kari,
The 2-year average is with treatment. But this outcome can vairy depending on what medication is used for treatment, if the pituitary is involved, or if it is just adrenal dependent. I am not aware of any books devoted to this topic other than veterinary medical textbooks and we have tried to summarize the most important information from the literature in our articles on this site. Here are links to the two other articles that have been published about this subject:
1. Cushing’s Disease in Dogs: Symptoms, Diagnosis, Medications
2. Trilostane for Dogs With Cushing’s Disease
Hoping you get the test results soon and can make a plan for how to proceed. Wishing your sweet boy many happy years ahead. Bless you both. ♥
Kathy Corrigan says
My dog was diagnosed with Cushing 5 1/2 yrs ago at the age of 9 and did very well on trilostane. She is showing final stages now but still wants to go on walks in the morning.
Suzanne Brown says
Thank you for the beautiful article! It helped me considerably.
My bichon dog will be 13 years old this Nov and she was diagnosed Cushing 4 years ago.
The symptoms flared up here and there but usually was controlled by the medicine till now.
She drinks and urinates every 1-2 hours, even at nights, her potbelly is getting worse, she is loosing her tail hair, whines all the time and panting.
We took her to the vet and he did all the test he could do in general vet office and surprisingly all test results are in normal range including cortisol level.
I just don’t understand how. Her Cushing symptoms are getting worse but test results don’t show that.
That fact makes the decision harder. Any advice?
Thank you!
Julie Buzby DVM says
Dear Suzanne,
My heart goes out to you as you face this difficult situation with your senior dog. Without examining your girl, myself, it is hard to make specific conclusions. If the Cushing’s seems to be well controlled, then I would suspect there is something else contributing to these issues. Did your vet happen to check a urine sample? Just wondering if your girl could also be diabetic? If you are seeing your dog’s health decline and facing a decision to say goodbye, it might be worth increasing the dose of her Cushing’s medication just to see if it makes a difference. I know that is not ideal, but the risks may be much less than the potential benefits. Hoping you can find the answers you need to guide you in this emotional decision-making process. Praying for a positive outcome. Bless you both.
BARBARA PINDLE says
hello I just found out My 15 yr old Maltese may have Cushing awell as an enlarged liver they want to do the blood test to confirm it’s so expensive I don’t have that kind of money in the last 2 months I have put out hundreds she has every one of the symptoms does that mean she getting close to the end of her life so don’t try and stress myself about money that may not even save her i know it’s my decision but again witj your knowledge of this does it soundl it’s time to prepare myself?
thank you
barbara
Julie Buzby DVM says
Dear Barbara,
I am so sorry your senior girl is dealing with all these issues at once. Without examining her myself, I can’t make specific conclusions about how advanced her disease is or if the additional testing would be worthwhile. I can say that there are many dogs with severe symptoms that see a dramatic improvement once they start treatment for Cushing’s. I think it would be best for you to talk to your vet and discuss your concerns. They can let you know if your dog’s quality of life is poor and if saying goodbye is the most loving choice. If finances are limiting your options, make sure your vet is aware. While it is not ideal to start treatment for Cushing’s without a definitive diagnosis, this may be something your vet would consider just to see if it will help turn things around for your sweet girl. If it doesn’t work, or makes things worse, then you still have the ability to say goodbye if needed. I wish I knew what was best and could help guide you in the right direction. I hope you can find the answers you need to navigate this difficult path. Wishing you both the best of luck. Bless you.
Jodi Turner says
my dog was just diagnosed with Cushings after a long summer of cleaning up rivers in my house. she is now on meds and I’m waiting to see what happens. but the way she looks at me when we go to the vet tells me I could never betray her like that. I guess I’ll just do the work until God calls her. that’s my choice
Julie Buzby DVM says
Hi Jodi,
My heart goes out to you as you take care of your sweet girl during this last season of life. Wishing you both comfort and happiness in the days ahead. Bless you both. ♥
Tony and Theresa says
Our sweet boy, Hamilton, who is a maltipoo, was diagnosed with Cushing’s about six months ago. It all started when a couple years ago he suddenly became lethargic, and the vet told us he had autoimmune hemolytic anemia. They prescribed lots of prednisone. He got very heavy and drank water all the time and had accidents. Someone else on these responses said that the prednisone may have brought on Cushing’s. Or maybe underlying Cushing’s brought on the anemia?
Anyway, Hami is almost 8 years old, and while he definitely has many Cushing’s symptoms and is on medication for that (very hungry, very thirsty, pants a lot, potbelly), he does seem happy. Then again, even when he was little (we got him as a one year old from the Animal Human Society), he was very hungry, etc. Maybe he’s always had it?
Lately his symptoms seem to be increasing, despite the medication initially showing his cortisol levels were back to normal. We have an appointment for him in early October to see a new vet and we’re hoping to get some better control over the symptoms if possible. We don’t feel his current vet understands the disease well.
Also, on his right back/haunch area, there appears to be a large bump. Is it possible to actually feel and see an adrenal tumor?
Like I said, Hami seems pretty happy still and we are hoping we have some good years ahead of us. But we are realistic that the future could get tougher. It breaks my heart reading all these messages and my wife and I are thinking of all of you and your cutie pie pups.
Julie Buzby DVM says
Hi Tony and Theresa,
I am sorry Hamilton has been dealing with so many issues over the past few months. Cushing’s disease occurs when the body begins to make too much of its own steroid and the symptoms, we see are due to the steroid affects. So, it is common for dogs that have to take steroids for other problems to develop iatrogenic Cushing’s disease. While I cannot say for sure what brought on this disease in your pup without examining him myself, this could be the case. It is tricky to balance a deadly disease with the side effects of the treatment. Is Hamilton still taking the prednisone? You should not be able to feel the adrenal tumor if one is present (Cushing’s can also be caused by a pituitary gland issue). The adrenal gland is located next to the kidney and is well tucked inside the abdomen. With that being said, it would be good to have the new vet also take a look at the bump and make sure it does not need to be addressed. I will attach a link to another article all about Cushing’s disease that may fill in some of the gaps. Hoping this will help guide you along this unknown path. Wishing you and Hamilton all the best for many happy days ahead.
Cushing’s Disease in Dogs: Symptoms, Diagnosis, Medications
Tony and Theresa says
Thank you for the information. He is not on the prednisone as the anemia stopped. All the Cushings symptoms seemed like holdovers from how he acted during the time he was taking prednisone. They’ve just increased (like the addition of the pot belly, and the panting). I’m really glad he’s going back into the vet here in a couple weeks.
Susan Higgins says
hi I have a Cup Yorkshire terrier Chloe who is 13 .1/2 she was diagnosed with Cushing 4 months ago .
she was very bloated always hungry and drinking alot . sleeping all the time just this week everything has changed. she gone back to her old self. she not on any medication the vet said dont give her any its gone to far just keep her has comfortable has we can . could the Cushing have revised
Julie Buzby DVM says
Hi Susan,
I am glad Chloe seems to be feeling better. Cushing’s is not a disease that goes into remission or resolves on its own. So, I am not sure if your girl is just having a good week or what has happened to improve her quality of life. Consider this as a gift and enjoy the time you have together. Bless you both. ♥
Deborah L Jackson says
Dear Drs, Buzby and Woodruff,
We appreciate your thorough, informative and compassionate article. Recently diagnosed, our 12 year old poochon is almost back to normal with medication. There is guilt though knowing that right now the cost and the lack of sleep is effecting our own health and fixed income pocket book but she seems to be feeling comfortable. We will thoughtfully consider the points of the article and pray we make the best decision for our Tripper. Thanks again.
