Understanding Hemangiosarcoma Bleeding Episodes in Pets

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Posted Oct 21, 2024

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Hemangiosarcoma bleeding episodes can be a scary and overwhelming experience for pet owners.

Bleeding episodes can occur suddenly and without warning, often due to the rupture of a hemangiosarcoma tumor in the spleen, liver, or other organs.

These tumors can grow quickly and quietly, causing internal bleeding that may not be visible on the outside.

In many cases, the first sign of hemangiosarcoma is a sudden and severe bleeding episode, often in the form of vomiting blood or passing bloody stool.

The severity and frequency of bleeding episodes can vary widely depending on the size and location of the tumor, as well as the individual pet's overall health.

Curious to learn more? Check out: How Often Does a Female Dog Bleed

What is Hemangiosarcoma

Hemangiosarcoma is a life-threatening form of cancer that usually goes undetected until an abdominal mass is found during physical examination.

Visceral hemangiosarcoma can cause multiple small bleeds before diagnosis, often accompanied by episodes of weakness that resolve and recur.

HSA tumors originate in the bone marrow and develop wherever the cancer cells collect in the bloodstream.

Tumors can form anywhere in the body, with common locations including the spleen, heart, liver, and intestines.

Cardiac HSA often has no symptoms until heart function fails, resulting in acute collapse.

Cutaneous hemangiosarcoma, which occurs in the skin, is more common than visceral and carries a better prognosis.

Risk Factors and Causes

Credit: youtube.com, Hemangiosarcoma Live Q & A

Hemangiosarcoma is a serious condition that affects dogs, and understanding its risk factors and causes can help you take proactive steps in your furry friend's health.

Hemangiosarcoma is most commonly seen in middle-aged or older dogs, with a poor prognosis for all forms of visceral HSA.

Dogs with a bleeding tumor require emergency veterinary treatment, and prompt action is crucial to save their life.

Visceral HSA is more common in certain breeds, such as golden retrievers, while cardiac HSA is more common in German shepherd dogs.

The underlying trigger for HSA has not been identified, but breed predisposition suggests genetic factors may contribute to its development.

All forms of visceral HSA carry a poor prognosis, with survival times up to 6 months possible with extensive medical and surgical treatment.

What Causes Hemangiosarcoma

Hemangiosarcoma originates in the bone marrow cells that go on to form new blood vessels, but the underlying trigger has not been identified.

Credit: youtube.com, Hemangiosarcoma (Medical Condition)

Breed predisposition suggests genetic factors may contribute to the development of HSA, which is more commonly diagnosed in certain breeds.

Research has identified mutations in the tumor suppressor TP53 gene, which may appear in breeds like Golden Retrievers, Portuguese Water Dogs, Boxers, and German Shepherd Dogs.

Dogs of any breed, including mixed breeds, and of either sex, can develop hemangiosarcoma, regardless of whether they are intact or neutered.

HSA is much more common in senior dogs aged between 8 and 12 years, but it can occur in dogs as young as 2 and as old as 15.

The cause of HSA is not yet known, but it's believed that genetic factors may play a role, and certain breeds are more susceptible to the disease.

HSA tumors originate in the bone marrow and develop wherever the cancer cells collect in the bloodstream, forming tumors that may occur anywhere in the body.

Spay/Neuter

Spaying or neutering your dog can have a significant impact on their risk of developing hemangiosarcoma (HSA).

Credit: youtube.com, Earlier age at spay/neuter a risk factor in obesity and orthopedic injuries

Studies have shown that neutered dogs have a higher risk of tumors outside the genital organs compared to intact dogs.

Among Vizslas, females spayed at 12 months or under had 9 times greater odds of developing HSA than intact dogs.

Males and females neutered after 12 months of age also had a higher risk of HSA.

Spayed female dogs have a more than 5 times higher risk of cardiac HSA, while neutered males have a slightly higher risk.

Spayed females also have a 2.2 times greater risk for spleen HSA than intact females.

A study of 5,736 dogs with HSA found that neutering increases the risk of splenic HSA, HSA in general, but not cardiac HSA.

Symptoms and Diagnosis

Symptoms of hemangiosarcoma can be quite subtle, but they're often related to blood loss. A significant blood supply and fragility of the tumor make bleeding a common symptom.

If your dog has a skin mass larger than a pea (about 1 cm) or has been present for more than a month, it's essential to have it evaluated by a veterinarian. The doctor may aspirate some cells from the mass to determine the type of growth.

Credit: youtube.com, Hemangiosarcoma Treatment in Dogs: Vlog 86

Blood loss can lead to anemia, which may cause weakness or fainting, increased heart rate, increased panting, difficulty breathing, pale mucous membranes, and a distended belly. These symptoms can be episodic, with some days of weakness followed by improvement, but it's crucial not to ignore them.

Other serious signs of hemangiosarcoma include lack of coordination, partial paralysis, seizures, nosebleeds, coughing, and collapse. If you notice any of these symptoms, it's essential to get your dog to the vet immediately.

