IMHA: Four Letters You Never Want to Meet

It can happen with remarkable speed

April 15, 2013 (published)

Most of the diseases that we see and treat in the ER can be pretty easily comprehended by non-medical folks: trauma, infection, cancer – all of these seem to make sense to pet owners when we discuss them. But there is one disease that almost always sends heads spinning and puts a look of blank incomprehension on the faces of pet owners. This disease is immune-mediated hemolytic anemia, or IMHA, and I will give you a little insight into its nefarious workings right now.

Your immune system keeps you safe and protected from all the zillions of things that try to kill you every day.  Every minute of every day, viruses are trying to enter your sinuses, bacteria want to creep into your blood stream, and even your own cells decide what the heck – let’s mutate and try and cause cancer. Your immune system stands a post, grabs a gun and keeps all these hazards at bay so you can spend another day looking for just the right pair of jeggings at the Gap.

Your immune system is an amazingly choreographed and intricate machine with dozens of types of cells and hundreds of chemical messengers that allow it to determine what’s you, what’s not you, and what’s potentially trying to kill you. It doesn’t always work the way it is supposed to.

In some cases, it gets confused and decides that something totally harmless is worthy of note and launches a counteroffensive – this is what happens with most allergies.  Your immune system decides that pollen, for example, is dreadful and must be eliminated at all costs and mounts an attack that leaves you with puffy eyes, a runny nose and a bad case of the sneezies.  To my knowledge, pollen has never killed anyone – so, why the big fuss, immune system?

In other cases, your immune system gets even more confused and decides that little bits of you – important bits of you, like joints and blood – are the bad guy and takes them out. These are the so-called autoimmune diseases, many of which you have heard of: rheumatoid arthritis, lupus, Grave’s disease.  There are many more. Even diabetes (Type I, in which the body stops making insulin) is an autoimmune disease at its core; the body attacks the cells of the pancreas that make insulin. No one knows why. I think it’s because the pancreas said something about the immune system’s mama once, and it all went downhill from there.

One of the more common autoimmune diseases that veterinarians see is IMHA, in which the immune system decides that red blood cells would make a tasty snack and goes after them like Chuck Norris after the bad guys. In most cases, the trigger is never known – one day, your immune system wakes up and says “yesterday – viruses and bacteria, today – red blood cells! Tomorrow – who knows?!” and starts destroying them with abandon. The ‘hemolytic’ in the name refers to the process of popping or lysing red blood cells. Incidentally, onions, mothballs and the zinc found in pennies minted after 1982 can all cause the same thing.

Some of the signs of IMHA include:

  • Pale or yellow gums
  • Extreme weakness and lethargy
  • Loss of appetite
  • Jaundice (yellow discoloration) of the whites of the eyes.

It can happen with remarkable speed – one day your dog is happily snoozing by the fire, the next day your veterinarian is telling you that he’s in a 50:50 battle for his life. The speed always amazes clients, and makes it one of those diseases that prompts people to use the old ‘but, doc he was fine yesterday’ line.

Your immune system moves fast – think of how fast you go from the depths of the flu to feeling fine; one or two days and you are back to normal, once it gets a toe-hold on the invading bugs. It moves at the same speed when it is confused. It is mercilessly efficient whether it is covering your butt or kicking it.

IMHA and its close cousin Evan’s syndrome (in which red blood cells and platelets are both consumed) are not easily treated. The odds we give pet owners are around 50:50, and some days even those poor odds seem a tad optimistic. Doing battle with the immune system is not for the faint of heart or lean of wallet.  Many days in the hospital, multiple transfusions and, in some cases, medications costing thousands can all take their toll and many owners elect not to go ahead with therapy. Not all cases reach the financial limit for owners, but I have been involved in enough that have gone down that path that I always warn families of the potentially rocky road that may lay ahead. I never fault owners who decide not to even dip a toe in the pool and call it quits once the diagnosis is made. It is that bad.

One of the dreaded consequences of IMHA is a blood clot that can travel to the lungs and is often fatal – a pulmonary thromboembolism, or PTE. After treating several cases that seem to have dodged a bullet, enduring transfusion after transfusion, only to catch that bullet in the form of a massive PTE, I always let people know the worst than can happen.

Those that we do treat are on medication for months (steroids like prednisone are the cornerstone of therapy) and about one dog in five will have a relapse at some point.  Cats, for some reason, are relatively resistant to IMHA; they can still get it, but I have treated hundreds of canine cases and only a handful of cats.

There is an association between recent vaccination and the onset of IMHA, but I don’t want to infer that vaccines cause IMHA.  It’s just not that simple, although folks love to paint vaccines as the bad guy. The association between the two is tenuous and somewhat unproven, and vaccines are still one of the most important tools we have against dreaded diseases like parvo and distemper. We do, however, usually recommend that patients who have had IMHA not receive vaccinations ever again in the future, out of, as they say, an abundance of caution.

Since most cases of IMHA are seen in middle-aged to older pets (females are slightly more likely to get autoimmune diseases in general; Cocker spaniels are the poster dog for IMHA) and vaccines have the greatest protective effects in the young, this recommendation does not usually mean that skipping a vaccine will open the door to potential diseases. Whatever you do, don’t skip vaccines in the hopes of avoiding IMHA, especially in a younger dog. Parvo has killed millions more dogs than IMHA and the vaccines are proven and effective in preventing it. It is simply not worth the risk.

Your immune system is something you absolutely can’t live without, but when it gets off track and sets its sights on some vital part of you – look out. It is hard to get the genie back in the bottle. It can happen, but not without a fight, and with IMHA we are up against a formidable foe.



Mary Jo
October 23, 2021

We lost our 20month old lab to IMHA, over a short time we noticed our pup being decreased in wanting to eat. Thought he was just being a picky eater, then it came down to him not wanting to eat at all. Ended up bring to vet hospital and doing blood transfusions,  plasma, they even needed to remove his spleen do to it affecting it. Then more blood transfusions and plasma he was in forc4 days and that last night we got a call from the vet saying he was brain dead. As they said he had DIC also which was a clotting disorder.We decided to help him pass completely. We ended up paying $13,313.00 for all of this and he didn't make it. So sad we did all we could. I brought him to the vet one month prior to his death and told them he was not eating as good as he use to and was lacking his leg alot, they told me its behavioral and to bring him to day daycare to help him work off some bored behavior when in fact it was the beginning of his decline, if that vet had only did her job and did blood work and not just assume then maybe my pup could of had a better chance of survival.  So I want others to know vets do not always know what they are talking about so second quest them push for better answers from them as I wish I did. I feel for any pet owner who has to deal with losing a pet to this disease.

Matvey Zakharov
October 21, 2021

Lost my 11month bull terrier tonight. Don't know for sure wether it was IMHA or not but all the symptoms checks out. I woke up at 8:30 AM and there was a pool of blood near the puppy's place. Poor pup was lethargic and didn't wanted to eat or drink. Took him to the vet and by 11AM had ultrasound results (blood in bladder, both kidneys "looks bad as i nvere seen" as the vet said) and blood test (5x higher potassium, 3-4x higher urea and low eritrocytes). Also he had low temperature (35-36C) and low blood preassure. By 2pm i found stationary clinic and brought him there. They took him to an emergency room around 3:30 with a poor prognosis and that's a last time i saw him. By that time he became even colder and even more pale. He died just after midnight, less than 24h after any evident emergency signs. Should've put him to sleep to ease his pain. Writing this to ease mine.

Karen Murray
October 20, 2021

My 9 year old whippet has been diagnosed I feel it would be best to let her go but my minds in turmoil I have a consultation tomorrow with the vet and hope this gives us support to do what’s best in my heart I want to let her go but worry I’m not giving the steroids and Gemma a chance.

Tierra Copeland
October 13, 2021

My heart hurts reading your stories about your fur babies. I’m so sorry as my dog is currently fighting for his life with this disease and I need help please. Jersey is 5 years and he is a Bichon. I took him to the emergency vet on Sunday as he was very lethargy and they gave me options to do a blood transfusion right away or put him down. I went with first option to at least try. Jersey got his first transfusion and his blood count was increasing until he got bit by a stray dog while under the ER vet care so of course it threw him and his blood count started to decrease again. So they had to give him another blood transfusion and we are believing that his blood count will start to increase. Which is did but now we are home and he still isn’t himself. He isn’t his regular dog food and he also deals with seizures which they believe the seizure medicine is the cause of this. I need help because since he was injury while in their care, his treatment is now free but I don’t they are giving him the best treatment. Any insight would be appreciated?

October 13, 2021

I have just lost my beautiful 4 year old Miniture Pincher to these terrible illness. On Sat 2nd Oct we took her to the vets with an acute onset of cloudy eyes ( uveitis) . She had some steroid medications and eye drops. Her eyes were back to normal 48 hours later. However on Thursday 7th Oct I noticed her back legs were weak and she was panting  we got an emergency vet appt who said she had an infection a WCC and ESR ( in blood raised) also she had a very high temperature and was dehydrated.  She had iv fluids and sent home 2.5 hours later with oral antibiotics. Well in the early hours she was panting again , vomited twice and was lethargic. We went to another vet who thought she had a multi joint infections. Later that evening g we received a call to say her red blood cells were very low and she needed to be taken to the Emergency hospital for a blood transfusion. She received 1 transfusion but unfortunately started to reject the donor blood. She became jaundiced and was worse than before the transfusion . I visited her the day after the transfusion and she was extremely unwell, could hardly walk, looks disoriented and had yellow eyes. I made the decision to end her pain. I was with her when she passed. It was very peaceful and after she passed her coat seemed to go back to her lovely brown colour and her eyes looked has their twinkle back. There was no way I was going to prolong her treatment as I felt she was in pain. It is an awful illness. I am not coping well without my beautiful baby girl who was only 4. Im sorry for anyone that has to go through what my baby did.

Teri S
September 22, 2021

We lost our beloved dog Josie (a 5 1/2 year old Pembroke Welsh Corgi) to IMHA in August.  We had taken her to the vet for lameness in her rear leg.  The vet suspected a partially torn ligament in her knee and prescribed Gabapentin and Carprofen.  We gave her one dose each that evening.  The next morning she vomited, refused food, was very lethargic and had pale gums. We rushed her to the vet thinking she had a reaction to one of the meds.  She was transferred to a hospital that could provide 24-hour care and was quickly diagnosed with IMHA after blood tests.  They had never seen or heard of either of these meds triggering IMHA after just one dose and insisted it was just a coincidence.  They said it was Primary IMHA after running tests and not finding anything else that could have triggered it.  She spent 7 days in the hospital and had 5 blood transfusions.  She never responded to the steroids during that time and developed difficulty breathing on day 7.  The specialist was worried about a thromboembolism and she was diagnosed with aspiration pneumonia after another x-ray.  Given her condition on this day we made the very difficult decision to put her to sleep. Our food-loving Corgi never ate that entire week despite being given appetite stimulants.  During our daily visits with her she would have a blank stare in her eyes.  We are heartbroken and still shocked that this disease we had never heard of could take the life of our healthy and energetic pup so quickly.  I really hope they can find a cure someday.

September 17, 2021

Thank you  everyone for sharing your stories.  My beautiful Siberian Husky just succumbed to this IMHA disease on September 13th 2021.  She was a lively and healthy 12 year old with what I thought had couple more good years ahead of her, then one day she just fell on the floor and couldn’t walk. I took her into the pet ER and they told me she had this horrible disease and since her RBC was at 10, she needed a blood transfusion.  Once the transfusion was complete, her RBC went to 15. The treatment included the steroid prednisone, and cyclosporine and about 14 other meds. Although she could not get up, when we pulled her up she was able to walk very slowly.  For 2 weeks on a hugely complex treatment schedule at home, my pup looked like she was going to recover and her RBC went up to 37.5  and she had a bit off an appetite although she had finally lost 10lb. However then all of a sudden in a matter of a couple days, her front legs  muscles now also were initiated along  with her hind legs and her head. I tried to lift her to get her to walk but she totally collapsed and by morning she was completely limp to the point her head hung when I held her in my arms.  We had to make the decision then to stop her suffering and we lost this beautiful being.  You are all right, this is a terrible disease and I Was always very diligent with my pups to ensure their health, keep up with anything that could cause them harm but never knew about this disease to even watch out for the signs.  This week I’ve blamed myself thinking I did something wrong, maybe I should have pushed back on all the meds, seen signs earlier, but in the end, it was our decision to give her a fighting chance but this disease was just too much and extremely aggressive.  I’m so very proud of how hard she fought to stay home with us and impressed at how hard the hospital staff worked on her for these 3 weeks.   A week before she was diagnosed with this, my Shepard kept smelling her back and she (my husky) became very clingy, which hindsight I believe were signs something was off. That said it would most likely not have changed the outcome.  To all of you, I thank you for sharing your stories as they lent support for me as I go through this grieving process and I wish you all peace in the knowledge that your beautiful beings were in your lives, filled you with many memories and such wonderful unconditional love that only they can provide. I will continue on my journey now with an objective of bringing transparency to this disease in anyway I can.  Thank you all. Sedona’s mom

September 9, 2021

I am adding our experience with IMHA that afflicted our 6 year old lab golden retriever mix this past June.  I found this article and many comments to be helpful in preparing us for the ten day ordeal that we went through with our dog and ultimately letting her go after 3 blood transfusions, tx with prednisone, dexamethsone, mycohenolate and chemotherapy. Her HCT levels never stablized above 19% and the decision to euthanize was made after she failed to respond after the cessation of chemotherapy. We were grateful for the special hours spent with her during treatment and heartbroken with the loss. My KEY LEARNINGS with this terrible disease are that the odds of survival are low with current tx and letting your animal go is an acceptable decision at any point in order to spare them further suffering. Our vet team was heroic and wonderful however you as the owner bear the burden of making the call with little to go off except hope. Pay attention and act early on the signs/changes that your pet is giving you.  I noticed and was concerned that our relatively young dog was not able to complete 3 mile walks with out panting and rests but did not act on them until I found her collapsed on our kitchen floor.  It may have not changed the outcome in this case but maybe it would have bought her more time.  Lastly, to file under prevention, spread awareness of onion/garlic toxicity for animals that can accumulate over time and trigger IMHA.  Our dog's diagnosis was idiopathic IMHA but I have become especially aware of the potential exposure to animals. Thank you for this honest article (I have read many) and the many stories posted that helped me and my family process the loss of our special dog Gertie.

September 2, 2021

Hi I'm writing from Australia as I just lost my beautiful 11year old English springer spaniel to the horrible disease IMHA. I have been reading your stories and can see I am not the only one to have a dog catch this disease. My Bella was such a happy energetic girl right up to the end. On the Monday she was normal but I did notice she wanted to eat her dinner but hesitated which was very odd but after 1 Min she ate the lot.  Tuesday morning I could see she just didn't have any energy. I cuddled her and had a little cry as I could see she was not herself and as I cuddled she could wag her tail. We took her to our local vet and he said straight away she was very sick and after 2 hours of xrays blood tests and ultra sound they said there was nothing sinister in her body but they thought she had an autoimmune disease and urgently needed a blood transfusion so I took her to the vet hospital and with covid they took her in and I had to stay in the car which was so hard as I didn't get to say bye and it would be OK. Anyway after 2 blood transfusions in 24 hours and her liver was starting to cause issues I had to make the most horrible decision to let her go. It has been the worst time in my life and even now 2 weeks on I still cannot believe she will not be coming home or that I will never get to hug and talk to her again.  I truly hope they can get a cure for this horrible disease.  Reading your stories have helped me with the grieving.  Thank you

August 9, 2021

My dog recently passed suddenly and had all the symptoms oh IMHA . Did any other dog owners whose dogs passed from this have a shot of the drug CYTOPINT a month or so before passing .

Jen M
July 29, 2021

Two years ago I found this 2013 article. Our soulmate dog died two years ago today and I find myself back at this article. Why? Because I’m angry this disease doesn’t get as much attention as other diseases. I’m angry my dog is gone and it was sudden and tragic. IMHA needs a face. It needs attention. All those who are helping their pet fight IMHA and those who have lost their pet to this horrible disease- we need a voice.

July 28, 2021

my beautiful holly 10 years old has I.M.H.A went from a bouncy cocker in just few days swollen belly no energy went to vet said they would try steroids which she has been on for 5 days but now she hasant had any bowel movement for 24 hours even though she is eating and drinking chicken and tuna only i cant look at my fur baby suffer like this she has no quality of life just lying in her bad heavy breathing and sleeping so im going back to my vet tonight i think this will be our final journey im totally brokenhearted the hardest decision i have ever had to make

July 19, 2021

In reading these stories of love and compassion it provides a small amount of peace to my grieving heart. We are all astounded with the speed of IMHA progression. We are left with the horrible “WHY?”. The common thread is the randomness with which it strikes. The guilt of missing something or not doing something is somewhat lessened by reading these stories. In my case, I had a completely healthy dog.Last vaccinated for rabies 8 months ago. She received regular vaccines, heart worm preventative, flea and tick treatments. She was not a scavenger ( unlike my other 2 dogs) and she was fed “high end” kibble. When I first brought her to the vet they thought maybe she had pancreatitis from a new glucosamine treat. They checked her for heart worm, leptospira and a few other parasites…all negative. We don’t treat our grass with fertilizers or bug sprays. We have the usual complement of bees, wasps, spiders and snakes (non venemous). So we are still searching for a “WHY?”. The more I read, the more I realize that there is most likely no answer….and I don’t know if that helps. We want a reason, a cause, something to avoid in the future, something to guard against. Like most of you, our Niki was like a child in our family. She depended on us for everything and in exchange she gave is joy, companionship and love. It hurts to feel so helpless in her suffering. It hurts to lose her so fast and at the same time feel that we did all we could to try to beat this IMHA beast without extending her suffering. In the end, we know we made the right choice for her…as she could have never thrived in an immunocompromised state or been restricted in her LGD instincts. It still hurts, it REALLY hurts. I love my Niki and miss her.

Heather Vose
July 15, 2021

7.13.21 Our Lucky passed away of this horrible disease. He went from an  energetic, eating healthy dog to not eating, could not even stand up within two days. We are absolutely devastated.

July 12, 2021

We just lost our beautiful 5YO Great Pyrenees to IMHA. We are devastated. She turned away food on Monday night. Tuesday she was blah but drinking a lot. It had been in the 90’s and she was inside almost all week so I didn’t think she was being  dehydrated. Her pee was very yellow which didn’t make sense since she was drinking so much. Vet visit Wed morning showed her HCT at 34, bili slightly elevated. Vet Rx prednisone, anti nausea meds and anti parasitic. She ate on Thursday but was still blah. Friday afternoon she looked pale. Brought to vet. HCT at 20. Vet advised taking her to emergency for a transfusion. The emergency clinic was so underprepared for IMHA. No IV meds- which I was lead to believe they had in order to speed delivery and bypass pilling a sick dog. HCT at the ER dropped to 15. She was a 115# so they gave her 2-double units of packed cells. A few hours later, her HCT had only gone to 18….should have gone to 30 with the amount of record they gave. She had shown no signs of regeneration in her marrow (low retic). Her immune system was killing off the RBC too fast. She began having difficulty breathing, turned yellow. They feared she was having pulmonary embolisms. I could not watch her suffer. I could not imagine going through this scenario over and over again. She was a GP through and through. She ran the perimeter, chased away every squirrel, leaf, bird that “threatened” her territory. She had a majestic thundering gait and a bark like no other. She was my beautiful Niki and I am missing her terribly….we all miss her terribly. We have her sister , Tess and her border collie brother, Scooter who are grieving. IMHA is horrible. There are research grants available to find causes and better treatments. Hopefully these fundings will provide better outcomes. No one deserves this horrible affliction.

July 8, 2021

I lost my best friend and heart dog, Bailey, on 2/14/21 from this awful disease.  She had just turned nine years old and was a gorgeous, sweet, smart, and loyal black lab/border colie mix. Her last day with us was her ninth birthday... 2/12/21.  We spent the day celebrating her with cake, steak, and a present (that she surprisingly unwrapped herself).  That day, she was lethargic, but I thought she was just tired.  I noticed ZERO symptoms leading up to her diagnosis; in fact, I even thought a few days beforehand that she was the happiest and healthiest that we had seen her in years... I even thought about jogging with her again in the upcoming summer. When we woke up on 2/13/21, she was laying in a corner in my closet, which was not normal for her.  She went down to have some water, but just stood at her bowl panting and staring off into space.  We offered her breakfast, but she wasn't interested... This was a HUGE red flag as she was obsessed with her food.  I told my husband before that whenever Bailey didn't want to eat, something was MAJORLY wrong.  We then took her to go potty, and her urine was bright red.  I had already been on the phone with the ER (it was 6:00 A.M.) and decided that we should take her in.  I honestly thought she just had a really bad bladder infection as she had some UT issues in the past.  We dropped her at the vet... My husband carried her in/out of the car.  I put her little chin in my hands and kissed her on the lips before the tech came out to get her.  I remember her walking back into the hospital very slowly, and I broke down into tears.  My husband kept telling me she would be fine, but I knew something was really wrong with my baby girl. We couldn't stay by her due to COVID, so we went home (it was only about 15 mins away).  We got breakfast (I'll never be able to eat french toast again).  When we were finishing, we got the call that her red blood cell count was low and that they'd need to monitor her with bi-hourly blood draws.  They weren't sure what was causing her count to be that low, but made the IMHA diagnosis after her second draw.  When we brought her in, her count was at 19%.  It had dropped to 16% in just two hours. We didn't have much time to think or even learn about this disease.  The vet said that we could try a transfusion and see how she did; I didn't know that even if she had stabilized, she'd likely have a LONG road ahead of her and would never be herself again.  They started the transfusion early afternoon.  They called to let us know that her counts rose to 26%, and we felt some relief.  Clearly, she wasn't out of the woods yet, and they wanted to keep her and continue to monitor her counts. Shortly after this transfusion, she had an awful, awful reaction.  Eyes darting all over the place.  Shaking.  Labored breathing.  They were able to calm her down with more meds and get her to sleep a bit.  They let her be for a few hours.  We called before bedtime, and they said that they'd only call us if we NEEDED to know something or make decisions.  I hated the phrase "make decisions."  The techs texted me a picture of Bailey, and she looked so scared... I deleted it, and it recently resurfaced in my instagram. :( That day was just awful... Waiting around the phone for updates on whether my best friend would be ok.  I think about it five months later and get a horrible pit in my stomach. My husband and I went to sleep fully clothed.  I was emotionally exhausted but somehow slept.  We had our other dog, Reese, in bed with us. Sure as sh*t, the phone rang around 1:00 A.M... Her count dropped to 12%.  We decided that we needed to do right by Bailey as she had always done right by us.  I could NOT imagine losing her without being able to say goodbye, and the thought of her passing alone and scared in a hospital made me sick.  We got out of bed and drove in the -10 degree weather to the hospital.  We called to let the vet know that we had made the decision to not let her suffer anymore.  She initially said that they would need to bring Bailey out to our car for the procedure. I started sobbing and begging her to change her mind; sitting in negative temps would have been awful for everyone.  Thankfully, they changed their mind and allowed us to go into a little room for fifteen minutes. How could I saw all the things I needed to say to Bailey in just 15 minutes?!  When we walked up to the door, she was on a stretcher.  She lifted her head, her eyes lit up, and she wagged her tail when she saw us.  We got into the room, and they left us alone with her.  We held her, kissed her, and thanked her for ALL the days (I always used to say "thank you for another day" when we went to bed). Throughout her life whenever I'd take a trip/go away, I'd say, "Mumma go, Bailey stay."  This time, I said, "Bailey go, Mumma stay..."  I sang "You Are My Sunshine" to her while they administered the meds, and then she was gone.  When they wheeled her out, I literally collapsed onto the floor and was screaming and sobbing. I still can't wrap my head around any of this, and I'm in tears five months later from writing all of this out.  Ironically, a month before we lost her, I found the song "Choose you Twice" by Ben Zaidi.  Listen to it (with kleenex) if you've recently lost your baby.  Bailey wasn't just a dog... She was my best protector.  She stayed by my side through a divorce, the loss of my grandma, and four miscarriages.  She protected me up to the very end by never allowing me to witness any of her bad days... I only had good days with her, and my memories (except for this) are all of my healthy, beautiful little girl. If you're reading any of this and not sure what to do, I URGE YOU to think about what your dog needs from you - not what you need from your dog.  They have given you SO MUCH love, comfort, and companionship over the years; letting them go with dignity and with you by your side is the best gift you can give them.  They never leave us... Just 12 hours after Bailey died, I was standing in my kitchen, thinking about how she was in heaven, running through open fields, rolling in the grass, and chasing birds.  A few seconds later, I heard birds chirping.  The sound was coming from our bedroom.  I thought I was losing it, but I walked up there anyway.  Sure enough, our alarm clock was going off with the sound of birds at 2:30 in the afternoon.  I've NEVER set an alarm for that time, especially not in the middle of the day.  I KNOW that was Bailey telling me she made it to heaven and that she was safe.  Now every time I hear the birds chirping, I think of her and feel comforted.  I'd choose you over and over again, Baby Girl.  Rest in peace, and please wait for me.

Davinia Aubeeluck
June 19, 2021

We just our dog within 24 hours because of this disease. Thursday we go for our run. Friday she is a bit more quiet but showed a lot of excitement when we packed her bag to go away. Saturday she refused to get up the stairs and screamed of pain and wasnt following us. My husband found blood in her stool. Thought it was a bone. Call emergency. She get weird epileptic episode. She is admitted at 6 pm and passed away at 10 pm. The vet was doing tests and was surprised that it happened so quickly. It had attacked the brain. There were just a few bruises on her body which were not there on Thursday except a tiny spot on her ear which I thought was a mosquito bite. This is a terrible disease. Hope you can find a cure.

June 12, 2021

Are there breathing symptoms with this?Like trying a breath in and not being able to get it in and back out...jerky short breaths trying to catch a normal one?I have a white red nose pit..she is almost three...her pink ear skin has turned white but her gums are still red and normal...she already has yellow can I tell...!!I'm scared she is my life!!

May 27, 2021

My dog Jake just gonna be 7 in Aug. One minute running after squirrels to in the icu for 3 days red cell count 15 today not eating much, weak don't want to even lift his head. Also he swallowed a nail. But hospital says it's not related to IMHA or didn't cause that. He's on multiple meds and no quality of life. We are making a very hard decision after spending 4000 on trying to save him. I truly cant comprehend this disease. I am just so devastated over this. Signed broken hearted mama

May 8, 2021

We lost our sweet Westie Buster in 4 days to this horrible disease. He was fine last Saturday and passed this past Thursday. We were so bewildered as we watched him decline. Thank you to everyone for sharing your stories. It makes us feel less alone.

April 9, 2021

We have been battling this dreadful disease for 3 months with our 7 year old cocker/ doxie mix. He’s had 4 transfusions and  is on 20 mg of prednisone, cyclosporine, micophenolate, telmisartan (his kidneys were affected) and clopidogrel. His blood transfusions are lasting longer and there seems to be a slight response from his bone marrow.  Praying  the last one works long enough for his body to start responding better to the meds.  Praying for my sweet pup!

Jane Panitz
March 6, 2021

Our sweet boy Jaxon born this past SEPTEMBER 2020 was just diagnosed with Hemolytic Anemia at only 22 MONTHS! He is in hospital receiving care. Waiting for 2 other tests to come back. Came on very suddenly. In less then 48 hours his RBC went from 25 to 15. Not a good sign. Too young.

February 15, 2012

Our beautiful boy Bongo, our 13 and a half year old grey  Cavoodle, my best mate ,my little love & my 6 year old sons fluffy brother passed away from IMHA two weeks ago. Three weeks prior he was fine, then one day he just didn’t want to walk far and same the next day. Then his legs started to give way. I thought it was his back or ticks but I was very worried. We rushed him to emergency & after blood tests t& CT scans they  said it was IMHA. They kept him from jan 2-7th . He came home on steroids (prednisone & cyclosporine), anti blood clotting tablets. He lost over 3kgs in under two weeks. He was 17.6 then down to 14.8.. he had prolific muscle loss. He went back every 5 days approx for blood tests to see if his anemia levels were ok.. they were fairly stable and he seemed to have more energy and happier.. but all of a sudden after 17 days after his discharge he got weaker until he couldn’t get up to drink or wee .. it was sooo sad and I took him back and the vets took bloods and said it’s normal, he’s just tired from massive muscle loss from the steroids and it will get worse then better they hope, well the next day I took him back to our beautiful normal vet we’ve been at for 12 years.. we hadn’t been able to go there because of Covid lockdown. Our normal vet Pete did an emergency ultrasound and said he has pancreatitis and it’s painful and a high temperature. He put him on antibiotics and I took him home. It was a sad night as I realised he was very very sick. I slept on the floor with him and helped him drink and the next day was my sons first day back at school for the year. I put Bongo and Dylan in the car and on the way Bongo put his paw right on Dylans lap during the journey which as Dylan said ‘Bongo never does that’. Bongo knew it was time and loved his (human )brother . I was so teary. After we dropped Dylan to school I took Bongo to our lovely vet Pete who gave him 4 days of every chance he could , fairly, to stand up and show some improvement but he was sooo tired . He had his steroids lowered faster than normal to control the pancreatitis ... he still gobbled down his favourite chicken., he never lost his appetite. My son and husband and I , picked Bongo up from Pete and brought him home on Sunday afternoon 30th Jan 2020 and we spent this last evening together. His bowels weren’t great and he could t get up unassisted but geez he was a tough little fellow, stoic, living and brave. I lay with him all night and all the next day, Monday 31st jan 2020, crying and patting him & letting him know it’s ok to rest now and that we will be ok and my son said his goodbyes knowing he most probably won’t make it through the night, he’s 6.. I had my last licks and breathes with the most incredible spirited, gorgeous dog, my little  soul mate and he went to sleep in my lap... it’s a very sad time in our lives.. we are so grateful to have him in iur lives and so sad to say goodbye for now.. out beautiful Bongo

Melanie Noble
February 2, 2021

Yesterday we lost our 2.5 year old pit bull hazel to this horrible condition. I left for work Sunday morning and she seemed fine. By 9am my husband text me that she was urinating bright red blood. Being a nurse myself I thought UTI, kidney stones, she ate something, maybe even trauma because she was so hyper and crazy. Never did I think in 24 hours she would be dead. She continued to urinate blood throughout the day and get progressively weaker. This is a puppy who bum rushes the door with every visitor. She had the worst manners lol. When I got home from work she didn’t move off the couch. I told my husband this is not normal we need to take her to the emergency room now. Unfortunately due to covid restrictions they wouldn’t allow us in. They called us and told us that she had IMHA and that she needed a transfusion and steroids. She stayed the night and was transfused. The next morning her levels barely increased and I was told her red blood cells were being destroyed as soon as they were being transfused and that without multiple very expensive transfusions she would not survive. I wanted an honest answer so I called around and did my research. Unfortunately this is a horrible diagnosis. If these poor dogs do survive after thousands of dollars and multiple relapses, their quality of life is not the same. They may need lifelong steroids which then come with other complications. I decided to take her home and try to give her the steroids  and force oral fluids with a syringe. We got home from the vet at 12 noon the next day and 2 pm she started having labored breathing and was incontinent of urine and stool (which was still so bloody). She was orange (her gums, whites of her eyes, belly skin, the skin inside her ears, and her nose) all from her own body destroying the red blood cells it so needed to oxygenate her vital organs. She did not seem in pain but she seemed scared. I can’t imagine what it felt like for her to be unable to catch her breath. Knowing the end was near I called my vet begging for him to put her down because it was so painful to watch. I wanted her to live so badly but I knew that she was already gone. She wasn’t interacting and had a blank stare. He had the nerve to tell me two things which I will never forget. One, he could see us tomorrow (I’m like she will be dead by then) and two, I cannot be with her during the process of putting her to sleep. Here I am with my dying puppy and I’m having to choose between keeping her home and suffering, or letting her die alone and scared on a cold metal table. Fortunately I pulled myself together long enough to google search home euthanasia options. I found a mobile vet that came to the house and did it while she lay on the couch in her favorite spot wrapped in a soft blanket with her head in my lap. The thought of her being gone was too hard to bear, but once I saw her struggling to breath for as long as she did, I just wanted her to be calm and rest. I was the saddest and most traumatic thing myself, my husband, and my kids have ever had to witness.

January 25, 2021

My 11 year old neutered Belgian Malinois , a former sheriff patrol dog was diagnosed with IMHA. I noticed signs of trouble very early. He has been healthy up until this Dx. He has been fed a raw diet for 9 years prior to this. Then due to the vets and/or city clerks and what I will call laziness on their part, my Mal ended up getting rabies vaccine 4 years in a row. I believe this is what triggered the IMHA. The corticosteroid treatment was causing other issues, including "depression" in my dog. I read every research article I could find and access on this disease. I continued with his raw diet and added particular herbs to boost his system. He just turned 13 and is doing better than any of us dared hope for. His vet, the one that diagnosed him is impressed. She agrees he should not receive anymore vaccinations and said to keep up with the changes I made in his diet. I notice that a couple times a year he get a small flare-up of symptoms so I increase the herbs until the symptoms are reduced again. I empathize with dog owners who have lost their beloved friends to this and with owners still fighting for their dog's life. I'm not sure if what I'm doing is truly working but hoping I'll have my buddy for several more years.

Joanne Elaine Miceli
January 23, 2021

Our 9 year old, healthy GSD Leo received the merial lepto vaccine on may 4, 2020 and by july 9 he had developed Immune-mediated thrombocytopenia and spent 8 days in critical care before he died.  This explains why our 7 year old GSD/St Bernard developed IMHA in 2007, four months after her only lepto shot. Four days in critical care and died.  We need to get the word out somehow.