Julie Buzby DVM says
Dear Deborah,
Thank you for the kind words. I am glad Tripper seems to be improving since starting the medication. I’ll be keeping you in my thoughts and wishing you all the best. Bless you. ♥
Victoria says
My 6 year old Shih Tzu was diagnose cushings at 5 years old. Meds worked for a while, then we recently increased dose but to no avail. My sweet girl is hungry all the time, is always thirst and is now having accidents again even though she gets outside every 4- 6 hours. Doesn’t enjoy walks as she tired easily. Difficulty breathing at night and very potbellied. Heading back to the vet next week . Difficult as she is part of a bonded pair – her sister is full of energy and always wants to play and walk. She is patient but doesn’t want to go on walks without her sibling nor sleep apart from her. She senses something is not right with her sister.
I’m not sure what vet will recommend- so difficult she is only 6 yo.
Julie Buzby DVM says
Hi Victoria,
I am sorry your girl is having so many issues and her health is declining. I hope your vet can give you some guidance and help you navigate this difficult path. Praying your sweet girl can find peace and comfort. Wishing you strength to face each new day.
Jenny says
This disease is horrible, devastating and cruel to both pet and owner. My Oscar developed 2.5 years ago and it was really hard for my vet to “get it right’ as it is a very sneaky quiet disease at first. I spent oodles of $$$$ and tests, ultrasound and she saw sludge leading to gallbladder, enlarged liver, possible enlarged heart and just was getting nowhere. We did every test but the cushings test and I dont know why. He was early stage and it came on suddenly pot belly, starving, panting at night, restless at night could not get comfortable, relax and sleep, finally so exhausted he would just collapse and sleep. My vet sent Oscar to UW Vet School, the best around to have his gallbladder removed. They did not do surgery said it was not that bad but sent me home with medicine (rx) for cushings). So they may have tested him but my vet was pretty confident that it was. He presented with all of the symptoms . The rx showed great improvement first 2 months, then -0-. Not working, symptoms returned, he was not himself. I am so grateful for 2 months of my boy back. The Vet School increased dose, doubled and my vet was concerned as it was a high dose and he being 22 lbs., he was starting to have issues with the lower dose. I did not want him taking as it was making him sick. We did go up for a very short time and it was a disaster. NO. That was last July 2022. My vet gave him 6 months. I refused to believe her and insisted on continuing on, there had to be something!!!! She then said she had 2 clients that used supplement liquid adrenal gland, melatonin and milk thistle supplements. I also had lingnans and a Dr. Oscar supplement. I paid more for the supplements bottles with droppers that I put on food. Pet well being – Adrenal Gold, 2 others. It did help for awhile, maybe till November, then -0- stopped and he was sick of it, did not like on his food. Last resort, my vet had a Chinese herb vet in office and I went that route. They were expensive too but I wanted my baby and I would pay anything to get him back to what he was. Meanwhile, he was not my dog anymore. He no longer slept up by me but at end of bed, I have 2 other little dogs, one his twin brother. They may have alienated him from the pack or he didn’t want anything to do with them and isolated behind the recliner. I would look over at him and he would be on his side, heavy belly go over and pick him up to bring to me on couch,, he loved lying on back of couch. Well, he couldn’t get up there anymore so I would place him there. He did not like it wanted down, did not want to sit on my lap, but did like briefly me brushing him, nope he went to the laminate wood floor behind recliner. I would take over a comfy dog bed, he would get out of it. So I went to him and ay there next to him and put on soft music and stroked him and cried. He knew I was upset. His very favorite was car rides with da boys. 3 doggies countryside. Each had a dog seat. He started staying in the back and one day I pulled over as I thought he was dead, he would not respond. The Chinese herbs helped briefly and then back to -0-. 3rd try different treatments. Then came the worst. He urinated half the bed and could not keep his face out of water bowl. He would drink drink drink and NEVER had accident In our bed. Well, he did. I thought it was a fluke and cleaned all 5 layers and guess what, next night, flooded bed. Diapers were purchased and he did not mind me doing anything to him. Never had never will. He tolerated everything to be with me. He greeted me always at the door when I came home as sick as he was with the other 2. He would lay by the bathroom door as I readied for work. That stopped. With the peeing I took him to vet, did ua test. His numbers off the charts. Diabetes which Cushings finishes them off with. The numbers so high vet did not know if he would live maybe couple days and have seizure, ER visit, death, or diabetic coma. I was to see her Monday, March 27, 2023 to start diabetic treatment. In just those few days I saw suddenly 5 lbs off, no muscle mass at all and could not walk very much , stand. I called my good friend at schnauzer rescue as she had cared for many of my dogs. By the way Oscar was a Maltichon my first NON schnauzer. And his brother Humphrey as well. I told her and read her what my vet wrote me on prognosis. I said, she hasn’t told me it’s time she SHOUTED ITS TIME and yes she IS saying that. You are in denial, WAKE UP, change that appointment on Monday and LET HIM GO. DO IT. it took her talking so firm, ugly at times to me to do what she said. You know why? She has rescued seen it all over 400 schnauzers in her day. She is rough, rude, brass, but a heart of gold. My son who never would ever agree to, said, mom Oscar needs to be free of this awful disease. Let him go and the mere fact that he very well would not tolerate diabetes treatments with HOW sick he was and GO blind. I said enough. I was backed against a wall. I was PISSED OFF. We had lost and he was 10 yrs old. My soulmate and spirit. Done. I changed appt and 3-27-2023 at 2:40 he was released from all anxiety, isolation, depression, sick. I was in such shock I just picked him up put him in car and drove there. No goodbye to other 2 I had to just do it before I changed my mind. Now I feel guilty for not treating to a couple car rides alone, McDonalds, not anything. I didn’t want to see him this way and avoided everything. My vet gave us all the time, I said let’s get out of here after 5 minutes, I feel awful I didn’t stay and hold him awhile. I did when he passed and cried and cried. My last picture is him in my car on console looking out waiting for me. He followed me with those black eyes since day one. My soul mate and I let him down by not showing more love at the end. I was in a robot mode. I am so sorry Oscar I didn’t spend more time with you towards the end, take off work. But I do know and you know you took my heart and I have yours. My left side of chest so heavy at first and hurt. I was carrying you in my heart. Cushings took my joy away, I hate it and for $8000 I said DONE. No insulin shots, tests, etc. DONE. HE has had enough. I will not have him go on with more, diabetes. Your partner in crime, Humphrey (brother) and Huxley the Schnauzer are still grieving. I have to be strong for them so I go out in garage in car and cry. There will never been a dog that had my spirit day one and took my heart. My heart and prayers go out to all of you and to the vets that deal with us/pets suffering. My vet said it is a very tricky disease and that she learned alot from his case. I should have donated him to research as I bet he loaded in tumors, and may have had both kinds. Maybe they would have learned from his body what this horrific disease does. RIP. Oscar “Bruno” . Mama.