A veterinarian will typically perform a thorough physical examination, take a complete patient history, and recommend various diagnostic tests, including a complete blood count, serum biochemical profile, urinalysis, coagulation profile, chest radiography, abdominal radiography or sonography, and echocardiography.

A definitive diagnosis of hemangiosarcoma is made by removal and biopsy of the tumor. It's essential to catch the disease early, as it can metastasize quickly even with early diagnosis.

Here are some common symptoms and signs of hemangiosarcoma:

  • Weakness or fainting
  • Increased heart rate
  • Increased panting
  • Difficulty breathing
  • Pale mucous membranes
  • Distended belly
  • Lack of coordination
  • Partial paralysis
  • Seizures
  • Nosebleeds
  • Coughing
  • Collapse

Testing and Treatment

Credit: youtube.com, Hemangiosarcoma Symptoms and Testing For Dogs: Vlog 85

Your vet or oncologist may recommend surgery as a treatment option for your dog's hemangiosarcoma. Surgery can sometimes allow dogs to return to their normal routine.

Conventional oncologists will likely recommend surgery followed by chemotherapy. This combination can offer much longer survival times, as long as 4 years in some cases.

The prognosis for skin hemangiosarcoma is much better than visceral hemangiosarcoma. Surgery with clean margins, plus chemotherapy, can offer much longer survival times.

For Stage I skin hemangiosarcoma, the prognosis is even better. Fewer than 30% of these cases metastasize, which means skin hemangiosarcoma can sometimes be cured with successful surgery and radiation or chemotherapy.

You should always ask about all the treatment options and consider getting a second opinion.

Here's an interesting read: Hemangiosarcoma in Dogs Survival Rate

Alternative and Complementary Therapies

If you're looking for alternative and complementary therapies to help manage hemangiosarcoma bleeding episodes in dogs, there are a few options worth exploring. Turkey tail mushrooms, in particular, have shown promise in extending survival time in dogs with this condition.

Credit: youtube.com, Hemangiosarcoma and Radiation Therapy

A 2012 study at the University of Pennsylvania found that dogs treated with an extract of polysaccharopeptide (PSP) from turkey tail mushrooms had a median survival time of 199 days, more than double the previous report of 86 days. This is a significant finding, especially considering that the dogs received no other treatments.

Yunnan Baiyao is another remedy that may help slow the growth of an HSA tumor and improve platelets and clotting. It's a constitutional remedy that balances Qi, blood stagnation, and bleeding, making it a popular choice among TCVM practitioners.

To use Yunnan Baiyao effectively, it's essential to consult a TCVM vet who understands the proper dosing for this formula. You can also consider following a holistic approach to your dog's health, which includes feeding a balanced diet, providing immune-supporting supplements, and using natural remedies instead of antibiotics or other drugs.

Here are some general tips to consider:

  • Feed a balanced diet with no starchy carbohydrates
  • Give immune-supporting supplements
  • Provide chemical-free water (filtered or spring water)
  • Avoid or minimize vaccinations
  • Use natural remedies instead of antibiotics or other drugs
  • Don't use chemicals in your home or yard
  • Don't spay or neuter your dog

Turkey Tail Mushrooms (Trametes Versicolor)

Credit: youtube.com, Trametes versicolor (Turkey tail) and complementary immune activating properties in vitro

Turkey Tail Mushrooms (Trametes Versicolor) have been shown to have a significant impact on extending the survival time of dogs with hemangiosarcoma. A 2012 study at the University of Pennsylvania found that dogs treated with an extract of polysaccharopeptide (PSP) from Turkey Tail Mushrooms lived longer than previously reported.

The study involved 15 dogs, divided into three groups receiving different doses of PSP. The results were remarkable, with one dog living longer than a year without any further treatment. The median survival time in the highest dose group was 199 days, more than double the previous reported median survival time of 86 days.

This is particularly noteworthy because it was longer than the median survival time for dogs receiving doxorubicin chemotherapy, which is a common treatment for hemangiosarcoma. The best part is that this treatment comes without the side effects and huge expense associated with chemotherapy.

If you're considering adding Turkey Tail Mushrooms to your dog's treatment plan, it's essential to note that they should be given in addition to any existing mushroom supplement blend. This will help ensure your dog receives the maximum benefits of this powerful natural remedy.

Finding a Practitioner

Credit: youtube.com, Complementary and Alternative Medicine - What You Need To Know

Finding a practitioner who can help with alternative and complementary therapies for your dog's cancer is crucial. Look for a skilled homeopath or herbalist with experience in cancer patients and a track record of success with dogs.

Ask your friends, neighbors, breeder, trainer, groomer, and rescue group for recommendations. They may have first-hand experience with managing hemangiosarcoma in their dogs.

You can also join online dog cancer forums to connect with people who have direct experience with managing hemangiosarcoma in their dogs. This will give you valuable insight and guidance.

Don't rely solely on your conventional vet or oncologist for recommendations, although they may have some suggestions.

Recovery and Support

Recovery from hemangiosarcoma bleeding episodes requires a combination of medical treatment and supportive care. Surgical removal of the tumor is the treatment of choice for splenic HSA and in some cases of liver HSA.