December 19, 2020

We lost our beloved 22 month old Golden retriever to this horrible disease yesterday. In the space of 4 days she want from being able to run and walk to having no energy and no appetite. Losing her has ripped our heart out, the suddenness of it and the sheer shock we will never be able to run or hold our baby again. Thank you to everyone’s post here as it’s comforting to know we aren’t alone

Brandi Jackson's Mommy
December 16, 2020

A week ago our beloved English bulldog dog who always a ys always full of life became ill. I took him to the vet and was told he had IMHA. They gave me medications for him and I took him home think ok hell be fine. Then I came on here 3nights ago learning more about IMHA and reading what others had go through. OMG I cried and cried as I started to lose hope in Jacksons recovery. The very next day he was declining. I had to carry him out side, he wouldn't eat, he was white as a ghost and was struggling to breath. The vet ran blood work on him and comes in to tell us that the good news is his rbc levels went from 14 to 17 but his wbc went from 1200 to 4200. Because the steroid suppressed his immune system now he had a bad infection. So she gave us some more medication and told us he's a fighter and to take home and see what happens. The vet bring jackson to the car and hands him to my friend to put into the car while I was inside paying. When I came out side I opened the back door of the car to set with jackson and comfort my baby of 8yrs. He passed away at that very moment. I feel so lost without my baby. IMHA is a horrible disease. It sucks the life of of my happy healthy dog in a matter of days. I am truly heart broken. He was my best friend, he was very special. We spent all our time together. Even in his last days when he didn't have the strength to eat or go out side he would still find strength to get up and come find mommy if I left his side. When you have such a bond with animal how do you move on from the emptiness I now feel.

December 15, 2020

I lost my Molly Sunday at 2:30 am from this horrible Evan's syndrome. I mean she was fine from Feb on after a bout of ITP/ Prednisone.  They never told me this could happen. All last week she was fine until Friday I noticed she couldn't climb the tree or jump the fence. Saturday 12/12/20 she would not eat barely drink and I had to carry outside.  By 12 she was barely here and my daughter said we should take her ER Vet. They gave her 50:50 chance but said it would >5000 dollars to to try stabilize her. She could not walk at this point barely opened her eyes. As RN I knew that my beautiful Beagle would not make it despite fighting. I looked at her and said do you want to go home (meaning Heaven). In her own way she said Yes. I wish they would've told me when she had ITP.  She was just at the vet 12/2/20 getting a Cytopoint injection could that have triggered something.  What a awful Christmas this will be.  My daughter's dog is so depressed.  Prayers to all who lost their doggie friends.

December 11, 2020

After reading so many heartbreaking stories, thought I’d share a positive one. My 9 year old Coton de Tulear was diagnosed with IMHA in early July and is still with me 5 months later.  It was a horrible experience and several times in July thought he wouldn’t make it despite multiple medications, three blood transfusions, IV hydration and several overnight stays in the vet hospital.  He was weak, lethargic and wouldn’t eat.  After almost four weeks on Prednisone, cyclosporine, clopidogrel and more IV hydration, he started to improve and continued the upward trend through the summer.  As his red blood count remained stable, Prednisone was gradually reduced from 10 ml to 1 ml daily.  Maybe this month it can be stopped. He is still on the other medications.  Unfortunately prednisone likely triggered diabetes so that added insulin and a glucose monitor to his health care regiment.  (I’m still struggling with getting the monitor to consistently stay attached.). Diabetes has now triggered cataracts; going to vet ophthalmologist next month.   What’s most important is that he’s happy, feeling good, eating well and the only other side effect was losing a lot of his normally very fluffy coat.  It’s hoped the reduction and eventual ending of prednisone will restore his coat and moderate his diabetes.  Getting to this point was incredibly difficult emotionally and very costly.  I consider myself and my dog very lucky;  we had an excellent vet, he responded to treatment and I could afford it.  I often feel guilty spending so much to save one dog but when I look at him, I’m glad I did.  Now the goal is no relapses.  Anyone with pets developing IMHA have my utmost understanding and sympathy; it is a terrible disease.   I hope my story provides encouragement in knowing sometimes IMHA can be successfully treated.  Just be prepared for a very rough ride. 

November 5, 2020

Grappling with the loss of our girl this evening... fine yesterday and this morning definitely NOT fine, she urinated all over the floor and it was so dark, I thought something was wrong with her kidneys. I looked at her gums and they were so yellow. We managed to get her into a vet around 1130 and she was dead before 5 pm. My heart hurts so bad.

Mehdi Lasker
November 5, 2020

I went through some of the most traumatic experiences with my dog dealing with this she is a minpin. Needless to say I waited about 5-6 days before realizing something was seriously wrong with her. When I finally figured it out I rushed her to the emergency room and they said they had no idea what was wrong with her and she only had 5% of blood in her entire body! The vet stated at the first place that it would be humane to euthanize her and I said well I want to see how she responds to a blood transfusion before anything else. She said they didn't have blood there but I can drive her to another Vet where they did have blood. I ended up driving in about 110-degree weather with no AC to another Emergency vet about 20 minutes away. We got her there and the Dr. said her theory was IMHA about 6,000 later and still ongoing treatment she is alive and the best part she doesn't have cancer which is one of the biggest worries. She went from almost being dead and a Vet Recommending her to die to living and thriving she's almost completely off any medication that has to do with IMHA and I am hoping she lives at least a couple more years. If your vet tells you there is a slim chance get another opinion I didn't accept it and my dog lived yes it can be expensive but if you have the means I would recommend it. I could have put my perfectly healthy dog down and instead shes alive doing great.

November 4, 2020

Just like many of you, I find myself looking for answers online as to why beloved dog "Blue" lost his battle to this rare and devastating disease (IMHA/EVANS SYNDROME). Our baby boy was a beautiful Blue Boston Terrier and had just turned 3 on 10/07/2020. Three weeks later on 11/02/2020, he would lose his battle to EVANS SYNDROME. Why did this happen? Why did he quickly start deteriorating? What could we have done more to save him? On 10/15, we noticed Blue was not himself. He was lethargic, wouldn't eat and was in pain. Of course we took him to the doctor and at first they thought he had taken a tumble and thus the reason for his pain and lethargy. They ran some blood work to be on the safe side and noticed his platelets where a little low. So they sent us home with pain killers and prednisone. The next day he was a bit better, but still a little lethargic but was eating like a champ. As the days went on, he wasn't getting much better. We rushed him back to our vet and they were able to run a full CBC with labs and he came back with abnormal low platelet count and this time they noticed his red blood cells were also falling. The vets put him on a higher dose Prednisone and also put him on Omeprazole, Leflunomide and anti nausea meds. He bounced back for about 3 days and on 10/28 we were rushing him to the ER after vomiting a lot of blood that morning. They ran x-rays and an ultrasound on him, and all came back normal. But his red blood cells and platelets continued to drop. Doctors recommended an immediate blood transfusion which bounced him back, but his red blood and platelets were still at low levels. After two days in intensive care, they had to give him a second transfusion and up his medication. His platelet count at this point was practically zero and his red blood count dropped from 32% to 13% overnight. After being in the hospital for 4 days, two blood transfusions later and countless medications. On 11/01, his red blood count and platelets were at a level that the doctors agreed he could go home. So we decided to bring our pup home to make his as comfortable as possible. We were praying for his recovery but on 11/02, he woke up even worse than when we brought him home. He wouldn't eat and barely had the strength to get up to pee. His little body was losing the fight, and at 5pm that same day we decided to end his suffering. This rare disease took our precious boy and I'm still in a state of shock and just wondering why this happened to him. At the end, we will never know. I find comfort in knowing we gave him the best chance at life and the doctors did everything in their power to save him. (5 well experienced vets, couldn't save his life). That's how serious this was for him. With this experience, all I can say is...If you notice strange bruising, lethargy, loss of appetite or yellowish gums. Take this as a very serious sign and get your pet to the Vet ASAP. And above all, make sure you have your pet on health insurance. I wish I did! Perhaps my Blue would still be here if we had the financial assistance to get him through it all. But again, the doctors said "even if money wasn't the issue, this disease is vicious and incredible hard to treat". At the end, our boy was just too weak and EVANS SYNDROME took another life. To those of you who are battling this right now. I am truly sorry and wish you and your beloved pet the very best outcome. They have a very, very hard battle ahead and they will need you 100% by their side. In Blue's memory. We will always love you Blue Blue's. 

Theresa M. Collier
October 28, 2020

This article was a eye opener for me. On 10/26/2020 we lost our loved Lily (shi Tzu) to this horrible disease. Never in my wildest dream did I ever hear of something although Lily has had her share of bladder stone surgeries 3 to be exact so when she started acting strangely not eating but actually took a treat so I said umm maybe she is just feeling tired because being 10 years old in doggie life is draining. After day 2 i told my husband she is not eating but she still drank water he sated well maybe she has a bug at least she drank water on day 3 (Sunday) again turned her nose up at her food. Monday came and the same thing I said ok Im calling the Vet thinking she has some sort of virus or her bladder stones are coming back. Dropping her off at the Vet during these time of the pandemic I had to wait in the car. The vet calls me and tells me the blood test are not normal which she want on to explain this horrible disease, especially how her gums were very pale (how did I miss this) The vet explained blood transfusions although there was not a good chance of hope for her this felt like someone punched me in the gut I couldn't understand how she went from being perfectly fine and getting this sort of news I cried like i have never cried before and begged the doctor what could I do when she went on the explain the blood transfusion and how this would have to be a exact match, I told her I have her brother at home Im sure he would be the match, but she went on to say it would probably be a very small chance our girl would come out of this.  I had to make the pain staking choice of letting her go. Words cannot explain how I hurt for her and how I held her little body as she received her last shot. I felt sick to my stomach and cried like i have never cried before. Its been 2 days now and I still long for her and her silly ways of picking up her toys and running around and bothering her brother. I can only hope my grief for her passes I know she wouldn't want me to feel this way especially whenever I would either sniffle my nose she would look at me with the big eyes and say what's wrong mom.  I will forever love her my sweet Lil.

October 26, 2020

We had to say goodbye to our 3 year 8 month old beautiful border collie around 7pm this evening. On friday we went for a walk on the beach, played ball had great fun like any trip to the beach and on saturday morning she was very lethargic not her usual self so we headed straight to our vet who diagnosed anemia we minded her all day but she continued to go down hill, i sat up all saturday night with her and we were in our vets again at 8am sunday who diagnosed IMHA, we transferred  her immediately to the ucd the best vets in ireland where they treated her with amazing care and kindness, within an hour of arrival she had a blood transfusion but no matter what they tried IMHA ravaged our beautiful baby and she just could not fight it, her stats continually dropped all day today despite all their best efforts to save her. My husband and his sister went in this evening to be with her for her final moments, she went off peacefully and we are left absolutely heartbroken and devastated and stunned that our beautiful girl who was a perfectly healthy dog on Friday is gone today.  Id never  even heard of IMHA until Saturdayl and it has wreaked havoc on our world. 2020 hs been a horrendous year for many reasons but our beautiful precious collie kept us laughing and going throughout it all. Im not sure how we will cope now

Francesca Maiorana
October 22, 2020

My Daisy (jack russel)  who will be 12 in January and is my very best friend seemed to be slow on her walks last week and not wanting to go out anymore. I chalked it up to she is aging. Turning grey etc. sat morning she woke and there was blood on her bed I noticed an abscess in her mouth I went to vet and they said she needed her teeth extracted but sent her homes with meds. Today is Thursday she was still bleeding and not going out at all her stool was black this morning. She didn’t eat or drink at all yesterday. I took her to vet this morning and she also has this disease. They did a chest X-ray and it’s clear so they don’t feel it’s cancer as their is no metastatic cancer. I made them keep her to start a transfusion and meds and an ultrasound tomorrow. I’m so upset right now. I’m beside myself. I don’t want her there. But I want her better. Idk what to do. Her platelet count is 0 and her encyclopedia is 13%. Will she come home will she recover from this. I feel like I stopped her off and I won’t see her again. I feel terrible that  she’s  there abs probably scared and thinks I left her there. I’m just distraught right now.

October 15, 2020

I wanted to share my story here to help anyone if I can. My Maltese was 11 but very healthy and playful and looked and acted like a puppy. She had one bout of Thrombocytopenia 2 years ago which she recovered from quickly with Prednisone. Saturday she couldn’t stand and would fall over and seemed sick. Went to the vet, but since it was Saturday couldn’t get bloodwork results until Monday. Gave her a bunch of stuff and said if things got worse go to Pet ER which I did several hours later. From there she spent 3 days. PCV went from 19 to 17 to 15 and then up to 23 after a transfusion. They let me take her home to watch her because I couldn’t bare her being there. Next morning I took her back to get an appetite suppressant and they took her in for a quick PCV because gums were pale. PCV was 12. I really had to make a tough choice at that point if I continue with more transfusions, more poking and prodding, more days away and then how it would be for her for months. I had spent $4,500 at that point and it would be maybe another $4500 for this next stage and then ongoing medications, tests and checks. I would do anything to help her, but I also couldn’t stand the idea of her suffering. I had found this forum at the beginning and thought there weren’t a lot of success stories  and had hoped that was because maybe once their outcome was good they didn’t bother to post, but it seems that usually it’s just so unknown what will happen case by case and it’s really hard to treat. The doctor said to give an idea of odds that 1/3 respond poorly and die at the hospital, 1/3 respond and go home but time is unknown whether that’s for a day, a week, a year etc., and 1/3 respond to treatment and go on  for a long time. With her being 11 and already having an immune event, we made the impossible decision to say good-bye and it’s impossibly hard and painful and you can’t know what might have been and I can’t stop going to take her out or opening the door and expecting her. I’ve lost people before and this was so much more to lose someone who was with me 11 years and was  the best friend I have ever had. I had to tell the kids and that makes it even harder. I’m so sorry for everyone here. The vet said after he can’t tell people what he would do, but that he would have said good-bye also. Not sure if they just tell everyone that, but it made me feel better and they reminded me of all I had done for her with her dental work and always trying to give her the best care and I think all we can do is our best. The pharmacist who made some her medicines said you just have to go with your stomach and I think we all innately know what’s best, it’s just hard to do it. I think I knew the first day when she got sick, but I had to try. These stories helped me know I’m not alone and I hope mine helps someone.

October 11, 2020

Approximately 5 years ago, my beautiful 2 year old Russian Siberian Cat developed this horrible disease.  I took him to the emergency clinic and luckily was referred to a wonderful vet in a close major metropolitan city.  He ended up receiving 2 blood transfusions and spent 2 weeks in the emergency hospital.  I spent a fortune.  For the next two years, he had a revolving amount of pills.  For the past 2 years, he has been without any medication and has fortunately remained in remission.  I treasure each and every day with this boy.  Its been a difficult illness but I been fortunate to have such great care of him. I recall reading about it after his diagnosis, feeling nothing but despair but I wanted to try to save his life.

October 4, 2020

On October 1st, we noticed our 15 month old female Golden Retriever acting not like herself. She was still walking around, but was definitely not the same. By early Saturday (the 3rd) morning, we were very concerned and took her to the emergency vet. Her eyes were yellow and she rapidly declined in the 30 minute drive to the vet. They took her back and that is the last time we got to see her. She made it through the night and were told that she had a good chance of recovery. She threw a blood clot the next evening and died without her family, without us ever getting to say goodbye. This disease is horrible and I wish there was something, anything we could have done to prevent it or treat her. She was the most healthy, loving dog we ever could have asked for.

October 4, 2020

Lost my American Staff yesterday morning. She was running and playing fetch on Monday. She even snuggled in the nook of my legs as I fed our new baby and loving licked the baby’s feet. Her eyes were bright and she was happy. She ate her dinner and then sat under the dinner table hopeful for scraps at the kids feet, just like every night. The next day, she wouldn’t get up from the rug. She seemed depressed. Never came to bed and slept on the rug where she was most of the day. Took her on a walk and she dragged behind me, lethargic and sad. Could barely hold her head up. Vet told us it was IMHA. We started steroids but she eventually wouldn’t even eat the small food we stuffed the pills into. She kept drinking copious amounts of water though. I eventually had to carry her everywhere including outside to potty. I had a strong feeling she was not going to make it. Her PCV was 11% and transfusions were futile. She loved the sun. The sun was out and it was a beautiful fall day so I laid her out on a blanket in the yard where she loved to be. She was there for a couple hours before I carried her in and laid with her on the couch stroking her head as she breathed heavily. Eventually carried her to my bed where she laid by me through the night. I woke often to stroke her and offer water. Suddenly at 7:30am she was thrashing around, almost like she was having a dog dream. She vomited, went ridged and then took her last breath. I keep reliving those last moments over and over. Her brown eyes were so scared. My heart is just broken. That dog was everything to me. This disease is horrible.

September 30, 2020

First of all, you're probably here because your best friend has been diagnosed IMHA and for that I want to say that I am so sorry. I don't normally post to reddit or other places, I usually am one of the people searching for the information. So this is really my first post ever in attempt to help people with our story. When she was diagnosed with IMHA I spent hours searching for any information. When I tell you I was desperate there is really no way to describe how deeply I was in it. I can say with confidence this will be the first story you see like it. Perhaps that's why I am so set on sharing this with the people seeking answers the way I was. I wish I had seen a post like this and I hope I am able to bring you any sense of peace even though this is going to be so hard to hear. Willow's story: I got Willow Marie when she was just 6 weeks old along with her dear sister Lila May, two tiny papillon/long hair chihuahua mixes that looked like neither breed. They were my first dogs just on my own. I have taken better care of them than myself the last almost 7 years. They taught me so much about forgiveness because I fucked up with them sometimes. Twenty somethings are a trip. However I learned from them and with them, they gave me unconditional love something I had not experienced yet. We drove each other crazy sometimes but it was all in the name of love. I have loved these dogs with every fiber and molecule in my body. Willow took care of us all is the real truth to it. She cleaned her sister, and always made sure I was taking care of us all. She was vivacious, she made everyone laugh, and anyone that met her fell in love and she became part of them too. She was incredibly unique and she was truly everyone's dog. We often called her Eeyore, because if she didn't get exactly what she needed she would put on quite the sad act but I promise she always got what she wanted. Willow would get up every day when the sun came up whether I got up with her or not and demanded to start her day. She would greet the house with her gentle soul, and greet the birds... not so gently. So, when one random day she woke up at noon that was my first raised eye brow. As the week went on I noticed she seemed a little more down than usual but we were experiencing wildfires and the smoke was terrible so I was making her stay inside. Then my next concern was that she rode to one of her favorite places in the back seat curled up into herself. Then during the stay she just kind of stuck near us and didn't really play. I kept it on my radar and told my partner that if she didn't start acting better I would take her in because she seemed off. I tried taking her for a walk to see if that brightened her spirits and she was behind the pack. I watched her feeling it in my gut something was off. She would sit outside and still eat a bit so I wasn't worried, but then she started to get worse. I thought I would give her one of her anxiety pills to see if that helped her at all and as I was giving it to her I noticed her gums were a little pale. My heart sank but I read that it could be from pain as well. I remembered a couple years before this girl had me in emergency and costing me $500.00 for a trapped fart and she had to be on pain meds. Makes sense right? Not really eating, tucking under herself, and pain. I went to our friends and she did really well with the new friends we were meeting. She wasn't 100% herself but still had a good time. When we got home she chased a bunny 4 houses down and I thought jeez, she's fine. I gave her little pats on her little slow buns with my foot all the way home and felt a lot of peace. She even ate when she went inside and all was well. Then I woke up a few hours later to her throwing up violently all the food she had eaten. She was weak and feeling so fragile. I put her in her spot and when I woke up she was looking even paler in the gums and just so tired. I rushed her to the emergency vet. I thought, I know my damn dog and I'm not waiting something is WRONG. I handed her off to the vet hoping she would make it to top priority because I couldn't wait and neither could she. She made it to top priority and they began working on her and running a blood panel and a blood smear because. 1 hour later sitting in my car and shaking with anticipation for my best friend I got the call. I answered and she asked me about our recent activity, if she had gotten into anything, and there was no way. She was picky and didn't eat anything that wasn't delicious. After all of this she said "Willow is severely anemic and will need a blood transfusion as soon as possible, she has IMHA an autoimmune disease..." My whole entire world felt like it was paused. Now, I know that maybe you've heard and read stories like the ones above but this is where our story is unique to the other stories and threads. I don't have 4,000 dollars, we couldn't do the blood transfusion. I wanted to die right there on the phone with my partner, my dog was dying. I accused her of not being willing to try when she said we didn't have the money, I immediately started beating myself to a pulp not having the money to save her. I told the vet that I was so sorry but I couldn't do it and that I needed the next option. Those options were prednisone and azathioprine. We started the prednisone immediately, and then attempted to find azathioprine. It was hell, no one had it. We found a competent vet and went to her the following Monday for a second opinion who was confident at what we were looking at was IMHA. She told me that we weren't at euthanasia yet, and to go get that second med and come back in a week. I was devastated for my sweet girl. She was miserable and I could see it but there was hope. I drove over two hours there and back to pick up the azathioprine because it had to be made for her. I was told its incredibly toxic and I had to handle with care. I thought, Jesus what is this going to do to my dog. All I cared about was getting her better. I went straight home and gave it to her. She hated her meds, and it was twice a day. The azathioprine was given at night and she would lick for hours after I gave it to her. She had constant diarrhea, she only ate bland meats and rice, and then spent the day hiding under our bed. I couldn't get her to hang out with us, and days into it I noticed her tiny legs would shake holding herself up while giving kisses. I cried every day for her. I felt her muscle mass slipping away more and more every day and eventually when people would hold her or pick her up she would wheeze and she would struggle to breathe. Her breathing was fast and she even developed a heart murmur, I could quite literally see it beating in her chest. I spent hours of research. I even found that PROBIOTICS could send her into a relapse or create infection in a dog with IMHA, and I gave them daily probiotics. I got rid of everything that could hurt her. I carried her every where and tried my best to make her comfortable. I was ready to put her in a bubble and the vet said that if she ever reached remission she would have to be in one. Anything could trigger a relapse. She could never be vaccinated again, and never be around dogs that weren't vaccinated or sick. So there we were. My sweet angel dog who would hike, kayak, run the fields for hours, take care of all of us, jump, howl, and run the whole dog park was withering away right in front of me. My desperation grew even though my loved ones tried to get through to me. I looked up meals good for anemia, I planned, I learned I did it all. I was giving her baby food with perfect ingredients, and gave her pedialyte and calorie replacements. I just wanted to get to our appointment and blood draw. Maybe just MAYBE they were wrong, and MAYBE this med would work, and and and. I lost sleep, my hips were bruised from laying on the floor watching her breathing. I looked for answers, looked for people and things to blamed. I remembered she took vaccines harder than her sister and swore them off (don't do that). I was chained to an emotional roller coaster and then I just realized. Every time I saw her she was looking at me with desperate whale eyes. She was having anxiety. She was hiding all the time to protect herself because she was vulnerable. Willow Marie with the endless personality was slipping into a instinct only role. Her own sister would try and be near and willow would back off as if she was a threat. I had already lost my sweet girl. I couldn't deal with it, and I kept going. I went to wal mart and I was obsessively checking labels and ingredients and it suddenly hit me. "What am I doing?" I asked myself for the first time. My dog is suffering. Her body is shutting down and its giving her anxiety. I was giving her anxiety. The pills, the food, the pedialyte. It was too much. I held her and I cried for the next few days. I talked to my friends and family and we cried together. I started seeking help in making the decision to end this awful ride for all of us. Willow has always hated pain, and she was in it. If I almost stepped on her she would scream.I was asking her to fight something that was her worst nightmare. Weekly blood draws, toxic medication, and just the physical pain already occurring. I couldn't ask her to do this. I felt guilt just thinking about it. Nothing major had happened yet. No collapsing, nothing was turning yellow. She wasn't "there" but you guys... she was. She told me she was with her eyes full of anxiety and not even I could comfort her. When your dog doesn't even want your comfort anymore, something isn't right. Since I had them and since I knew it was an option I always said I would do it at home if I had the opportunity. I started half heartedly searching for one and found Lindsey Mccalister from Heart in Home Vet in Vancouver, WA. I emailed her and I told her our story, she immediately said she was sorry. We talked quite a bit and we even spoke on the phone. I told her I didn't know what to do and that I was so scared of doing the wrong thing. However, I couldn't bare my girl or myself going though a blood clot, a organ completely failing, seizures, collapsing, the risk list goes on. She told me that the only way to ensure a peaceful passing and not have a crisis is giving her the chance to go in peace sooner than later while she still has dignity and it isn't in a cold room on a metal table (please if you do it this way, its your choice, this is just my interpretation and what I believe my dog wanted, willow HATED the vet.) Lindsey knew my heart was broken and never pressured me into anything, but did agree that this was the kindest thing I could do. So I decided I loved my best friend too much to let her continue to suffer. I am crying right now just typing this. It was absolutely the hardest thing I have ever had to do, but like many of you I would do anything for my dogs. I canceled the blood draw for that Monday and had Lindsey come instead. I couldn't imagine this life for a pup who loved life, the outdoors, and hated needles and vets. Living in a bubble and enduring the next year of toxic meds, and maybe forever was just not it. The day before we sat in the sun, she marked her siblings pee and let them know she's still a baddie and runs the coop. We had snacks and for dinner that little thing ate 1/2lb cheese burger which left her a little gassy which doesn't normally. Her body was telling all of us that is was working so hard. It was a long last night, she was up and down. And she next day she was so shaky, but still giving me kisses. I let her do what she wanted and helped her around until Lindsey came. We went over the paperwork and process. I let Willow get some water and go potty, and then I picked up my baby and took her outside and put her on the bed we laid out in the sun and the shade. I hugged and kissed her and Lindsey gave her the sedative. She screamed, I won't lie and it killed me. But I then got down with her and within 15 seconds she was surrounded by her favorite people and was getting all the snacks. For a moment her sweet eyes looked at me and I saw my happy little girl again before she drifted off to sleep in my hands. Once she was out Lindsey came to administer the second shot. She was so gentle to all of us. Willow let go easily and quietly, and I believe that was a sign in itself. It's been just a couple days and I have cried my way through most of them. I have gone through guilt, denial, panic that I did the wrong thing, acceptance, and then back through it all again. I was really hurting last night, we made the bed and I didn't have to prep her spot because she slept on my head every night. I got in bed and started looking though pictures and videos. I was quickly reminded who my girl was. A tiny but mighty loud little gremlin that never slowed down for anyone or anything. Until IMHA showed up in our lives. I am writing this partly for the release and in honor of my sweet Willow Marie, but mostly because I have a different story than everyone I read about. I didn't spend 4k-20k on blood transfusions only to lose her anyway. She never spent a week in the hospital missing me. She never had to have strangers poke her and hurt her even if it supposed to help. She didn't have to go through anymore pain and suffering than she was in. It was genuinely the hardest thing I have ever done, but I was able to do it because I loved her. I never truly understood loving someone so much you're willing to let go until now. IMHA is not something deeply understood. Unless there is another issue causing it, you aren't even going to be able to know what it was. I asked myself so many questions, was it the vaccines, the tick when she was 2, was it environment, the flea treatment, was it me, did she eat something, was it the probiotics. I will never know. However, I do know that I did the right thing for Willow. And I am struggling every minute, but she isn't going through this anymore. She's free, like she was before IMHA. I'm not telling you what to do here, I just wish I had something like this to read when I was feeling desperate and unsure. The truth is, you know your best friend. You know what they want and don't want. If you aren't sure, they will tell you. If you think they aren't, you're just not listening. So put down the phone and close the computer. Be with them, they are terrified, and they're body is trying to kill them. They need you to be present and they need your help whatever that looks like for them, not you. You need to ask them and yourself what the next step is. If it feels like it's impossible, then it's probably the right answer. Trying to save her was easy for me and harder on her and I would have done it for the rest of her life. But I loved her too much. She never let me suffer a day in my life, why would I let her suffer. Again, I want to say that I'm sorry. I also want you to know it's not your fault no matter how you got here. I know you're losing your best friend but this doesn't mean anything for the time you have spent together. You still have all of those times. If they are hiding from you, it't not you, they still love you and you are still they're best friend and that's why they are hiding. To protect you, and themselves. I know it's hard to make the decision, and I know it's hard to realize that sometimes our help hurt's. But, we have to hear it. Love them, hold them, never forget them, and please god if you can help it do not leave their side as they move on. I was there for every minute of it and I would regret otherwise. Willow, it was truly in honor in life and death my dearest friend. FXCK IMHA,Kai.

September 27, 2020

We lost our Beloved 4 yeatr old mixed breed super high energy girl Paloma to this disease just this last week 24Sep2020 . On Friday she was chasing balls in the park. Running around the yard tearing up her toys On Sat she was lethargic And didnt want to eat we observed her and she was drinking and still had enough energy to jump up on sofa and bed. Sun morn she was feverish and we called the dr and checked her temp it was on the high side. We brought her in to the hospital and she was tested extensively and diagnosed with AIHA. We said do evertjing for our girl. She got heavy steroids and 2 transfusions the team were so wonderful but their hospital ran out of her blood type for another transfusion, the dr found another hospital in town so we transferred her there for her last chance at survival. She took the blood well and stabilized for some hours then spiraled down. We knew we had to get her home to be with us. The hospice dr gave us an early morn appt so I spent all night comforting her. Praying she would pass away naturally. We had to send her away with the dr in the morn in my arms. We are heartbroken and hope a test or cure will be discovered. Note the second hospital does have an experimental plasma transfusion so there is hope but it would need to be first line effort and at this point its a 20k procedure with not alot of survival data

Joe Morris
September 26, 2020

Polo my beloved German Shepard of two years came down with this disease four days ago. It started with him walking a bit slower and not being as playful with my other dog. Then I noticed his gums were white. Rushed him straight to the vet where they told me he had IMHA. His RBC was just 10%. He had a blood transfusion and is now taking vitamin K and steroids. It’s touch and go and I hate to see him like this. I’ve got my fingers crossed he pulls through. His blood has gone up to 12%. Not great progress but progress nonetheless. I can’t believe how quickly he changed. And I blame myself for not spotting it sooner. More attention needs to be made of this horrible condition in vets or pet shops. Posters whatever. Cause I never heard of it. Praying my boy makes it through this and every other dog who is suffering the same. Condolences to those who have lost their best friend.

September 22, 2020

My dog was 4 when he was diagnosed (now 5) he received transfusions and IV’s all throughout Christmas he was sent home a week later with 4 meds he happily took them and he’s at a medium/ low dose now (6months later) we are having trouble titrating anymore now as he gets sick when we titrate but since we haven’t had any complications yet we continue to keep him at this dose. 10,000 dollars later we are trying our best to keep him with us, with the meds he has the same temperament as he did before the disease and isn’t in pain. We hope that if we titrate his meds even slower we can fully get him off of his meds and defeat IMHA.

September 16, 2020

I had to put my sweet little girl to sleep yesterday (Tuesday).  I totally had a melt down while I cuddled her tiny tired body as they gave her the injection in her IV. She was only 5 years old - a 6 pound precious Pomeranian. She got sick Sunday (vomiting, had a seizure, lethargic, not wanting to eat).  Monday the vet told me she has IMHD and what we could try, the expense and trauma to her and that we most likely are fighting a loosing battle.  I brought her home with me with 4 meds to try but my little girl wouldn't/couldn't take them or eat as she was already so far gone.  I couldn't stand watching her waste away.  I can't believe this came on that fast.  Heartbroken.  COMPLETELY heartbroken.

September 15, 2020

July 12th started off as a normal day for both myself and my beautiful Tyra. Went for a walk,just a normal day. July 13th l got things ready to take Tyra for a walk,rang her one collar with bells ...which she would usually come flying  out of the sun room to go potty and play.This day was so very different she didn't want to get up and go out.l had to coax her out.Tyra did go potty and her usual day however not the same.l did call the vet 3 times at first we thought it was a l got a urine took it to the vet's and waited for the result  The vet called my phone as l waited in the parking lot due to covid 18 .She spoke so fast all l heard her say autoimmune anemia ..l knew there was a third word  hemolytic. In my mind l thought leukemia...but asked is she going to be ok.There was a pause,l asked what was the treatment she was speaking rapidly.I knew my beautiful girl was really sick.l say there and cried and trying to pull myself together for l knew l had to go home to her. She just laid on the floor and looked at me with her big beautiful brown eyes.She lived her treats but didn't even want them.She did take tiny sips of water.l knew then something was wrong.l laid next to her all night long from 7pm ....l spent the night telling her stories and how much l loved her.There again those beautiful brown eyes..l forgot to say the vet gave her an appointment for Tuesday July 14th at 11:15 am. With a broken heart l sadly say Tyra never made it to her appointment..she passed away July 14th at 6am..The disease is terrible my beautiful girl normal one minute and the dead.To this day l ask myself how l missed this,there had to be a warning but no !My heart goes out to everyone that had their beautiful fur baby taken away.My Tyra would of just turned 7 in May of 2021.Tyra may you rest in peace,by beautiful brown eye girl.

September 9, 2020

My baby girl, cookie, was fine all week then suddenly she wouldn’t eat, get up from bed. I took her to the vet only to find out she had IMHA. I was told a blood transfusion would give her a 50/50 chance but no guarantee. It has been a week since i had to make the decision to put her down. I miss her so much. I keep wondering if maybe i should’ve caught this sooner or if i could’ve caught it sooner, would she still be here?