Julie Buzby DVM says
Dear Jenny,
My heart aches for you with your loss of Oscar. It is very clear that he was dearly loved, and I am certain he knew. I am glad you were able to be with him in those final moments. Your presence was surely a comfort. I wish I could take your pain away but realize what a blessing it is to have loved a dog so deeply. I hope that as time passes the grief will be replaced with peace. May Oscar’s memory live on and be a source of joy in your life. Wishing all the best to you, Humphrey, and Huxley. ♥
Vivian says
My dog is 16 years old and has all the signs of Cushing. She has lost some weight, sometimes looks sad but once in awhile will play a little. She also has difficulty because she has few teeth left. The Dr wants to do tests to confirm which will cost 300 dollars and the give medicine to help symptoms. What are the chances medicine will even help. She is definitely hard to give medicine to. So many questions. I just don’t want to pay a 300 dollar test and my dog won’t get better except for a very short time. Are most dogs helped?
Julie Buzby DVM says
Hi Vivian,
I understand your concern for your senior girl and why you are conflicted about how to proceed. If your pup does in fact have Cushing’s disease, the medication has a high likelihood of improving her quality of life. Most dogs show a great improvement in their symptoms and energy level once the medication is regulated, and their cortisol levels have stabilized. Wishing you and your sweet girl the best. Feel free to leave an update anytime!
Patricia Gallagher says
My dear cockapoo, Handsome, will be 16 in January. He has chronic kidney disease with perhaps only a few months left, per our vet. Now comes pituitary-type Cushing’s disease.
He is already taking so many meds, including Xanax for anxiety, and needs subcutaneous fluids and blood work several times a month. The costs are quickly mounting, and funds are not unlimited.
Handsome’s awake a lot at night, causing me to suffer from severe sleep deprivation and putting my health at risk. At almost 70, with several chronic diseases, this is multiplying this risks.
I think it’s time, for all of us. I am crushed.
Julie Buzby DVM says
Dear Patricia,
I am so sorry you had to make this difficult decision for your senior boy. Saying goodbye is never easy but it can be the most loving option. From what you describe, letting go was the only way to offer your boy freedom from his suffering and to restore your quality of life as well. I hope his passing was smooth and peaceful. Wishing you all the best as you continue life’s journey. May his memory be with you always.
Osha Easterly says
Thank you Dr. Buzby for taking the time to share your knowledge and advice.
I read a few of the recent comments. Unfortunately though, I was not able to read them all. Reading everyone’s words have given me some semblance of comfort while sleeping beside my baby on the floor, however my heart breaks for each and every one of you. My furbaby (honestly my soul mate) will be twelve October 1st of this year. I rescued him when he was just four weeks old. He is my best friend. I don’t remember the exact date that we (his vet and I) started discussing Cushing’s or when treatment started. His vet was amazing and the process went very quickly. The diagnosis was devastating. But, what’s worse is watching him deteriorate at such a rapid rate. And, I use the word deteriorate instead of decline on purpose, because that is what is happening. I never imagined that this intelligent, well mannered, energetic, gentle being would so rapidly turn into this tired old man who has lost his eye sight (unless he is looking for the water bowl of course lol), is grumpy, falls all the time, begs for human food like he didn’t just have dinner, and only has the energy to bark when my other pups bark. And, two nights ago I think he had a seizure while trying to follow me to my bedroom. It’s gut wrenching and soul crushing to watch your furbaby go through this.
Long story short, thank you not only Dr. Buzby, but everyone else who shared their stories. I have been struggling with how to proceed. I am very “quality over quantity” oriented (I discussed prognosis with my vet at the very beginning), so I have been attempting to prepare my mind for the inevitable. But, I’m not ready.. I don’t want to let him go for selfish reasons. While researching “when to euthanize after a canine Cushing diagnosis” I came upon this website. And, it has helped more than you know. It has also calmed my brain and my heart slightly.
Prayers and love to all who have to endure this tragic diagnosis. Thank you for loving your babies through this when so many would’ve given up on them by now.
Dr. Julie Buzby says
Dear Osha,
Thank you for sharing your dog’s story with me. I am so sorry to hear that you both are going through this, but I am glad the blog was able to bring you comfort during this difficult time. My heart is with you and your sweet boy. ♥
Mary says
My beagle Harley is 12 years old and has Cushing. She’s been on the medication for 8 months now. She was doing well at the beginning of the meds but now she is so thirsty and really hungry. There are times that she is lethargic but suddenly gets up as if nothing happened. I don’t want her to suffer, I’m not sure what else can be done.
Julie Buzby DVM says
Hi Mary,
I understand your concern for Harley and know you want to ensure she is happy and healthy. Have you talked to your vet about these recent changes in her condition? With time, the disease process can change a bit and the body may respond differently. It is possible your girl may need her medication adjusted or her dose increased. I encourage you to have Harley evaluated by your vet. If she is suffering, they will let you know and guide you in the best way to offer relief.
Lori Anderson says
We are going through this right now. Our doxie Fritz is struggling to breathe. He has cushings and diabetes. We found out his heart is enlarged and he has a tumor. His liver is twice the size it should be. This article just helped me reach a decision. It’s about quality not quantity. He is starving and sleeps most of the time. That’s not a good life for a dog. It’s just really hard to set them free but he is struggling.
Julie Buzby DVM says
Dear Lori,
I am so sorry Fritz is struggling and his health is declining. I am glad you found the information and advice you needed to make the best decision for everyone involved. My thoughts are with you as you face this emotional path ahead. Praying for your comfort and that Fritz’s passing will be smooth and peaceful.
Karrissa K says
I’m so sorry you are going through this. Our dog has terminal cancer and developed Cushing’s from the prednisone in addition recently.
He has become so fixated on food that he has a hard time sleeping and sits and stares at his bowl for hours at a time if I don’t keep him away from it. He will literally be begging for food just minutes after eating a whole bowl, I have to tell him ‘no, not yet’ about 20+ times a day to redirect him from thinking of food.
He even got food aggressive with one of our other dogs which is so unlike him and was our last sign needed it’s time.
We have decided between this and the cancer we need to set him free and have an at home euthanasia appointment set for this Friday. Though absolutely devastated, I have to admit I am a bit relieved that I can feed him a bit more without worry and know that an end is in sight for his mental anguish. His personality and affection has greatly diminished in the past couple of months as well, and we do not want him to just ‘exist’ for us….he is a shell of his former self with just a glint of himself left in his eyes which is honestly this most heartbreaking thing for me. It’s felt like he is already ‘gone’.
We are not even upset that the drugs induced this as they have given him nine more months with us that were relatively good that we wouldn’t have had otherwise. I’m so sorry for your loss, but you are a great pet parent thinking of your pet’s well being first.
Heather says
We put our beautiful boy down August 16. He was 16-1/2. He struggled his whole life with allergies and hypothyroidism. That was hard enough, but he was tough and healthy otherwise.
In January, his coat began to change. He lost all the hair on his back which turned black. . He started drinking more, was panting regularly, and was always itchy as his body was full of yeast. Pills didn’t seem to be working anymore! He was very sleepy and lethargic, but there were the moments when he’d look and act like a puppy still. It’s those moments that make that decision the hardest, but when 90% of the time, he seemed to be struggling, we knew the time was coming!
We’ve cried for 12 days! We’ll miss him! He was soooo special! His name was Wilson, he was a very handsome Jack Russel.
RIP Wilson ❤️
Dr. Julie Buzby says
Dear Heather,
I am so sorry for your loss of Wilson. My heart goes out to you during this difficult situation. Praying for strength and comfort. ♥
Kim Whitehead says
Very good article
We put our 14yr old Jack Russell to rest yesterday. It was such a hard decision to make.
