To diagnose a case of maiden’s breath poisoning, it is helpful if you can bring a photograph or sample of the plant. Let the veterinarian know as much as you can about what happened, how much your dog ate, and how long ago this took place. Be sure to mention any symptoms you have seen and if your pet is on any medications. It is also a good idea to bring your pet’s medical and immunization records. Also, bring up any abnormal behavior or change in appetite that you have noticed lately.
The veterinarian will do a comprehensive physical examination of your dog, which includes body weight, temperature, pulse rate, blood pressure, breath sounds, oxygen level, and reflexes. Urine and stool samples will be taken at this time to examine under a microscope. Blood will also be drawn for laboratory tests, such as a complete blood count, liver enzyme panel, and glucose test. In addition, a packed cell volume (PCV) will be done to check for dehydration and a biochemistry panel to look for increases or decreases in protein, chloride, bilirubin, potassium, sodium, and creatinine.
Your veterinarian may also want to do an endoscopy to look at your dog’s throat and airway, checking for blockages. Your pet will be sedated during the procedure to reduce stress. It is a very safe process which involves using a long and flexible lighted tube, which is called an endoscope, to help your veterinarian see the inner walls of the throat, esophagus, and upper airway. If any blockages or plant residue is found, the veterinarian can remove it with a small tool if necessary. Afterward, chest and abdominal radiographs (x-rays) will be performed to check for any blockages further down where the endoscope could not reach. If a more detailed view is needed, an ultrasound, CT scan, or MRI may be done as well.