September 9, 2020

It has been just a little more that 24-hours since I had to make the most difficult decision in my life. My 9-yrs old mini schnauzer, holder of my heart had IMHA. She was initially diagnosed with it October 2019. Without warning she collapsed and I took her to the vet where they said those four words to me. That was when my world changed. The diagnosis and prognosis were all a blur to me. The doctor tried to explain to me that this is not something I could have detected, there were no markers, there were likely signs that were so subtle I would have detected it. We began a treatment of blood transfusions, steroids, blood thinners, and multi-syllable medicines I couldn't pronounce. I can now. Lollie was initially in the critical care unit for 5 days. Her initial PCV level was 5. Just 5. Normal range is 30-40. She was critically ill. With each transfusion she maintain a bit of progress with her levels, but would eventually slide back down. By day 5 she was at 30 and able to come home. The bill was $12,356.19. Her daily medicine routine was prednisone twice daily, clopidigril 1/4 tab daily, 1 cyclosporine, and an injection every 8 hours. I set my clock to ensure I would be one minute late. Even with all that, she had a relapse and was back in the hospital with 2 more transfusions and 3 more days in the hospital. Another $5000. Things were going smoothly for 11-months. We were able to discontinue the injections. We were gradually weaning her from the prednisone. Prolonged steroid usage has its own risks. Over the last 3 months we had been tapering her off the prednisone and were down to 2.5 mg every three days. Her levels had maintained so we felt confident that we could continue with this treatment. Friday, 9/4 she collapsed after taking a walk in the park and playing with her social group. I rushed her to the emergency hospital. Her PCV levels had dropped to 14 from 30. We did a transfusion, put her back on 5 mg of prednisone 2x daily. Her numbers rebounded to 22, she held strong for 24 hours. She was released to me to return home and to monitor her. Less than 12 hours later she was in distress, panting, fatigues, lethargic, wouldn't eat...she was dying. We called ahead to the hospital and rushed to get her care. They met us at the door and took her in. Damn COVID protocols prevent us from being with her. Through the telephone the doctor relayed her PCV levels of 14. The prognosis was that she might make a recovery with several more transfusions, hospital stay, treatment, but the mortality rate was very high. This is when I was faced with the toughest decision; put my baby to rest, or prolong this with hopes of successful recovery. I rationalized with my self that its just money and that she recovered last time and I don't want to lose her and and and and....then I thought long and hard about quality of life, all those tests, the hospital stay, being away from me, the anxiety of it all for her. And the very likelihood that she wouldn't survive. So we gave the consent. They allowed us in a room with her. They brought her wrapped in a warm blanket fresh from the dryer. She was calm, she was ready. She looked up at me, I pressed my face against her schnauzer nose and kissed her good bye. I held her for those minutes and told her I loved her, that she meant the world to me and thanked her for letting me be her dad. She licked my nose and then then she was gone. I share this for you, to know that whatever you decide, you will constantly wonder if it was enough. I wish anyone going through this strength and support. Be well. 

September 7, 2020

Our happy fun loving Woody has been in the vets for 5 nights. He has had a transfusion and on steroids for this horrible IMHA we are so distraught reading the comments we are considering another transfusion to give him a chance? But worried he is suffering....

September 6, 2020

This just happened to our beloved Freya.  We are in shock and disbelief.  She was having some stomach issues but seemed better.  Then she became lethargic.  We went back to the vet.  From Friday to Tuesday, her number went from 55 to 6.  We went to UT ER.  She wasn’t responding to transfusions like she should have.  We decided to let her go rather than continue suffering.  My heart is broken.  She would have been 4 this month.

Susan Harrell
September 6, 2020

My Willbe  has diabetics / cushings and thyroid . I had to take to emergency vet today . Stopped eating last night . I checked his glucose and it was hi so that’s what I thought I would be dealing with . The vet just called and said he had IMHA . Never heard of it . His red blood count was 18 %. I will do whatever it takes to keep him with me but from what I’m reading up on it he may have to much against him . He’s been my shadow everyday for 17 months since he came down with diabetes and I’m the only one to give him his shot . I’m praying for a miracle that they caught it early enough . The only sign he had was dark urine but I test for ketones and  he tested  negative on the strips . I saying this in case anyone else gets put in the same situation if you have a diabetic pet . I have learned to deal with the Cushing , diabetics but I hope and pray that I’m  given the chance to deal with this disease

September 1, 2020

I took my six year old maltipoo to the emergency vet after noticing lethargy, vomiting, and dark urine. I dropped him off on Saturday afternoon around 1pm with what I thought was a UTI, and at 9pm I headed back to have him put to sleep. My husband and kids weren't able to say goodbye and we are completely and utterly devastated. His red blood cell count was 13%. I don't understand how a dog I was playing fetch with on Thursday could be dead by Saturday night.

August 31, 2020

I lost my wire fox terrier suddenly to this disease he was only 6 years old and loved me so dearly. For those that have lost a fur kid did you recently get vaccinations, used any type of flea or tick medication? Something is killing our babies and we will never know unless we share the information of the days/months leading up to our kids getting sick. I truly feel this was rhe result of vaccinations and flea/tick meds. My wire fox terrier was on grain free food. He was fine one day and sick the next no warning signs nothing.

August 25, 2020

My husband and I couldn't believe it when we saw how many comments there are on this article and that they continue to come in. In one sense it was comforting to find so many others dealing with the exact same thing we have been going through, but my heart breaks for those who have lost their beloved pets. We have been on an emotional roller coaster the last few weeks but today things are finally looking up. About three weeks ago we started noticing our 4-year-old cat Chloe was just not herself. She slowly went downhill over about a 4-day period, getting more tired, eating less. We googled her symptoms, thought she might be anemic, checked her gums and paw pads and were alarmed to see they were practically white instead of the usual pink. We had no idea that was even something to keep an eye on. About that time Chloe stopped eating altogether so we took her to the vet right away. The doctor ran blood tests and came back with that grim look you never want to see - Chloe was profoundly anemic, the tests showed her red blood cell count at 5%. The vet said that she likely had been living with a chronic condition, perhaps something genetic, and at that moment the only thing that would save her was a blood transfusion - the other option was to let her go. We could barely take in what he was telling us. Chloe had gone from being what seemed like a perfectly healthy, vibrant girl to being on death's door in just five days. We feed our cats a top-notch diet, they are indoor only, no exposure to toxins, we dote on them like children. We couldn't bring ourselves to make a decision at that moment, so we went home and tried to wrap our heads around what was happening. The vet told us to google IMHA, so we did... and were devastated at everything we read. We understood that going the route of trying to save her life would be costly and long and there were no guarantees it would work. Most of all we didn't want her to suffer needlessly. But after a lot of soul searching we decided we had to try to save her. Off we raced to the 24-hour emergency clinic that's an hour away from us. Chloe got a transfusion and stayed two nights. Her count went up to 13% and we brought her home, and at first she seemed better, but then again slowly started to drop again, eating less and less. That was the biggest issue - trying to get Chloe to eat became super stressful. We tried every trick we knew. Called the vet again, got her tested, she was at 8%. They put her on 5mg prednisolone and 1mg mirtazapine (appetite stimulant). But we were told the pred could take 7-10 days to really start working and Chloe clearly needed something to help her right away. So after just one day of the pred, we took her back to get a second transfusion. This time it boosted her to 19%. At this point we prayed the prednisolone would start to kick in before she dropped again. Four days into the pred trial, we got her tested and she was at 15%. She was still weak but to our eyes it seemed like she was getting a boost from the steroid, so we were hopeful that she was starting to stabilize. Today - eight days after the second transfusion - we had her tested again and she was at 17%. Hallelujah, she had actually gone up - plus the vet said her retics were up, indicative of new red blood cell production. Chloe has come back from the brink and is looking more like her old self. We are going to keep her on the 5mg prednisolone dosage for another week, see where her count is at, and then start the process of trying to wean her to a lower dosage and find that "sweet spot." We are also investigating natural alternatives because we don't wish to keep her on a drug for the rest of her life. However we do understand that western medicine has saved her life. We will just continue to educate ourselves as much as possible. As a side note, through all of this Chloe did get many tests done to rule various root causes out... ultrasound to look for internal bleeding, tumors, tests for viruses, PCR test for blood parasites... all came back negative. We could have done a bone marrow test to look for other things, but decided we didn't want to continue poking and prodding her since it's so stressful. There were several times we discussed the possibility of letting Chloe go, and it was heartbreaking. But the vets we worked with have been great and told us we needed to just help Chloe limp along long enough to see if the drugs would work. They are working at the moment, and we're grateful we hung in there. We especially had to be very patient in trying to get her to eat. Anyway, sorry for the long post, but I found all the rest of the posts here so helpful and wanted to share our experience in case it helps the next person who finds this page.

Bill K
August 24, 2020

Dati... a champion perfect German Shepard got into a fight with a raccoon in February, rabies shot, he fell over dead yesterday and was perfectly normal, kind of tired, not so energetic last few months, but I thought it was the heat. THE VET NEVER TOLD ME TILL AFTER HE WAS DEAD THAT HE MORE THAN LIKEY DIed  IF THIS, I WOULD HAVE LIKE TO HAVE SCREENED HIM FOR THIS BEFORE THE RABIES SHOT!!!! Apoplectic is an understatement, he was so very loved and taken care of.  Another victim of half ass treatment and pharma

August 19, 2020

We just lost our golden to IMHA three days ago and a further complication of no new reticulocites (baby blood cells) being produced.  She was 9 months old.  We first noticed a reduction in appetite over the course of a few weeks, and increased shedding.  Eventually, she didn't want to eat went to the vet with what I was suspecting as a blockage in the stomach as she was a constant chewer/swallower. We were directed to a 24/7 emergency hospital after the anemia was found. Tried the prednisone/cyclosporin but after 36 hours she was not responding to it.  We made the decision to let her go peacefully instead of go thru transfusions, which would not have helped her with not producing new red cells.   

August 16, 2020

I lost My fur baby Thor today to IMHA... This summer he had turned 4. We had never heard of such a thing yet alone ever thought our Thor would end up living such a short life. This has been the most heartbreaking decision we had ever made. My children sobbed for their companion. For their best friend. He had been so good to us and our family, loving, loyal, gentle. We will truly miss him. Best fur baby we ever had.

Christine Allott
August 15, 2020

I am just heartbroken my poor girl Betsy a Border Terrier x Jack Russell age 6 years was diagnosed with this disease on Monday 3rd of August 2020 and very sadly was put to sleep yesterday Friday 14th of August 2020 she had gone off her food and was sleeping alot , she had 2 blood transfusions and steroid tablets she stayed at the vets over two nights I told them the money money was there whatever it took she should have sadly my girl could not be saved I am just devastated I have never heard of this disease before and hope never to go through this heartbreak again sweet dreams Betsy xxxx

Crystal Sturgill
August 14, 2020

Dear Denise,please DO NOT GET THE RABIES SHOT!!not while she has this disease.I lost my little Beasel Bub 2 days ago.and he got a rabies shot on june 26th 2020 and startrd having complications with in a week its my biggest regret!!Hey i wanted to ask  everyone did any of ypur dogs breath smell real bad loke right before their symptoms started?

Brigit Karle
August 10, 2020

Thank you for your post. My love Thor, my labradoodle like all fabulously happy and energetic -  5 days ago not eating drinking and listless.  He was diagnosed Evans. He is only 8.  He has never had any heath issues.   More stressed being overnight at hospital. Now home. Hand feeding proteins,  drinking and taking prescription meds.     At first seemed to rally and now. Seems confused.   So painful to witness.  Keeping him comfortable with his favorite foods and hoping to take him to the beach tomorrow

Jacquelyn Carithers
August 4, 2020

My 14 year old bichon Riley was diagnosed Saturday July 25th and lost his life on July 28th.  I too had never heard of this vet was busy with an out of town family wedding when he called with lab results and did not have time to explain anything to me, just told me I could come and pick Riley up (he had spent the night getting IV fluids) and he said sterioids were given. When I got to the clinic, NO meds had been given and they were sending him home with oral steroids to be started that evening.  I insisted on an injection before leaving.  Oh yes and they gave me a "handout" describing the disease.  I asked for his lab results. Hemoglobin of 4.  And still no one seemed concerned at my vet.  I know he did not have youth and vigor on his side but we tried through the weekend; he was so weak he could barely stand.  In the early hours of Tuesday he had a seizure which he came out of, but was clearly suffering.  I called Medvet and they said bring him right in and you can be with him and take all the time you need before letting him go, which is exactly what happened.  I am so disappointed with my vet's treatment and lack of advice but also thankful for the kindness of the doctor at Medvet.  I loved my little dog so much and am struggling now.

August 4, 2020

Just lost my 8 year old dachshund to this cruel disease, and words cannot express the helplessness and pain we felt, medication did not assist and we watched her wither away day by day until we could no longer allow her to suffer any further, i went online to try to research what happened and your article and the comments from other pet owners was helpful for us to understand IMHA. Hope other pet owners never come across it but if they do, hope someday soon a cure will be possible

July 28, 2020

About 3 months ago my Cavalier King Charles Spaniel, Lil, was lethargic, wouldn’t eat and had a couple of bouts of vomiting and diarrhea. I immediately took her to the vet as she is really healthy and a real food hound. She wasn’t eating. After running tests the found her liver enzymes were not where they should be, they put her on meds.  She seemed to get back to normal. A week later she suddenly became disinterested in food, and again lethargic. After a day of this I again took her to the vet, she was also weeping blood from her mouth. They gave her an injection of antibiotics in the back of her neck and drew blood from her leg. Nothing too abnormal was still found although her platelets were a bit lower than should be. Cavaliers have abnormally large platelets and they attributed this to their machine possibly not being as accurate as could be. They thought since she eats anything and eats the grass in the yard she had possibly gotten into a toxic plant. I noticed the injection site continued to slowly bleed for a day or so and took her in again. They checked her platelets again and they were at 16. My vet then recommended we take her to an emergency vet hospital an hour away as she needed a transfusion. When we arrived there we were advised they would keep her overnight and the cost would have been minimum of $2700 and we would have to take her to MSU animal hospital in the morning. I asked what the cost would be for that and they said to get her started would be $5000 minimum and no guarantee she would survive. They felt it was cancer, liver or IMHA.My husband was injured and has no income so the cost would have been prohibitive for us. We chose to take her home for the night and would say goodbye at our loving vets office.  My vet came in, she had been researching Cavaliers all night, I’ll mention Cavaliers are rare in this area and have health issues that are seldom seen in local veterinary offices. She knew we had made our minds up and was very understanding why, my husband was waiting in the car because he couldn’t go in, she asked me if I was willing to try a “Hail Mary” attempt to save Lilas she was a special girl, I agreed and she started Lil on high dose steroids and gave me her home number, just in case...  Lil has so far responded to the very inexpensive medication and has bloodwork regularly. We aren’t completely out of the woods and are still reserved about Lily’s long term survival but are loving each day we have with her.  I also helped the vet research and made sure she knew I had complete faith in her and she really welcomed what I had to say.  As I read all these stories and am so sad for many of the outcomes, I wanted to tell mine also. I have a wonderful, understanding vet that also understands financial limitations. I wish you all and your pets the best outcome possible.

Michelle Winter
July 26, 2020

My sweet Penelope lost her fight against this horrible disease.  Started not wanting to go on walks and was barely eating.  I took her to emergency vet on the third day.  They did an ultrasound & X-rays checking for cancer.  She had 4  transfusions and her numbers never got over 20.  Each time she got one they would fall back to 14-15.   Finally her body just couldn’t take anymore & she was moaning.  I didn’t want to put her through anymore and the vet said they had done everything they could and it was time to let her go.    I’m beyond heartbroken.  Not a second has gone by that I haven’t thought did I do something, should I have noticed sooner,  did I not do something?   I will forever be changed due to this awful disease.  I feel like I abandoned her because I wasn’t able to visit her due to Covid.   I hope she knows I was thinking of her the entire time & doing everything possible to keep her alive.  I was able to be there when passed.

July 25, 2020

Dear Doug, My spaniel mix died on the same day. Perfectly healthy 6 days earlier,. We gave her a beautiful loving send off. We are heartbroken. She was 9 and a half.

Doug Night
July 18, 2020

My spunky beloved English Springer Spaniel, Prince passed from this terrible disease July 16 2020 from this terrible disease. I noticed his normally high energy was slightly off at the dog park on Saturday. On Sunday he was noticably slowing down. He would run for the balls but he lost interest fast. On Monday I told myself he must be coming down with something, but he went outside and did his business before I went off to work for the day. I pondered whether or not to stay home with him. I came home from work to find him very lethargic. I called the vet and told them I have an emergency. He took him right in. He was diagnosed with flu. After penicillin injection and 300cc of IV solution for dehydration I went home with instruction to bring him back tomorrow for more IV. I get home and happened call a friend who is a retired nurse and belongs to my dog park. She said check his gums. His gums and inside of cheeks were pure white.She said take him to emergency right now! I took him to Advanced Animal Emergency in Clinton TWP MI. They were awesome! They took one look at his cheeks and said OMG! They rushed him inside and that was the last I saw him till two days later (COVID-19 rules...You do not enter building without permission) The parking lot was always full of vehicles with anxious pet parents. The techs and doctors would be coming out to the vehicles steady stream almost. Prince had a blood transfusion donated from a donor dog named "Moose". I love Moose and I have never met him but my best buddy Prince had Moose's blood running through his veins, keeping him alive. It took 10 hours to get 500cc of blood into Prince. A normal 2 hour procedure was stalled because his temperature kept spiking to 105 degrees and they would back off the transfusion till his temperature settled down. I was finally able to see him 2 days after leaving him. I had been in touch with the doctors following his treatment during the whole time he was there. My plan was to bring him home to die in his home. In my arms surrounded by my love. The doctors wisely talked me out of it. He did not respond at all to the transfusion. His hematic numbers never left the cellar. His hematic number went from 11 to 13 after the transfusion. It was suggested we give him a chance to respond to another round of massive steriods that was due later that night and more immune medicine. It was all to give him one more chance to respond. He did not respond and the next morning July 16 I spent a good hour with Prince in a very nice "passing to Heaven room" and the doctor and technicians were so, so, nice and comforting to me and Prince.The doctor sat on the floor with me and Prince and talked and soothed Prince (and I) until I said it is time. Prince passed like the champ that he always was with his head in my lap.

July 17, 2020

I had to write a comment after reading so many very sad and tragic stories.  My girl, Maya, became ill suddenly like most of those written about here.  She literally sat down in the yard and fell over.  I had never seen anything like it.  She is a rescue from Puerto Rico, a mixed breed who was relatively young (3 y.o.) and in wonderful health.  At first the vet thought she had eaten something toxic but we soon found out, through lots of testing, that she had developed IMHA.  I'm writing because she survived and is still with us today!  She was prescribed medications to suppress her immune system as well as steroids.  She was weaned off these medication very, very slowly.  Initially I had to coax her to eat anything - literally watering down wet food and almost force-feeding her with a syringe.  But, she held on and made it and we couldn't be happier.  We're now faced with her rabies vaccine being a bit past due and we are just so reluctant to get it for her.  We are so fearful the vaccine will touch off another episode.  If anyone has had experience with this, please respond.  I am reading and getting lots of mixed messages about what we should do.  The internist who literally saved her seems to be on the fence as well.  It is illegal in our state not to vaccinate for rabies so we would be taking a big chance.  She's in our backyard with some critters like squirrels and chipmunks who could carry rabies but isn't out in the woods or the real "wild".  My heart goes out to those who have lost their sweet dogs.  We have been through that with others and it is so hard.  We feel enormously lucky to have our girl.  So scared to take any chances.

Julie Damasky
July 15, 2012

To say this comes out of nowhere is an understatement. End of June our lil guy had a bout of diarrhea and vomiting, very lethargic, dragged his body or belly crawled drank lots of water.  Vet wouldn't see him said bland diet and watch him.  He seemed to improve after a few days. Saturday July 11 he was less energetic, not eating.  Sunday nearly lifeless, vomiting, urine was burnt orange.  Forced the vet to see him Monday, drew blood gave him a shot to stop the vomiting and sent him home.  Tuesday morning vet called and said blood panel was alarming sent us to specialty clinic.  Left him there for an ultra sound and further testing. His blood count went from 35, to 24 to 10 in 2 days and was not regenerating.  He was completely jaundiced and suffering.  At this point we were already in almost 5,000.00.  He was not responding to anything and had to make the very difficult decision to say goodbye. Don't ever ignore your instincts if you feel something is wrong with your pets, we know them best and have to advocate for them.  We love you and miss you Stanley -5 y/o chihuahua/shepherd mix.

July 5, 2020

June 22nd 12yr old Shi Tzu "Biscuit" was diganosed with this horrible disease. I had noticed before he exibited any symptoms that I was starting to feel his entire backbone and ribs despite having had a very healthy appetite. He was always the smallest of his brothers but could eat more than them. For some time before this I also noticed at times he seemed very sensitive to touch as if it hurt a certain way I would pick him up. He was diganosed a yr earlier with diverticulitis. But other than having difficult bowell movements at times was a very rambunctious lil guy. He stayed active and was the liveliest one of his two brothers. It was like overnight everything went down hill. He fell over and yelped the most soul wrenching yelp. The vet diganosed him and suggested I give him beef liver daily. I cooked the liver and blended it in a blender to mix with his chopped chicken. He loved it. The next day he fell again while trying to pee and was so weak he couldn't move. I picked him up and bathed him. The next day he ate good and seemed to be feeling back to his old self. Two days later he threw up and refused food. I managed to get him to eat a lil but as the days went on he wouldn't eat at all. On July 2nd he started breathing extremely hard. I called my vet and they gave me an appointment for the next morning. All that entire night he could not lay down. He sat straight up breathing so hard I could see his sides going in and out. He would get so exhausted he would try to lay for a sec or two then right back sitting up. I layed in the floor bedise him with a pillow to help prop him up so he could rest but he couldn't stay in that position long. The next morning July 3rd The nurse came to my car and asked me to come inside. Because of Covid-19 we had to wait in our car. I go inside and the Dr said that his lungs was in terrible shape and he wasn't eating because he couldn't breathe. He said because of my limited budget he couldn't perform further test. But gave him 2 shots to help his lungs and that he said would last for 2 weeks and we would would see how he responds go from there. I drove home him home..less than 10 mins away. I sat him out the car and got out then picked him up to carry him up the steps. I sat him down on the porch to unlock the door and as I sat him down his body went limp he had some sort of convulsions as I was in a panic to help him I saw the life literally leave my baby in my arms. I'm completely devestated. I've worried myself sick that I hurt him when I picked him up to carry him up the steps. I loved my lil "Biscuit" with all my heart and this disease came and took him so quickly I can't understand how or why or what I did or didn't do. How I could've not known. I don't want anyone to have to watch their pet die such a tragic painful death.

June 19, 2020

My poor jazzers - beautiful loving spunky brown and white chihuahua was about to turn 8 on July 4th. It happened all so fast. She was just laying down with my wife, cats, and I in our bed asleep loving life looking and acting happy as she usually does. That big ol cuddle bug. Then One day to the next this unexpected disease came. This disease is so instant and has brought sorrow to my family and I after deciding the journey for her ahead wouldn’t be the same going through treatment so we had to put her down. She was the first dog I have ever loved and bonded with. My cats are looking for her and don’t understand what happened. We are trying to find peace with this all and the stories below and above will continue to help me recover and know we did what was the best decision for our beloved jazzlyn. She lived a beautiful life full of treats, adventures, and tons and tons of love (spoiled at its finest). Those memories is all I have now and I will cherish every single moment I was blessed to have given with her. I know one day we will reunite again along with our beloved cat Kiki who passed away of the feline aids. I hope this helps any and everyone going through these tough times. Remember you are not alone

June 12, 2020

My dog Roscoe just turned 10. He is a Rottweiler and the most precious thing in the world. He was diagnosed with IMHA about a month-and-a-half ago. It started with him vomiting on a Thursday night and then diarrhea over the weekend. Was getting him into the vet on Monday to check him out. Blood results came back is having this terrible autoimmune disease. His HCT was at 20% on April 28th.I also went and had an ultrasound done of his abdomen to rule out any tumors or cancer. His spleen is large but nothing out of the ordinary to worry about. We started him on prednisone and it got up to 23% then 31%. We started to cut back his dose is HCT then started to drop back down. So then we put him on Azathporine and kept him on the pred. Last check his HCT was at 22% on June 3rd. He is very tired, gums are pale, but he has a great appetite ( thanks to the drugs). I can't say if he is actually responding to the drugs. He seems to be holding his own but not improving is he still has pale gums and is not himself. I'm taking it one day at a time until he no longer is comfortable or in pain. All I can do is pray and love him .

Bailey Blue
June 8, 2020

Hang on and pray! Our 1 1/2 year old cockapoo was diagnosed with IMHA May 4. She spent a week in the hospital and had one transfusion. She is now home and is responding to meds. Her pcv is now 40 and was 11 when she was rushed to the uc Davis vet team. It takes time and feels like a roller coaster . Don’t give up . We are going to fight the good fight with  Bailey as long as she is not in pain and seems happy. Side note - yes it is costly - be prepared

May 31, 2020

I don’t know what to do. Our dog Oscar was not eating for a day and a half and had a fever and we took him to the emergency hospital. He has IMHA and is going though transfusions. It doesn’t sound good and 80% of these comments say that it is fatal or that we will just be putting him though unnecessary treatments. We have already spent $5k in the few hours he has been in the hospital. Worse yet, we can’t even see him because we can’t go in to the hospital due to Covid 19.  I am in a panic as to what will happen. He is 9 year dachshund mix and we rescued him when he was just one    Please any advice? 

May 31, 2020

My cat was diagnosed with this autoimmune disease and put on lots of medication.. we have just had to rush her to the vets after she suddenly stopped breathing, I'm at home waiting to hear if they could save her and in tears. I would not wish this on any pet owner.. seeing her just go limp, after she had been getting better too.

May 25, 2020

I have never seen anything happen as fast as this illness. Orion had already been sick the month prior (pancreatitis) and had had to be rushed to the emergency vet so I had been watching him very closely but one night we went to bed fine and the next morning, this. I would love to say I had the funds to fight to keep him beside me, but I didn’t, and I also did not wish for him to suffer. Orion hated car rides, he was scared and he hated the vets office. He was always sick for days after he had to go. So I made the decision not to force him to suffer for months through something that upset him so much and that I wasn’t sure I would have the money to continue fighting beyond the next week. His vet told me it was the best choice for him after the fact when he called me about all of the test results. He was a seven year old Australian Shepherd who had been very healthy up until the month before. I still wonder daily if there was anything I could have done to prevent it. This disease is a beast. It comes at night and in less than eight hours it can get severe enough that you lose a big part of your life. I want to thank his vet for all the advice and support he gave me while we figured out what was wrong and I had to make such a difficult choice. I also want to say, if you can’t afford the treatment, after watching him, please don’t make them suffer. I’ve never watched something as awful as what that disease did to my dog in the span of hours. Yes my life feels pretty empty now even with my other animals, and I loved him completely, but I will never regret the fact that when the time came I chose to be with him and not let him suffer.

Billy Simon
May 22, 2020

We just got back from the Vet and IMHA is now in our vocabulary. Our 11 year old Golden has just gone to nothing in the last 2 days. Based on his blood test and symptoms the Vet doesn't think that transfusions will have much if any affect. We are bringing him home so our kids can say good bye and will decide when to take him back to be put down. This sucks.

Yvette Robinson
May 20, 2020

In the last several days my dog became very lethargic, depressed, and stopped eating. We took him to the vet- no cancer and his bone marrow is still making red blood cells, but his urine is red. He will be checked on the urine for a few weeks. He is taking an antibiotic and steroid. He did not need a transfusion and has eaten a little. He is back home now and obviously not himself. This does not sound good. I really like my vet, but I know she has business problems right now. I just don't want my dog put through things that will not make a difference. He is my baby and it breaks my heart to think of losing him.

May 13, 2020

I want to thank you all who have posted your experience with this devastating disease. I am still in shock from losing my darling Poppy so quickly. I had never heard of it. One minute she was tail wagging energdpetic, the next only hours to live. I am devastated. Vet said from a tick bite. I had her on monthly flea and tick mess.  I am so sorry for all of your loss. It's a vicious disease.

May 13, 2020

First, my condolences to all that have gone through this and lost your precious companions.  I fear that I am at the end of this road with my 13yo poodle mix Muffet (rescued 10 years ago). Last October she picked up Bordetella after routine grooming (they required vaccines).  She was treated with antibiotics and a steroid shot, and recovered.  By Christmas she was losing weight and exhibiting pica behavior (eating dirt and deer droppings).  Early January, a Vet determined she contracted intestinal parasites, she had lost 2 lbs from a naturally thin 10.8 lbs to an anorexic 8.8 lb. She was not improving much, late January I took her to another Vet.  Hematocrit was 17 and ultrasound was negative for abdominal mass, only revealed slight intestinal wall thickening.  Her hematocrit dropped to 13 and she received an emergency transfusion, hematocrit only rose to 23 (>35=normal)  Muffet was on Prednisone, Doxycycline, Atopica, Sucralfate, Omeprazole and GI health prescription food from February - April. She had dramatically improved, regained all the weigh and was her usual sweet self by end of April.  Suddenly, hematocrit started dropping again, we added Metoclopramide and Mycophenolate.  Muffet immediately developed a lot of GI upset and has really declined.  She had vomiting/diarrhea and was seen last week.  She had lost a pound, hematocrit was 13, and kidney enzymes elevated.  Vet gave her something for nausea and said I could follow up with a specialty hospital for another transfusion and a bone marrow aspirate to rule out bone cancer. She suspects it might be a bone cancer or a GI cancer (wall thickening).  She said I could choose to invest fully in this treatment with no guarantee or euthanize. I am devastated. The past week she has not eaten voluntarily, has extreme diarrhea, and significant weight loss, but no vomiting.  I am exhausted from round the clock care and grieving.  I prepared a burial place in my yard but can't bring myself to schedule the euthanasia.  I have spent thousand already and cannot afford thousands more.  She does not appear to be in pain or respiratory distress. Muffet lay beside me now and is content if I am near.  I am trying to accept the inevitability of her passing while enjoying these final moments with my sweet girl.  I keep replaying what I could have done differently or better.  Really tough. I will consult with Vet tomorrow one last time to ask if there is anything else I could do, I don't expect there is.

May 12, 2020

TI want to give some words of encouragement to anyone who is fighting this disease. My 7 year old Brussels Griffon Lexie was lethargic and didn’t want to eat one evening. I found it odd but waited til the next morning. She was the same and I noticed her gums were freakishly white. I knew something was very wrong. I rushed her to my vet. I called on the way and he was waiting in the lobby for me when we got there. He took Lexie back and started doing blood work and told me it was IMHA. I have never ever heard of it before. He told me she was in a fight for her life. Her levels were right at 13 and she was given a blood transfusion and I got to take her home with me every night (since they didn’t have people who stayed thru the night) but was asked to bring her back every morning for 2 weeks straight to check her levels and her overall condition. I was so happy to have her with me each night as she was going thru this. She is very attached to me and probably did better being with me every night. She was prescribed predisone and azathioprine at very high levels at first. I did everything he asked me to do and it’s been 6 months. Her last blood draw showed her levels in the 30’s and I am just so grateful. THERE IS HOPE!!! I know an ER facility would have charged double but I came out spending approx $3500. And prob a little more to come in the future since she will require blood draws approx every 3 months at $100 a pop. She will remain on azathioprine for the rest of her life and can no longer get ANY vaccinations. I cherish every day I have with her. If you suspect something is wrong, check your dogs gums!! This is the best indication that something is very wrong. They should be nice and pink. My lexie’s were a stark white. I had never seen anything like it before. If anyone reading this lives in Michigan, Patterson Veterinary Hospital in Clinton Township saved my Fur Baby. I’d recommend Dr Patterson to anyone. He didn’t take a subtle approach, he gave it all he had right away and it saved my little girl. There is HOPE..

May 11, 2020

Yesterday Saturday May 10,2020, I lost my beautiful girl.  My French bulldog Penelope.  I had never heard of this disease.  She started vomiting red foamy vomit late at night.  That evening she ate all her food and drank water.   I watched her  all night long.  In the morning I thought she was better, then again she started vomiting.  I rushed her to ER hospital.  They kept her.  I called to check on her.  She was fine.  Dr told me there was a possibility I could pick her up tomorrow.  15 minutes later, the dr called to tell she passed away.  Her lungs filled with blood.  I’m beyond devastated.  I can’t stop crying.  She never showed any signs.

Bella Blue 82
May 9, 2020

IMHA is definitely a battle. Our 2 year old polydactyl torbie was a life loving energetic kitty who absolutely loved to play. October 2019 we found her almost unresponsive urinating on herself. Rushed her to the vet only to find her PVC was 11%. The ER vet said we could treat with antibiotics and steroids or put her to sleep. After just losing our oldest to stomach cancer the year before, we decided to fight. We owed a chance to Sadie, the chance we couldn't give to our oldest. There are a lot of ups and downs, she got worse (went down to 9%) before starting to get better, got URIs, and our first attempt to wean steroids didn't go well. But she is a tough cookie. We didn't do infusions for lack of donors, but we fed her salmon, chicken and steak to bolster her appetite and nutrition. We thank every day we wake up and still have her, and she is now playing again! PVC is 49%, over 7 months journey from then to now. We're very very slowly weaning steroids with monthly blood checks. No underlying condition, just primary non regenerative IMHA. I hope some of you find hope in this, as there is still a chance for them with love, dedicated vets, and time. Good thoughts for anyone going through this, it's definitely a long term battle.