Julie Buzby DVM says
Dear Kim,
I am sorry for the loss of your beloved pup. ♥
Karissa K says
Doctor, thank you so much for taking the time to write such a thorough and eloquent description of the disease and exactly what we are experiencing.
It really hit me when you said ‘your dog may perk up around others, so they think he’s fine….but you know his day to day is tormenting.’ I couldn’t have described the torn feeling better.
This gave me the insight and reassurance that we are doing the absolute best thing by setting him free on Friday….with a belly FULL of rotisserie chicken since his one last joy is food and we can finally let him let loose. RIP Remy ❤️
Julie Buzby DVM says
Dear Karissa,
I appreciate the kind words about the article and am so glad it offered assurance and comfort as you facet this most difficult decision. I read your other two replies as well and my heart just aches for you and your sweet boy. You are making the ultimate act of selflessness by allowing your own heart to break so Remy can find freedom and peace. Praying for your strength. Bless you both. ♥
Betty Cotton says
Our family is struggling with this decision . We have a 12 year old dashund that has advanced stages of Cushing disease. It’s so heartbreaking. We have read all your articles on this disease & have come to a temporary decision to keep her as comfortable as we can & give her comfort and love one day at a time. Then we feel we will know the best time to make that hard decision . I am grateful we are retired and can be with her until that time comes. Thank you for all the information you provided to help us with this decision 🙏. We will feel more at peace when the time comes.
Julie Buzby DVM says
Dear Betty,
I am sorry you are facing this emotional decision for your senior girl. I think hospice care sounds like a very loving choice, and I am certain this will allow you to make the most of the time you have together. I am glad the article was informative and helped to empower you as you navigate this unknown path. Praying for your comfort and strength. Bless you all.
Rebecca says
Our 7yr old cavachon was diagnosed with cushings disease 5months ago… he’s still eating and drinking ok, but his pot belly is just getting bigger and bigger, he just seems so uncomfortable 😔 but on the other hand he can still be lovely and excited wanting to play with his ball, or going out in the car. When will I know is the right time to put him down? Will he lose his appetite and things like that? Thank you.
Julie Buzby DVM says
Dear Rebecca,
My heart aches for you as you face this difficult decision for your boy. Unfortunately, there are no specific signs that I can tell you to watch for. Each dog is different, and the circumstances may vairy with different situations. I will attach links to other articles with more information and great advice from other readers. Wishing you strength as you navigate this emotional path. Bless you and your sweet boy.
1. Using a Quality of Life Scale for Dogs
2. Signs Your Dog is Dying: A Caring Message to Bring You Peace
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
Rhonda K. Gentry says
My mixed Chihuahua is only 6 years old with Cushings Disease. My little boy hasn’t had a life at all. I have him on medsnow, but, it’s just so unfair, he hasn’t lived much of his life. My heart will break in half, it’s. amazing how much we love them! He will be sorely missed!
Julie Buzby DVM says
Dear Rhonda,
My heart goes out to you as you navigate this difficult path. Wishing you and your little guy comfort and peace. Bless you both.
Jennifer says
Thank you so much for this article and for sharing real pet owner comments of those that are struggling to help their dogs with Cushings. Two weeks ago today we had a vet come to the house to make our sweet Nugget an angel. All last year he struggled with resistant infections on his snout, weakness in his back legs and also weakness in his throat and mouth, to the point I was hand feeding him. He lost so much weight, but he also was diagnosed with IBD in 2020. They kept trying to treat him for allergies. After 9 months of getting nowhere, I insisted on the cushings test and it was positive. For the first 3 months after taking trilostane, we saw improvement in his skin, he no longer gagged on food and water, and he was gaining strength in his back legs, and he wasnt panting as much. Then all of a sudden the restless nights, panting, asking to go outside, weakness in back legs etc. all came back. He was retested and it was confirmed he was on the correct dose. For those struggling with whether to euthanize, for us, it was when we saw no more enjoyment in his eyes. I didn’t mind picking up the poop on his beds, or hand feeding him, since he still wanted to go on 30 minute walks each day and threw a tantrum for his favorite treats. He was still very alert and enjoyed his time with our family. About a week and a half before Nugget got his angel wings, we noticed he would ask for treats but not eat them. He wasn’t eating as much and started refusing even his beloved Nutri-cal gel. He seemed excited when we came home, but could no longer get up to greet us. When his back end collapsed during one of our walks, I knew it was time. That was three of his favorite things he could no longer do. His eyes were glazed and he seemed somewhere else. It was very difficult to not ignore those signs. You don’t want to believe what is happening. God gave me the strength to do what was right for Nugget by ending his pain instead of doing what we wanted, which was just to hold onto him for one more day. May you all find this strength within when the time comes. Only you know when that will be based on your relationship with your dog. Don’t let others pressure you into doing it before you and your dog are ready. But also don’t wait too long if you see the same signs as my dog. We didn’t want him to suffer more than he was already and if we had waited, he would have suffered far more.
Dr. Julie Buzby says
Hello Jennifer,
My heart goes out to you on the loss of your beloved Nugget. You did an amazing job caring for him, advocating for him, and monitoring his quality of life. I agree with everything you said, and am so thankful that you took the time to share Nugget’s story and your wise words with us. Thinking of you as you process this loss and remember all the wonderful memories you shared with Nugget.❤️
Maryam says
I find comfort in knowing I’m not alone in this difficult time with my sweet dog. She’s been fighting Cushings so well but is starting to decline much more noticeably, hence how I wound up here. Thank you so Dr. Buzby for normalizing per parents’ feelings, needs, & challenges. I am so grateful for this information & insight.
Julie Buzby DVM says
Dear Maryam,
I am sorry your sweet girl’s health is starting to decline and you are facing this difficult situation. I pray for your strength and comfort and for clarity in your decision making. Bless you both.
Karen says
My Maltese has cushings disease and heart problems.
The thought of euthanasia has started to creep into my thoughts recently but I keep pushing it away. 😪
However, for the past month I’ve noticed a couple of subtle changes. Restless sleep , eating habits, different bowel movements and now she is off her food and has been vomiting and trembling tonight..
I’m going to my vet tomorrow to get my girl checked and I’m struggling with the thought of euthanasia ….I don’t know what to do 😪
Julie Buzby DVM says
Dear Karen,
My heart goes out to you as you navigate this difficult path. While saying goodbye may be the best and most loving option, there could also be a treatment that would help to restore your sweet girl’s quality of life. I hope you have a positive experience at your vet visit today. Praying you get the answers and advice you need to make a decision with which you can be at peace. Bless you and your little pup. ♥
Bev Gleave says
We put our dog down a few days ago. She had Cushings and diabetes. We had her for 12 years. This is a sorrow I have never felt before but this was the best decision the vet said both are hard to treat. My husband and myself are still crying and feeling the pain of this loss.
Julie Buzby DVM says
Dear Bev,
My heart goes out to you as you grieve the loss of your sweet girl. I am so sorry you had to say goodbye but glad you were able to offer her freedom from her suffering. I am praying for your comfort and peace for your heart. Bless you. ♥
Heather J says
Two and a half years ago my little beagle Evie was diagnosed with Cushings. It seemed like time sped up greatly and six months later I had made an appointment to have her euthanized.
She was only ten years old when she started falling, would go through water and food all day long, and have to go out in the middle of the night.
