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What is Hemorrhage of the Lung?

A pulmonary contusion can be a life-threatening injury, depending on the severity of the hemorrhage so it is important to get your dog checked out thoroughly by your veterinarian if you suspect he has this injury. Since the pulmonary contusion is often caused by a traumatic injury, you should check your dog for other injuries right away. You should always be careful when moving your dog after a motor vehicle accident or any other traumatic injury in case of spinal injury or broken bones. A pneumothorax (collapsed lung from air in the chest cavity), hemothorax (blood in the chest cavity), broken ribs, and flail chest (2 or more broken ribs) can all be possible side effects from a pulmonary contusion, even if you do not see any visible injuries.

A hemorrhage of the lung (pulmonary contusion) is referring to lesions on the lungs that can happen after an injury to the chest wall. This can lead to hemorrhage and swelling which leads to the collapse of the lung. The pulmonary contusion is one of the most common wounds caused by a blunt chest trauma, which is most often from being hit by a vehicle or from a bite injury.

Hemorrhage of the Lung Average Cost

From 42 quotes ranging from $500 - $8,000

Average Cost

$3,500

Symptoms of Hemorrhage of the Lung in Dogs

  • Rapid breathing
  • Difficulty breathing
  • Loud breathing
  • Pain in the chest and abdomen
  • Coughing
  • Vomiting
  • Blue or pale skin and mucous membranes
  • Fainting
  • Collapse
  • Lung crackles
  • Bloody nose or blood in the mouth
  • Irregular heartbeat
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Causes of Hemorrhage of the Lung in Dogs

  • Vehicular trauma
  • Bite from another animal
  • Animal abuse (usually by owners)
  • Falling from a high area
  • Gunshot
  • Stabbing or other wound that breaks the skin
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Diagnosis of Hemorrhage of the Lung in Dogs

The first thing the veterinarian will do is make sure your dog is stable and has a clear airway while he does a thorough physical examination. This may require that your dog be sedated and provided with oxygen and fluid therapy so he may need to be hospitalized. As with any visit, you will need to provide your veterinarian will your dog’s complete medical history and any illnesses or changes in behavior. It is impossible to give a definite diagnosis of a pulmonary contusion with just a physical examination so your veterinarian will have to run some tests. These tests include:

  • Blood pressure
  • Complete blood count (CBC)
  • Blood gases
  • Urinalysis
  • Blood clotting test
  • Digital radiographs (x-rays) of the chest and abdomen

The radiographs may be enough to diagnose the severity of your dog’s pulmonary contusion, but it sometimes does not show the true damage, so the veterinarian may decide to do some more tests, such as:

  • Bronchoscopy
  • Electrocardiography (ECG) to check for arrhythmia or tachycardia 
  • CT scan for a 3-D assessment
  • Ultrasound to see the true extent of damage
  • MRI for further details
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Treatment of Hemorrhage of the Lung in Dogs

The treatment plan will depend on the severity of the pulmonary contusion and any other injuries that your dog may have sustained. Your veterinarian will want to keep your dog on oxygen for some time to increase the oxygen in the blood that may have been lost. Many times, the damage to the lung does not completely show for 24-48 hours, so the veterinarian may want to keep your dog for one or two days for observation.

Pain medication such as Fentanyl or Morphine will be administered if your dog is in pain. The veterinarian may also prescribe corticosteroids to reduce swelling and antibiotics to prevent infection. Other treatment may be necessary for injuries sustained with the pulmonary contusion, such as:

Pneumothorax

If your dog has pneumothorax, the veterinarian will have to perform a thoracentesis, which means relieving the air from the chest with a needle. After three attempts to drain the air, a thoracostomy tube will be placed in your dog’s chest.

Hemothorax

In the case of a hemothorax, the blood between the chest wall and the lung causes the lung to be compressed, causing pain and shortness of breath. Your veterinarian will want to keep your dog in the hospital on oxygen and IV fluids for 24 to 48 hours for observation. If the blood continues to be a problem or increases, the veterinarian may want to do surgery to find the cause of the bleeding and fix it.