May 8, 2020

My cocker was close to death thanks to AIHA back in 1997. Thankfully her seizure threshold was low, so her fever made her seize, and I had her vet (a housecall vet only) come over and diagnose. She would never have survived treatment in a clinic; she was so terrified of being left without me .. so he came and drew her blood daily. Her numbers rose and finally she was better. Then she relapsed six months later. Her numbers plummeted to 13 - the worst she'd ever had. We decided to go the Cytoxan route. She responded fabulously and recovered. She died six years later at the age of 11, of an unrelated illness. This is a vicious disease. I hope no one gives up, though. It IS possible to cure with good, proactive treatment.

May 4, 2020

Our little girl, Mya, passed here at home with us Sunday night, May 3, 2020.  She had abnormal lab results at her annual exam in February & retest in March determined it was IMHA.  She was put on Prednisone & some other drug. A couple of weeks ago Atopica was added to a higher dose of prednisone.  The good thing is she didn't suffer very long, in fact on Monday she worked with our cat, Mojo Kitty, to round up a mouse and carry it outside.  Then on Tuesday Mya vomited and Wednesday was the last time she would eat something (cat's food).  On Saturday, we contacted our vet about new blood work on Monday, but then Mya took a turn for the worse and we knew it would be time to "let her go".  Fortunately, we didn't have to agonize with that choice.  She slept in bed with us Saturday night and I lay on the floor with her on Sunday.  She rested outside in the sun for awhile on Sunday, but I was selfish and wanted her in near me.  She continued to drink water right up to the end, but didn't want anything to eat.  She drew her last breath at 9:25 p.m. last night.  Tears are still coming, but we had saved her from an early death for 10 years (she'd been in a kill shelter).  So like y'all have said, we'd never heard of IMHA & fortunately she seemed like herself just up to 5 days before her death.  My heart breaks for all who have posted to this site before me and for those who sadly may follow.  RIP Mya

May 4, 2020

We lost our pet dog, Pipi, a mixed Labrador and Retriever on April 25, 2020. She was only about 6 years old on this earth. She seemed very healthy while under our care but, on April 20th in the evening, she was bleeding in her teeth after giving her a milk-bone treat.  We took her to the vet on April 22nd, as the bleeding continued. The vet said that she was anemic and that her immunity is low and needs to have blood transfusion. He diagnosed her as having a tick-borne disease. We gave her a blood transfusion and she swelled up around her face and extremities. The vet said that it was due to the blood transfusion and also the medicine that she was administered to (I think, like steroid or something) She stayed 2 nights in the vet hospital.  The blood transfusion did not helped much because her immune system is not fighting off the infection/parasites in her blood.  We brought her home, not knowing that it would be her last night with us.  She tried to do her normal routine like eating, peeing and bowel movement.  I thought she was doing fine.  But as it goes on, she became weaker and stumbled while walking.  It broke my heart that we have to euthanize her the next day in the evening because she has no immunity left in her blood cells to fight the disease.  She was breathing heavily and sometimes, catching her breath.  It was too late for us to save her. We were not aware that she has this kind of disease.  She had her yearly physical exam and vaccine.  She did not show any symptoms, until it was a few days remaining of her life and we can't do anything. We've tried our best to save her through blood transfusion - it did not work out.  She's very ill and it came too late. I am so sad because she was a joy and a wonderful companion. She seemed like a healthy dog but, a week later she was gone.  I wished I have known this kind of disease earlier.  I may have prolonged her life.  It's hard to lose her because she's my family...sob...sob..sob...

May 2, 2020

We too had never heard of this vicious 4 letter word until this week when it took the life of our  precious 2 1/2 year old shiitzu, Kimi.  Kimi definitely did not feel well on Tuesday. She didn’t want any of her favorite treats and wasn’t interested in eating.  She laid around all day, moving from one spot to another. We thought for sure she would bounce back by the next morning. That didn’t happen. When she leaped off of my bed on Wednesday morning, I didn’t hear her paws. Her body hit the floor and she couldn’t get up. When I picked her up, it seemed as though she was paralyzed, as she couldn’t stand at all. I didn’t realize it at the time but she had also urinated in my bed and it was a brownish red color. I took her to the vet, and he diagnosed the issue, sending us to the animal ER. On the way to the ER I noticed that her breathing was very labored. I assured my baby that she would be okay, that I was getting her the help she needs and begged her to hang in there. Since we have this COVID virus issue going on,  I was instructed to sit in my car and they would contact me after the evaluation was done. The ER vet called me and informed me that her hemoglobin count was 7 and that 11 is considered critical.  She informed me that sweet Kimi was on the brink of death. She explained the treatment plan, which would consist of multiple transfusions at first.  She also stated that the first two to three days would easily cost $6k to $8k and she would need months of care, vet visits and medications, if the transfusions were successful. How can you put a price on such a sweet dog whose whole life is loving us?  I didn’t really have time to make that decision, because she went into cardiac arrest and died, all while I’m sitting in my car listening to all that’s going on. Needless to say, my husband and I are beyond shocked and heartbroken how our little girl, who was running figure 8 s in our backyard just a week ago, is gone with virtually no warning.  Kimi, we miss you so much!

April 28, 2020

Our cocker spaniel was diagnosed with IMHA two weeks ago, and after researching and reviewing these comments, we were terrified by the diagnosis.  There seem to be many more instances of unsuccessful treatment than not in this threat.  I'd like to share a glimmer of hope and positivity we experienced with our case.  Our dog was lethargic, eventually stopped eating, and his urine was a dark red/brown color, which we learned was the result of elevated levels of bilirubin.  The morning after noticing the discoloration of his urine, we rushed him to the vet and he was diagnosed with IMHA, and a RBC of 14.  We rushed him to the ER where he immediately received a blood transfusion, and his RBC rose to 24 and he was put on prednisone and an immunosuppressant.  He was released two days later to us, which was a Sunday, where he was very yellow, but was more energetic than when we took him to the ER.  The first stay at the ER ran a little over $3k.  By Monday, he was again very lethargic, and could barely walk outside to urinate.  We ran him to the vet again where we learned his RBC dropped to 14, and were advised to take him to a different ER that had internal medicine specialists, which we did.  He was at the second ER from that Monday and he was released to us on the following Sunday.  During that time he underwent two more blood transfusions to give the medicine time to begin working and his RBC fluctuated between 20 and 16.  He finally stabilized at around 19/20, with no additional blood transfusions.  I write this on the following Tuesday after we picked him up, and he has shown a marked improvement.  He is eating (although on an appetite med) and has been showing more energy with each passing day.  I know we are not out of the woods yet, but the signs so far are all positive, and he is well on his way in the right direction.  Yesterday his RBC was 19, so still holding steady, but we still have a ways to go.  I won't sugarcoat it, it was touch and go for the few first days, and we felt it could have gone either direction, and the second ER visit ran us about $6,800, for a total of almost $10k, but if you have the resources, and depending on the circumstances of your pet, i.e., whether the IMHA is primary or secondary. etc. this can be treated.  Likely, if we had taken him initially to the ER with the internal med dr's we could have saved some money although probably not much.  His treatment by the dr was top notch.  Again, I share this to give some hope to those struggling with the impact of this awful disease.  I will update our status as we progress, since I know we are not yet in the clear at this point, but again, are seeing signs of much improvement.  We will surely be vigilant, and if we see any signs of this disease in the future, now we know our dog is prone to it, we will be immediately taking him to the vet, to hopefully head it off before it gets too severe, or more intrusive treatment, like blood transfusions are needed. 

April 23, 2020

We lost our beautiful Bella last Friday she was only 5 it happened so suddenly Sunday she was fine the next morning she was lethargic when she got up then threw up we took her took her to our regular vet they said her red blood cell count was so low she was almost critical we rushed to the vet hospital she had every test imaginable including 3 blood transfusions but her body just kept on killing them she was a kind gentle soul I will miss her every day she was my friend and companion.

April 21, 2020

We had to say goodbye to our beautiful, brave little girl this Sunday, after a two month long battle with IMHA. She ended up needing Prednisone, mycophenolate, Cyclosporine, and a myriad of other complementary medication, 5 blood transfusions, a plasma transfusion, and a splenectomy. Each and every new medication added gave us hope. Each little jump in her PCV gave us something to hold on to. We did everything we possibly could, but she just became less and less herself. On Sunday, she somehow let my wife know that she was ready to say goodbye. She hung on fighting for so long and we are so grateful to have had that extra time, but, man, IMHA and the accompanying meds really sap the light out of your companion and out of you too. I'm sharing this here, because, like many of you I'm sure, I read through the other comments over and over to try to find some hope or a story that gave me solace in our decision to let her go. No matter what, this shit is hard. Losing a dog -- in our case, our first dog together and our best friend -- is deviststing in of itself, but this disease is really just insidious and unfair. In any case, whatever the prognosis is for your pup, the fight is worth it, even if it is just to give you a little bit more time. If it gets to be to hard, they'll let you know.

April 19, 2020

Just read this article as my lovely Staffie Riley died recently on 18th Feb and I'm trying to find out as much as possible about this disease. He was diagnosed late January after a trip to the emergency vets when his blood count was as low as 13, now despite this he was never given a transfusion and was discharged the following day with a count of 18 (which I only found out about after a blood test at my own vet). He was on a massive dose of steroids daily but by his next test his count was 17, this was 3 weeks after initial diagnosis and he died later that day undergoing an ultrasound from Dilated Cardiomyopathy, despite never having any history of heart problems. I'm concerned that the emergency vets never carried out the right practices having read this article and other people's posts and wonder if anyone else has had similar mistreatment? Reading this makes me feel like he was killed instead of dying from this illness, however horrible it is.

April 13, 2020

We lost our beloved Shetland Sheepdog on March 31st to IMHA. He had developed a UTI and was given amoxicillin to treat the infection. The next day everything began to spin out of control with vomiting which led to a change in the antibiotic. There was no improvement as he became lethargic and stopped eating. A urine capture revealed blood - and I do mean blood. It was horrible.  We rushed him to another vet who performed x-rays and a full blood panel. The diagnosis was IMHA. Neither my husband nor I had ever heard of this insidious disease. Our precious little dog was hospitalized with hopes that emergency treatment might save his life. Our hearts were broken when he passed away the next morning. This disease is a monster and it destroyed our little dog like a raging wild fire. Our Sheltie's name was Tobie. He was a smart, beautiful and happy little dog who was greatly loved by his family. My heart goes out to everyone here who has lost a pet to to this disease. I hope and pray that one day there will be a cure and that no one else will ever have to hear a veterinarian say, "This scares me. It's called IMHA."

Diane Kean
April 8, 2020

We have had two boxers die of this disease, although it was called AIHA at that time. Now I’m devastated that yet another one of our dogs has been diagnosed. We were told a month or so ago that he was in stage III renal disease. On Monday he had petechial hemorrhaging in his eyes. We sent a photo to our vet who diagnosed him with allergies. Picked up eyedrops and hoped for the best. He started urinating and drinking more water than normal. Last night, during the night, he was up several times to go outside and drink water. He would come back into the bedroom, would lay next to me and just tremble. We knew  something was wrong. My husband took him to the emergency vet who diagnosed him with IMTP. He has an IV and is being transported to an internist at an animal hospital who will start aggressive treatment. I was so hoping we wouldn’t have to deal with this again. Both of our other boxers died at home and it was hard. I was reading some hopeful news That there are some treatments now that seem to be helpful and prolong lives. However, reading the comments here-especially the recent ones-have me worried again. All we can do is do our best to help him get through this with his little pain and grief as possible. Timing is everything.  We both work in healthcare and are dealing with various challenges due to coronavirus. I wish all of you the best. Just love them all you can while you have them.

March 30, 2020

My dog had an awesome day Friday. Business as usual.  He seemed odd on Saturday so we went to the vet.  He was diagnosed with diabetes, anemia and a heart murmur.  I was in shock.  We returned yesterday because there was no improvement.  He was diagnosed with IMHA.   He had a blood transfusion and I took him home to return in the morning to see how he responded.  I just woke up to discover he passed in his sleep. This disease is awful and comes on way too fast.   I’m completely devastated

March 20, 2020

My 4YO Havanese just got diagnosed with this today and my head is spinning.  We declined the transfusion and reading some of these comments makes me feel validated in that decision.  The transfusion plus overnight stay was going to be $1500-$2000.  In addition to that seeming really expensive, I can’t justify spending that at this time.  We opted for the steroid treatment but my dog looks like death.  I don’t see this changing for her.  Has anyone had any luck with meds only?  At this point the most humane thing seems to be to put her down.  This is so upsetting.  She was playing and running around 48 hours ago.  She lost her appetite last night and this morning woke up and barely moved. Tonight her urine was red.  I worked in a vet clinic through HS and college and I have never heard of this. So, so upsetting.

March 4, 2020

IMHA is a beast. My 8 year old pup got his first autoimmune diagnosis 4 years ago, then IMHA came on 1 year and 1/2 ago when he fainted with a PCV of 18. We did one round of blood transfusion and all the immunosupressants. He went into remission shortly after until last week. He was steady around 40 for 4 months, then last week it dropped to 31 and this week dropped to 23 when I took him to the vet where he is at 20, they're doing aggressive treatment - minus a transfusion - and he's continuing to drop. This two day stay is more than my mortgage, but I love my baby boy. However, the financial side is hard. If he's not responding, then I'm going to have to make a decision. And I've been crying since last week because it came back and I know the toll it took on him last time. He's my sweet boy, my shadow, my literal road dog, and just wants all the belly rubs. I've had him since he was 8 months and we've grown up together as I got him shortly after I graduated college/living on my own. It is breaking my heart knowing that he has this and that I don't have the finances to keep up with it.

March 2, 2020

My story is the same as many of the others posted. My cherished, robust, healthy 7 yr old wheaten terrier/poodle (whoodle) mix had blood in her urine. I thought it was a UTI. The vet started talking about hemalytic anemia and I thought I was going crazy! It's just a UTI, I thought, just put him on antibiotics and he will be better. After 3 blood transfusions, and an embolism, our pup died 2 1/2 days after first diagnosed. We are crushed and shocked. Losing this sweet, special, wonderful, beloved family member has leveled  us. I have had 4 dogs and had never hesrd of IMHA. Now I will never forget it. To those of you feeling guilty for not being able to pay for more extensive treatment or for choosing to bring your pet home to die, stop besting yourself up. The vet said that dogs who survive typically have a fast turnaround - you gave your pup a wonderful life and that's where the focus needs to be. For me, I have to adjust to life without him, and that is the most difficult hurdle of all.

March 2, 2020

Our 14 1/2 year old female Italian Greyhound was diagnosed with this disease this past Thursday. She's had 2 blood transfusions. I'm doing all I can to save her. She's home now 1 day, but still weak. The emergency doctor said that she can pull through this. She's not eating and I have a follow up appointment with her today. And yes, thousands so far to try and fight to keep her alive. I don't mind if I can get her back on her feet. I hope that she isn't suffering. That is a big fear of mine. I know she's and older dog. She's so sweet and loving. This has been heartbreaking.  She has a buddy who is another Italian Greyhound who's 15. He's was so upset when she wasn't here for 4 days. The more I read the more reality sets in. I'm not ready to give up yet. I'm trying not to cry and to be strong, pray and believe and have faith.

February 12, 2020

Omg in about in tears my beautiful 3 year old Springer had this horrible disease he was diagnosed just after he turned 2 today he had a relapse I think it's time we said good bye to him but I don't want to he's to young but I know I'm going to

February 11, 2020

I am so sorry for everyone who lost a fur baby  My little fluff 7 year old Shih Tzu, is currently in the vet ER.  Her PVC was 15 and after several blood transfusions and IV meds it is going up and down. Nothing over 24 for long. She has been in the ER since Friday, it is now Tuesday. This is such a wait and see process, and so, so difficult. My heart is breaking because like everyone has said, it comes on so quickly. I never knew about this disease until this week.  It's terrible. I'm praying my baby will come home but it's 50/50.  Thank you for everyones comments and posts. It is helping to know I'm not alone in this terrible time.  I have been reading about a relatively new procedure called TPE, I think it's a plasma transfusion, but not sure.  It seems to have pretty good success but it's in the early stages and unfortunately very expensive.  It's so hard knowing what the right thing to do is when faced with more treatments, transfusions, meds.  Having to know when enough is enough is so hard.  I can't stop crying.  I just want my baby home.  

Steven Buchwald
February 4, 2020

I’ve really been struggling after my recent loss of my 5 year old baby girl shih tzu. A completely loving dog, she only wanted to be by my wife and I side. She showed us so much love and had such a diva personality. The first signs that something was wrong was only last Friday, which was 6 days ago, and she had red colored urine. We took her to the vet and our vet said that she’s anemic and could be caused by an autoimmune disease called IMHA. She started to not eat and not have a lot of energy and we rushed her to the emergency vet hospital when she struggled standing. She was hospitalized and we given blood transfusions to help her red blood cell count and was on immune suppressants in hope that her body would stop attacking itself. She started turning yellow and still not eating at all. The worst of it was the call we got that stated she now had a set back due to have labored breathing and needing extra oxygen. This is when my wife and I made the hardest decision to put her sleep in hopes that we are relieving her suffering. he hardest thing that I have been struggling with ever since is did I jump the gun? Could she have gotten better with another transfusion? Did I not let the medicines enough time to turn things around? And ultimately I question if I gave up on her? At the time, the look on her face was just sad and scared. She was so weak and just not her happy loving self. I was so afraid that they way she was declining that something worse was going to happen or more pain would’ve happened. But now I just can’t stop thinking that I didn’t let her fight, and I gave up on her.. She was so young and this happened so fast, It honestly makes it hurt so much worse. We didn’t plan for her to be gone So soon and I can still have memories of just last week when she was healthy and here.. and now she gone.. I’m struggling with this...

January 14, 2020

I just lost my beautiful dog Harlee today to this. Came on so suddenly. Just awful

January 11, 2020

I am trying to find comfort in my loss. My 11 year old chihuahua/terrier mix collapsed one day out of the blue. He became very lethargic and would not eat for 3 days. His blood results showed his red blood cells were very low and he was anemic. His gums were also very pale. Next was x-rays to check for a tumor and free blood - there was none. A repeat blood test revealed his red blood cells had dropped significantly in 24 hours, and he was in critical condition. We rushed him to the 24 hour speciality veterinarian to find out he was going to need a blood transfusion just to stabilize him and keep him alive which required him to be hospitalized for 3 days. In addition, he was going to need an extensive amount of testing to figure out the cause of his anemia. I very much think that he had IMHA. I have so much guilt because I opted not to do the testing and blood transfusion because I wanted to bring him home to spend one last night with him. I miss him so much. I keep having to remind myself I did the right thing before it was too late and the anemia took his life. I didn't want him to suffer and be poked and prodded at the hospital. I just wish there was more I could've done for him.

Mary Cottrell
January 8, 2020

my shizu is now in her battle with this disease and the vet is giving her predisone and azathoprine.  he wanted to give her a transfusion but we said we couldn"t afford it so we got her eating liver and can dog food from the vet and this is the 5th day and her gums are getting more pink and her eyes nice and white but urine is very yellow but no blood.  I hope she keeeps inproving I am giving her liver to build up the red blood cells hope thtats good

January 1, 2020

I have a 6 year old GSD (female) who was very active eating well and the next thing I noticed was lethargy, loss of appetite so I knew something was very wrong. Took her to the vet the next day and she was diagnosed with IMHA.She was started on high dose of prednisone and Azothioprine with  frequent blood draws.Gradually reduced meds and she has been in remission for a year.She now takes the AZO 50 mg 1 1/14 Monday,Wednesday and Friday.Prednisone 10mg on Tues and Thursdays. No meds on weekends.She now gets blood test every 4 months. I do watch for behavior changes and the yellowing of mucous membranes. I can only hope she remains healthy So sorry for all of your loses.

Sarah Hunt
December 29, 2019

My 3.5 year old lab mix was diagnosed on a Monday and passed on the following Sunday. We treated the IMHA as aggressively as we could. In fact his last blood test showed that his body was no longer even producing red blood cells. My heart is completely broken. He was my best friend and the best dog a girl could ask for.

Rolando Pintos
December 23, 2019

My beloved Emma was a perfectly healthy and extremely spoiled Border Collie/Lab mix.  For 8 years, she went to the vet 1-2 times a year for regular, preventative check ups.  In fact, her final vet visit was one month prior to her fatal IMHA diagnosis (where she got a routine Bordetella vaccine).  I prided myself in being a good pet parent, especially when it came to her wellbeing/health.  Someone had abandoned her as a puppy, and I was happy to give her a new lease on life.  She took preventative heart worm pills and glucosamine supplements.  She got routine paw-dicures.  She was fed by hand.  She slept under the covers.  Everywhere I went, so did she; it didn’t matter where.  In fact, I’m so proud of her, she even walked the hallowed halls of the Department of State!  I was not prepared for IMHA.  This was not a disease that I had ever heard of in the same way that Parvo is discussed.  The rapidity and viciousness of this disease is something that I am still coming to terms with.  On a Sunday, Emma seemed to favor one side while sitting/laying down.  I was under the impression that she sprained her leg and intended to monitor it in case I would have to bring her to the vet.  Aside from that, she seemed normal.  By Monday morning, she was way off and was barely able to move.  As I called her for her morning walk, she sat up on her hind legs and collapsed on the ground twice.  I carried her outside where she was barely able to walk on the leash.  While she was usually ten steps ahead of me, she was very much behind me that day. Luckily, I thought, she had a wellness plan through Banfield Pet Hospital, so they would be able to help her.  Again, she had never been majorly sick.  All of the Banfield’s were fully booked, except for one that was an hour away.  We got an appointment for mid afternoon.  On our way back out to drive to the vet, she urinated a lot of blood and I began to worry.  I bolted down the freeway in a smartcar, in the rain, at 80 miles an hour, with one hand on the steering wheel and the other on my poor Emma.  When the vet ran several tests, none of which were covered by her wellness plan, and mentioned a blood transfusion and possible euthanasia, my head began to spin.  One month prior, her bloodwork was perfect!  I had fully expected to go into the vet for meds for a possible UTI, not something as serious as a transfusion.  The vet never mentioned IMHA, and noted that she had tested positive for Leptospirosis, something else I was unfamiliar with.  As they couldn’t perform a transfusion on premises, I had to take her to a proper pet emergency room.  I was unprepared for the diagnosis.  The whole drive to the hospital, I was looking at the prognosis for leptospirosis, which is curable in 2 weeks with antibiotics.  When the doctor mentioned IMHA, she might as well have been speaking Mandarin, because I had no idea what it was. Overnight, Emma received two blood transfusions.  When I visited her in the afternoon, she was weak but the doctor said her body was responding slightly to the treatment.  Her bone marrow was starting to produce new red blood cells!  I was so exhausted emotionally that any good news was welcomed.  After two hours in the ICU visiting Emma, I went back home.  An hour later, the doctor informed me that she would be getting another transfusion since her RBC count was dropping.  Soon after the third transfusion, she developed a clot in her brain and was seizing.  At around midnight on Wednesday, her doctor reached out fearing the worst.  I took an uber and was in the hospital in twenty minutes. I was not prepared for how rapidly she had deteriorated.  Her skin was yellow.  Her eyes were darting rapidly from side to side and turning different colors.  There was drool coming out of her mouth.  The poor thing looked awful.  But she still had enough sense to lift her head and track me when I entered the room.  Considering how poorly she was responding to the treatment, and the prognosis for these clots, I had to make the painful decision to put her down. I am so heartbroken.  What’s so weird is that while this is a common autoimmune disease, there aren’t too many testimonials about this, outside of a handful of reddit threads.  Most of the literature that I could find on this was in obscure Veterinary trade magazines and medical reviews.  However, a simple google search for IMHA related GoFundMe pages demonstrates that this is very common as there are multiple straight pages of crowdfunding requests for help with the medical bills associated with this disease.  I am so sorry for anyone who is dealing with this right now.  This is something that I seriously would not wish on my worst enemy.

Kate Pennington
December 17, 2019

My schnauzer was diagnosed in April 2018, he was 12 years 6 month old.  He had stroke like symptoms and not much strength as he could barely stand or walk straight.  I rushed him to the vet and his red blood cell count was half of what is considered normal. The vet gave him 10 mg of prednisone and a wait and see kinda response as they felt he has anemia/ IMHA -  we were all heart broken.  Well, despite the diagnosis, we faught on with our schnauzer and continued the administer the prednisone and then the vet started him with 10 mg of azithioprine . We kept a close watch on our little guy, and he started pulling through nicely.  His red blood cell count kept getting a little better. After six months , around December of 2018 he went off the azithioprine and he was doing pretty good. His RBC count was up to 30!!!!! Not bad, but normal is 40, so we continued the prednisone.  Well long story short, our schnauzer is still going strong 12 months later and his RBC is 33 ,  and he is only taking 5 mg of prednisone per day. The vet is so happy for my little guy, the vet calls him a miracle as he has been fighting for 18 months now.   To think we were going to put him down over a year ago,  please don’t give up if your dog is experiencing this aweful disease , your dog can pull through .  I feel that by feeding my dog the suggested vitamin B foods, such as grilled hamburger meat and eggs, along with the prednisone, has given my little dog a fighting chance .  He is now 13.5 years old and he is doing pretty good. I hope this info helps, email me anytime and I will respond with all the info/ efforts we have taken that may help you also.

Mary Noggle
December 15, 2019

My sweet Hazel was diagnosed Friday with Evans. Here it is Sunday, and I know in my heart we we will lose this battle. Years running down my face. She won't eat. So that means no meds. She can't walk much. She was fine one day, and the next fighting for her life. I cannot and will not let her suffer. I have to let her go tomorrow. And it is breaking my heart.

November 19, 2019

Our 10-year-old pug rescue has come down with what sounds like IMHA though the vet never used that particular nomenclature. Our experience is exactly as everyone describes here. Fine one minute then on Friday we found that he had collapsed on his way to greet us at the door. Blood tests on Saturday indicated severe anemia and absent any other obvious explanation, he was started on Prednisone yesterday. I am heartbroken as this is exactly 10 years to the day that I lost my beloved first pug, Pugsly. In his case, he went through surgery, blood transfusions, a week long stay in ER and came home only to have what I believe was a stroke related to all of his treatment. I put him to sleep that night. I don't want to give up on Bernie yet but I don't want him to suffer like Pugsly did at the end.  Reading this posts, the outlook looks so dire.

November 13, 2019

We also lost our 7 year old pitbull, judge to this horrible disease. He didnt show much signs, was just very tired for 2 days, had some loss of apetite, but started eating again and got his energy back. Thought he was fine again and them saw his urine was a very dark brown red colour. Took him to vet that afternoon after seeing the urine that morning. They did more blood tests and he was diagnosed with IMHA. Two days later he just dropped dead. No signs.. He died in our arms sad.

Barrett Post
November 8, 2019

This is a great article and after going through this myself I can say every word is so true. My yellow lab/whippet mix has Evan's Syndrome. Almost everyone had given up hope of the medication working but I refused to let her go. Three blood transfusions, several overnights at the hospital and 10 days on Cyclosporine and Prednisone... she was still loosing blood and platelet Luckily I found what I believe to be the best vet in Tampa, Doctor Yadira Santos from Banfield said she had heard of a chemo treatment called vinchristine which has a side effect of increasing platelet production. She set everything up so we could go to Blue Pearl Animal Hospital for the treatment, it was our last hope for seeing a dramatic change in her condition. Blue Pearl sets a whole new standard in pet hospitalization and critical care, they did two of her transfusions and were the only ones that could provide the chemo treatment. All I am saying is if you are going through this and have the means there is hope... it was a very expensive journey but like I said the whole time "you can't put a price on love". If you are going through this ask about the vinchrisitne it seemed to be what got her back on track. She pulled through and has been doing great... she will be steroids for life but all I know is 4 months later she is still here with me and made an amazing recovery. Thanks to Dr. Santos, Banfield and Blue Pearl, the people that took such good care of my pup are a lot of the reason she is still here today :)

October 20, 2019

I'm so happy to read some of these comments. My dog was diagnosed a few days ago and has gone downhill and starting to throw up blood and going limp so I have decided to put her to sleep come tomorrow. It was nice to read some of these comments to show me I'm doing the right thing.

Pam Brock
September11, 2019

I am so heartbroken after reading all these comments, but I am here to tell you there is hope.Our little Izzy was diagnosed the end of April, and in two days we rushed her to UGA vet hospital where she had a transfusion. Her red  blood count was at 12. After 5 days in ICU her red blood count was at 25, and she began taking prednisone and Mycophenolate. She began to have blood in her stool and vomiting, so sucrulfate was  added to coat her stomach. We have had many ups and downs with this horrible disease, We have been weaning her off the prednisone now for the last 8 weeks. It has to be done very slowly to prevent relapse. Yesterday her RBC was at 43%! Don’t give up! There is a face book site called IMHA with a world of information.

Cynthia Huwe
September 1, 2019

This happened to our Lucy the exact same way. Fine one day, then not eating, lethargic. Go to the vet expecting to come home with an antibiotic and something to ease her tummy and told she has IMHA. Chose to have her euthanized. Not putting her through treatments that will probably not work and cause her more suffering.

Cynthia Huwe
September 1, 2019

I was not going to put my dog through any of this treatment. Even if I could afford it, I cannot see putting any animal through it. Dogs keep going, no matter their pain, to keep their owners happy. I cannot let my pets suffer when there are thousands of dogs out there to rescue and give a good life.

August 25, 2019

There's nothing that can prepare you for coming face to face with IMHA, the sudden and brutal physical havoc it wreaks on your beloved best friend as you do everything, pay anything, to be one of the lucky ones who somehow find a way to save their precious fur baby.   After my 95 lb 9 1/2 year old girl Cookie was diagnosed with this barbaric disease, it was two months of test after test, blood transfusions, antibiotics and other meds but cruelest of all the mandatory double immuno suppressive agent therapy which came with its own laundry list of debilitating side effects equally as destructive as the original disease.   Finally, down to 70 lb and no longer able to stand on her own or wag her tail at the sound of my voice the fight was over.  So I told the best friend I never wanted to live without I would see her again one day on the other side and with that she gave me a kiss and a thump of her tail and she was gone.  That was June 24th and I'm still a train wreck.   I am sorry for all who have had hearts crushed.

Stephen Marple
August 24, 2019

I lost my beloved dog 3 days ago to IMHA.She was a staffie cross. She was 9 years old. On the Sunday she seemed weak. Then the next day she seemed ok. Then a day later she became very weak. I then took her to the vets.The vet took a blood sample and gave her an injection to help her. Took her home to wait for the blood test the next day. She only lasted 2 hours and died in front of me. I am devastated. Vets told me the the next day she had IMHA. Never heard of this. I wish I had taken her to the vets earlier. Happened so quick. Keep blaming myself. This is a devastating disease. My poor dog gone forever. Left a big hole in my life. RIP Sparkle and thanks for being so loyal.

August 23, 2019

I am so glad i found these comments since i just lost my beautiful papillion girl, willow,this wednesday (aug 21). the most comforting thing to hear is that it develops very rapidly.  she was fine thursday and friday and then saturday she starting peeing blood. i had been going to a wonderful vet for over 35 years but her office manager was treating me (and others) very badly so i decided not to go back.  i chose another vet and she doesn't work on satuday.  monday i called her and brought my dog in.  i was treated very badly.  she told me willow was jaundiced and that anyone with eyes in their head could have seen that and she also found a flea on her.  i am a senior citizen on very limited income and all i had was $100.  she said it wasn't enough to cover costs and she woudn't wait till i got my social security check on aug 28.  then she said she was a small business and not here to  "lend money" i left devastated.  i called my old vet (wonderful person and vet)and she had just flown in from visitng relatives in croatia and said she was on her way from airport and to meet her at clinic. I brought Willow in and then the horror began.  Willow was a  rescue and had mild erchichia when i got her and was treated. the erlichia probably came back.  I really didn't think she would make it but I had to try to save her.  My old vet does give credit but her office manager was there giving me a very hard time while i was trying to save her life.  I told him on aug 28 I would give $300 (my food budget) and then that amount monthly. I was bringing her in for fluid treatment twice a day and the morning and evening techs were wonderful and treated her with kindness and love.  At home she was  hiding and I felt she was not going to make it but I had to try.  Wed (aug 21) she stopped peeing and I called and was told to bring her in.  While we were waiting to be seen, she passed away right in front of me in a full waiting room.  I new she had died.  she voided bloody urine and they took her away.  I knew what had happened.  My vet said they were breathing for her so we could say goodbye. I said good bye and then said let her go and stop her suffering.  My vet shows her distress at any animal passing and was so kind.  If anyone could have saved Willow she could have.  she had so many things wrong.  the only comfort i have is everyone saying their dog was fine one day and deathly ill the  next. the other vet made me feel like i was negligent and I was beating myself up.  the other owners posting gave me some comfort in that their dogs were fine one minute and then deathly ill the  next.  i had heard the name of the disease but didn't really know much about it.  i am just devastated and made more so by the other vet and the office manager.  I did talk to one of the techs that treated her with hydration and he said the office manager was really bad with many people and they had lost clients and employees over him.  i realize he had to be bad buy about income but i was with my vet before he came to work there and have always paid my bills.  he makes me afraid to come back but i will never find another vet like this one and i am so distraught as i have 4 other little dogs and 3 cats.  thank you for providing this forum.  i don't even know if i am making any sense since i am still in shock and disbelief and grief.  all of you who have had to endure this horrible disease have my deepest sympathy.  a cure needs to  be found. i hope my Willow is now at peace and she meets my boy papillion Sparky at the bridge. I have to believe in some comfort.  I can't believe I won't be seeing her happy Papillion dance in the morning and throughout the day.  my other dogs and the cats keep looking for her.  I am blessed that i at least have their comfort.