Because she was only ten years old when she passed I have struggled with two questions. Did I do it too soon and did I do enough for her. After reading this article I now know that I did everything I could for my little girl and that it was the right time and any time would have been too soon for me. I will rest more easily and my heart and mind are at peace now. Thank you so much for this article. I don’t know if you realize the peace you will give to so many. Blessings to you!
Dr. Julie Buzby says
Hi Heather,
So sorry for the loss of Evie. It is clear from your post how much you loved her and what a special part of your family she was. I’m so thankful that the article has helped you find peace and feel confident that you made the right decision for her at the right time. Thanks so much for sharing her story, and for your kind words about the article. That means so much to us! ❤️
Jenn K says
I found this as I am devastated and grieving the loss of our cushing’s dog who came down with pneumonia. The vet felt this the kindest option. I’ve been inconsolable. I miss him so much. He was diagnosed in 2021, and the drugs really did not seem to help him. It’s a frustrating disease. He was the sweetest dog and I am never going to be the same without him.
Julie Buzby DVM says
Dear Jenn,
My heart aches for you with the recent loss of your beloved pup. You made a loving choice to give him freedom from his suffering and I am certain he knew how much you cared. I hope with time your heart will heal and may his memory be a blessing in your life. ♥
Melissa Daisy Mom says
We are at that exact point today. Husband and I are in tears. Ultrasound revealed “large mass” ( what that means in a 30 pound terrier ?) on adrenal that is “invasive” so surgery not an option. Our Daisy is 15, Has not been herself for like at least 6 months. Hard time with stairs, peeing and pooping all over the house, panting like crazy – drinking so much water. I don’t know who is suffering more – her or us – because she is such a good dog – doesn’t bark or cry with complaints. Hates the vet. Had to be sedated for the ultrasound. Nobody can recommend euthanasia – it’s up to us.
Julie Buzby DVM says
Dear Melissa,
My heart aches for you as you face this most difficult decision for Daisy. From what you describe it does sound like she is suffering and saying goodbye may be the only way to offer your sweet girl freedom and peace. Praying for your strength and wisdom as you navigate this emotional path. Bless you. ♥
Kelli Dial says
My sweet baby girl is 12 and was just diagnosed last week. Within that time span she has stopped eating completely, can barely stand by herself, and is so weak she has diarrhea and just sits in it. We only found out after she went in for her yearly shots and the vet noticed some tell tale signs of cushings. I hate to see her suffer like this, but I also don’t want to give up on her. This article has made me feel a little less pressure on making the hard decision to let her go.
Julie Buzby DVM says
Dear Kelli,
I am sorry your senior girl is struggling, and her health is declining. I know this decision you are facing is difficult and very emotional. I am glad the article offered some comfort and advice. Wishing you both peace as you navigate this unknown path. ♥
Gina Marzullo says
My little Johnny is a Maltese 11 years old. was diagnosed about a year and a half ago with cushion’s disease. It’s breaking my heart to watch what it does to him. He’s on medication and it’s hard to know what exactly to do He gets around fine He does want to eat all the time and he is drinking a lot more than he used to and he has gained a lot of weight The medication for a while seem to be really helping but I don’t think it’s helping as much now. He started panting a lot and it upsets me because I want to make sure he’s getting enough oxygen. I’m at a point where I don’t know exactly what to do. I loving so much he’s like my little boy. But I don’t want him to suffer. He still has energy and can still climb the steps to our bed . His fur and skin are fine He’s not being affected in that area. It’s the constant panting that really upsets me.
Dr. Julie Buzby says
Hi Gina,
I can understand your concern about Johnny. It sounds like his Cushing’s symptoms (especially the panting, increased thirst, and weight gain) are getting worse, which can be very upsetting. Has he been to the vet recently for a recheck? If not, this might be a good place to start. While not always the case, if his cortisol levels are too high, it is possible that a dosage adjustment of his Cushing’s medication could help control his symptoms. However, as discussed in the article, these symptoms could also mean that he is approaching the end stages of Cushing’s.
I hope you are able to find some clear answers on how best to proceed with Johnny. Thinking about you as you face some potentially difficult decisions.❤️
Laurie says
Our American bulldog was diagnosed with Cushing disease 7 months ago and just turned 13. He has had trouble with mast cell tumors and allergies his whole life. He is now frequently having accidents in the house, panting and pacing a lot at night and vomiting about once a week. He has also become very weak in his hind legs and has multiple skin lesions as well as tumors. I fear that the time has come to let him go but my husband isn’t there yet and doesn’t agree. This disease is a nightmare for both dogs and pet owners and it’s tortuous having to make a decision to say goodbye to this goofy, lovable dog. My heart is broken.
Dr. Julie Buzby says
Hi Laurie,
So sorry to hear that your sweet bulldog is struggling with the effects of Cushing’s disease and you are having to wrestle with the decision of when to euthanize him. I hope you and your husband are able to find unity and peace in whatever decision you make. Thinking about you in this difficult time. ❤️
Caleb says
It feels so validating to know others are struggling with watching their baby go thru this.. I’m likely making the tough decision tomorrow and giving him a few more days of love and as many treats as he wants ):
Julie Buzby DVM says
Dear Caleb,
My heart goes out to you as you make this emotional decision for your boy. You are not alone, and I appreciate you being willing to share your thoughts with us. Praying for your strength and comfort. Bless you and your pup.
Karen says
Omg I really feel your pain. I have tears in my eyes. I am in an identical position with my girl. I’ve got a sinking feeling in my stomach.
I wish you well , cherish your memories and photos.
Tina Vemb says
My little miniature pinscher is struggling with this disease as well. I am so heartbroken. I don’t know when is the best time to euthanize her. I don’t want to let her go but I also don’t want her to suffer anymore. I’m am so sorry 🥲
Julie Buzby DVM says
Dear Tina,
My heart goes out to you as you face this difficult situation with your little pup. Praying you can find the answers you need to make the best choice for you and your sweet girl. Wishing you strength and comfort. ♥
Susan Higgins says
thinking about all the parents and beloved dogs on here ill pray for you to have peace
Bonnie says
My heart goes out to you and your dog. We are going through the same issues. Our dog
Is 15, Cushings since May 2020. So skinny now, won’t eat her food, only some treats.
We called vet to come to house for ‘end of life’. It is so hard, crying a lot,
Take care and know you are in a lot of peoples thoughts and prayers.
Julie Buzby DVM says
Dear Bonnie,
My thoughts are with you as you navigate this emotional journey. Bless you and your sweet girl. ♥
Dian Cunningham says
my little boy is 13 (mini doxi) just diagnosed this year,I’m scared for him,it’s his personality that I notice, facial tics, very wine, clingy , has moments of energy then nothing, I make his food ,roast beef pork tenderloin, veggies treats, I’m 71 and only on pension, I’m finding it hard financially, vet bills this year so far over1,000$,he has majour fowel allergy what can I feed him to still maintain him without the extra expense of meat as it is so expensive,
Julie Buzby DVM says
Hi Dian,
I am so sorry you are in this difficult situation with your senior pup. I am not sure there is a good way to continue making his food yourself without including meat. Dogs were not meant to be vegetarians and need meat protein in their diets. Is there a reason you are trying to avoid a premade dog food? This could be the most cost-effective way to ensure he is getting a diet that is nutritionally complete and avoid the ingredients he is allergic to. It may be helpful to talk to a veterinary nutritionist and they can offer guidance on what can be used in your home cooked diet that works for your budget. Hoping you find the answers you need to make the best choices for your sweet boy. Bless you.
