Dogs are susceptible to pulmonary edema, a condition in which fluid accumulates in the lungs. Fluid in dogs' lungs can cause difficulty breathing, and in severe cases can be fatal. Fortunately, there are many treatment options available for this condition. In this article, we will discuss the causes and treatments for pulmonary edema in dogs.

What is fluid in dogs' lungs?

Fluid in dogs' lungs or pulmonary edema is the accumulation of fluid within the lungs at a rate faster than it can be removed. This fluid may accumulate in the air spaces, alveoli, or interstitium of the lungs. The fluid build-up makes it difficult for oxygen to be exchanged between the lungs and the bloodstream, leading to difficulty breathing.

What causes the buildup of fluid in dogs' lungs?

Pulmonary edema in dogs can happen due to increased hydrostatic pressure, decreased oncotic pressure, impaired lymphatic drainage, or increased vascular permeability. When this happens, it leads to ventilation-perfusion mismatching and hypoxemia (low blood oxygen levels). Pulmonary edema in dogs is divided into two categories: cardiogenic and noncardiogenic causes.

1. Cardiogenic pulmonary edema

Pulmonary edema that is caused by a problem with the heart is called cardiogenic pulmonary edema. This happens when the left side of the heart isn't pumping well, so blood backs up into the lungs. When this happens, fluids leak out of the blood vessels and into the air spaces in the lungs. These fluids are low in protein because they come from capillaries, which have small walls that let some fluid pass through them.

The main causes of cardiogenic pulmonary edema are diseases that damage or weaken the muscle of the left ventricle (the main pumping chamber of the heart). These include hypertrophic cardiomyopathy, dilated cardiomyopathy, mitral valve disease, and other conditions that cause congestive heart failure on the left side of the heart.

2. Noncardiogenic pulmonary edema

Noncardiogenic pulmonary edema can be caused by many things, including low alveolar pressure, increased hydrostatic pressure, or increased vascular permeability. The most common cause is increased vascular permeability. When this happens, protein-rich fluid accumulates in the interstitium and alveoli. This then changes oncotic pressure gradients and makes the edema worse. Numerous disorders can cause noncardiogenic pulmonary edema in dogs such as:

  • Acute respiratory distress syndrome (ARDS)
  • Pneumonia
  • Pancreatitis
  • Electrocution
  • Low blood proteins (hypoalbuminemia)
  • Severe cases of laryngeal paralysis
  • Severe tracheal collapse

What are the clinical signs of fluid in dogs' lungs?

The symptoms of pulmonary edema in dogs vary depending on the cause and amount of fluid in the lungs. Symptoms may include rapid breathing (tachypnea), coughing, elevated heart rate (tachycardia), weakness, fainting, and collapse.

How is pulmonary edema diagnosed in dogs?

If your dog is showing signs of respiratory distress, it is important to take them to your veterinarian as soon as possible. Your veterinarian will start with a physical examination and will ask about your dog's medical history. They will then likely recommend some diagnostic tests, such as:

1. Thoracic radiographs (x-rays)

Thoracic radiographs are often the first test used to diagnose pulmonary edema. They can show fluid in the lungs, as well as any other abnormalities.

2. Ultrasonography

Ultrasonography can be used to evaluate the heart and lungs. It can show fluid in the lungs, as well as any other abnormalities.

3. Blood tests

Blood tests can be used to check for problems with the heart, lungs, and kidneys. They can also show if there is evidence of infection or inflammation present.

What are the treatments for fluid in dogs' lungs?

The treatment for fluid in dogs' lungs will vary depending on the underlying cause. If the cause is heart disease, treatment will focus on managing the heart disease. This may include medications to improve heart function and reduce fluid buildup. If the cause is noncardiogenic, treatment will focus on reducing fluid buildup and supporting the respiratory system. This may include oxygen therapy, diuretics, and mechanical ventilation.

How can I prevent pulmonary edema?

The best way to prevent fluid in dogs' lungs is to keep your dog healthy and monitor them for any signs of respiratory distress. If your dog has heart disease, it is important to follow your veterinarian's recommendations for treatment and to have regular checkups.


In conclusion, fluid in dogs' lungs or pulmonary edema is a serious condition that can be caused by various underlying conditions and typically fall within two categories: cardiogenic or noncardiogenic. If your dog is showing signs of respiratory distress, it is important to take them to your veterinarian as soon as possible for diagnosis and treatment. With prompt and proper treatment, some dogs can recover from pulmonary edema and go on to live happy and healthy lives.