August 21, 2019

I am so saddened to read all of these stories of those of you who lost your fur baby.  My story is happening in much the same way.  Toby, our 11 year old healthy, happy Pom was fine on "Sunday night at bedtime and Monday morning he refused to eat.  This was so unlike him as his favorite times of day are mealtime.  I assumed he was having another episode of pancreatitis and attempted to get him to take some of his probiotics.  He wasn't having it.  Couldn't interest him in a treat or anything.  Monday evening I stopped at the pet store and picked up a can of very low fat food.  That how we treat his pancreatic attacks and he usually loves it as he doesn't get wet food.  By Tuesday morning he was taking a quick turn for the worse.  I called the vet and they said bring him in right away.  After running bloodwork they diagnosed him with this horrible auto immune disease.  Like all of you I had never heard of it and was flabbergasted at how quickly it was taking him down.  They gave him fluids under the skin, prescribed the Prednisone, Azathiprine and Pepcid.  It was not easy getting them down him.  By this morning he couldn't even walk.  The vet called to check on him and I took him back in.  His RBC was down to 12%.  He got a transfusion today and we will continue to monitor and pray for the best.  Hoping the tranfusion will last long enough for his other meds to turn the situation around. Hopeful but not optimistic.  Breaks my heart.  He is the sweetest boy ever.  He comes to me for a little love every night before he lays down. Love him to pieces.

August 10, 2019

We lost our 10 yr old Cockapoo not even two weeks ago to this horrible, horrible disease. He was our first dog, he was my everything. Buster wasn't the healthiest of dogs...but by no means were we prepared for this. Sunday,happy/normal Buster minus his urine being a weird color (he got UTIs so we didn't think much of it). Monday evening we're at our urgent care vet learning about IMHA. Our little guy had gone through enough (epilepsy and end stage liver disease) and we decided it was the best option. He was so sick and confused. Everything you heard- jaundice, weak, heavy breathing. Hardest thing we've ever done and I miss him so much. My heart aches. And I'm very angry at this disease, how fast it attacks and the lack of available treatments. Maybe his other issues triggered this...who knows. I just know it happen so fast and our lives are changed forever. IMHA needs more attention and research. It would be wonderful if other pets and their owners can have hope when they hear this diagnosis.

July 3, 2019

We lost our beautiful cocker spaniel Charlie to IMHA at 5AM yeseterday. He was only in the Animal Hospital for a week now he isn't with us anymore. I haven't stopped crying he was only 5. He had about 8 Transfusions with no result so they thought they try and remove his spleen he survived that only later to get blood clot in the lungs. Only thing I am grateful now he is in heaven and pain free now. We had no warning he just got sick and wouldn't eat took him to vet and he went straight to the Animal Hospital as he blood count was at 12%. This Disease is so Terrible and I hope anyone on here that they fur babies get through it and don't have the same result as our beautiful Boy Charlie. Here One Day Gone the Next.

June 4, 2019

My sweet Echo lost her life to Evan’s syndrome just three weeks ago. She was only 5. She was my first dog, and was and is still incredibly special to me. She had received her lepto vaccine the end of March, and by mid April we were back at the vet. She wasn’t eating, even her favorite treats. The treatment seemed to work at first, she had a better week. Then she really started to slip away. Her organs were all enlarged, and she couldn’t move much at all. She was only in the hospital for a couple days. They tried a round of chemo and blood transfusion to get her counts up, but it didn’t work. I didn’t hesitate when the doctors said it was time. She was on oxygen, had a seizure, and started to get blood clots in her brain. I knew it was time to put her to rest. She had just celebrated her 5th birthday. It has been 3 weeks since she passed and it has not gotten any easier, but I know it will, and someday I will be ready to open up my heart again. I spent more than $6000 trying to save her over one month. I kept thinking, just another thousand, and another thousand, and she will be saved. The vets didn’t know for sure if the vaccine caused the lepto, which then triggered the Evan’s syndrome. I would still recommend vaccines. My sweet Echo just pulled one short straw after another. I am so grateful she held on long enough for me to be there and put her to rest. I couldn’t imagine her passing away without me. She was the best dog I could have hoped for. I wish I had more time, but the time we had was perfect. My prayers go out to all doggos and parents struggling with this. Hope for the best.

May 30, 2019

Our beautiful 8 1/2-year-old chocolate labradoodle, Sam was put to sleep five days ago. He had Evans disease, which is both the attack on red blood cells and platelets. He was diagnosed with IBD (treated with prednisone) one year ago,  and was a beautiful, shiny, healthy dog that played in the park and swam almost every day. One month ago,  he was diagnosed with IMHA. He was also put on a laundry list of other medications. We tried acupuncture, had four doctors, were in and out of the hospital and after a blood transfusion, his numbers went up. After this one month., The red blood cells begin to be destroyed again. Then his body turned on his platelets. The prednisones is the most horrible drug we have ever experience we tried acupuncture, had four doctors, were in and out of the hospital and after a blood transfusion, his numbers went up. After this one month period, the red blood cells began to be destroyed again. Then his body turned on his platelets. The prednisones is the most horrible drug we have ever seen. But there is a saying “better Pred than dead”. The high doses changed his hair, deteriorated his muscles, and we basically watched this young dog change in front of our eyes. Since he had no muscle, he tore his ACL. This poor dog limped and drug his leg around.  Just when I thought it couldn’t get any worse, he got a nose bleed. That’s when the doctors told us that he was unable to clot blood. They told us things were only going to get worse and we probably didn’t want to put him through that or ourselves. We gave him an amazing evening with friends and all the foods he wanted and took him the next morning. My heart is broken and I will never understand this bewildering disease. I feel for all of you on here. Know that I am going through it also. I miss him so much.

Donna D
May 22, 2019

As I am reading all of these comments my heart is aching and tears are running down my face because I too lost our precious Hachi in 2016. He was a terrier shitzu mix (Jack S***) LOL! Only 4 years old. I still have a pain in my heart because he was so young and, the not knowing why this happened and, the feeling of "Did we do everything we could to try and save him?" I have beaten my brain trying to think of what lead to this dreaded day of our loss. In 2015, our house was broken into. My husband was on a business trip in Florida, my kids were at school and, I was at the gym. When I got home our place was thrashed. They got in through a side door that they literally pride open with all their might because they could not get in through our French doors. I walked in through my garage not knowing they had already left and noticed that my hall door was closed which I did not understand. Hachi greeted me as he usually does. So, it did not hit me right away until I saw the destruction. It was not until a few days later when the police came to dust for finger prints that I noticed the scratch marks all over my hard wood floor in the dining room. I told my husband do you think they tried to hurt Hachi and he put up a fight? He said he really thought that may have happened. Hachi seemed okay. I did not think about it again until he started getting seizures about 5 months later. I walked in on his first seizure after coming home from a day out. What a frightening experience that was. The vet put him on a medication and he was down to having seizures only once a month which I could handle. I even asked the vet could the seizures be because of the break in? And he dismissed it saying the seizures would have started a lot sooner if there was a trauma to his head. He diagnosed it as Epilepsy being that he was under 5 years old. He believes it was hereditary. The following year in 2016, he was not feeling well and I took him in and that is when I got the news that he has IMHA. He changed his seizure medication without weaning him off of the old one. I even questioned his decision and he said it will be fine. Hachi immediately started having a cluster of seizures. I removed Hachi from his Vet's care and went to the ASG (Animal Specialty Group). They were amazing! They will always have a place in my heart. Now I had to deal with his cluster of seizures and his IMHA. ASG told me you never stop one medication to start another. You slowly introduce the new one and wean off of the old one. When I brought him in he was at a 12. They said if he does not get a blood transfusion today, he is going to die. They did not have any in stock and were going to try and find some. A girl who worked there overheard my story and it touched her because she also has a dog that lives with seizures. She drove all the way to Pasadena in CA to pick up a blood transfusion for our  Hachi and she watched it like a hawk so no one would take it. Overnight he responded well to the treatment but, every 1 to 2 weeks we were in for another transfusion. We even tried a very expensive medication that they give to cancer patients with no success. We took X-rays to see if he had perhaps swallowed a penny which can cause anemia in dogs. Nothing. We ran a few tests. Nothing. Every visit was for a blood transfusion and he responded better and better each time but then, would drop drastically. What seemed like several months was only 2 1/2 months. The vet finally told me Hachi is becoming "transfusion dependent". We had spent over $8000 trying to save his life. She said he is not going to last more than a week. Take him home and give him all the love and anything he wants to eat. When we got him home he went in our backyard to do his business and he just collapsed. I knew it was time to end his suffering. I couldn't take it! We took him to ASG to put to him sleep that evening. They gave him something to relax and brought him to us on a beautiful pillow with a blanket and said take all the time you need. When we were ready, we let him go and the lights went out in his eyes. They seemed to turn a purple color. They gave us as much time as we needed to let go. They didn't even charge us for the cremation. Days later I received a beautiful card from the staff and everyone took the time to write something special about our Hachi and the time he spent with them. I wish we could have held on longer but, our Hachi was not returning to us. I often wonder if the traumatic experience of the break in is what caused the seizures and led to the IMHA. We will never know.

Theresa Tworkowski
May 13, 2019

My Bob has IMHA and Evans disease. We are weening him from Prednisone. But now his platelets are over 1000?  Could that be from the decease.

April 12, 2019

My husband and I just lost our baby boy Duke a week ago to IMHA. He was first diagnosed with IMHA September 2018. during his final 7months with us he had a couple overnight stays in ICU, weekly check ups at the vet to check his blood count and at times on 6 different medications. I feel like every time his IMHA reoccurred it came back stronger and faster leaving us heart broken. Duke had his weekly visit on Tuesday and his numbers looked good, Wednesday he was fine... by the time I got home Thursday evening he was very sick and Friday AM we had lost him. This is a terrible disease, i hope one day they find a way to better manage this for pet's life. Duke was only 6 years old, and a beagle mix. I also hope that if anyone on here has a pet that is going thru treatment for IMHA- please make sure you spend as much time with your pet as possible and make sure they know how loved and special they are. You never know when it may be your last day with them. Duke was the center of our life and we miss him more than words can say.

April 9, 2019

I am taking great comfort but at the same time terrified by all the comments here.. my baby boy was fine last week but off his food and not himself over the weekend so I took him to the vet 2 nights ago and he’s been there since.. today it was confirmed he has IMHA.. He’s on steroids and his blood count has gone from 13.5 to 17 this morning but the vet has said he’s not out of the woods just yet.. it’s so sad not to have him home and I am desperately hoping the medication works.. many of you have given me hope that this awful disease can be managed so I’m hoping for the best.. if any dog can beat this I know my boy can <3

Jil R
March 13, 2019

Our sweetest, best boy, Sully a 7 year-old, long-haired dachshund lost his fight with this awful monster just a few days ago.  I never heard of IMHA and boom there it was staring us down.  Sully was happy, healthy, and doing great in December 2018, in January 2019 he got is vaccine pack and in two weeks we were at the ER with a PVC of 7%.  He was nearly passed out on the ride to the ER, but somehow his big heart told him to hold on a little longer.  This was Feb 12th...blood transfusion #1, lots of tests, all kinds of crazy things to find out why my baby was suddenly so sick.  His little body didn't like transfusion #1 and destroyed it overnight.  Time for a different blood match - transfusion #2 and lucky for us that held, but only got him to the mid 20s.  Next bone marrow test - my poor baby was bald in all kinds of place from all the tests, but still Sully smiled and hugged me. Sully got to come home 5 days later and we watched him like a hawk as the list of side effects was long.  Meds and more meds and lots of cheese treats to get the pills in which he took like a champ.  He had 5 rounds of pills a day by then.  Back to the Internal Medicine doc for a check up...pvc down, but not too scary.  Come back in a week.  Back to the doc, down again...could be worse and the meds take a while to take hold so we are not worried. 15 is the number where we'll need another blood booster and we're still in the low 20s  By the way, the bone marrow test is back now and Sully's marrow is only 60% functional as he has myelofibrosis which is the scaring of the marrow.  This could be why the regeneration is taking so long.  See you in a week, but we couldn't wait that week.  A few days later Sully's breathing starting to change.  He was breathing hard and we brought him in.  Numbers down and now we need another transfusion - #3 and oxygen to help him breathe.  OK, we say do whatever you have to - he's our baby.  More overnights at the ER, but now the news is a blood clot in his lungs and no increase after the last transfusion, but he needs another so we gave him another small boost. Apparently PTE is a common side issue for IMHA and it comes on fast.  Due to the myelofibrosis Sully was not on blood thinners and his other numbers were spot-on so there was no need found for it.  Suddenly we have a miracle and he gains 6 points, could he finally be regenerating?  Maybe, but only for 12 hours as by 6pm that day he had lost 8 points and could barely breathe on his own.  We cried the whole way to see him and when we arrived we knew he was letting us know that he was done fighting and helped him to greet the sun.  The doctors did all they could to give us our boy back, and they have us another month of his unconditional love and hugs.  We lost our baby on Sunday, March 10, 2019 after a short terrible battle with this unheard of monster IMHA.  He is now helping all the other IMHA babies who are joining him so quickly.  Sully is an amazing boy who is gone way too soon. March 10th is now plain cheeseburger day in our house in honor of how much our baby loved them.  Hug your little ones tight tonight.  With love that goes beyond everything, Sully's Mom. 

Barbara C
March 6, 2019

Last week our 5 yo Daisy, a Beagle/King Charles mix was diagnosed with IMHA. Daisy had vaccinations and blood work in September. I noticed two months ago that Daisy was  missing a meal or two. Sometimes not eating for a full day.She would even refuse her treats. I chalked it up to it being the holiday season, weather changes, or the flu. Daisy, seemed to improve and be herself again. About the third week of January, she began missing mealtimes again. When she did not eat for a full day we decided to take her to the ER, There she she was a 36. which is still normal. They gave her an appetite stimulant, a pain med, and  an abdominal ultrasound and sent her home. We took her back to our vet, who ran more a CBC abain which came back 36 again. She referred us to an Internal Medicine vet. Our appointment was a month out and to continue her meds. Within a couple of days, Daisy began to have episodes of wobbling and falling down. One episode of complete unconsciousness where she lost her bladder. She was excited, the UPS man arrived. We called our vet and she incorrectly said it was a seizure. Daisy was limp and we should have taken her to the crital care hospital right then but waited. As time went on, Daisy had a few wobbling and fall down episodes and when they were one after another, I decided not to wait for her appointment and take her in. There her CBC was 18. She received an echocardiogram, ultrasound, bone marrow tes, and a blood transfussion, which only raised her up to a 22. She stayed for 2 days and came home with this dreadful diagnosis. Daisy is on Plavix, steroids, antibiotics, appetite stimulants, Prilosec. Her appetite is ferocious. We took her back for a recheck. Upon leaving the hospital she was at a 22. Her recheck she was back  down to a 19. We know at some point we are going to need to take her for another transfussion. Selecting the right time to take her is frustrating. The doctor is optimistic. She claims that supressing a dogs immune system is key and takes time. Most patients pass away from blood clots, thus her taking Plavix. She said it will be uphill for 6 weeks to 3 months. At that time we can access if Daisy is truly responding to treatment. Until then, Give her the meds, no walks, Potty time on a leash out and in only, no climbing stairs, no play, no excitement. Address episodes as they come and if she wobbles just upon rising bring her in for the transfusion.  We are in this to win it. The diagnosis stinks but we love our Daisy so much she is worth giving her the best chance we can for survival which we are told is up to 75%. Oh one last thing. The medication is a difficut thing. I open capsules, and crush pills. I mix the the powder and liquid with agave syrup and give it to Daisy with a soft munskin baby spoon. It works for us.

Greg Carson
March 3, 2019

Our beloved Nysa, a 3 year old Chesapeake, is in the vetrinary critical care unit at the U. of M. animal hospital in Minneapolis fighting for her life. She's getting a transfusion and IV steroids at the moment. She was brought in 4 days ago to the local vet, same symptoms as all the others have posted. I can't believe how crazy fast this came on. Like everyone else, she was perfectly normal one minute, and sick as could be the next. I'm sure not hearing or reading very many successful outcomes on here. It's all so very sad. These fur babies are like family. I'm prepared for the worst and hoping for the best. I sure don't want her to suffer.

February 26, 2019

I lost my Fluffy 11,5 year old Shih Tzu on the night after Valentine’s. He plainly refused to eat or drink in the morning and couldn’t stand when I took him outside to go potty. I rushed him to the vet at 2 pm and his blood hematocrit came back at shocking 13% (lower normal range should be 37) and red blood cell count was 2 (normal range 5,5 - 8,5). The vet told me he won’t survive unless we did immediate blood transfusion but even with that the chances were very slim. She gave him prednisone shot and antibiotic shot. I took him home and scheduled in home euthanasia on the next day as my husband was flying in and I really needed him for support for me and my baby. But my baby Fluffy the Shih Tzu a little dog with a big heart never made it till the next day. Started breathing heavily around 6pm and was getting worse every minute.. He passed away at midnight in my arms at home and now I’m blaming myself for not calling the vet to come in and put him to sleep when he couldn’t breathe. I was in such a state of shock it was happening so fast I really wasn’t thinking clearly..The question I’d like to raise is what is triggering this abnormal immune response.. I pulled out Fluffy out of this in 2017 and I suspect in 2018 but we last the battle this year. What I noticed each time it was strangely after visiting vets and either having vaccinations or worm prevention. I’m reaching out to all of you to try to recall what could’ve possibly triggered your babie’s IMHA. Please write in your post. May be if we all get together and then reach out to the vet society we can help in researching and defeating this deadly desease. Fluffy baby, mommy will always love you..

January 25, 2019

We just lost our incredibly lovable MaltiPoo mix Pepper yesterday to Evans Syndrome. It truly is shocking just how fast she went from normal to fighting for her life. The symptoms she experienced started with some diarrhea that turned bloody, bruising spots on her belly(the ones that we could see), then her strength suddenly faded until she could barely move, not wanting to eat her favorite foods, heavy breathing, very fast heart rate and then her tongue and gums turned white. This all happened so fast. We got her to the Vet after the diarrhea and bruising spots were noticed and did blood testing. She was actually still acting normal at this Vet visit. It was about 1 hour after getting home that she showed the first sign of losing her strength. The blood results showed her plasma count was already all the way down to 7. They gave her the first round of meds with a vitamin K shot, but after about 24 hours she could barely lift up her head, tongue & gums went white and her heart was thumping at a very rapid pace. We made the heartbreaking decision to let her go as this seriously messed up disorder had hit her so hard and so fast. We had no idea something like this could happen to an animal and our hearts go out to everyone that has been through this. It is going to take a little while to get over this one.   

January 18, 2019

It was a normal Wednesday.  I fed my dog her breakfast and noticed that she ate all of the "wet" food and none of her kibble although she likes this very much.  I did not think much about it. I went to work, texted my dog walker that she seemed a little off; (oh and she would not eat her after breakfast treats which was very unusual for her)and to let me know how she was doing. He wrote to let me know that she seemed ok but would not eat her "cookies" that he always give her. Her name is Sofie, a 9.5 year Goldendoodle, a goofball who loves people! That night she would not eat her dinner at all.  I went to the store and bought her some chicken broth and chicken baby food.  She ate the entire small bottle of baby food but nothing else. She was very tired and appeared uncomfortable. The next day I called in sick so I could take her to the vet. Diagnosed with IMHA which I never head of.  Took her home and it was a challenge to get all of the meds down that were ordered that day. I wasn't told about the fatality of the disease.  Did not really know what to expect..just that if she got worse to take her to an animal hospital. I took her there the following morning.  By then she was "critical" and I needed to make some hard choices.  After awhile, I made the agonizing choice to let Sofie go.  I did not want to put her through anymore tests with the knowledge that she most likely would not recover. She was my first dog as an adult person.  Our bond was something that I still have difficulty describing.  Yes, she truly was my best friend.  We hear that a lot.  I just know that I am missing her more than I ever could imagine missing a pet.  I am lost.  I take comfort in knowing that I will see her again.  I picture her in her dog park running and playing with the other dogs with complete joy and abandon and I am "happy". 

January 14, 2019

Our 12-year-old, male, neutered, roughly 9 lb, toy poodle gradually became lethargic, inattentive, and not playful in the second half of 2018. We assumed it was age, but by late October we noticed extreme weakness and stumbling, along with very pale gums and tongue. Oct 31: Hematocrit 8%, receives transfusion. Nov 1: 25%. Nov 2: Tests negative for cancer, diagnosed with IMHA, holding at 25%, they give him a shot of dexamethasone (stronger than prednisone) and start him on cyclosporine, comes home where he'll be on prednisone 10mg/day and cyclosporine 0.4ml/day. Nov 7: Down a bit to 23%, vet adds mycophenolate 50mg/day. Nov 14: Down to 18%, receives 2nd transfusion, then 32%. Nov 19: Down to 23%. Nov 24: Down to 14%, receives 3rd transfusion. Nov 25: Discontinued mycophenolate because he appeared to do worse on it. Nov 26: 25%. Nov 30: 26%. Dec 7: 32%. Jan 4: 37%, four days into a 25% prednisone reduction. Mycophenolate seemed to actually CAUSE anemia in our dog! Since discontinuing it, he appears to be on the road to recovery. I know myco works for some, but in our dog's case it was harmful. Prednisone and cyclosporine got his hematocrit into the normal range. Hopefully a very slow and careful tapering of pred will prevent a relapse. If his hematocrit drops, we'll put him back at the high dose for longer. My heart goes out to all affected by this terrible and bewildering condition. God bless.

Genia Moody
December 14, 2018

I lost my Gracie after a ProHeart (Moxedectin) injection brought on IMHA-like symptoms with no official diagnosis from our former vet.  She was one of the unlucky ones who did not tolerate a transfusion.  More research needs to be done to determine if the toxins in preventative medicines like ProHeart are worth the risk.  If I had a do-over, then no ProHeart injection would have ever been given to her.  I bet she would still be with me to celebrate another Christmas.

December 6, 2018

We lost our 14 year old beagle mix Ruby to IMHA yesterday. Three days ago she was her normal self and by the time I got her to the vet yesterday her blood levels were critical. She wouldn’t eat and barely drank. It just came on so fast but I take comfort in knowing she did not suffer from a long and dragged out illness. I am truly sorry for all of those dealing with this diagnosis. It’s terrible.

Foxy Lady
November 21, 2018

We lost our 12 lb terrier mix rescue at age 6, to this horrible disease. Reading these, helped me understand what to expect, so I am starting with the process... She was a feisty energetic pup who had a bout with an anal gland infection. We gave her Clavulanate / Amoxicillin & Rimadyl for 10 days. She also had her Nextguard about 1 week prior. I have no idea if any of this had any impact, but she never was all that energetic after. She hates the cold, so it could have been due to the cold.....2 weeks later she was diagnosed with IMHA, and 6 days later, I was told she had Evan's Syndrome. She survived treatments for a week before giving up the fight. We put her to sleep last night. I was traveling for work, and our fantastic and loving dog sitter took her to the vet as she threw up the night before and refused to eat. She had an RBC of 8%, but the vet said no other blood related issues. She immediately went to the hospital for a PRBC (packed red blood cell transfusion). She was so tiny, they split it in half, giving her ½ in pm, which got her to 17%, and then second one the next morning, with overnight stay, which got her to 30%. She went home that afternoon and seemed to be slowly doing better. She was given Prednisone & Cyclosporine twice a day for immunosuppression, and Metronidazole & Cerenia once a day to combat the initial side effects of diarrhea and nausea. We only needed the Metronidazole for 2 days, so we stopped giving the Metronidazole, but she took more of the Cerenia, as the nausea never went away. When she felt bad, it was a real struggle to get her to eat. Nights were tougher than mornings, which I think may be due to the Cerenia being given in the am. We tried to feed her before giving her immunosuppression meds. The doc said to freeze the Cyclosporine, as this was reported to cause less nausea.  (Food she likes included chicken & rice, human grade salmon & pet store goats milk was really good for fluids. She refused pumpkin.) She had a perfect morning with a completely normal potty, ate and tried unsuccessfully to go for a walk…too cold. We took her to her doc visit, and they said she was at 21%, which was expected. The meds were slowing down the progression but were not working enough to reverse the counts. The drugs needed more time to build up in her system. Later that afternoon, she started to have spontaneous bleeding in her rectum. They never told me her platelet count had been dropping, and she was down to 9/10K.  I got worried as she started dropping fast, stopped eating, and looked bad. We took her in that night and she was diagnosed with Evan’s Syndrome. Please make sure to ask for all of their blood counts. You have to be very careful with a dog with low platelet count. Any bruising, etc. may not clot. She had a little bruising on her cheek as well, and it kept getting puffy. They gave her an IVIB, which takes 6-8 hrs. She perked up in the am, but at 14% RBC, so they gave her another PRBC transfusion and she only went up to 19%. She looked awful/zombie’ish.  We took her home and that evening she wouldn’t eat more than a little broth. She started wheezing and couldn’t find a comfortable spot. We knew she was in pain, so we decided it was time. I have had special need pups before, but their passing was expected. This was a shock. I hope to never go through this again. That said, I will never trade the wonderful years with her for anything. She was a feisty, smart and sweet little girl, who loved Flyball, agility, and traveled all over with me. She was an awesome girl and will be missed.

November 10, 2018

My sweet bailey turned 9 yesterday. She began fighting IMHA about a week ago. Feels like a year. I’ve spent each day wondering if she’ll be alive in the morning. After three days of steroids, antibiotics and vitamins she seemed to perk up, but the past three days I’ve seen her less and less perky. She ate this morning but vomited it all up two times. I’m thinking this is not a good sign. All I can do is wait now and hope she makes it to Monday. We will see if her blood count is any better. I won’t put her through a lot to get better, though I fault or judge no one who does. If she’s going to leave us, I want her in my arms feeling loved and secure. This disease sucks so bad. As all have said, it came in so fast. She’s a beautiful long haired mini dachshund. I’ve cried more tears this week than I have all year long.

November 8, 2018

We lost our beautiful baby girl American Cocker Spaniel Tahlia by IMHA on 5th, Nov, 2018. She only about half and one month away from her 8 years birthday. I was in China for a business trip since 26th, Oct. She was always such happy healthy little girl with very loving soul despite some ear infection which is very common with pure breed cocker spaniel. I patted her head and her elder brother Hudson told them don't worry mommy would be back from China soon, they should be good boy and good girl then drove to airport. I never imagine it was the last time to seeing my baby girl sitting there watching me via her beautiful round eyes. Last Saturday morning about 4:45am in China time, I was woke up by phone call from my partner, on the other end of line, he was crying and I was shocked by his words: "Tahlia is dying". She was fine on Friday morning, couldn't wait to rush out from the bedroom to get her favorite  chew stick as always, but was found she was slow and weakness in the afternoon and only willing to lying down underneath the table. on Saturday morning, she never move from where she were and breath heavily. Been rushed into AEC, after some X-ray and blood check, AEC said she had IMHA. She was given antibiotics and sterois and asprine,  keep in AEC and at the same time I stopped all planning in China changed my flight rush took 11 hours flight back to Melbourne. When I landed straight went to the AEC, she looks exhausted after the first blood transfusion, now her count back to 30 from 14. I hugged her, and kissed her, told her everything would be alright mommy was back. after some time, the nurse sent her back to her cage to rest.We went to see her again during the night, I found her more weak but I thought it might just normal as human being got illness would be always want to have sleep. we left her in AEC the second night and in the morning aound 6;00am, doctor called us said she needs oxygen. we drove to AEC again to see her, she was in her cage and the oxygen tube is in her nose, she looks comfortable but very weak. I call her name, patting her, she tried very hard to stand up to closer to me but failed, she sat back then lying down falling to sleep. This was the last time I saw her conscious. Then I found some liquid dropping from her mouth. After we back home to have some rest about 2 hours, AEC called again and said now the liquid full of her lung, would need put her on breath mechine to wait for the orchisound team as I was always hoping AEC could find out what is wrong with her then can treat it. As it was long weekend, AEC tried very hard to find available team, we decided put her on breath mechine. then we back to AEC to see her again, now she was totally unconscious but I still talking with her calling her name and patting her, till that moment I still believe the team would find the course and treat her, she still can be back home with us. We back home to wait the team arrive AEC as their promising. Around 6:50, AEC called us, told us the team arrived at 6:00pm , but my little girl had heart attack during the processing , she passed away. I couldn't believe the call and both my partner and I couldn't stopped tears. Our such beautiful and loved loving baby girl left us and her loved brother within 3 days. Next morning, we took her home and bury her in our backyard just underneath the window as we know she would be there with us forever. I hate IMHA!I will never forgive this four letters.

October 9, 2018

We lost our 8 month old Alaskan Malamute on 8/31/18. He was doing great then woke up one morning, wouldn't eat his food, was extremely tired, panting, at one point collapsed when he was walking. took him to the emergency vet and sure enough, IMHA. he rcv'd a blood transfusion, started on Prednisone, had to receive another blood transfusion 4 days later. Ended up getting a perforated bowel due to the prednisone therapy despite being on a medication to prevent this. His body would not respond to therapy and was not a candidate to have surgery to fix his bowel, they also suspected a PE. His body began shutting down. We were told by our vet it was among the top 3% most aggressive cases she had seen in 12 years of ICU. It was the most traumatic, awful experience of my life and I hope no pet owner has to go through this.

October 4, 2018

This happened to my cat Clara three days ago and there was no going back.  It's a terrible thing to watch. It might have gone on without us knowing it for a couple weeks but watch out if your cat starts acting lethargic and changing it's routine.  I can't believe it.

September 18, 2018

Uncommon in cats as it may be, it stole my best friend on August 3, 2018.  Noel was in perfect health on Thursday - and Friday afternoon, she was gone.  I would have done anything - transfusion, medication,....but I couldn't help her.  I had no time at all to even digest the thought of losing her, she was simply here then gone.  Horrible disease.  I am heartbroken still.

September 6, 2018

I Just lost my sweet Scarlett 2 days ago to this awful disease, she was 10. It took her in two days time. It was dreadful! I am still recovering from the shock of it all.

August 5, 2018

I just lost my sweet boy, Tanner, 3 days ago.  He was about 3 weeks shy of his 15th birthday, and the best cocker spaniel that ever walked the earth.  This disease came on SO fast!  Literally, within 48 hours, he went from a happy senior dog to gone.  The evening of July 31, he was wiggling and coming to greet me when I got home from work.  Then he just stopped - like he’d gotten so excited that his heart got stuck. I picked his front feet up and patted his chest, and he seemed to come out of it, but he slid right down on the floor for a bit before he could get up again.  He was able to go outside and go potty, but he was very weak.  When we came back in, he paced around the table for about 20 minutes, and even then, he didn’t eat much supper. He seemed to sleep OK that night, but early the next morning, he went down again.  I got him up, and got him ready to go to our vet.  When I put him on the piddle pads I had for him downstairs, he peed like he’d been holding it all night, and the urine was the color of blood. We got in to see the vet by 9:30; she did blood work and told me he had IMHA.  She gave me prednisone and an antibiotic (he also had a bacterial infection going on), and she gave him an antibiotic injection before we left. He slept the rest of the day, but he didn’t drink or eat anything.  I tried to coax his appetite with tuna or boiled chicken.  He tried to eat, but the food came back up.  The medicine wouldn’t stay down, and he had a rough night.  Next morning, he was weaker & still had dark bloody urine.  I took him back to the vet and told them that this could not continuel.  At his age, and as sick as he was, it wasn’t right to put him through any more treatment.  I made the decision to put him down, and I sat with him and held him for those hours while we waited for them to get the room ready and get the vet to take a look at him. I held my beautiful little boy while they got the catheter in, and the vet had no sooner finished injecting the anesthetic than he left.  He was done.   This is a cruel and vicious disease, and it breaks my heart to read of so many others who have gone through this.  My heart goes out to each one for the pain and grief you’ve experienced.

July 26, 2018

I lost my Rotti mix Austin to this disease 4 days ago.  He was fine all of last week and then suddenly on Sunday, he was in horrible shape. It cam like a thief in the night on Saturday night and changed a healthy 11 year old dog into a very sick, lethargic and anemic boy. Unfortunately, he only made it 1 day. I had never heard of IMHA until now and it took my precious Austin from me. He was my best friend and nobody deserves to have their baby and best friend attacked so suddenly and viciously like this. IMHA needs to be eliminated! Hug your babies a little tighter each night, you never know when things can change in just a moment in time.

July 17, 2018

Our beautiful sweet 11 yr old Daisy was diagnosed with this last Friday and immediately started on 40mg of prednisone .  Her count was 25.  Now after blood work today, 4 days later she is down to 13.  This came on very quick like everyone else is saying and she was perky and fine the day before we took her in.  Reading these posts is comforting to know we are not alone in this fight but at the same time the reality of this diagnosis is very scary.  I pray she makes it thru the night tonight but the vet is not very hopeful due to her low numbers.  Hugs and prayers for all of you going thru this with your fur kids.  This disease needs research!!!