Victoria Soares says
When the seizures increased in frequency & severity for us…. Wish we had let her go a little earlier than we did. heartbreaking disease.
Don says
13 years ago I got 2 Shih Tzu’s from the same litter. One passed at age 6 of congested heart failure. Which now I think was probably Cushing, but my vet at the time was treating her for a Neurological problem. Now at age 13 her sister has all the symptoms of Cushing. She has a terrible cough, scratches her chest and head constantly, bites her paws and legs where there is no hair. Her chest also is hairless and the skin is rough and sore. She always wants to eat and even though I use extra large pee pads they still run over and I go thru 4 to 5 a day. She sleeps most of the time, day and night. She shows advanced signs of Cushing and maybe that unpleasant time has arrived. I will hold her during the procedure so she is calm and knows I still love her very much till her last heart beat. Then I’ll cry my eyes out for a few days. Then I’ll get another puppy. 🙂
Dr. Julie Buzby says
Hi Don,
My heart goes out to you on the impending loss of your dog. The end stages of Cushing’s disease can be so hard, so sometimes the kindest, most merciful decision is to set them free from their pain. I have no doubt that she knew how much you loved her. Thinking about you as you grieve her loss and welcome a new puppy to your family.
Laura says
i have a 9 yr old being diagnosed with Cushings. According to what I have read she is stage 3 with panting, thirsty pot belly, liver mass. Vet wants to run more test to medicate for quality of life. Reading might get 2 yrs and high costs. Do not won’t her suffering or going into diabetes. She is very high anxiety driven. woukd like some advice.
Julie Buzby DVM says
Hi Laura,
I understand your concern for your senior girl and all the issues that come with a diagnosis of Cushing’s disease. I am not sure I am clear on what options you are considering. Have you started her on medication to treat the Cushing’s? It might be worth a trial run to see what benefit it offers. You might be surprised at how much it improves your pup’s quality of life. Of course, if the treatment is not an option or your vet thinks your girl is suffering, then euthanasia may be the most loving choice. I wish I had better advice or knew what the best next step would be. Hoping you find a way forward and your sweet girl can find peace.
Becky says
Gosh it’s so hard…. Pi is 16, Wants to eat all the time, pees a lot,, drinks a lot, her muscles are weak now. She lays on her side and can’t get back up many times, I’ve made appointment for lady to come to my home on Saturday.. I need to remind myself she has had a wonderful life and quit beating myself up!!
🙏🐾🐾 Thank you for article!
Julie Buzby DVM says
Dear Becky,
I am sorry for your loss of Pi. I know the decision to say goodbye was very emotional but came from a place of love. I am glad you were able to have a vet come to your house so Pi could stay where she was most comfortable. Hoping her passing was smooth and peaceful. May the memories of all the times you shared be a blessing in your life.
Sandy says
Your article has helped me so much with my decision. My baby has no happy life at this point and has a ravenous appetite — begs and begs for food. A new medicine has taken that away and now he has no appetite but fights me when taking the pills and has diarrhea and throws up. I have felt so guilty about putting him down but it has been very hard for me too as he cannot go up the stairs anymore and I have to carry him. I take him out to pee and then he come back in a sleeps the day away in his bed. It is very sad.
Julie Buzby DVM says
Dear Sandy,
My heart aches for you that you had to make this emotional decision for your sweet boy. It sounds like letting go was the most loving choice and the only way to offer him peace and rest. I am glad you found the advice and support you needed from the article and other readers’ comments. Praying your heart will find comfort and be blessed by the memories of the good times you shared.
Sandy says
Thank you for this compassionate article. Our 13 year old was diagnosed a year ago. Along with other senior conditions he is declining. I have been telling myself today is not the day but I am aware it will be soon. Until then we will try to provide his best life.
Julie Buzby DVM says
Dear Sandy,
My thoughts are with you during this emotional time. Praying you will know what is best and wishing you both comfort and peace.
PHYLLIS J PORTER says
This article is great. My dog is 11 years old and was diagnosed a few months ago with diabetes, blind very quickly and then with cushings. He was on 30mg of Vetoryl which caused diarrhea and vomiting, so it was decreased to 10mg. But he just doesn’t want to eat, not himself, just breaks my heart. The only way I can get him to eat at all is to blend and feed through a syringe but now he fights that. He hears the blender and hides under the table for fear of what comes next, giving him the capsule is traumatizing to both of us. I’m still trying to grasp that I may have to put him down. I just lost my 13 year old dog 14 months ago. my dogs are like my babies. My heart is broken. This article has helped some but I’m still not wanting to let him go yet. Prayers that I do the right thing.
Dr. Julie Buzby says
Hi Phyllis,
My heart breaks for you. Losing one dog 14 months ago and now dealing with diabetes, blindness, and loss of appetite in your other dog is so distressing. It is clear that you love him dearly and that you are doing everything you can to help him, including trying to get him to eat. While some dogs willingly eat out of a syringe, and it sounds like it was going well initially, your dog might be telling you that he doesn’t want to be syringe-fed anymore. I’m confident that you will be able to figure out what the best thing is for him, whether that is continuing to push on with treatment or letting him go. Praying for you as you wrestle with these difficult decisions and face the potential loss of your dear boy.
Sharon Youde says
Thank you so much your article has really helped to understand what’s happening and when the time maybe right to do the kindest thing … my mums dog has this disease and I can see the last few weeks she is starting to go down hill she is like my dog to I had 3 myself and lost one in January that was so hard and now I can see we are possibly going to lose maddie to. I can see she is starting to really have a poor quality of life and I will help my mum to maybe see the time maybe near. We will all be with her at the end but thank you again I have forwarded this article to my mum.
Julie Buzby DVM says
Dear Sharon,
I am sorry your mother’s dog is nearing the end of her life. I am glad the article was helpful and offered some guidance on how to navigate this difficult path ahead. Praying the conversation with your mom will go well. Wishing you peace and comfort. ♥
Belle says
This was such a helpful article, and really comforted me. My sweet 14 year old cavoodle Willow was diagnosed with Cushing’s about 2 months ago. Medication is helpful and I’m seeing some improvements and more brightness in herself.
The part that extremely helpful for me was the paragraph on ‘knowing when it’s time’ and the comment about others telling you she ‘has more time’.
Willow’s sister Lucy went to sleep 4 weeks ago,
I took her to the vet because she had started coughing, and wasn’t really herself. She was “ok’ at the vet, seemed fine. However the x-rays indicated she was not fine – and we discovered tumor in her lung was impacting her breathing. So the vet told me ‘it was time’ and she went to sleep on my knee.
I was in a daze – I remembered her the day before running to meet me, cuddling up, getting her toy out.
I didn’t remember the coughing, or lack of energy, or panting and restlessness, until I was reminded by family.
After days and days of profound guilt and anguish thinking I’d ‘killed’ her family reminded me of her last few days, and when my mum told me that the vet would never have said ‘it’s time’ if there was any other option, the guilt and anguish left, almost immediately.
I was left with deep and heartbreaking sadness and grief, which was true and necessary. I sat with it and moved through the days knowing it was a process.
Now, a month later, I am sad and I miss Lucy terribly, but I am comforted knowing she went to sleep on the knee of the one she loved and who loved her beyond measure.