Broken Ribs and Flail Chest (Two or more broken ribs)

If your dog has one or more broken ribs, the veterinarian may want to wrap the chest to stabilize the ribs and help them to heal. Cage rest and a short hospital stay are necessary if the injury is severe.

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Recovery of Hemorrhage of the Lung in Dogs

The veterinarian will probably keep your dog for at least 24 hours for observation, and possibly longer if there are any complications or if your dog has surgery. Once you get home, your dog may be on cage rest for several days to keep him from hurting himself. You will have to take your dog on a leash to go to the bathroom when necessary. Be sure to follow your veterinarian’s instruction and do not miss your follow-up appointment. The chances of a full recovery for your dog is excellent if the damage was mild and was treated right away. Otherwise, your dog’s recovery depends on the severity of the damage and whether it could be treated in time.

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Hemorrhage of the Lung Average Cost

From 42 quotes ranging from $500 - $8,000

Average Cost

$3,500

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Hemorrhage of the Lung Questions and Advice from Veterinary Professionals

Need pet health advice? Ask a vet

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Ask a Vet

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Mac

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Yorkshire Terrier

dog-age-icon

3 Months

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

Has Symptoms

Short Of Breath

My 2-1/2 month Yorkie was dropped by my 8 year old. He landed on the kitchen floor chest first. He was bleeding from his mouth and nose, gasping for air. His breathing was extremely short & every 5 mins he was gagging. I got him to the vet within 40 mins of the accident. The vet said nothing was broken, but his lungs were bleeding inside. He was kept over night and put on oxygen and Meds to keep him calm. Please tell me my sweet Mac can survive this?

June 9, 2018

Mac's Owner

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Dr. Michele K. DVM

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1611 Recommendations

Bruising of the lungs can be quite serious, and keeping Mac quiet will be extremely important with his recovery. He may need to be on oxygen until he is more stable, and your veterinarian can give you a better idea as to how he is doing, since they are monitoring him.

June 9, 2018

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Ezekiel

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Beagle

dog-age-icon

10 Weeks

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Mild severity

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1 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Mild severity

Has Symptoms

My puppy has been playing with a bigger dog who sometimes uses his big paws and has pushed on my puppy’s body . When my puppy kisses me I think I tast blood. I also feel like his breath smells sometimes like that smell of blood . I do not see any blood . He is not acting sick or shows any signs of pain. He breathes ok and still runs and plays . But I never heard a dog have this honking sound when they are crying . He cry’s normal but then I hear this low horn like sound come from his low chest. I do not let him cry for any length of time so it is not from crying I know this much.

May 27, 2018

Ezekiel's Owner

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3320 Recommendations

Without examining Ezekiel, I cannot say whether or not there is anything to be concerned about; you should try to keep him calm for the time being and monitor him. Since he is still a small pup, you’ll be taking him to a Veterinarian for vaccinations and you can have them give him a thorough examination to be on the safe side. Regards Dr Callum Turner DVM

May 28, 2018

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Nala

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Doberman Pinscher

dog-age-icon

2 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Fair severity

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Fair severity

Has Symptoms

Fast Breathing

My girl was hit by a car 3 days ago. She was examined and has no broken bones or signs of internal bleeding however she is breathing at a faster pace than normal and has been since that day. She did see her regular vet for a follow up where they checked her heart rate and looked at the xrays. The vet stated her breathing was probably due to the pain and I shouldn't be alarmed. I am still not at ease, would heart rate let them know if there was a problem? Could it just be she is in pain?

Jan. 17, 2018

Nala's Owner


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Dr. Michele K. DVM

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1611 Recommendations

Thank you for your email. Injuries related to traumatic injuries like being hit by a car can take time to show up, sometimes, especially lung injuries. If she had bruising in her lungs that started bleeding, she might need some help. If she is still painful, she may need more or different pain management than initially thought. It would be a good idea to follow up with your veterinarian, and possibly recheck her chest x-rays, to further evaluate her. I hope that she is okay.