July 7, 2018

It's 4:30am and I'm sitting up reading all the comments with my dog, who is now fighting IMHA. I'm all too familiar now with so many of the comments here, but it's heartening in a way to know that so many other are going through what we are. My heart goes out to anyone who lost their dog to this. My boy Bishop is still fighting after being admitted to the emergency clinic 25 days ago. For those going through this, remember that every case is different. We have now gone through 5 tranfusions, and are looking at a bill of $25,000 so far. Gotta love credit cards! It breaks my heart knowing how many people have to make the choice to stop treatment because of the cost, and I'm terrified it will come to that for us as well before our guy can get better. They have kept our guy at the clinic for the most part these entire 25 days and this is now only the 3rd night I've been able to bring him home. I can't sleep at all when he's home, I just watch him all night, terrified I'm going to miss a sigh that he's crashing. He's on about 4 different immune suppressants plus various other drugs to counteract side effects. For those of you dealing with your dog not eating, you can ask your vet about an appetite stimulant. Our pup didn't eat the first 4 days and then another 4 days partway through, and only minimally the days in between. His appetite is now much stronger thankfully! If anyone is still going through this and has any questions, our vet has been great trying to explain things and we've learned a lot about various meds. My heart is with all of you who have gone though this and those still fighting! We will continue to fight for our boy, and in the hopes that pushing through this treatment may in some small way help give the vet some insight into treatment for other dogs in the future.

June 13, 2018

My beautiful 7 yr old Kacey girl which is a Shepard/boxer mix was diagnosed a year ago with this. Our vet also calls it evans syndrome. The first signs of this are loss of appetite,  diarrhea,  depression,  and weakness, then loss of blood from mouth and sorry, her anus. We then brought her to the vet when her platelets,and red blood cells were dangerously low. The vet told us that they can do a blood transfusion which might not help and is very costly or start her on high doses of prednisone which we did of 70mg a day. Eventually taking this medication started to get her appetite back but she was uncrontrably urinating all day and night so we didn't get much sleep. Needless to say she was on it for 9 months before weaning her off. The vet also has her on Azathioprine which she is still on. Just about 3 weeks ago this awful disease is coming back. We brought her to the vet again and the they stated to start her on prednisone again. I understand what everyone is going through. It is awful and upsetting to us. We just want her back to normal being a happy dog.

May 6, 2018

We just lost our 7 year old dapple dachshund, Roxy, to this nasty disease last Thursday. We took her in to the vet after noticing that she was very lethargic and had pale gums. We were able to get her RBC up to 28% but she then developed pulmonary thrombosis. She never had a chance. It is sad to see so many posts with the loss of family members but I sure hope that vets work together on solving the IMHA puzzle. Too many great dogs have lost their lives to this disease and it needs to be eradicated

May 6, 2018

We lost our sweet pug shih tzu cross rescue dog last night at age 8 due to IMHA. She became ill 4 days ago, was diagnosed 3 days ago and then, yesterday, she became very ill and we rushed her to an emergency clinic. Her red blood cell count was dangerously low and she needed a blood transfusion and other treatments immediately. We were presented with a $2800 to $5000 treatment plan just to stabilize her. We had already spent $1000 to that point. We were warned that a good outcome was not very likely and we had to make the horribly-difficult decision to have her euthanized. We're devastated. The fast onset of this disease is staggering--one day she's just fine, the next, she's dying. It's a shame that the high cost of vet treatment in this part of the world means that this becomes a financial decision too. We're retired and must be cognisant of our own future needs. My heart goes out to anyone facing this horrible disease and situation.

Dylan J. Newell
April 19, 2018

My 4 yr old dog Maple, a Blue Tick coon hound was diagnosed with with this hideous disease last weekend.  She was a stunning looking dog, super healthy, with probably one of the most unique coats I've ever seen, she was certainly an attention grabber for sure. A couple days before she was diagnosed with IMHA, we noticed some changes in her behavior, Maple was somewhat of a skiddish dog at times so in the early stages of this disease it was very difficult to know if there was anything wrong.  The 1st thing that really got my attention was when i took her for a walk, she walked about 100ft then she  plopped down on the side walk which was something she never did.  The next day I decided to take her to the vet.  The vet recommended that she have her blood tested, from there , they said her liver enzymes and red blood cell count were critical and they referred me to a 24 hr critical care veterinarian, they said your dog is in critical shape and we dont have the ability to treat her.  We went to the critical care vet, they thought that she may have eaten something metallic, or possibly or ingested an anti inflammatory pill on accident.  They ran some tests and said her liver is pissed off, and that her red blood cell count was 9% and recommended a blood transfusion.  We decided to go forward with the transfusion, and by this time it was 11pm, I was driving home an absolute mess, and the doctor called saying the blood transfusion wasn't working and that her red blood cell count were continuing to drop.  They called me the next morning and said they were certain she has IMHA and that she was in need of another blood transfusion.  We went ahead with another transfusion that took 3 hrs and then the vet called and said her numbers had stabilized.  They sent us home with prednisone, and Plavix and told us to go to your regular vet the morning to have her red blood cell counts checked.  That night  things took a turn for the worst.  She could bearly walk, her breathing was very labored.   This disease was ravaging Her, I feel horrible because I had to force to take her pills, at this stage she stopped eating.  The following day we took her to the vet and they tested her rBC and they were way down.  At this point I knew the disease was winning.  The vet suggested that we at least try to see if the pregdisone would to stabilize her numbers.  That night was terrible, we forced her to take her pills again and she wasn't eating, she had explosive diarrhea, and she could barely walk. From there we decided to take her out of her misery.  This disease is quick and lethal, maple was a super healthy, happy, and gorgeous dog,  in days she was immobilized and couldn't breath because of her low rbc.  I'm still in a shock and I lost my best friend to a disease I've never heard of.  Please cherish your dog every min you can.

March 17, 2018

Our beautiful healthy 12 year old Havanese was diagnosed with immune disease. Her feet were painful, she could not walk on them, her body was covered in sores and she did not like to be touched. She was hanging. Her diagnosis, eurythmia multiforme immune disease. Not a great diagnosis or survival rate. After being treated with a multitude of meds by our vet, I asked for a referral to a specialist as a last resort. He took her off her food, put her on a kangaroo diet she had never been exposed to before. She is not to have any medication or shampoo she was previously exposed to. No treats or human food she had ever had before. She was put on a high dose of methyl prednisone and slowly introduced to mycophenolate. Today, 5 months later, she remains on mycophenolate, and a low dose of methyl pred. The plan is to slowly wean her off the pred and lower the dose of mycophenolate. It is amazing she is still with us. She is doing well, sores all gone, hairloss is growing back, she is playing with us and our other little dog. So far, fingers crossed, she survived. One of a few. If you or someone you know has a dog with an immune disease, go to a specialist. They deal with this all the time and are the experts. I wish I had taken her to specialist earlier rather than put her through all the various meds she endured and the side effects from a regular vet.

Peggy Boyd
March 13, 2018

I stumbled on this page this week. I was trying to understand what happened to our 5 year old pup over the weekend. Reading all these posts I realize it’s not as rare as my vet said. Saturday my sweet Pom “Sox” was playing as usual with her two sisters when we decided to try and take them for a short walk while we were outside. Harnessed up and excited to go all three of my girls headed down the street only to notice Sox didn’t want to go. My husband carried her the whole way. Once Home they continued play in the yard but minutes after coming in we noticed Sox was exausted. Thinking she was favoring her front paw since she had just went through a teeth cleaning with anesthesia we decided to chalk it up to a tender arm from the IV. Called our vet but he wasn’t available to talk, made an appointment for a recheck on Monday. She remained quiet the rest of the day. By Sunday morning she was walking very slow and struggling. Realizing this was strange we we hoping it would be addressed on Monday. By Sunday afternoon when she woke from her nap Sox collapsed when I had to carry her to the yard. Unsteady and deteriorating we rushed her to the ER vet. After checking her blood they came in to,tell us she was anemic with a count of 10. She needed a transfusion. We were devistated to say the least. Then he said it was much worse her red cells were being destroyed at an aggressive rate. We agreed to leave her and have the blood work done. We called at 7 and they said she was doing well all things were normal called back at 9:45 before bed to see how she did and the vet said she had an allergic reaction to the donor blood and they stopped at 65% but would finish when she was back to normal. He asked to put us on hold a minute and returned apologizing that our baby Sox had past away on the table. He was shocked. He had just told us her survival rate was over 75%. This is a cruel, aggressive, unexplainable disease. We have been racking our brain trying to figure out if it was a staph infection that started this, the anesthesia, the cleaning stress on her heart, what?  We are so heartbroken...our little joy and light is gone and in an instant. I feel for all of you as well.

Gabe Komjathy
March 6, 2018

We recently  lost of beloved 7 year old Welsh Terrier to this disease.She had a sudden onset and short stormy course.Was given the usual course of prednisone and ICU monitoring at a tertiary specialized pet hospital. One thing we noticed is that a year and a half ago she was diagnosed with "episcleritis" of her eyes which they said was a sign of "immune disease".(redness of the sclera of the eyes) She was treated with steroid and cyclosporine drops and ointment.These are the same drugs used in IMHA! I strongly believe that the eye changes were an early sign of this disorder. The disease then has a spectrum and the fulminant IMHA that is so deadly is the final and most serious stage of the disease. The Veterinary profession needs to get its act together to better understand this disease and figure out its true natural history. There HAS to be various early  signs and symptoms of it that are not recognized presently. Perhaps the prognosis would be much better if systemic therapy was initiated at the ons of these earlier signs. I challenge the vet profession to undergo valid studies on IMHA so that the mortality can be reduced.Thanks for reading ....Gabe

J.M. Porro
February 28, 2018

I am taking great solace from the many stories of the tragedy of IMHA. My 10-yr-old dachshund Sparky was perfectly fine on Saturday morning, a bit listless by night, had blood in the urine on Sunday so rushed him to the emergency room. Diagnosis after all the tests: IMHA. He had three transfusions and all the meds they get, no improvement, then had a blood clot in the brain and seizure by day three and euthanized that day. I am bereft. Happened so fast. I'm in shock.

February 14, 2018

My dog, who is an 8 year old catahoula, was diagnosed in October 2017 . Her illness came on overnight and she has not had vaccines in years. She stayed overnight in the Emergency Vet and received blood transfusions. She was able to come home quickly and we continued to see improvement. She takes Cyclosporine, prednisone, and one other drug daily. The vet tried to wean her prednisone from 50mg to 30 mg about 6 weeks ago and just about 2 weeks ago we took a turn for the worse. We upped her Pred back to 50mg but basically I was told she is relapsing and we just have to wait and see and make the dreadful decision when we feel her quality of life is no longer there. She is somewhat active but more and more she just wants to lay down inside by herself. Im at a loss and I'm completely heartbroken. I don't quite know the long term effects of the prednisone and other meds, but this diagnosis absolutely suck!

February 5, 2018

My dog isn’t battling with IMHA and having horrible side effects from the drugs. He is on atopica and prednisone. I believe he had a vaccine reaction to the 3 year rabies vaccine because this all started a couple weeks after he received that. He was very lethargic and had poor appetite  to none at all. We took him to the vet at first thinking maybe his bad hips were bothering him so they examined him and gave us some pain medication. A week later he was back at the vet with pale gums and no energy. He would collapse and was not eating anything. His PCV then was 12. We were told it was like imha and he would have to get a transfusion if he were to have a chance. We took him to the emergency vet and they kept him for 2 nights and his count improved to low 20’s. Initially he was on prednisone only but after his counts continued to stay in the 20’s they added atopica. He hates that medicine. His counts finally came up to 34 a couple weeks ago and then recheck was 36. Our problem now is he is just so flat and depressed and weak. His legs shake and he has no energy. And he is yet again not interested in eating much.  Initially the steroids had him starving all the time but I guess the effects of that have worn off as his body has adjusted. He has gone in a few times to get IV fluids to help perk him up. Now that we finally had good numbers it looks like his body is deteriorating from the meds. The vet had told us he would get over those side effects once the meds were able to be weaned. I just hate to see him so miserable.

January 4, 2018

Please don't forget that the statistics have an upside as well, your dog can make it through this disease, even if they are incredibly sick during treatment. I'm hopeful and grateful, as my seven year old poodle Audrey is in remission after being near death several times during a nine day hospital stay. She was on a constant IV drug cocktail, fluids, oxygen, and fought through half a dozen transfusions, rallying and crashing many times along the way. It was a roller coaster, a waiting game of keeping her alive long enough for platelets and RBCs to regenerate and kick in. I was told if she was going to respond to treatment it would take seven to ten days, and on day seven, like clockwork, her platelets spiked, and she came home on day nine. She then took four months of Prednisone and Mycophenolate, which were decreased very slowly. Don't worry if your dog is not her/himself on steroids, their personality will return when the drugs are discontinued or reduced. My girl was detached, sluggish, had the glassy stare of a zombie and a savage preoccupation with food, she had a very thin patchy coat as well. But two months off all drugs, she's alert and playful and has grown a new coat of amusingly darker hair. I know there's a chance this disease could return, but I'm not planning on it. I know what to look for now, I keep an eye on her poop, and check her gums, ears, and body for bruising every day. Treatment for this disease can be very expensive, especially if they're too sick to come home. Checking in at the 24 hour emergency facility I was told "Your dog is very sick, but this disease is treatable. She may make it, she may not." We discussed all the possibly fatal complications during treatment, and then the doctor kindly but bluntly asked, "What's your budget?" He gave me a ballpark estimate and luckily, I was able to move ahead with the treatment plan, very fortunate that I'd saved a "rainy day fund" because it wasn't just sprinkling, it was a full on storm. It took $12,000 to bring my girl home. My heart goes out to everyone who going through this insidious disease, and I'm glad you're reading the comments on this site so you have the info to make the very best decision for your own situation, whatever that may be. You're certainly not alone in this. And I wish health for both your pup and mine, and many more days of that special love only a dog can give.

December 21, 2017

My 11 1/2 yo shih tzu was just diagnosed with this horrible disease last Wednesday. Started on steroids and antibiotcs and went into sharp decline with 24 hours. Her RBC was 11. She received 2 blood transfusions and oxygen treatment as well as fluids. She has been home a few days and I thought yesterday she was getting better but seems very lethargic today. I don't know if it's normal or if her RBC is dropping again. I can't even think about the holidays. She is eating a little so that is the only consolation. No interest in anything really.

December 9, 2017

I’ve posted several times over the past year or so. My JRT was diagnosed with Evans Syndrome in Sept 2016. She responded well to all treatment for the next 13 months, and was weaned off all meds by Oct 2017.  Perfect bloodwork 11/16/2017. She relapsed this past Monday. Underwent IV steroids and another transfusion on Tuesday night. By Wed night RBC count was back down to 14 and platelets continued downward.  Her abdomen was collecting fluid that made it hard to breathe,but she was too fragile to drain it or even take a sample.  Heart murmur noted, and gall bladder issues with future complications discovered.  We made the decision to let her go. But we had several wonderful months with her and a few weeks of total remission with 100% of pre-Evans Maisie back. So it was worth it. We miss her terribly.

November 23, 2017

I am devastated and, at the same time, so heartened by all of the posts on this thread... We adopted an 11 year old Maltese about three months ago...from the beginning there were health issues (two UTIs and treatments, heart murmur, testicle that never descended, etc.). But he is adorable and we love him... This past Tuesday 11/21/17 we took him in to be neutered (not for reproduction, but because the testicle issue could have caused health problems in the future) and the vet called and said I needed to rush to his office and take him to an emergency hospital if I wanted to save him. His HCT was 13% and also his platelets were very low. We took him to the vet hospital that day and they did some transfusions and he spent the night. We went back tonight (11/22) at 6 and got the medicine all of you mentioned (the steroid and the other one) and when we tried to get him to eat but he wouldn't - no matter what we fed him. We called the hospital around midnight and they said it was very important he take that medicine with food tonight and, if not, he could die, so we might want to bring him in... That was 4 hours ago and it really is, as many of you describe it, a roller-coaster. One minute the doctor is telling you how he has better color and is lively and a few hours later they are saying he should come back or he could die. They are doing their best but this disease is so unpredictable and scary. These life and death decisions are so hard to make. When you feel like there's no good option, there's little to feel hopeful about. I just called the vet and they said he was OK and had been sleeping since we brought him in...We will go back tomorrow...

October 7, 2017

Our sweet energetic pup Louie was very sick in 2014 not eating and lethargic. Our vet said he needed a blood transfusion within the hour to save his life after seeing that his count was at 4. The blood transfusion saved his life. Today, 3 years later I rushed him to vet after I noticed he was pale and did not want to eat. It appears it's back. I had almost forgotten about this terrible diagnosis. We have put him back on his meds and will be back at the vet in a couple days. Praying that we caught it early enough and able to beat it again. He is a chihuahua and just turned 10 in July.

September 23, 2017

Our Cavapoo was diagnosed with IMHA almost a full year ago. She had a hematocrit of 18% and we were pretty sure she wouldn't make it. Although she now has diabetes as a side effect of long-term prednisone and is on insulin, she has been off all other medication (steroids and mycophenolate) for 5 months. Her hematocrit remains steady at 54%, and CBC with reticulocyte count show there's no destruction of RBCs. She is happy and healthy! It's a tough disease, but some make it through it.

August 30, 2017

I just posted about my dog Maisie, but want to respond to Susan B, the August 13th poster.  If your dog is still with you as you read this and still experiencing weakness, talk to your vet about the side effects of the steroids and any other medications being administered. I can speak only to my jack russell's recovery period, but she gradually got better as the weeks went by.  She remained weaker and without the stamina for walks over 10 minutes which was attributed to the large dose of steroids she was on. She still doesn't like to walk for more than about 20 minutes tops, drinks much more water, and seems to pant more than she did before her diagnosis.  Sp although she is now in remission, she is not back 100% to dog she was before.  Playful, yes. Barks a lot, yes. Prttects her yard, yes.  So I'm happy with what we got back.

August 21, 2017

I've posted over the past 11 months about our journey with our Jack Russell Maisie. She had blood work today and we will begin the 8-10 week process to wean her off Atopica.  She has been on it since her Evans Syndrome diagnosis in Sept 2016.  After one blood transfusion at that time during one night at the vets with one vet tech, she came home. Aggressive course of prednisone with Atopica for 6 months and a long weaning off prednisone in the spring. We were very lucky that our vet was well versed in treating this disease. She believes in keeping your dog at home as much as possible. We have achieved remission and hope to have our 9yr old Maisie for several more healthy and happy years. I know our outcome was good but that many lose their beloved companions. My heart goes out to those who were not as lucky as we were, but wanted to post some words of hope for those who have gotten beyond the first couple of weeks and are in for the long treatment period.

Susan B.
August 13, 2017

Our 12-year-old beauty is now two weeks into this disease. We have told our vet that we will not take "heroic measures" (transfusions, surgeries) because she has always found car rides and vet visits terrifying. Instead, we have kept her on megadoses of steroids (she's 40lbs, taking 40mg x 2 doses per day, now down to 30mg x 2, because her RBC is back up from 19 to 30).The first day after she started on steroids, she seemed almost fully recovered -- smiling, waggy, ready for a walk. But she collapsed again the next day. She has always been a quiet dog, but not one who has struggled to rise and walk, who simply lies on the floor all day long and who collapses if she doesn't have sufficient traction underneath her, who needs to be coaxed or carried outside for relief. No smiles, no wags. This is her present reality. After the initial shock and sorrow -- and one decision to euthanize after her relapse (we changed our minds when we learned her RBC was up) -- our main concern is whether she would want this kind of "life support." Deciding what to do is complicated by the fact that I have found nothing online about what recovery looks like for a dog with AIHA/IMHA. Is it a long, slow process where one day, after weeks of lying in this depressive state, the dog springs up and is well again? Or is the recovery generally rapid if a dog is going to recover at all? I'm sure it's a very individualized process with many other health factors playing a role, but we are stuck: euthanize a dog who is clearly not well or happy, or keep her on meds for weeks because there's a chance she may recover -- when? Is this all the better she is going to get? If we knew, we would euthanize. There's too little information about this aspect of the disease.

Lisa G
July 7, 2017

I recently lost my baby girl Kira to Evans on June 20th. She was a four year old ambassador wolf dog and my constant companion. She presented with lethargy on May 24 and was then diagnosed by her vet with ITP and possible IMHA in need of transfusion that night.  We rushed her then to an emergency clinic where they started treatment for ITP but her numbers were stable enough where she didn't need a transfusion.  She remained in the ICU for 3 days before going home with prednisone,  mycophenalate, and some other meds to keep her stable. Her recheck was 5 days afterward, and while her platelets were up, her red count dropped a bit.  The next day we rushed her back to the emergency vet where she received two transfusions because she was going critical. They found no bleeds, no ticks, no cancer.  After 2 days, we went back home with things looking optimistic. Her next recheck was 4 days away.  By that time, she lost mobility in her hind legs and had to be brought in on a stretcher.  They prescribed her pain meds but other than that her numbers were stable. Two days later we were rushing her back to the emergency vet because she was vomiting blood.  There,  they had to put a tube to flush her GI tract due to a rare side effect from the Mycophenalate. The next day, we were told her numbers were down again, and they took her off the Mycophenalate and switched to cyclosporin and azithaprine instead. That time they ended up also putting an esophageal tube in since she was severely anorexic. She stayed in the ICU for nearly 6 days that were touch and go and got another transfusion before she finally went back home. She also was battling pneumonia at that time from aspiration. We got a bone marrow biopsy which revealed her body no longer made red blood cells at all, and a GI biopsy revealed she developed irritable bowel disorder.  When she was home she was on about 10 round the clock medications on top of tube feedings 4 times a day.  The first few days were really hopeful. She started walking on her own a little though we by then had a sling to help with mobility.  She began eating her food which she hadn't done since the ordeal began.  She even started acting more like her old self.  Then on the 19th, all of a sudden, she started having sinus issues.  Her normal vet could not see her that day, so after consulting her ER team, I scheduled an appointment for first thing the next morning. I watched her spiral downward as evening turned into late night.  Her face seemed to shrink like her body was eating the muscle suddenly. I stayed up with her all night comforting her and continuing her medications.  I stopped her tube feedings because she was bloating again meaning her GI tract wasn't digesting the food anymore. We made the decision to end her suffering that morning because we honestly saw no way she could combat how quickly she went down overnight.  The ER vet mentioned that we were near the end of the road by that point anyway, as she was too weak to attempt removing her spleen to see if that would help. By the end of it, we spent over $12,000 on credit cards trying to save baby girl, only to lose her in the end. My heart goes out to everyone dealing with the struggle of fighting this disease and trying to decide the best course of action.  We fought. We fought hard for nearly a month.  It took so much out of us financially and emotionally.  It's a long roller coaster of good days and bad days.  In the end, I don't regret giving my girl a fighting chance.  She was a hell of a fighter to push through like she did. But, knowing what I do now, I probably would have euthanized her the time she began vomiting blood.  I'm glad I got to spend that extra week or so with her, and she really did have some fantastic days when she came home that last time, but I'd trade all that for not having to see her struggle to breathe during her last few hours of life waiting on the vet to arrive to let her finally rest. Those are images that will always stay with me. If you are contemplating what to do whether to go through with treatment, opt for euthanasia, or are even wondering when to draw the line and give up the fight, just ask yourself if you're truly prepared for if the absolute worst happens. Are you prepared for the medications, the financial cost and emotional roller coaster this medical condition causes? Are you prepared to rush your fur baby to the emergency vet in the middle of the night even if it's 2 hours away like in my pups case? Are you prepared to see your loyal friend weaker than you've ever seen them, losing mobility, possibly in pain? The good days are amazing and the bad ones are heartbreaking. Whether you choose to fight or not, try to prepare yourself for all possibilities good and bad so you won't be overwhelmed. And remember you aren't alone. Your vet has very good insight on what's the best choice and will be more than happy to guide you every step of the way no matter what choice it is.

June 23, 2017

My little Chief died last night from this think I'd never even heard of. He was 8. If he was awake, his tail was wagging, he was jumping to get my attention, and he was smiling. That suddenly changed day before yesterday. He was no longer energetic, but he was still eating and drinking and taking the treats that he enjoyed so much. No matter what he had done, you'd quickly forget just looking into those big brown doe eyes!  He was only 8. He lasted a day and a half after vague symptoms first began. Even as he lay dying he was still his curious, loving self. When he'd get a small burst of strength, he'd lift his head to look around or stand up on wobbly legs and try to walk. He'd make it two steps before falling down exhausted. If he thought he could get closer to me, he'd try, laying his head on my leg, snuggling next to me, anything to be close. It took him so fast! His 17 year old father has howled since Chief died at 7:15 last night. Fortunately my apartment neighbors haven't complained and when I went to management this afternoon to explain, they were very understanding. I don't know how to comfort him. He's always been around other dogs and with Chief for 8 years through thick and thin.

Wayne Simmons
June 22, 2017

A couple of additional points from my earlier post. We are meeting with our vet today to ask here a couple of questions about our dog's death. We want to know why she would prescribe a sulfa-based antibiotic when it's known that there's a connection between those and IMHA (our Westie went through a round of those antibiotics prior to coming down with IMHA). We also want to know why some kind of anti-clotting drugs weren't administered after the blood transfusion (our vet thinks a blood clot was what ultimately killed her that morning). I'm not sure what we hope to achive by asking these questions other than possibly some closure...but we're all just devastated over Rocky's death. Hopefully it gets easier to cope with.

P. Reeves
June 20, 2017

My 9-yo cocker spaniel, Katie, is currently in critical care, receiving a blood transfusion. She was FINE last night. Today, she is hanging by a thread. The vet told me about IMHA, and I'm terrified about this! Today alone is costing me $1300, and I don't know how I can pay for extended care if it comes to that. I rescued Katie 2 years ago, and she has become SO SO special to me! Katie is my 3rd cocker spaniel, and I'd never heard of IMHA. Thank you for the useful information here.

Wayne Simmons
June 20, 2017

We just lost our 10 year old Westie to what we think was a PTE brought on by a blood transfusion fighting IMHA. We were about three weeks into the fight and Rocky seemed like she was getting the upper hand...perking up, getting her energy back. Then came the morning of Father's Day where we woke up to her being 180 degrees different...panting, no energy, gasping for air. It was a Sunday, but we called the vet and were in the process of loading her up to go when she tensed up and died right in our arms. Gut wrenching. I cannot convey the sadness and grief our family is experiencing right now. This disease is heinous to say the least. I pray for everyone who has to fight it...but it certainly is an uphill grind. Cherish every day you have with your pets for it can all end tomorrow.

Jennifer K
June 12, 2017

IMHA is a terrible, nasty disease. Our beautiful Cocker Spaniel was diagnosed about 6 years ago. With the incredible care of a specialist and prayer, she pulled through but it reeked havoc on our home, our schedules, and our wallets. I remember reading horrible stories of dogs passing rapidly from the disease and it was so hard to educate yourself and stay positive at the same time. Lady was on medication for about a year and a half until we stopped. We also stopped vaccinating her as well as a recommendation from her vet. I'm happy to say that's 8 years old she is still a crazy, fun little girl. We are so fortunate to have her today despite the grim statistics. It is by far the scariest thing I've witnessed. And it took her a very long time to get back to her normal self. But I want to be a voice of hope to people out there reading. Survival is possible. Don't loose hope.

Theresa Baldwin
May 27, 2017

I’ve read up on IMHA and in some cases IMHA could be traced back after receiving vaccinations. It is in (my opinion) that my dog died after contracting IMHA after receiving his yearly vaccinations. My Chihuahua was 4years old. I went to a new vet and after getting his updated shots he was lethargic and seem to be sore at the injection site. This had never happened with my old vet. He seem to be fine after a couple of days of laying around the house. After 1 ½ months he had all the signs of IMHA. He was fine one day and the next day he was not eating, lethargic and weak, gums pale, and had blood in his pee. We took him to the ER and was told he had IMHA and he had lost 2/3 of his blood. They suggested blood transfusions, but was told we would have to take him somewhere else to have it done since the blood they had expired 3 days prior to bringing my dog in and then had the nerve to say they could give him the expired blood, but wouldn’t suggested it. We did not have the money for infusions anyway so we opt to start with prednisone and other medications. I wanted to take him back to my old vet for a 2nd opinion, but he didn’t make it through the night. I pray for those who've lose part of their 4 legged family especially by this disease.

May 21, 2017

Our bulldog was diagnosed with Evans Syndrome in March of 2015. She was lethargic (which is hard to tell in a bully) and had drops of blood coming from her nose.  She sneezed and it sprayed everywhere.  Her gums and insides of her lips are also pale.  She had been on prednisone since her diagnosis. She had one terrible relapse a few months ago and pulled through.  The vet added mycophenalate to her prednisone therapy.  Sadie suffered from multiple bouts of clostridium infections and ringworm on her skin the last few years.  It was a fine line on how to keep her immune system in check. Sadly,  we lost her 2 days ago to presumably heart failure.  She crashed fast.  I'm not clear if it was related to the Evans Syndrome or not--I'll guess it's related.  She lived a pretty good life for 2 years after her diagnosis.  The steroids gave her terrible side effects,  but I'm grateful to have had her as long as we did following such a terrible diagnosis.  Prayers go to ask of you whose fur babies suffer from this.  It's devastating.

May 16, 2017

I lost my beloved chihuahua 4 lb, 12 year old Maxine yesterday, 5/15/2017, to IMHA after 6 days  of hospitalization and less than a full day back home for Mother's Day.  After three transfusions in one week, 5mg prednisone daily  as well as a twice daily immuno-suppressant,  her red blood cell count dropped from 20  to 14.  I am devastated.  If you could believe, the day before on 5/14/2017, I lost my oldest chihuahua, Jodie, at 17 years old to heart failure.  Two doggies in less than 24 hours..what could be more cruel to a dog lover!  Maybe Maxine just wanted to join Jodie, as Maxine just loved old Jodie,  but I'm telling you this IMHA is a horrible disease.  I pray for every dog diagnosed. Maxine was a rambunctious, loving,  chihuahua, adored by everyone who came in contact with her, including those at the referral hospital in Woburn Massachusetts.  As suddenly as I snap my fingers, Maxine became lethargic on 5/8.  Within three hours, she would not eat. Maxine was a voracious food lover of her ID Low Fat wet canned food.  We called our vet, who knows her so well,  and was told to rush her to the ER.  She was due for her geriatric six-month check-up literally the next day!  Her blood work in January was perfect! We had a bone marrow biopsy that diagnosed her condition only a week ago today on 5/9.   The disease was in the bone marrow, but the hope was that with enough money, medication, transfusions and time, we would beat the odds. We were so hopeful.  She was eating again on the 5th day, wagging her tail, even responding to some barking dogs when we went to visit her twice daily. Yet here we are.  We face the huge bill and no Maxine. Gone forever. We were told there was no hope. Her form of IMHA did not allow her to regenerate her own red blood cells, it seemed, and she would be on transfusions for a life-time.  Might another immunosuppressant have worked?  Could she have turned the corner with another transfusion--but she hated the hospital, and in the end, I had to ask myself, what if she died alone in her cage away from me.  The complications of all those drugs are well-documented...and yet, did I make the right decision?  She was a fighter; I am a fighter.  Could we have gotten through this dreadful disease together? Maxine had a bad reaction to her rabies vaccine last time she had it.  She was lethargic and chilled. It was the 3-year vaccine.  I do believe that this is one very significant possibility as the vector.  I am not anti-vaccine, but I believe NO VACCINES for small, lap doggies--even biting chihuahuas, which Maxine was not (and she had no more teeth, as she came to us already as a 6 year old mother with very bad teeth which we had pulled). THERE IS NO REASON for a small dog who lives at home, not exposed to other dogs but those at home, not groomed but by the owner, not fed or cared for by anyone but the owner to get all these VACCINES.  Although we only had the rabies vaccine--nothing else--still it was the bad reaction about three years ago that haunts me now.  PLEASE, IF MAXINE'S DEATH MEANS ANYTHING, monitor closely for years after a bad reaction to a vaccine--something is up and it may not rear its head for years...but be vigilant!!! My vet wonders if Maxine had a tumor, undetected, that was causing so much error in immune response.  Maxine was a mother of eight puppies before we got her.  Last year, she had a benign, very small breast mass removed.  We couldn't get enough tissue by needle aspiration, apparently, so it made sense to go in for more tissue and remove the whole growth.  Was this a mistake? Or was this an indication that some other tumor was in her?  We had thoracic chest X-rays and abdominal ultrasounds at the ER referral hospital--should we have had a CAT scan?  I am crying non-stop, second-guessing myself, feeling angry that maybe if I had caught signs of this horrid disease earlier, I might have my dear Maxine with me now.  Everyone says no--but really now?  When the weather was rainy recently and she liked to sleep, did I mis-read that sign?  Did I not see that her ears were not as pink as they should have been--but her tongue, which stood out from her mouth with no teeth, was plenty pink, even at a red cell count of 14?  Did I not cuddle her enough for her to tell me," Mommy I don't feel so well."  Did I not stay home enough with her, rather than run off to my demanding clients of my small business? Why, why, why this perilous disease that strikes so remarkably quickly and kills so ruthlessly our doggies of unconditional love?  One resolution for sure: live each day, every day, as if the next will hurt so badly.  Time heals?  Not so sure about...time feels more like an enemy, right now. And yet, could time have stabilized Maxine? Maxine, I so miss you!

May 7, 2017

My sweet top poodle was diagnosed a couple of years or so ago. She had a complication of having a gallbladder that was enlarge and ready to burst. She was stabilized (a very harrowing week of not knowing if she would survive). Then the surgery. The the months of prednisone and chemo drug and three other mess around the clock. Towards the end of treatment, when her lab remained stable, I started research on other alternative supplements to support her. Both my daughter and I suffer from autoimmune disease and are taking high antioxidants called, AC-glutathione. I looked on line and spoke to the veterinarian hemotologist. He said give it a go. I give her 50 mg per day. She immediately had blood values rise and remain stable. I continue this 50mg dose for life. Please be sure you speak to your veterinarian and also you need to make sure it is AC. It's the pre-digestible form. All others just go through the body undigested. Oh, and it's not cheap! But neither is love!