Dr. Julie Buzby says
Hi Belle,
I’m so sorry for the sudden loss of Lucy and for Willow’s Cushing’s disease diagnosis. What a difficult and heart breaking few months. I’m glad that the article and the words of your family were able to offer some measure of comfort and clarity during the days following Lucy’s death and that you were able to be with her at the end. As you so wisely said, grief is a process that you have to move through. I hope that in the days to come, you can continue to draw comfort from the great memories you have of Lucy and the love you shared.
Sharon Rios says
This is so so helpful. Matea was diagnosed with Cushings disease 4 years ago. These past few months she has been declining, vet is trying to adjust meds. etc. but I can see that she is not the same Matea and my tiime with will be ending soon. This has truly helped me know that I will know the right time.
Julie Buzby DVM says
Dear Sharon,
My heart goes out to you as you navigate this emotional path. I am glad the article offered some guidance and comfort for your heart. Wishing you and Matea joy in each day you are gifted. Bless you both. ♥
Donald says
I’m having such a tough time deciding on the next step with my nearly 15 year old Golden mix. I’ve had her since she was 8 weeks and she’s been my best friend. Diagnosed with Cushings almost 2 years ago, she’s on Vetoryl , but the symptoms are getting so bad (panting, hunger, thirst), combined with onset of dementia, every day seems worse, I don’t think we can always see the true decline because we cling to one good day. Your article and insight was spot on, and thank you, and I know I’ve got to put her first, but it’s still so hard deciding when is the right time.
Dr. Julie Buzby says
Hi Donald,
My heart breaks for you. It is so hard to decide when it is time to set our beloved dogs free from the confines of their frail bodies. I hope you were able to find clarity and peace with whatever you decided and that you can look back with joy on all the wonderful memories you made together over the past 15 years. Thinking of you!
Vicky Seitz says
Thank you for this information. My heat breaks for my 8 year old Dachshund that was diagnosed with Cushings about 1 1/2 years ago. She takes medication daily. She has struggled with constant UTI’s, skin infections. I. The past two weeks she is drinking 6 or more bowls of water daily and very large amount of diluted urine. Her vet is treating her for yet again a UTI. I have seen zero improvement after taking the antibiotics for over a week. My gut tells me that her Cushings is worsening. I don’t know what to do. I can’t get my vet to speak to me about timing of letting this precious baby of mine go. Your article has been the best information that I have read. Thank you so much.
Julie Buzby DVM says
Dear Vicky,
My heart aches for you as you face this emotional decision for your senior girl. I am glad you found the article to be helpful and comforting. I will attach links to other articles with more information that may help guide you through this process. I pray for your strength and peace for your heart. Bless you and your sweet pup.
1. Using a Quality of Life Scale for Dogs
2. Signs Your Dog is Dying: A Caring Message to Bring You Peace
3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
4. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
Carolyn Rose-Lee says
I have a 7 year old King Charles Spaniel, and he has had Cushings for a couple years now, but just recently was it detected in his blood. I had taken him to the vet a couple times, knowing something was wrong. They did blood tests, echos, etc, but it didn’t show up then. He had ALL the symptoms of Cushings! But he still runs for a ball, not well though. He eats and drinks ravenously and is hungry all the time, he tries to fight the other dogs for food. I have him on antibiotics for the skin sores, they don’t seem painful to him. I don’t know how much he is suffering. I have put down several beloved dogs in the past, so I can do this. I just don’t know when. We are on Trilistane, just waiting to see how much it helps. So sorry for you guys who already had to face the decision. I know it’s SO hard.
Dr. Julie Buzby says
Hi Carolyn,
Those difficult-to-diagnose Cushing’s cases where the symptoms are there but the tests don’t support the diagnosis at first are challenging for everyone. I’m glad that you were finally able to get some definitive answers and get him started on Trilostane. Often, trilostane can make a huge difference in managing a lot of the symptoms, so hopefully that is the case for your dog too! As you work on evaluating his quality of life, it may be helpful to sit down and make a list of what you think “good,” “bad,” and “ok” days look like for him specifically and then start tracking them on a calendar on the refrigerator. Or you could take a look at his current symptoms and set a threshold in your mind that would indicate that things are improving (e.g. no longer fighting the other dogs for food or drinking less water). Sometimes using those sorts of measures can be a good way to determine if it is time to let him go or if you should keep going. I hope you were able to find clarity and that he responded well to the trilostane!
A Gloria Reis says
my 9 yr old cavachon was diagnosed with cushings 1 yr ago went thru all the symptoms thirst, frequent urinations, total hair loss, pot belly ,weight gain. Now he is on many meds, lost some weight, hair has grown back even fuller & thicker than ever, sleeps most the time. no appetite .looks for places to hide his head now & small places to sleep. spent more $15,000. but I can’t let him go will he be in pain eventually?
Julie Buzby DVM says
Dear A Gloria,
My heart goes out to you as you facet this difficult situation. It is hard for me to assess your dog’s quality of life and make predictions about what the future may hold without examining him myself. I recommend you talk to your vet about your worries and concerns. They may be able to offer better advice. How is your pup feeling today? Wishing you both the best and bless you.
DeAnna says
Our elderly little Chihuahua mix was diagnosed with Cushing’s disease over a year ago. He’s done pretty well (lab work shows the disease is well controlled with medication), but we definitely struggle with his appetite and begging for food. We had him on fresh food (Farmer’s Dog) but he seemed hungry all the time. We recently tried Hills Metabolic formula at the suggestion of our vet, but he didn’t like it and would refuse to eat. It was heart breaking to see him get excited about food and then turn away disappointed. Now we’re trying to find a balance mixing Farmer’s Dog and Hills Metabolic to see if we can find a sweet spot to keep him happy and full. It’s not an easy condition to live with, and we want so badly for him to be happy.
Dr. Julie Buzby says
Hi DeAnna,
I am sorry to hear that your little Chihuahua mix was diagnosed with Cushing’s disease. It sounds like you are doing a great job trying to help him navigate his appetite and this disease. Thank you for working so hard to find that sweet spot so he can be happy. Praying for strength and healing for you both ♥
Lindsay says
I lost my dachshund 3 years ago to cushings and my mini schnauzer was diagnosed with it about a year later. There are more severe symptoms with my schnauzer, I’m making an appt with my vet to discuss end of life care. He has a lot of confusion lately and he’s started nipping me which he’s never done before. I didn’t experience these symptoms with my dachshund though. This article really helped me understand what he’s going through. He has an insatiable appetite also, sleeps 20 hours out of the day, he is very hard to wake up at times and is very confused for about 30 seconds after waking up. He also has a wound on his back that hasn’t healed in 6 months even though he’s been medication for it. Nails are brittle and break a lot and he gets constant eye infections. It breaks my heart., he’s 13 years young.
Dr. Julie Buzby says
Hi Lindsay,
My heart goes out to you. It is so difficult to watch the same disease take a toll on two of your beloved dogs at different times. I know it must have been incredibly hard, but I think it is very wise of you to make an appointment with your vet to talk about end-of-life care. I hope that appointment brought clarity and peace, and that you can find comfort in knowing you are doing a great job caring for and advocating for your sweet pup.