Jan. 17, 2018

My 5 year old dog was shot by a bb gun while I was not home today. I am worried if it may have punctured something. The entry wound is on the left center side of her ribcage. She just walked inside and has been laying on the couch for hours when I noticed it after examining her because of irregular behavior. I do not have money to get her seen now though. Is there anything at home I could do for the moment? I have cleaned the area with water trimmed the hair around the wound to prevent more debris getting in.

Feb. 25, 2018

Jessica


I have a question my doing was attacked by another dog who had recently attacked her about three weeks ago ND today it attacked her again but this time her breathing is very different her left side bounces up ND the bottom right looks swollen can u plz advice me

Feb. 14, 2018

Michelle C.


Thank you for your speedy response! I am taking her in now for An xray and bloodwork.

Jan. 17, 2018

Nala's Owner


Also I notice it most while she is on her side, no bleeding from her nose and her gums are not white.

Jan. 17, 2018

Nala's Owner

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Oreo sensibill

dog-breed-icon

Pointer mix rottweiler

dog-age-icon

5 Months

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Mild severity

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Mild severity

Has Symptoms

Bleeding

HI my dog oreo got hit by a car today. His breathing sound like it has liquid in his lungs at time he kinda hyper ventilate and at time he acts like he want to vomit but he does. He had blood coming from his mouth the vet did an xray and ultra sound. They said he had a little internal bleeding in the chest but nothing to worry about. Hey kept him over (tonight) but I'm worried because they did not give him any oxygen and his breathing is very bad he was given pain killer and anitbotics If they didn't give him oxygen will he still survive?

Jan. 9, 2018

Oreo sensibill's Owner


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recommendation-ribbon

3320 Recommendations

Without examining Oreo, I cannot say whether or not he would require oxygen therapy or not; I am sure your Veterinarian would have checked the oxygen saturation levels in the blood with a pulse oximeter which is normally clipped to the tongue, ear, lip or other areas to get a reading. Also, without examining Oreo I am unable to give any guidance about the extent of his injuries or if he would survive. Regards Dr Callum Turner DVM

Jan. 9, 2018

Hello, my puppy Chubz was ran over today.. he has no bleeding, he’s walking and wagging his tail when excited but he has been laying around mostly all day, also his breathing is really hard and loud.. do you think his lungs are punctured?

June 30, 2018

Kaylee H.

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Samsung

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Lab and rotwiler

dog-age-icon

1 Year

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

Has Symptoms

Bleeding From The Nose

My dog was hit by a car and hasn’t bleeding coming out his nose and has irregular breathing and has movement in his hind legs but has very little in his front legs and pushes up and flops back down the vet said he has severe damage to the lungs and was very cold when the vet arrived on seen of the accident my concern is they are not doing an x-ray CT or MRI just fluids and said his body needs to rest and reabsorb his blood and needs to allow time to let his blood clot. I get that but shouldn’t they make sure he doesn’t need a chest tube or something just letting lay there with fluids don’t seem right to me? There was a huge amount of blood loss and the vet was surprised he was alive when arrived at the vet.

Jan. 3, 2018

Samsung's Owner

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recommendation-ribbon

3320 Recommendations

In road traffic accident cases like this, it is important to stabilise a patient first especially when there has been a large quantity of blood loss; your Veterinarian may be waiting for Samsung to be more stable before doing any further diagnostics like x-rays since we want to keep movement to a minimum. X-rays however should be taken at some point to check for any skeletal injury or other signs of internal trauma; ask your Veterinarian for an x-ray. Regards Dr Callum Turner DVM

Jan. 3, 2018

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xx

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terrier

dog-age-icon

1 Year

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

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0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Moderate severity

Has Symptoms

We picked up a dog which had been dumped by the side of the road. his breathing was from his stomach, we took him to the vet, we agreed to pay for an x ray and it was found that she had a collapsed lung on the left and an enlarged spleen. No surprise, After a search for the owner no one has come forward. We would like to know if surgery is absolutely necessary or will the dog heal. The vet believes the trauma was from a kick rather than car accident. We live in France.

Hemorrhage of the Lung Average Cost

From 42 quotes ranging from $500 - $8,000

Average Cost

$3,500

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