May 2, 2017

I just lost my beautiful girl Liza this week to IMHA. She was a 12 year old italian greyhound. About 3 years ago she came across her first round of the disease. After catching it somewhat early on, and with Prednisone and Azathioprine combined, we managed to stabilize for several good years. About a week ago I noticed all the signs again, and took her in. Her number was 28, which dropped to 10 within a day. We did one blood transfusion, and her numbers jumped to 27, then started to fall... 21....17 and then yesterday morning 10. Unfortunately, a heart scan showed that the side of her heart was also swollen, pointed to early signs of congestive heart failure. She was also coughing a ton the past month, had rapid breathing, and had a distended belly. All signs of heart failure. So, after weighing the option of a second transfusion (which I couldn't afford) or putting her down, I made the incredibly heart wrenching decision to let her go. They told me that I needed to do it within the day, because of how fast she was failing. It was the worst decision that I've had to make. I am fully grieving her loss, as is my other Italian greyhound, her sister. There will always be a bit of regret that I couldn't do more. It will be a strange season figuring out our new normal without her.

April 28, 2017

Our dog just got diagnosed with this yesterday. It is destroying me watching him go trough this. Our vet said if he doesn't improve we should look at putting him down. He doesn't want him to suffer over the weekend. He is drinking but not eating. He can't walk and his breathing is labored. He is on a steroid and an antibiotic. We live in the north so there are ticks and he has already been diagnosed with lymes and another ticket born disease I can't spell it though. I am absoutly caused by this been crying since I got home. We have to carry him outside to go to the bathroom. Now I am scared of the blood clot issue because he hasn't been getting up.

Sara Onufrak
April 27, 2017

A week ago today, April 20th, I came home from work and my 7 year old German Shepherd Gretchen was very lethargic, wouldn't eat and couldn't seem to get enough water. She urinated on the throw rug in my room and I saw nothing but blood. I rushed her to the vet where she was given IV's and steroids, labs were drawn and X-RAY and ultrasounds to discover she had IMHA. She was very jaundice to the point her ears tongue and belly were yellow. They kept her stable at a count of 16%. I took her home Friday night with prednisone. She would not eat at all but drank quite frequently then would vomit and drink some more. I took her back on Saturday for labs which were up to 18%. She was very restless Saturday night but we got thru it. Sunday I took her again for labs which were up to 24% I took her home and about 4pm she started panting and breathing heavy. I held her in my arms trying to comfort her thinking it was the prednisone, by 4:30 she drew her last breath and passed away in my arms. I can't help but think I did something wrong or should have noticed something sooner but the more I research the more I realize how awful and fast this disease can act. My heart goes out to all my fellow pet owners who have watched their happy healthy fur-babies go threw this.

April 25, 2017

I lost my  5 yr old English bully to IMHA  just yesterday!!! I'm still in shock and numb!!! I can't believe how quickly this vicious disease took my precious Feebie!  She was well one day and the next,  she quickly stopped eating and became lethargic.  My life feels so empty without her....I will  miss you always Feebie! 

Leslie Sutton
April 23, 2017

It is five months since we lost our beautiful five year old whippet Pippa to this appalling disease. The swift decline was horrific. I feel so bad that we had to leave her at the veterinary hospital but travelled back and forth each day to spend time with her....each time we went our girl looked worse and worse until on the fourth day she lost her fight. The shock and trauma of her terrible ordeal hits me every single day and I still find it hard to accept my baby could be taken in such a cruel way. My sympathies to everyone who has faced this cruel disease with a furbaby.

Cynthia Saltiel
April 22, 2017

I am devastated and heartbroken! I have not been able to stop crying for two days! My sweet, Toto was diagnosed with IMHA last Saturday. Less than a week ago and now he has passed! He seemed fine and then totally lethargic. I took him to an emergency vet who gave me the shocking diagnosis with a 15% survival rate . The dr. Stated he would need s blood transfusion and hospital stay at a cost of $3500-$4000. I was in shock and left with them only giving him a steroid shot. Sunday was Easter and he seemed a little better. Monday I took him to my family vet who gave the same diagnosis but sent me to a wonderful trauma vet hospital. His PCV count was 14. After the blood transfusion it went to PCV 26. The next day I was giving him Prednisone but we went for labs and they were the same. Next day his breathing seemed labored. PCV was now 23. He was started on liquid Aspirin. His breathing was still labored and would not eat. Just drink. I got so scared I took him in again and he had another blood transfusion and his PCV was 29. Labored breathing scared me! I felt it was a side effect from the Prednisone. He was put on another medicine. In the morning it was all a blur! I woke to seeing him at the end of the bed with his little head up. I carried him like a baby and took him outside. I ran in the house to go to the bathroom and when I came out he was on his side. Carrying him he was limp. One minute he was alive and second died in my arms with a little white foam from his mouth. Eyes open. I blame myself! Did I carry him wrong and it caused a blood clot? What brought on the IMHA? March I gave him Advantage 2 for flea and tick then I switched to seresta collar. Was it that? I gave him the Interceptor plus to protect against heart worm , was it that? I boarded my dogs for a weekend for a parents weekend at my sons college. Was that too stressful for him, even though he had been there before. All I know is I feel like a horrible mother to not get him well. Why did I not pick something up? Heartbreaking and can't stop crying. I loved him so much!

April 10, 2017

On April 4th we lost our beloved Rosie. She was a 10yr old Dapple Dachshund. On Saturday 4/1 she seemed fine. She had energy and all seemed well. Her appetite for her kibble was low but she readily accepted treats. I didn't think too much about it. Sunday 4/2 She was a bit sluggish. Her stool that morning was very soft and ORANGE. I thought she had some intestinal issue. We watched her that day hardly eat and just sort of lay around (more than usual) On Monday 4/3 were getting worried. She spit up some yellow thick material with undigested food in it. We rushed her to our vet, where they did an exam and blood work. We were told she was anemic and to watch her for deteriorating signs. On Tues 4/4 we got the results of the bloodwork. Her number was 33. We returned to the vet for an x-ray and another check. We were given an antibiotic and anti-nausea meds and started her on 5mg of prednisone. She was still not eating or taking treats. She was extremely lethargic. She made it thru the day but, you could tell that she wasn't improving. Later that night she had a violent episode of vomiting w/diarrhea at the same time. Her breathing was becoming a bit labored. My wife insisted that we take her to the Emergency Vet Clinic. We had bloodwork done there, ultrasound exam (possible internal bleed?) They could get the results immediately. Her number was 11 at this time. The vet came out and gave us the most unimaginable news. She was dying. Our precious dog had IMHA and likely wouldn't make it thru the nite without heroic measures. He explained to us how the treatment was horrific and the likelihood of a positive outcome wasn't good. We made the most difficult decision you can imagine. We were with our little baby when she went to sleep. We couldn't put her thru that torture. As hard as it was to let her go at least she wouldn't have to endure the tortuous treatment. We were incredulous. Last week we had our little girl with us and now she is gone. How could this be?? What kind of a cruel, evil, thing is this IMHA? The suddenness of the death spiral just left us floored. We are both devastated. I see her everywhere I look. I can't stop thinking about her. She was the best! In my week of mourning, I have gotten some solace from this site. Our hearts go out to all of you who have gone or will go thru this nightmare.

April 2, 2017

My beautiful girl, Pearl, passed away from IMHA on Feb 25th. She was fit and healthy but just she wouldn't eat and seemed depressed. I thought she was reacting to grief from the death of her sister Portia 5 weeks earlier. I took her to my vet. A most wonderful vet who gave me the news. It was IMHA. Pearl Was immediately hospitalised and had the first of 3 blood transfusions. They knew it was too aggressive and just could not be controlled so she was going to have something called plasma exchange. Sadly she did not make it and towards the end f the 3rd transfusion she suffered blood clots to the lung and departed this world. I don't understand this des ease. It's ugly . It's aggressive and has the ability to destroy your dog . I remain grateful and thankful that she was looked after and believe me they really tried to save her but fats decided on a different course . One that took her life and has left me feeling empty and lost. My beautiful girls, Pearl and Portia are together in rest and one day I hope we will all be together again.

March 14, 2017

My 7 year old miniature schnauzer Daisy has just recently been diagnosed with IMHA. She received a blood transfusion on March 10th, put on prednisone, azathioprine, and low dose aspirin. She won't eat, but will drink water, so I've been giving her meds through a syringe with water. I've tried to get her to eat everything from boiled chicken, canned chicken, tuna, rice, noodles, dog food, canned dog food, the list could go on. I took her back to the vet on 3/11 because I noticed her skin was more yellow than before her transfusion. Her pcv was 40, so the doctor gave her a few shots to help calm her stomach in hopes she would eat. As of 3/13 I started giving her baby food in the syringe as she won't eat anything still. I noticed today that her skin is more yellow, and I am fearful she isn't getting better. The vet talked against doing another transfusion as it would only be the same result if the first one did not work. It seems that she's getting better, but I am fearful of going back to work in a week. I'm not sure what else to do for her. The cost, is as all of you have saod, extremely expensive, and I don't know that I can financially do much more to save her. I'm at a loss right now.

Rene Griesel
March 10, 2017

Our little miniature pincher, Yasmin passed away just over 3 weeks ago.  She was just over 11 years old but broke a leg when she was 6 weeks old which never recovered after the operation.  She suddenly passed away through the night as the next morning we found her already passed.  I noticed that her tongue and gums were very pale after she died but I just assumed this is what happens when animals passes away.  Yesterday, my sister called me and said that our other little pincher, Jade was not eating and it looked like she had no energy to lift her head.  I went to have a look and saw that her tongue was also a very pale colour.  I could not see her gums as she did not want to open her mouth.  She could barely walk and was just very weak.  I gave her some rooibos tea as I thought maybe she was a bit dehydrated as she was not eating or drinking.  I quickly realised that she was fading away very fast and rushed her to the vet.  The vet immediately checked her gums and body and said she was severely anemic and need a blood transfusion within the next couple of minutes.  It all just happened so fast.  I was not realising what exactly he was saying.  He could not say what may be the cause but said that it is a 50/50 chance that after the transfusion that will cost me R6,000.00 that she will recover.  He said that he treated another animal a couple of days back that was not as bad as Jade but the dog never survived the blood transfusion.  I did not have R6,000.00 to cover a blood transfusion and then another afterwards as I am a single mother of a 16 year old girl.  He then suggested we put her to sleep.  It all just happened so fast - within minutes we had to make the decision to put her to sleep.  I am a huge animal lover (any animal) and always promised myself that I will never put an animal to sleep but yet yesterday I had to make that decision.  I looked into Jade's eyes and I could see the terrible effect this disease has on her.  She hardly breathed, her heart rate was sky high, she was unable to move.  And then, I made the decision.  I had to say goodbye to her and left the room.  A couple seconds later the vet came out and told me we can take her.  Tears was streaming out as I then realised what I've done.  As I am typing this I can hardly see the screen as my tears falling down my face.  I am a horrible human being.  How could I have done this.  I have so many regrets.  I paid R500.00 to kill my baby.  How will I ever forgive myself for doing this.  I have another dog and two cats and I am so scared.  I am going off my mind.  Every time one of them just lies down I wake them up to see whether they are breathing and whether their gums and tongues are normal looking.  I am terrified of also loosing anyone of them.  I really honestly hope you all have a better outcome than what me and Jade had.  Just one thing I cannot understand.  Is it possible that both Yasmin and Jade passed away of the same disease within 3 weeks from each other?

March 8, 2017

Update on my Jack Russell Maisie who has Evans syndrome. Her blood work on March 6th was good and the vet believes she is now in remission. She has been off prednisone for 5 weeks now and her platelet count was normal. She will remain on Atopica until September but I don't need to bring her in until then for more blood work. I realize how lucky we are to have this result and know how close we came to losing her. I know she could relapse after the Atopica is withdrawn but we remain optimistic. My heartfelt sorrow for those who lost and lose their fur companions to this disease, and heartfelt hope for those who are in treatment.

February 27, 2017

Our Chi Chloe was diagnosed on Saturday.  We are in shock and gutted.  She is 6 yrs old.  Dr cannot find a cause.  She had transfusion this morning, her number was 15 up to 27 and now already back to 18.  I am ready to give up as this is a horrible horrible unfair roller coaster.  AND like all the rest she was totally fine on Friday, but when she would not eat Sat and had no energy my gut said something wrong and we rushed her in.  Vet was happy thinking we caught in time and was giving us some hope.  Reading the comments has given me renewed hope.  We are just waiting on the results of an ultrasound and probably do a second transfusion.  All these comments are similar and gives me hopes for a miracle.

Mark Nicoll
February 26, 2017

On February 2, 2017 our female pitbull Mocha was diagnosed with IMHA. Her blood count was at 18. This was at 11:00 a.m and three hours before she seemed perfectly fine. I have had many dogs in my life but Mocha was my favorite by far. She was amazing in every way. If either my wife and I were sad she would know if and do everything she could. To help us. The mystique these dogs get due to their breed does not tell the story. Our baby girl in the 11.5 years she lived gave us absolutely no trouble what so ever.The get and the technicians who treated each save nobody said the prayed she would make it thru decayed she was so sweet. Unfortunately a day and a half and 6500.00 later we lost the most beautiful dog to walk this earth. Sudden and quick. My wife is a dog groomer and a dog lover who has yet to recover. We miss you little girl but know we will see you again.

February 23, 2017

Thank you all for sharing your posts. It is good to know we are not alone in our battle. My 9yr old dachshund Frankie has been battling this horrible illness for almost 2 weeks now. We are hoping he will pull through. You are all in my thoughts.

February 22, 2017

Wanted to give an update on our Cavapoo. After 4 or so months, and LOTS of ups and downs, we have our playful pup back. She is now basically stabilized with a hematocrit of 39% as of this week (lowest was 17%). We have achieved glycemic control on insulin (ended up with diabetes due to the steroids). She is finally off the prednisone but still on immunosupressive therapy at this point. Vet did labs which show no signs of organ damage after all that. For those of you in the midst of it, have hope! That's all that got us this far.

February 18, 2017

I'm fighting tears that won't stop flowing; even though I feel like I can't cry anymore. Yesterday my husband took our golden retriever/chow mix, Chrysler, to the vet. Chrysler was a rescue that I adopted 6 years ago. I've been very fortunate that she has been a healthy dog that has only had 1 UTI since I've had her. On Monday, we noticed she didn't eat all of her food but she seemed fine. Tuesday she peed on a rug near the door. This is unusual for her but she otherwise seemed okay. She still wasn't eating all of her food but we didn't worry too much as she seemed okay otherwise. By Thursday, she was panting even while resting and felt warm. I gave her 1/2 of a Tylenol and we decided to take her to the vet the next day. She was still up and moving around but seemed less active. On Friday, the vet did lots of tests. 3 tumors were found in her abdomen. The vet isn't sure if the tumors are in her liver, pancreas or spleen. Her gums are white. Her WBCs are elevated. Her RBCs are decreased. Her liver function tests are elevated but her amylase is fine. The vet isn't sure if it's pancreatitis, and probably isn't her pancreas given her amylase being okay. Her bilirubin was elevated in her urine and blood. She received IV fluids, 2 antibiotic injections and an injection for nausea. The vet wrote down lots of potential diagnoses but at the end of each one, he concluded she has cancer. The vet let me bring her home last night (Friday) but we kept the IV catheter in place and she wore an Elizabethan collar while at home. Today, Saturday, we took Chrysler back for a follow up visit. A different vet saw her (that works in the same clinic since the vet we saw yesterday was off work today), she did more lab work and said Chrysler's WBC is higher today and her RBCs are lower. She doesn't think Chrysler needs a transfusion right now but wanted me to take her to a specialist vet/emergency clinic for further testing. She thinks Chrysler has IMHA. After a few lengthy tearful conversations, all I can think about is the 3 tumors that were on the X-rays. If Chrysler has cancer (especially liver or pancreas), the IMHA could be caused by the cancer/tumors. I brought her home today after more IV fluids and she ate really well for the first time in days. She's drinking water well but she is pretty fatigued. She hates to be away from home, she's really nervous away from home or when she is around people she doesn't know (remember she's a rescue dog) and I can't bear the thought of her being cooped up in a kennel for days to weeks while getting tests and treatment for a condition that will not extend her life. I know it won't be long for her. I'm cuddling her and petting her and crying while talking to her. She doesn't leave my side. I'm dreading the inevitable decline that I know will happen soon. The grief is immense and I'm heartbroken at the thought of life without her. My love for this dog is immeasurable, like no other. She's my girl, my pal, my heart. Thinking of all the other families and dogs affected by this terrible disease and praying a cure will be found soon.

January 24, 2017

Charley was diagnosed with Evan's disease a few days after Christmas.  PCV of 11%, blood transfusion, several days in the hospital and now she's home with us.  She's on all of the meds described by many here.  Blood tests every week, we're waiting on today's results.    I've been really encouraged by how her energy level has picked up substantially .  However she has lost 3 pounds in just a week or so, she's only 31 pounds so this is a lot for her.   The costs are astronomical already, more than 5,000 and it seems that it's going to continue indefinitely.  Charley is an incredible dog - a chinese mongrel, our rescue puppy from Hong Kong. When things were really rough those first few days, i couldn't believe how hard it hit me, the chance we might lose her.  I didn't know she was so sick - and when it became apparent it was devastating. So sad to read how many people here who has lost their presence animal family members to this disease , truly sorry.   for everyone else in the middle of this journey, thanks for sharing here.  Really appreciating reading this tonight.   I am optimistic about Charley at this stage, and I know we are getting really good care.

January 23, 2017

Our sweet little 6 year old Dachsund mix Rosie succumbed to her battle with this horrible, miserable disease this morning.  I had never heard of this disease until I took her to he vet this past Thursday after she had been lethargic a few days and was reluctant to eat that morning. After 4 nights in the hospital, and 4 blood transfusions, and about $8k, we had to admit defeat.  We are absolutely heartbroken.  The roller-coaster ride this disease will take you on is absolutely awful.  I've had some pretty miserable experiences in my life, but this is towards the top of the list. She did not have any kind of cancer, not exposed to any kind of tick-born disease and did not get into any kind of poison or anything along those lines.  My mind is completly blown.  This dog was perfectly healthy and happy a week ago and now she is gone. Our neighbors two doors down just went through this with one of their dogs last year.  She survived was succumbed to kidney failure 6 months later.  Nobody deserves to experience this disease.  Not having any idea what causes this is the most frustrating part.  This is the worst.

January 22, 2017

This is my 3rd post. My 7yr old female JRT Maisie was diagnosed with Evans syndrome in early Sept 2016. Fortunately she responded well to the first and only blood transfusion. We are now into our 4th month of treatment. She takes one Atopica capsule daily and is down to 1/4 tablet of. Prednisone every other day. Hope to lower the prednisone dosage further  this week. She is still eating and drinking more than usual, but better able to control urination so fewer indoor accidents no.  She is doing well, exhibiting the Jack Russell zest for life. The only issue I've seen is decreased stamina. We walk for 10-15 minutes only. Our vet confirmed that this is a very real side effect of the prednisone and advised us not to push her beyond her physical limits. This was good to know. We and Maisie have been lucky so far, so there is light sometimes while dealing with this disease. We will deal with relapse if and when it occurs, but have a dog who is enjoying her life right now. My heart goes out to those who have lost their dear canine companions.

Marilyn Rowe
January 21, 2017

Hi all..I and my toy poodle Cuppie are still battling Imha.  Her las vet decided to dc her atopica for no known reason so I hurriedly took her to another vet and he not only restarted her atopica but doubled it. Her numbers pcv fell to 18 so he started her on doxycycline and azathriopine and continued with the her pcv went up to 19.5  she has already had 2 transfusions 12/13 and we are preparing for another if need be.  wow, wow, this is such a rollercoaster....we love cuppie so very much...i pray for her and all of you.

January 19, 2017

My beagle, Zoila is 5 yrs old and she has been in the hospital for 4 nights suffering from IMHA. She has the same story as all of you, fine one day and lethargic the next. She has had 4 blood transfusions and is now stable at 23%. Her lowest count was 10% RBC. She kept dipping down after the transfusions and I felt hopeless. I didnt do the ultrasound to check for Cancer because I couldn't afford it. Her spleen and liver are a bit enlarged. The specialist said to not to give up! That her body needed more time with the anti suppressant medication. So I paid for two more nights in the hospital and hoped for the best. I am grateful that I kept her in the hospital since taking her to the ER and said yes to the blood transfusions. The good news is that today she is finally eating! She is also taking meds in pill form. This is the first day she looked and acted like her old self. I'm sharing this with all of you because we all need to have hope. I admit that the cost of this disease is extremely high and I wish there were more financial support out there or at least a payment plan. I wish you all the best. I had thought I was alone in this until I stumbled upon this site. I am praying for Zoila's recovery; she will be coming home soon!

Jeffrey Horn
January 17, 2017

My male, nearly 8 year old Doberman Pinscher has been diagnosed today with IMHA. Friday he threw up and I thought it was because he ate to fast after he threw again on Saturday I decided to take him his vet when he opened up on Monday. Today (Tuesday) I was worried the antibiotics I was prescribed weren't working I took him to an animal ER. As I type this he's receiving a blood transfusion. After his first, I visited him and he ate a few of his favorite treats and seemed to be doing better. I'm glad I read this article and the comments. Hopefully I can have some more time with him.

Luckys Mom
January 11, 2017

My 15 yr old shih-poo was diagnosed with Evans syndrome - his red blood cells and platelets are being attacked. Was in hospital for 5 days, 3 transfusions, discharged at 24. Follow up in 5-7 days unless emergency. On meds. This is an awful disease. I wish I had known about it sooner so I could look out for symptoms..wish they'd do more research to prevent such a large percentage of death.

January 9, 2017

Hello.  My dog Boss had a horrible bout of IMHA, whereas his red blood cells were being attacked within the bloodstream.     (not caused by spleen) - he was in the hospital for 7 days with 4 blood transfusions and ended up with 3 immune suppressant medications. The blood levels had to go down to 12% for them to do the follow up transfusions, initially his count was much lower, they went to 20% and back down, then 22% and back down, then 25% and back down, then 24% and back down to 20% and remained stable - and within a month or so went up to 38%. Leaving him on the various medications with the side effects was the hardest part. Apparently cyclosporin is in a castor oil base, which can make a dog very ill, not eat, stomach pain, vomiting, I brought him to ER twice, just to have specialist group add more medications for stomach pain, vomitting, antibacterial, etc.  Only to find out later that it was most likely the Castor Oil base that was the cause, and a switch to another cyclosporin brand in a different base would have solved the problem. Luckily, I was able to take him slowly off the cyclosporin, with a different vet, and some published advice by Dr. Jean Dodd, on how to take a dog safely off this medication by reducing the amount to every 3rd day, etc, then one time per week. The specialist told me to give it to him daily until I ran out, cold turkey - I feel without the break inbetween the days he would have died from the vomitting (projectile - and bloody stools ). A replacement vet for my 2nd vet, told me about the other cyclosporin without the castor oil but he was off by then. Anyway, hopefully this small part of his recovery regarding the cyclosporin medication may help another dog parent. What I really dreaded reading about in the comments are the fairly large group of writers who euthanized their dogs after the first transfusion because of the vets 50/50 chance of survival spiels. I was told this every day that he was in the hospital when I got my call from the vet, 25% survival, 50% chance he will die by morning. I truly feel the vets do this to protect themselves because they are not very well versed in the latest imha research, published vet articles can be found with much searching on the internet. Please, don't let the vets scare you into euthanizing your beloved family member. The RBC numbers in a bad case, such as my dog's, will go down, and eventually they will stabilize and go up, with the medication combinations. It isn't easy, myself and my daughter visited my dog for at least an hour the first few days when he felt really listless, and brought blankets and water into a waiting room and spent hours with him on subsequent days. This also gave him a chance to get off the IV fluids, as they were starting to build up in his system, and if we hadn't visited, they would have left him on them 24 hours. We rubbed his legs lightly, a little lymph massage the assistant would have done if she could make the time, as he became very swollen. Currently I am slowly taking him off the prednisone, the research from Michigan State Learning Hospital showed the medications should have been reduced by about 50% and then kept on for 3 months to stablilize the condition. However, the specialists in my area kept him on Hospital dosages, including cyclosporine 100 mg twice per day - it was impossible to feed him during the cyclosporine with castor oil, only when I reduced him to 1x per day, as appropriate to his body weight, and following the Michigan research paper I found, and working alongside a diferent vet, was I able to feel good about taking him down to 1x per day, the specialists said since a month before I had reduced him to 1x per day that I couldn't reduce any more medications ( as a punishment ??) but I found a few errors they had made, and suddenly I was ok'd to take him off the cycloporine. ( still bloody stools and stomach pains, barely eating despite the double dosage of prednisone making him hungry ), they wanted me to cold turkey him, but I used Dr Jean Dodd's method and he was feeling better, and went off this med (Atopica) at that point, and no longer needed the additional antibacterials and antiemetic medicines. Why they didn't know about? or tell me about the alternative cyclosporine without the castor oil may have saved lots of discomfort and emergency room costs.  Please, research and ask questions, and try to find additional vets who have worked with these medications. I didn't have the additional money to get a naturapathic vet, but I read many sites, and put my dog on supplements with some chinese herbs to build blood, and built up from milk thistle to Same, to joint support, and better multivitamins.  Yes, the costs did make me worry, as I literally had enough for one more transfusion if needed, but the money as I was able to return to work started to build back up, and I do not regret taking that chance with him. He is lying on a plush pillow beside me now. Currently I am taking him off the prednisone, I am keeping him on an additional immune suppresant as a recent publication from Michigan State Veterinary College Irecommends, and I am upset I didn't find it sooner, as I could have reduced his meds by almost 50% during the stabilization period and he most likely would have been suppressed enough to not have remission, and would have felt a lot better sooner. Both vets wanted me to take him off prednisone quickly, then 5 mg then every other day, over 10 days. But he was on a double dosage, over the article recommendation and what the prednisone sight also estimated, for many months. I tried to follow the vets orders, and both times he went for the day off, the next day everyone is telling me he is dying and what I am doing is killing him. Obviously, you need to follow your own knowledge and instincts, I am reducing his amount daily, and have added some drops for the cushings symptoms - to help stimulate his adrenal system to produce cortisone on its own. This is taking some time, though I am reducing him fairly quickly, not nearly as quickly as the vets, but he is feeling pretty good compared to skipping a day. He is barking a bit, begging for treats, drinking and eating less, and doing his wiggle worm imitation when I rub his back legs. If he keeps doing well on the slight reductions, then I will continue them, if he does not, I will keep him where he is at a bit longer. [Editor's note: a section promoting specific services was removed to comply with VetzInsight's non-commercial policy.] Boss was diagnosed with a severe case of IMHA - please don't give up hope - ask the vets about alternate medications if one seems to be making your dog feel bad - they may know of an alternative, but just aren't thinking of it at that time, too busy addressing the symptoms, not the cause - in retrospect, with everything I have learned, my dog's recovery could have gone a lot easier for him - but when I see him wag his tail, sit on my lap or snuggle me when he gets cold, or excitedly attempt to chase a squirrel, or give me little doggie kisses ( big doggie kisses ) in this case - I just know he his glad to be alive and I know he will continue to feel better as the meds are further reduced. I will have to do some tests to make sure his adrenals start working, which may have been avoided if I had more information earlier, but it is what it is, he likes taking his pills and supplements because I wrap them in turkey, I was dipping them in a little butter ( he doesn't like peanutbutter or orange sweet potatoes, only white ones ) - but I had to stop as his liver enzymes remained elevated for far too long - the substitute vet told me to add a liver supplement formulated by vets, that I found on the internet - and his tummy is not so hard after he eats, so it appears to be working. Supplements have helped a lot, a strong multivitamin, preferably with glandulars, enzymes and probiotics, milk thistle, same, and a good joint supplement. Liver support if liver tests are high - they tell you it is expected because of the medications, so I added this much later than I wish I would have - only after the substitute vet said it could be lowered with nutritional support and it was an area of concern. Please do your best, hopefully you can do your research and find an experienced vet, the better supplements sooner are a great help, you know  your pet, you can get a good idea of what is helping or hurting by being aware and taking notes. My dog wasn't supposed to live past a few weeks of being out of the hospital, supposedly - yet, he is feeling noticeably better everyday. Don't let the vets scare you into euthanizing your pet or thinking it is hopeless. Do be careful to reduce the medications when you can, when the second blood count is high, the maintenance dose should be less than the hospital dose, and kept up for 3 months. You don't have to reduce prednisone last, newer research shows it is better to reduce it while still on the additional immune suppressants. - I learned this much later than I would have liked, so there are a few additional issues I have to be careful of - that would have been easier on my dog and I - if I had found this information out much sooner - but we all do our best.  Please do your best, and thank you to all of you who have not given up and who are helping your dogs to recover. My dog also started with a ulcer, which has healed during this time, despite that I do give him low dose aspirin whenever he appears to be moving sluggishly, most likely until he is off all medication, except thryroid, I will give it to him every other day to be on the safe side now that the ulcer is healed. ( most likely from some of the medications to treat the IMHA along with the supplements ).  Good luck to all - keep up the good fight - your dog is worth it!

January 6, 2017

My adorable cavashon Daisy was diagnosed with IMHA over 4 yrs ago in 2012. It happened very fast and by the time we got her to an emergency vet she was fading fast.  They gave us little hope for recovery and told us to prepare our son for the worst but miraculously she pulled through and eventually was able to be weaned off all medications but a week before xmas this year she fell ill again (this time I knew the symptoms and got her immediately to the vet). She's had a transfusion again and is back on steroids and immune suppressing meds. They think it was brought on this time by a bladder infection and sadly the prognosis for recovery a 2nd time is very bad but she was home for xmas and so far is holding her own so I'm praying she pulls through but happy we got to spend another 4 years with our precious girl who will be 10 in April.

Joe Walker
January 6, 2017

Just had our 6 yr old Border Collie diagnosed with IMHA earlier today...... we are all in shock.  3 days ago he was running around, barking, enjoying life...... yesterday it was like he was already dead.  Amazing on how fast it changed.  Thank you for all the comments..... so glad we are not alone in dealing with this terrible disease.  Not we have to decide what to do moving forward.

Monica Horn
December 29, 2016

My Dog Stewie, a 9 year old shepard mix was diagnosed with IMHA almost 2 years ago.  It was a very long road of ups and downs but he has pulled through.  I am writing this to those of you that are going on the emotional ride with your pet, do not lose hope, here is a chance your pet can pull through.

Donna Green
December 27, 2016

I'm laying here reading about all of these amazing beloved best friends crying as our standard poodle Dax and I lay next to our pit bull Keyra with this devastating disease. I had not heard of it until a few weeks ago. Our story is the same, there is no need for details other than a blood transfusion a week ago, lots of meds and we are losing her now. Our hearts are broken. A healthy, playful, beautiful, loving 6 year old girl to be taken way too soon. Myself, my husband, our son, and her poodle brother Dax will miss her so so much. Our beautiful pit bull girly girl. The sweetest most loyal, loving girl ever. I'm so sorry sweet girl that I don't know how to save you. You deserve all things good because you are amazing.

Marilyn Rowe
December 27, 2016

Imha is a devastating disease. My Cuppiegirl, a min poodle was fine on a Friday and on Sat we were rushing her to the ER for weakness and lethargy. She was diagnosed with IMHA on 12/10/16 and on 12/12/16 I took her to the vet where her RBCs were 1.8. She was given her first blood transfusion and started on prednisone, atopica, tagamet, orbax, and red meat, and vit tunic.  The following Friday another transfusion was needed.  So many blood tests, and wathching her go down hill is almost killing me, I am already in heart failure due to a recent heart attack. RBCs go up and down. now at 40 and we take her back tomorrow.  I am happy to be told that when she passes it will be quietly in her sleep and that she is not in any pain..she does suffer from constipation and i stopped the iron and am giving her canned pumpkin and olive oil hoping it helps.  for the last 4 yrs i was angry that she would poo in the house sometimes, now i sure would love it if she did it alot lol.  my heart goes out to all of you, try to keep up the battle and keep our own health in to you

December 20, 2016

I lost my yellow lab to the dreaded blood clot after treating his IMHA for 8 months. He seemed to be in good spirits until the day he passed. I miss him everyday and am grateful that when it decides to take them it takes them fast! Not too much suffering- just sleepy.

Jeff S.
December 18, 2016

IMHA is a vicious and quick attacker. My 7yr old Jack Russell Terrier (Tank) was fine one day and not the next. Started with lethargy, loss of appetite, swaying back and forth while standing, vomiting,  pale white gums, diarrhea, labored breathing. By 2nd day he was at vet. Diagnosis was IMHA, after you get over the shock of hearing what your hearing...then starts the real battle. The battle of your dog literally fighting for his life, and you virtually along side of him fighting also. 1st blood work comes back at 20% RBC, antibiotic and prednisone prescribed. 2nd blood work, 2 weeks later, 15% RBC. Talked transfusion but decided to add another immune system suppressor before transfusion.  Meds at this point are prednisone and azathioprine. Decided to discuss euthanasia as option within next couple days. 3rd blood work(2 days later) showed increase of RBC's to 17% which was encouraging so decided to do transfusion. 4th blood work(2hrs after transfusion)RBC increase to 27%. That is where we currently are at, most of the symptoms are gone but we're very early in recovery. I'm optimistic but not delusional. I'm very aware of what we're dealing with, I'm so sorry for any pet and there owners that go through this disease. It's horrible watching your dog struggle to breath, it's devastating. The kicker is how quick it happens and having to think of euthanasia, you have no time to prepare for this thing, it's not like watching a dog slowly get old and such. But now I know what to look for and will be on alert. I wrote this for a couple reasons, 1st to let other pet owners your not alone, someone is going through this with you and 2nd, there is HOPE! There is hope. It is also essential to have a good Veterinarian and not to wait if you see symptoms like these. Especially all of them together, beware of the pale gums, that is a dead give away. Speed of diagnosis is of the utmost importance. Keep your heads up but prepare for a battle folks.