Linda Hilburn says
Thank you for the page on When to put your Dog down. I’m not sure if it helped or confused me, but it did lead me to consider it soon. My big girl is 12 1/2 years old, her name is Randi and I have had her since she was 8 weeks old. She was diagnosed with cushings about three years ago and has been through every symptom. Yesterday she began a struggle to pick herself up with her back legs. She did get up a couple times and went out to potty. This morning I had to feed her in her bed. She couldn’t get up. I contacted her vet who will be there in the morning.. I’m not sure I’m at a place to euthanize her. The pain is too fresh for me. She is not in pain. I think I’m just asking for advice. Her vet will tell me more tomorrow.
Thank you,
Linda
Dr. Julie Buzby says
Hi Linda,
I’m so sorry to hear that Randi was getting weaker and became unable to get up. It is so heartbreaking to watch our beloved dogs struggle and to be unsure how best to help them. I hope you were able to find some clear answers at the vet visit and that you have a sense of peace about whatever the outcome ended up being. It is clear that you love Randi greatly and that you are taking wonderful care of her. Thinking about you in this difficult time!
Jane says
This is the best article to date that I’ve read. I’m struggling so much with my precious dog right now. This article is so so good even down to how Cushings impacts owners too. I can’t thank you enough for this..
Julie Buzby DVM says
Dear Jane,
I am sorry you are facing this difficult situation with your pup. Praying you will have clarity in your decision making and can navigate this unknown path. Bless you both. ♥
Dr Dawnetta Woodruff says
I am so glad you found this helpful ❤️ Sending lots of hugs your way!
Dr Dawnetta Woodruff
Luisa says
My Riley will be 15 in October, she has had Cushing since 2020. Most of her day is spent sleeping, she doesn’t even walk her tail anymore. I feel selfish keeping her but then think what if it’s to soon. What if I put her down and it’s a mistake. Tbh some days I wish she would pass in her sleep.. I know that sounds horrible.. I just love her so much, I don’t know what to do.
Julie Buzby DVM says
Hi Luisa,
I am sorry your senior girl’s quality of life is declining. It sounds like she is in that window of time where it would not be wrong to consider euthanasia and making a decision early may prevent unnecessary suffering later on. If Riley is not finding joy in her days, she may be struggling mentally more than you realize. I will attach links to other articles with more information and great advice from other readers. Praying for comfort and strength. ♥
1. Using a Quality of Life Scale for Dogs
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
Karissa K says
Exactly what I said. It addressed every area of question and concern better than I have EVER seen. The first article to confirm my feelings that our dog was feeling tormented daily feeling hungry all the time, and it was time to set him free of the mental anguish although others see him ‘eating, drinking, moving and wagging his tail so he should be ‘fine’ to keep going in their opinion’. We needed this help to put into words what we are experiencing and feeling and to alleviate the guilt of euthanizing an otherwise healthy ‘seeming’ dog.
Teri May says
Our bulldog was diagnosed 6 months ago , I thought the medication will help , however , she is wasting away. She’s not the same Lucy. I felt tonight the time is close to make a decision 😢
Julie Buzby DVM says
Dear Teri,
My heart goes out to you as you face this most difficult decision for your sweet girl. Wishing you comfort and strength. Bless you both.
Carys says
My 16 1/2. Year old dog has advanced Cushings, he sleeps all the time and when awake he just drinks water, but he doesn’t seem to be in pain. He now wears a nappy at night as he has lost bladder control . He doesn’t want to go for a walk, he is just existing. But, I love him so much I don’t want to make the difficult decision too early.
Dr. Julie Buzby says
I am sorry to hear about your sweet boy and his Cushing’s disease. What a difficult situation to be in. It is so hard to watch our senior dogs get older. It sounds like he has had a very long life at 16 1/2 years. I hope your veterinarian can help you navigate this hard time and decision. Praying you and your special boy can find peace and comfort.
Debbie Pinckley says
Thank you so much for your article! It truly helped me to understand more about Cushing’s. And our sweet, Reggie, a 16 and a half year old Tibetan Terrier, had advanced symptoms. We had been getting up with him 2-4am most nights for him to pee, walk, drink his water, for last several weeks . . . And the night before we had him put to sleep, he whimpered and cried himself to sleep! I decided it was time!
We were selfishly holding onto him, and I couldn’t bear it any longer watching him suffer. Your article reinforced my feelings. Thank you!
Dr. Julie Buzby says
Hi Debbie,
I am so sorry to hear about the passing of Reggie. It is obvious from your comment that you were very devoted to him and his care. Thank you so much for being there for him and sharing your story with me. I am happy that my article could bring you some peace and comfort during the difficult time.
Shasha says
Hi so I have a 11 year old boxer Rottie mix that was diagnosed with Cushing’s about a month ago and it seems to be getting worse hes been drinking a lot of water and chewing and licking him self and has an infection on the middle of his back and he on meds and medicated shampoo but I feel that its not helping him hes my husbands dog and we all love him so much. I feel like I wont be able to make the right decision for him I feel its time but then again I don’t feel its time. I don’t know what to do right now I feel like I’m failing him if I make the decision to put him down.
Julie Buzby DVM says
Dear Shasha,
I understand why you are conflicted about when is best to say goodbye. This is such a tough decision, and the emotions can run high. I always think it is best to let go one day too early rather than one day too late and allow unnecessary suffering. I will attach links to other articles with more information and great comments from other readers. I am certain you will find the advice you need to make a decision with which everyone can find peace. Praying for your strength as you navigate this hard road ahead. Bless you all.
1. Using a Quality of Life Scale for Dogs
2. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
4. Grieving the Loss of a Dog After Euthanasia (& Finding Peace)
Marilyn gray says
my baby is 13 our vet is pretty sure she has Cushing she has a skin infection and constantly scratching and biting herself ,drinks constantly and does huge amounts of wees very restless I know I have to make a decision however I feel horrible as I just can’t afford the tests and treatments I am so scared of doing the end of life thing too soon yet I think it must be hard on her the symptoms were there for months and I feared going to the vet to hear the news I have made hard decisions in the past the this is the hardest of all she has been my closest most trusted friend I adore her
Julie Buzby DVM says
Dear Marilyn,
My heart goes out to you as you face this most difficult decision. I can understand why it is hard to know what is best. Don’t forget you can lean on your vet for support, and they can offer guidance as to when is the best time to say goodbye. I pray for your strength and comfort. Wishing you and your senior girl peace. ♥
Helena says
thank you so much for this page. I had my dog put down today as he had advanced Cushings. He was 14 yrs old. Today is one of the hardest days, but the information you have provided together with my wonderful vet reassures me, I have done the right thing.
Julie Buzby DVM says
Dear Helena,
I am sorry for the loss of your senior pup. Praying for healing and comfort for your heart.
Ellis says
Thank you so much for your post! My 13.5 year old miniature dachshund with Cushing’s now drinks and urinates constantly it seems. She’s had it since we adopted her 2.5 years ago. She also has newly discovered bilateral adrenal masses, elevated BP, and a new lytic lesion on L2. She isn’t a surgical candidate, and we decided against XRT. She still seems comfortable, wags her tail, but seemed to have slowed down a touch. So, it is hard to know when the time is right to euthanize her for her quality of life.
Julie Buzby DVM says
Dear Ellis,
I am sorry your senior girl is nearing the end of her life, and you are facing this difficult situation. I am glad you found some helpful information and advice from the article and other reader’s comments. Wishing you strength to face each new day and wisdom in your decision making. Bless you both.