Surgical options like pericardiectomy, which involves creating a hole in the sac surrounding the heart to remove blood clots and reduce pressure on the heart muscle, may be necessary for cardiac HSA.

Symptomatic treatment options like fluid therapy and blood transfusions can help manage the immediate effects of bleeding episodes. Pain relief is also crucial during this time.

Here are some common symptomatic treatment options:

  • Fluid therapy
  • Blood transfusion
  • Pain relief

Hope for the Future

Credit: youtube.com, The Angels Say: There is Great Hope for the Future #angelmessages

As we navigate the journey of recovery and support, it's essential to hold onto hope for the future. New research suggests that a positive outlook can actually aid in the recovery process, with studies showing that individuals with a optimistic mindset tend to have better health outcomes.

A crucial aspect of maintaining hope is finding healthy coping mechanisms. According to the article, mindfulness practices such as meditation and deep breathing can be effective tools in managing stress and anxiety. These techniques can be done anywhere, at any time, making them a great addition to your daily routine.

Support from loved ones is also vital in fostering hope. The article highlights the importance of building a strong support network, citing studies that show individuals with close relationships tend to have better mental health outcomes. Having a strong support system can make all the difference in times of need.

Recovery is a unique journey for each individual, and what works for one person may not work for another. However, one thing is certain: taking small steps towards progress can lead to significant improvements over time.

Steps to Recovery

Credit: youtube.com, Redefining Recovery | Tom Gill | TEDxRutgers

Recovery from HSA can be a challenging process, but with the right treatment options, it's possible to manage symptoms and improve quality of life.

Surgical removal of the tumor is often the treatment of choice for splenic HSA and some cases of liver HSA.

Pericardiectomy, a surgical procedure that creates a hole in the sac surrounding the heart, can help remove blood clots and reduce pressure on the heart muscle.

Chemotherapy is another treatment option that can help manage the condition.

Fluid therapy is essential for patients experiencing fluid buildup due to HSA.

Blood transfusions may be necessary to replace lost blood.

Pain relief is crucial for managing discomfort and improving overall well-being.

Treatment plans often involve a combination of these options, tailored to the individual's specific needs and circumstances.

The following treatment options are available to help manage HSA:

  • Surgical removal of the tumor
  • Pericardiectomy
  • Chemotherapy
  • Fluid therapy
  • Blood transfusion
  • Pain relief

Frequently Asked Questions

What happens when a hemangiosarcoma bursts?

A ruptured hemangiosarcoma can cause severe internal bleeding, leading to life-threatening symptoms such as lethargy, weakness, and a distended abdomen. If left untreated, this can be fatal.

How do I know when to euthanize my dog with hemangiosarcoma?

Euthanasia may be considered if your dog's hemangiosarcoma symptoms worsen, causing severe distress, or if they experience life-threatening complications such as difficulty breathing or rapid heartbeat

Sources

  1. Hemangiosarcoma (Splenic or Visceral) in Dogs (vetster.com)
  2. DrSueCancerVet (drsuecancervet.com)
  3. published exciting results (umn.edu)
  4. American College of Veterinary Internal Medicine (acvim.org)
  5. American College of Veterinary Surgeons (acvs.org)
  6. American College of Veterinary Emergency and Critical Care (acvecc.org)
  7. Canine Hemangiosarcoma - The Road from Despair to Hope (akcchf.org)
  8. AKC Rx (akcpetrx.com)
  9. two-thirds of heart and splenic tumors (sciencedaily.com)
  10. Hemangiosarcoma is known as a “silent killer” (aaha.org)
  11. Dr. Jaime Modiano (modianolab.org)
  12. most significantly mutated gene to be tumor suppressor TP53 (nih.gov)
  13. HSA can occur in cats (nih.gov)
  14. clinical trial (upenn.edu)
  15. Tufts Cummings School of Veterinary Medicine (tufts.edu)
  16. The Role Of Neutering In Cancer Development. (ncsu.edu)
  17. Cardiac tumors in dogs: 1982-1995 (nih.gov)
  18. Neutering is associated with developing hemangiosarcoma in dogs in the Veterinary Medical Database: An age and time-period matched case-control study (1964-2003) (nih.gov)
  19. Prevalence, distribution, and clinical characteristics of hemangiosarcoma-associated skeletal muscle metastases in 61 dogs: A whole body computed tomographic study (wiley.com)
  20. Hemangiosarcoma in a Dog: Unusual Presentation and Increased Survival Using a Complementary/Holistic Approach Combined with Metronomic Chemotherapy (nih.gov)
  21. Single Agent Polysaccharopeptide Delays Metastases and Improves Survival in Naturally Occurring Hemangiosarcoma (nih.gov)
  22. In vitro effects of Yunnan Baiyao on canine hemangiosarcoma cell lines (wiley.com)

Becky Murray

Writer

Becky Murray is a seasoned writer with a passion for crafting engaging content on a wide range of topics. Her expertise lies in the realm of animal-related subjects, where she has developed a unique voice and perspective. With a keen interest in canine herding breeds, Becky has produced a series of informative articles that delve into the characteristics, behaviors, and histories of these fascinating dogs.