December 4, 2016

Our Australian shepherd, Moki, looked tired and wouldn't eat on Tuesday night. On Wednesday he didn't want to eat or move and I noticed his breath was awful and gum were pale. We took him to the vet but his levels were not so low that he needed a transfusion. He came home with prednisone and  doxycycline and Pepcid twice a day. He began eating and moving a little. Last night he came upstairs to sleep. My husband sleep downstairs with him the other nights. His gum are still pale yellowish color. He goes back for blood work Thursday.

November 30, 2016

I lost my boy Copper to this on Oct 24, 2016 He was very active always playing ,well dog visits,came out of no where,very sad,it hit fast and he was gone in 3 days.I love and miss my baby so much.He was only 5,my best friend ever.I cry and miss him more each day.So hard to understand how fast this hits our babies and takes them from us.

November 18, 2016

My 5 year old parti poodle rescue was diagnosed on 11/13/16 with IMHA.  Went to work that morning she had vomited but nothing serious. Came home no barking no running just laying on the carpet having difficulty keeping her head up.  I took her to the emergency vet she had a CBC of 13 was given a blood transfusion took her the next day to our vet for obseration.  Brought her home with meds and that afternoon her gums were getting white and she was looking lethargic.  Took her to the ER again and another blood transfusion her CBC increased from 12 to 28.  Brought her into our vet the next day and her CBC was 20....had to make the decision to let her go because her count was dropping rapidly after the transfusions and their was nothing we could do.  I rescued April in April of 2011 at 18months and now I am loosing her to a devastating disease I had never heard of.  She had a vaccination two weeks before this happened.  Diagnosed  on the 13th and in doggie heaven on the 17th.

November 17, 2016

Please anyone who has or had a dog battling imha there is a Facebook support group filled with wonderful people all going through the same things. Search IMHA on Facebook.

November 13, 2016

Our poodle is currently fighting IMHA. We woke up three weeks ago to find our normally energetic dog lethargic, refusing to eat or drink, and febrile. Took her to the vet immediately and she had a Hat of 18. Started on prednisone and antibiotics. Two days later there was very little improvement so we added methotrexate to the mix and she her energy and appetite increase slightly. Most recent blood test had her Hct at 35. Still low but we're happy with the progress and still fighting!

November 11, 2016

My dog, Smuckers, is currently fighting for her life with this terrible disease. She received her second blood transfusion today. Tests have shown she is making a lot of new red blood cells. The immune suppressant drugs have only been in her for about 24 hours, so we are praying they will start working tomorrow. This is a nasty disease and we are heartbroken. We were out of town for the past 5 days before we noticed how lethargic she was. After 1.5 days at home with us, we knew we needed to take her to the vet. Her RBC was 15 - after the first transfusion it went up to 19 - now it's back down to 17. She is 9 years old, and we've had her since she was a puppy. Tests didn't indicate cancer, she's had no vaccinations since June, and doctors think it just came out of nowhere. I wish we had had time to prepare for this emotionally and financially. We are praying and hoping for a recovery, but I can't help think that she spent her last "good" weekend away from us with the dog sitter. We have visited her three time a day in ICU. We are devastated. This is a terrible disease and we pray for her strength, and the strength of all of you dealing with this, as well.

Lisa Hawker
November 6, 2016

Miriam Thompson-like your golden our Yorkie Poo is still barking, climbing stairs, etc. A little less energy, maybe sleeping more but she always has. Never stopped eating or drinking. She had a transfusion 10/21 and started meds at that time as she was at 12%. She made a touch of progress, but clearly the meds are not kicking in and she is dropping. We may have to make the dreaded decision this week. We pray for a recovery, but it seems to be a small percentage that make it...especially long term. I do think that maybe our vet should have sent us to a specialist sooner than retesting twice a week to see what was happening. We'll never know if she would have responded if treatment started sooner, but had she not been in the day after labor day for her annual exam I'm sure she would already be there were no symptoms that would have sent me running to the vet. She was 35% at annual which didn't concern them as much as a wonky platelet test. So 2 weeks later after returning from an out of state funeral for my day, she was retested. This time platelets were fine, but RBC was down to 27%. Had my vet explained that it might be IHMA we may have started treatment sooner. Instead we waited and did tests the following week, down to 17%, transfused 5 days later when at 12%. She mention while awaiting the visit to ER hospital that she could start doxycycline and prednisone, but waited the 5 days not knowing what we were dealing with. Unsure it would have mattered, but I see that many beloved dogs have been diagnosed and gone within a couple of days, so I'm grateful for a couple of weeks to deal with this...praying for a miracle, but hope is fading. My heart goes out to all of you in the battle and those recovering from the aftermath.

November 6, 2016

Sorry for your loss. RIP Jemma. We are currently battling IMHA, as well. Popped up suddenly following Bravecto (flea/tick preventative) and Heartguard Plus dosing.Will never know if there is a connection, but strongly believe there is. Anyway, our Yorkie Poo has yet to lose her appetite, but she has always been food focused. We took her in Jan 5 of this year after her dad, a dear friend passed away unexpectedly. We knew that he would have wanted us to care for her. She had been doing amazingly well having switched her to a raw diet. Lost 6 lb pounds, cleared up ears, eyes, etc. Vet and groomer were amazed and said she didn't look like the same dog! On Sept 6th, her first annual since we got her and only an hour after learning my father passed away, her bloodwork showed a possible platelet issue and her red blood count was at 35% which is low normal. Came back 2 weeks later and it had dropped significantly. Two weeks ago, she had a blood transfusion as she was @ 12%, 22% following transfusion on a Friday. Monday she was only at 24.5%, next visit 21...and I can tell she is dropping. Bloodwork tomorrow but, we will probably have to euthanize her this week. We've known her for 5 yrs, had her for 10 mos, but are devastated. She is a sweet dog, still eating, drinking, barking just less energetic. I keep praying for a miracle, but the odds of long term success with this disease are not good. Such sad stories. We are lucky that Missy has lasted this long and I'm grateful for the time. I hope to make a pawprint ornament tonight and get a couple of nice pics to have done up on a mug or have a pencil sketch done. Cannot stop crying! Hugs to anyone going thru this.

October 27, 2016

My beautiful dog Jemma had this horrible diease. From reading others posts, she had similiar experience. She stopped eating on a Monday, I was not "too" worried about this cuz she goes thru these phases of not eating for one day. Well Tuesday I tried to feed Jemma, nope she wanted nothing to do with food so I let Jemma out and her back legs gave out, my heart raced, set up appt at vets within an hour and even going out to the car Jemma just fell to the ground. The vet said her blood levels (HCT) was at 11% and should be at 37% and Jemma had jaundice, the whites of her eyes turned yellow, her gums yellow and inner ears yellow. The vet kept her for the day for observation and recommended the 24/hour critical care vet for transfusions and ultrasound. A transfusion was done on Wednesday and Wed nite the vet called and said things look "good" her blood level was going up. I felt great, thought i would be taking her home soon. Needless to say, on Thursday morning the vet called and said he was very concerned about Jemmas overall outlook. What?? I guess with the 2nd transfusion that was done Wed night, they were expecting better results. Her blood level did go up to 21%....but was dropping slowly. And the vets really could not tell me why she had this IMHA even after numerous tests, Xrays, Ultrasounds, etc. All i know is things did not look good. After speaking to the vet Thursday night, vet said he would try different meds and see if she perks up. Jemma was getting very lethargic and had a hard time standing up on her own. Now on Friday, the vet said that Jemmas blood level dropped to 18% and the transfusions did not seem to work or any of the meds. That is when i had to do the worst. I stayed by my baby Jemmas side for a couple of hours til she was set free. I too, did alot of research and came up to this site and did not realise how common this IMHA is and the outcome not very favorable. I am glad that i see a few pets that do live thru this. I am very saddened my baby Jemma, who is a Rottweiler, who lived til 11 years 5 months and 9 days was taken so quickly with no time to prepare. My heart goes out to everyone here posting.

October 26, 2016

I posted about 6 weeks ago. My JRT was diagnosed the Friday after  Labor Day.  One blood transfusion "took" and she continues to improve. Oct 25 blood work was good. I know we are among the lucky ones but wanted to post something positive. I was so despondent that first couple of weeks and it helped reading that it wasn't always hopeless. Again, my heart goes out to those who lost their fur loved ones and who are facing grave decisions to be made.

October 26, 2016

Today on 10/26/16 The world is minus one perfect dog. Beau never complained, was always by my side, especially when preparing a roast or a steak dinner. He knew how to give you that look with those eyes to get everything he wanted, he will be missed, and that awful IMHA took him from us.

October 19, 2016

My male Silky Terrier was stricken with IMHA. He was healthy and happy until Monday morning when he refused food. Concerned but not alarmed, i kept an eye on him for signs of any specific issues. That evening he again refused food and had begun to pass bloody urine. I made an appt with my vet for the next day. blood tests showed extremely low red blood count and IMHA suspected. By midnight, he was stumbling and unable to stand. I rushed him to the emergency clinic but there was nothing they could do. His RBC was too low to survive even a transfusion and they said he would not last the night, so I made the decision to euthanize. Something that upset me is that one of the first things I did was google "bloody urine in male dogs." Not a single site mentioned it being a symptom of IMHA. Obviously, it's a cause for concern but had I suspected it was something so time critical and with such severe outcome, I might have been more diligent in seeking emergency care. I doubt it would have made a difference but it seemed wrong to me that this frightening fatal condition didn't even appear in my search results.

Rachel Adams
October 15, 2016

Yesterday, 10-14-16, I had to put my sweet Phoebe to sleep. She was fine on Friday, then on Saturday she stopped eating and wouldn't get up. I brought her to the vet and her liver enzymes were high and he PCV went from 47% to 21%. They kept her over night and the next morning she was jaundice and wouldn't even lift her head when I went to visit. The vets didn't exactly diagnose her with IMHA because her Lepto tests hadn't come back yet, but I knew it was IMHA. I decided to take away her suffering and it was the hardest thing I've ever had to do. She was only 4 years old and had so many years left in her. I love you and I'll always remember you.

Sharon Redmann
October 3, 2016

Our dog made it !! Almost 1 year later off all meds. Blood count normal. Fur grown back, a little heavier not as much energy but may be due to age. Chasing squirrel s n barking at our sneezes.       Our cocker spaniel Chewie  was  diagnosed w/IMHA last Oct. Fine one night next morning didn't want his  greenie (big red flag) Seemed somewhat lethargic,gums pale not pink, eyes ever so slightly yellow near rim . immediately took several pictures of Chewie, told husband I had a very bad feeling about this n wanted to get to vet.asap. A few hours later I was told Chew had IMHA. More details to come. Would love to find a way to alert dog owners about the need to act quickly n what to look for. Seems many more could b saved if they had gotten to vet sooner.

Miriam Thompson
September 30, 2016

My 5 yr old Golden Retriever Abby was diagnosed on Sept 13th.  I like the rest of you, have the same story she was fine one day and not eating the next.  I knew something was wrong right away because she's always been a great eater.  We ran multiple test only to find that she has IMHA.  Her RBC was 21% and after many tests they decided to start her on Prednisone and Doxycycline.  She had her first dose of meds on Monday 9/26.  Took her in today for a blood test and she's at 20%.  I'm hoping these meds kick in and her levels start going up.  So far the Vet doesn't think she needs a transfusion but i'm sure that's coming if her levels don't increase.  with the exception of her not eating for a couple of days she has never shown any signs of feeling sick.  She's still happy, plays with her ball, and chases squirrels.  I just can't believe she's this sick and doesn't show any signs.  This disease sucks and I feel like more research needs to be done to determine what causes it.  Does anyone know how long it takes for the meds to start working when they do work?  I've read usually in about a week you will know if it's working or not but that's just what i've read i'm looking for people that have experience in this.  Thanks Praying for all of our babies.

Elise Stupi
September 30, 2016

My 6 ½ year old kitty, Charlotte Grayce, is having IMHA symptoms now. On Sunday and Monday, she seemed a little quiet and not terribly excited about her food, so I kept an eye on her. By Tuesday afternoon, Charlotte stopped eating, spent her time under the bedcovers, and produced a bloody stool outside her litterbox, so I rushed her and the specimen to her vet. In addition to testing both the stool and her blood, the vet noticed bruising and small wounds across her lower abdominal region that looked like the result of trauma. I wasn’t aware of any fall, but to make sure that she wasn’t in pain in case she fell, I agreed to purchase Buprenorphine to alleviate her. Based on the exam, the vet didn’t think that she needed hospitalization, so we went home. Wednesday was no different—Charlotte had no appetite and hid under the covers all day while we waited for the blood and stool test results. Very late that afternoon, the vet called and reported that Charlotte had severe anemia with a PCV reading of 11% and that I should consider an abdominal ultrasound, clotting factor test, and possibly a chest x-ray to find the source of the bleeding. Again, he didn’t mention that Charlotte needed emergency attention, so it was agreed that I would bring her in the next morning. That night, she came out from under the covers and cuddled with me, so I felt comforted that the next morning seemed like a reasonable waiting period. Overnight, she must have been too weak to use her litterbox, so she urinated on the sofa and later got into bed with us for security. Needless to say, when we woke up and discovered what happened, we rushed her to the emergency hospital where she stayed all day yesterday.  Her PCV reading was 14% when she arrived, but the doctor said that the difference between Tuesday’s test showing 11% and yesterday’s might have been due to the instrument sensitivity. Step by step, we attempted to rule out causes by administering an abdominal ultrasound which showed no evidence of a mass or cancer, though it showed a small amount of fluid in her abdominal and chest cavity. This led to a clotting factor test and chest ultrasound (echocardiogram), the latter which revealed moderate hypertrophic cardiomyopathy that puts her at risk of developing congestive heart failure (though she did not appear to be in a heart failure state). The echo also showed the fluid which was believed to be more likely due to bleeding from her low platelet count and elevated clotting time. Her clotting PT value was normal (if abnormal, the vet said it would be a sign of rodenticide), but her PTT value was elevated (which may be a sign of IMHA). At that point, Charlotte got a transfusion followed by steroids to treat for possible IMHA and antibiotics for possible infectious disease. After the transfusion, Charlotte’s PCV was 15%, so not the result we had hoped for or expected. Given the prognosis, we resolved that we would return to the hospital to put her down as we didn’t want to put her through the continued stress of repeated PCV tests and transfusions (not to mention the exorbitant cost which so far has totaled $2,500). However, when we arrived, she seemed alert and attentive and not the cat we dropped off in the morning. Instead, we took Charlotte home together with Prednisolone steroids and Orbifloxacin antibiotics. She got home, immediately used her litterbox to urinate, and then went to her food bowl to eat and drink. She was far from 100%, but she gave us hope that she might be benefitting from the steroids and/or antibiotics. Charlotte slept with us overnight, ate and drank a little for breakfast this morning, but has since returned to being under the covers again. She appears weakened. I hope to coax her to eat, then give her a dose of steroids and later antibiotics, and just observe for the next several hours. The next step might be another PCV test tomorrow (or later today) to check. A couple things that I asked the doctor about were the FeLV vaccine that Charlotte got on September 10th and the adverse reaction (half-dollar sized bald spot which she scratched and is now scabbed) to the Advantage II treatment she got on September 18th. The doctor felt that any FeLV adverse reactions would have happened two weeks ago, and it’s highly unlikely that the Advantage II would cause these types of symptoms.  I’m at a loss and heartbroken. I’m praying for the best. Thank you.

Janssen Lee
September 26, 2016

This is particularly aimed at those dog owners whose dogs survive more than the initial 2 weeks of treatment. (Long but my story is here for those who are interested) My wife's 6 year old maltese terrier named Dian Dian was diagnosed with IMHA on the 14th June. The tell tale signs were all there from the pale gums to a discolored tongue. We brought her in and her PCV was 8. She stayed overnight with our local vet for a blood transfusion. My wife and I cried that night... and a deep feeling of regret and sorrow cloaked over me... all Dian Dian ever wanted to do was play... but I was more often than not 'too tired' or 'too busy' to play with her after work... I just wished I could play with her one last time. Over the next few days it was a battle... rising to 12 then dropping to 11... another blood transfusion to 24... dropping to 18. She stayed there for 5 nights and we visited her every morning and afternoon - making time around work. She held for a bit then dropped to 14 after another 6 days. She held between 13-14 for a week before dropping to 10. Our vet asked us if we would like her to be put to sleep otherwise we could try one last chance at an animal referral hospital for another transfusion with a dog closer to her blood type. She stayed overnight and was given 2 transfusions and her PCV rose to 35. We were told to keep her there until she stabilized. We visted her every day over the course of a week. We were able to finally take her home with a catch - she was on 8 different medications and some of which had to be given up to 3 times a day with specific timings. My wife is truly a champion for keeping up with it all and having the strength to continuously give our dog treatment which was resisted a fair amount by our little princess. We kept bringing her in for checkups at the specialist hospital which were not cheap - $200+ per visit not including medication and not including extensive blood testing which we did every visit. 'Battling the immune system is not for the faint of heart or lean of wallet.' So far we had totalled $10,000 AUD and it was still climbing. I'm currently saving for our first home and wedding ceremony with my wife... we were willing to give it all if it meant it would save our little girl. Through this whole ordeal ever since the beginning Dian Dian had been having episodes of diarrhea, nausea and a lack of appetite, lack of energy... but we kept praying and hoping for the best... Another 4 days later Dian Dian's PCV dropped to 31... and another 5 days later dropped to 26... looking back at it all it really took its toll on all of us... I eventually thought the battle was over when a week or 2 later with the continuing treatment she PCV shot right up to 41. Dian Dian had energy to play again! I played with her every day after work and was grateful for her second chance. My wife continued with the treatment and as time passed her visits to the specialist vet were less frequent and the expensive full blood report were once every 2-3 visits as opposed to being every time. After a few weeks Dian Dian started Dian Dian's stomach continued to grow (it was already large due to all the steroids) and not only that, there was what appeared to be a rash/discoloration on her stomach - another side effect from all the medication. It was potentially going to cause discomfort and our specialist suggested it was time to reduce the amount of medication slowly to 'ween' her off and hopefully over time slowly reduce the medication to the point where it was no longer needed. After we reduced her medication, her PCV within a few days dropped again down to around 35, and then a few days later again to 26. Our vet had to increase her medication again to a level above a lot higher than it was when she first got the disease. Her episodes of lack of appetite, nausea and diarrhea were back, but our little girl is a fighter. Three weeks later... 18th September 2016... around 4pm... I wrote to my closest friends... Diandian was taken away from us this afternoon suddenly around 4pm. Judging by the way she passed, the vet suspects a blood clot occurred in her brain or lung. Maltese are known to be more susceptible to these and given the medication to treat IMHA, it just increases the chances of this happening. I like to think it is a somewhat pleasant thought to know that she was playing fetch with Irene in her final moment. The moment it happened I could hear my mother and my wife screaming, yelling and crying from downstairs... we rushed to the animal hospital and along the way she defecated in the car whilst my wife tried her best to resuscitate our little angel. It takes 25 minutes for us to drive to the specialist hospital and every minute that passed felt like an eternity. They tried their best but there wasn't anything they could do... hearing the news completely broke my wife and my mother. I will never forget hearing the piercing cries, the frightful yelling and sorrowful tears that flowed from us all. We decided we would have her cremated whilst spending our last moments with her in the patient room. My wife did not want to leave her behind so we took her home with us. We wrapped her in a blanket and lay her on a table in our guest room. We turned on the air conditioner to max power as the nurse said it would help with preserving her until the people would come to collect her for cremation. My wife and I spent the night in the guest room from 9pm until 2pm the next day when they came to collect our little girl. As we placed our little angel in the back of the van, I saw a large sheet of blanket covering what appeared to be maybe 10-20 other animals. It was that moment I realised that I was one of many. We are all united through our loss and hopefully united we stay strong. Our total costs lead up to around $15,000 AUD. If she were still alive this number would still be climbing. If you cannot afford this treatment, there is no shame in letting your companion sleep. But to be honest, if I could go back in time, I would do it all again; 3 months more and those extra moments playing with her are priceless. 3 days later we received her ashes. She now rests in my room on my shelf - right next to my bed so that every night she can rest with my wife and I... just like old times.

Nancy Buccigrossi
September 21, 2016

My 2 1/2 yr old cavapoo, Bentley died on 9/19/16 only after he was diagnosed three days earlier with IMHA. Just like all the other stories, he was totally fine the day before, nothing unusual. He woke up on Friday and didn't want to eat or drink, which was definitely not like him. Later in the day he seem not to have energy. I called the doctors office and they said to give it a day that he probably ate something. The following morning was worse. He seemed lethargic, his gums were dry and pale, and he had urinated blood. Since his doctor could not get him an appointment I took him to a nearby hospital who did the preliminary tests and diagnosed him. So our journey began. He started his first of (4) blood transfusions but with each one his red blood count would not hold. By Monday his Bilirubin was 127% (should be .3%). This was causing seizures, jaundice, and neurological issues. My poor baby's fight had ended on Monday. He was the most loving dog that I have ever have. I hope that someone finds a cause/cure for this devastating disease so no one else has to go though this.

September 16, 2016

My 7 1/2 yr old JRT was diagnosed last Friday. She underwent a blood transfusion and is on a steroid and an immunosuppressant.  She has improved remarkably over this week, which gives me some cautious optimism. My heart goes out to those who have not been as lucky(so far) as we. I know we're not out of the woods yet, but I wanted to post something positive

Sherry Lee
September 13, 2016

My cat, Elsa, almost died 12/7/15 and dx is secondary IMHA. She has good days and bad.  Still dont know primary dx. She takes 3ml doxy and 1 ml of pred twice a day.  I was hoping this article would give me insight on doing vaccines for her but I am still confused. Aahhh.

Susan Silverman
September 6, 2016

First I want people to know that research for a DNA test is being done for this disease in English Cockers.  Also another vet is developing a DNA test for AIHA in English Cockers. I lost my 12 year old English Cocker Spaniel last Friday, Sept. 2.  She was fine the evening before.  We went for a nice walk and then she ate her dinner with her usual enthusiasm.  2 hours later I noticed she was lethargic, her gums were pale, and she would't take a treat.  I took her to our vet.  After a CBC and abdominal x-rays he said she most likely has ITP.  She was also slightly anemic.  This was 10 pm.  My vet said for me to call the next day around 10:30.  Instead he called me at 8:30 a.m to tell me that although she made it through the night fine she went into cardiac arrest.  He tried to save her but couldn't.  I miss her so much.

August 25, 2016

Our dog Twiggy was diagnosed with IMHA 11 days ago. They gave him steroids as his RBC was 27 which apparently wasn't an emergency. On Monday he collapsed into my wife's arms, so we rushed him to the pet hospital where they held him over night. His RBC had fallen to 12 and his WBC was through the roof. Twiggy's own immune system was attacking every red blood cell as they were being made in his bone marrow. We visited him for an hour everyday, bringing his favorite snacks and toys so he wouldn't miss us too much. He perked up only when we came to see him but were advised against bringing him home. On Friday 19th Aug we arrived hoping to have some better news with his blood test, but unfortunately the RBC had fallen again. Game Over. We brought Twiggy home with us that night and laid him on his favorite blankets with his belongings all around him. He was on a IV drip but from time to time would try to lift up on his front paws to drink some water. We used a syringe and he could lick the water from our fingers. He had two very restful sleeps and in the morning the vet came out and we helped him get to Rainbow Bridge (a lot of his friends would be waiting for him there). We are devastated that it was so quick and there was literally nothing that could be done.

Joy Lainez
August 21, 2016

On April 19th I lost MY Love- Cocoa from IMHA. She was completely fine when we went to bed and when we woke up she was completely out of it.  We went through her regular Vet, a emergency Hospital amd a specialist, no one could help her. We tried 2 blood transfusions, but her red blood cell count would not increase. She was only 9 1/2 years old, she was never sick and seemed fine on saturday and by Tuesday I had to say good bye because nothing was working and the tranfusions led to seizures, heart problems- she was no longer herself and she was in pain. It was one of the toughest days of my life. I cry for her daily and I pray that I did not do anything to cause such a terrible disease. Please find a cure!!

Steven Libhart
August 12, 2016

My beautiful, gentle English Springer Spaniel, Oliver died from this horrible disease on July 14th of this year.  He was fine one day and gravely ill the next.  We were able to get one transfusion in him and then suspect that a PTE got him.  I had never heard of this disease before and am just devastated over the loss of him.  He was my soulmate and buddy.  His father died just two weeks before him and we suspect it was from IMHA as well.  He was diagnosed with tumors on his spleen and I wonder if IMHA kicked his immune system into overdrive to present the tumors.  Losing both dogs with such a short time is so painful and they are both missed.  The only common thing with both dogs was that they had their Heartgard Plus administered to them.  Within a few days they both were sick and gone.  This is so very sad!  Where is research being done to stop this awful disease?  What can we, as lay people, do to help?  Please....our pets don't deserve to suffer from this.

Michelle Bacon
August 3, 2016

My dog Jazzy was diagnosed last week with IMHA she is still not doing the greatest but is still alive. I was wondering what medications have helped the small few  other fur babies out there. We are so sad. I'm amazed she is still with us but they think she may need a transfusion soon. She is a 7 yr old Chocolate lab. We are cont the medication and see how she is in a few days.

Paulette Smith
July 22, 2016

My beautiful Logan cocker spaniel 9 1/2 yrs old. He took I'll only a few days before he passed. Misdiagnosed by our local vet; called Vet College in PEI....come right away...hanging on by a thread...transfusions x2 ...would not accept 2nd on ....home to pass in my arms. My heart is beyond can the disease be so quick? He was so very brave!

July 18, 2016

This article and posts seems to be one of the only things helping me through one of the most difficult times in my life.  On Tuesday, my beloved coonhound stopped eating.  I really didn't think too much of it but figured she should see her vet.  She had been diagnosed and was being treated for Cushings disease for almost a year so I thought her meds needed to be adjusted again or something.  Brought her to the vet in Wednesday and was told her condition was serious.  He suspected IMHA but didn't confirm it and said I needed to take her to the hospital.  I was in shock and it took me a few hours to register what was happening.  I thought my vet was being overly cautious.   Relying on his advice I took her to the hospital Wednesday night.  They said it appeared to be IMHA but didn't confirm for me until the next day.  Regardless by the evenings blood tests results her blood level was at 14.  Thank god I took her in.  The next morning the hospital dr calls and confirms for me that it was in fact IMHA and that she needed a blood transfusion ASAP.  Which we did.  I went to see her that night in the hospital and there was a major decline in 24 hours.  Still not realizing the severity of what was happening I left her there for another night.  At this point she hadn't eaten in 5 days.  Within 30 hours at the hospital I was charged $5500 in dr bills.  I needed them to be straight with me which I felt they weren't doing.  I think they would have kept her for a week even with little response.  The truth was after the blood transfusion her levels didn't go up by more than a few points.  I had to make the worst decision I have made so far in my life - by Friday she had no fight left in her.  Her eyes were yellow, tongue and gums white and my once nervous dog laid there she didn't care or know what was happening anymore but she was ready to go.  At least that's what I'm telling myself.   I had her for 12 plus years since she was 4 weeks old.  She and I had really been through it all.  She was truly my best friend and my heart is shattered.  It happened too quickly, too horribly and she was too young in my eyes.  I am mourning her like and even more than I've mourned for humans.  I don't know how I will ever get over this.

July 13, 2016

My 9 year old golden retriever mix was nearly dead when diagnosed with IMHA 19 months ago. She had a transfusion and treatment with 3 immune-suppressant medications, producing a very rapid recovery. I have been following the vet's instructions to taper the medicines, now down to almost nothing. Her RBC is a healthy 46%. Fingers crossed this very nasty disorder does not come back.

July 10, 2016

Our special Silly, a 13 year old sharpei rescue is battling this awful disease.  He is 3 weeks out from diagnosis, had a PVC low of 14, and was almost gone when we got to the ER vet.  So far so good with recovery.  You can follow along on his page if you want.  I am also creating a blog of stuff I am learning along the way.  Lastly, there is a good FB support group which helped us and many others.

Paulette Smith
July 1, 2016

I just went thru this unbelievable's so cocker spaniel was 9 1/2 ....he was so very brave to the end. I took him in for swollen abdomen uti....big tumor was heart is so broken...less than 24 hrs....2 transfusions I have his ashes. It's a cruel disease.

Shanna Vagts
June 30 2016

One year ago our fur baby was diagnosed with IMHA and Evan's Syndrome. The vet gave her a 50% chance of making it...little did we know that her chances were really in the 7% range. After 9 months in and out of the hospital and clinic, 7 transfusions, many set backs, and more meds than we can count...Emma has made a full recovery. My prayers to everyone going through this. I hope to write a blog about our experience and we hope to start a fund to help others going through this.

Dojah's Mommy
June 30, 2016

I'm so sorry. Its just not fair. :'(

June 28, 2016

My dog is currently in the hospital battling this horrible disease. He's a fighter but it's taking its toll. All I keep praying is for him to make it back home. My prayers are with those families impacted by this diagnosis.

June 14, 2016

It has been two days since I had to put my fur baby Bella to sleep due to this horrible disease. On Friday she became lethargic and refused food, I thought she was just feeling a bit off. By Saturday she wouldn't walk and started peeing blood. took her to the vet, they did tests and her blood levels were at 14, we decided on blood transfusions and medication treatment but told only a 50/50 chance. With lots of hope I went home to inform the family. The next morning spoke to vet, they said her bloods had gone up to 20, may even be able to come home that night. Unfortunately, in a very short time her levels dropped again to 12. The vet told me to come down as she was not going to make it. I rushed down to say my goodbyes and and let her go to the rainbow bridge. I am so confused and angry at how fast this happened, I'm at a loss without seeing her beautiful face everyday. I wake in the morning hoping it was a bad dream. My heart goes out to all that gone through this horrible ordeal.

June 5, 2016

I just had to go through this with my little guy who was French bull dog. He was only 1, and it's an emotional roller coaster. Going through few transfusions and checking their pcv % going up and down. Not knowing what the cause of the illness is. I feel the pain for anyone else who goes through this, it's a serious illness that I wouldn't want any dog to go through.

Pam Page
June 1, 2016

I had an almost 9 year old PWC that was treated for a pretty heavy pseudomonas infection about 3 weeks ago. He took his last Rx dose last Thursday morning and was feeling quite a bit better, but still didn't have all of his energy back. On Thursday night and Friday morning he only ate some of his food and that night and Saturday morning he refused all food and treats. Took him to the vet that morning and PCV was 23%. He was weak, nauseous and stools were breaking down with an orange tint. He was given a big dose of dex, had X-rays and ultrasound done (several times since start of infection) which didn't show any abnormalities except a 'busy' bronchial field. He had had some non productive coughing a few times since the start of the treatment. X-rays on Saturday showed improvement in lung. He was slightly ataxic on Saturday. Was given oral pred, famotidine, Cerenia and a liquid iron supplement. Temperature had returned to normal by late Saturday night. Still didn't want to eat Sunday. On Monday morning, he couldn't raise his head in crate and was having REM and very slow to respond. Vet rechecked his PCV and it was 9%. Rushed him to the emergency clinic where he received one transfusion and by 4:30PM his PCV had come up to 17% where it held steady through 6AM Tuesday morning. He was transferred to his regular vet yesterday morning to stay on fluids and several injectable drugs. Developed off/on labored breathing late that afternoon. Vet did saline test on slide Saturday and yesterday and RBCs were clumping. He ended up having pulmonary thromboembolism and passed away at 5:30PM. This is such a devastating disease for both our pets, who are never with us long enough, and us owners. I'll miss him every day until we meet again.

Cindy LaFreniere
May 12, 2016

My 12-year-old Golden, Charlie was diagnosed May 3. He was anemic, jaundiced and so very weak. He is on prednisone and had one blood recheck on Tuesday. The vet said his levels were,"marginally better," but not as good as he had hoped. In February, during his dental, Iwas called by a substitute vet (my vet was on vacation). He told me that Charlie had a mass in the roof of his mouth, near one of his canines. It was removed and the biopsy came back, "inconclusive." I took his to see the vet on the 3rd because he just wasn't acting like himself. He seemed very confused and was having a hard time controlling his back legs. In addition to the blood tests and chem panels, they also did an x-ray, where they found no evidence of arthritis, which he has been treated for for over a year with 100 my of Rimadyl daily. In December at his 6 month checkup, he weighed 70 pounds. In February at his dental, he weighed 63. I had to ask on May 3 how much he weighed (I could tell he was losing weight) and they said he weighed 57. I would think that a 10% body weight loss over an 8-week period would be fairly significant. So I guess my worry is two-fold. He is still not much improved in his strength or the confusion/depression. He seems like he is struggling just to move around. He ignores our Chihuahua, his best friend (really). He just doesn't seem like he is,"there" any more. I can hardly imagine coming to such a decision easily, Charlie is like my own child. How will I know when it is time and should I seek a second opinion?

May 7, 2016

I had to put my 10 1/2 year old Rottie to sleep last Tuesday.  It was very devastating for the entire family.  I'm hoping someone can help for I truly do NOT understand what happened.  November 21, 2015, we took her to the Vet for a physical and shots (Rabies, distemper, parvovirus and leptospiros) then she also boarded with them for 4 days.  They were praising how healthy she was at 70 lbs and not to let her gain any weigh because she was PERFECT.  By the way, that was her first ever boarding and she was NEVER sick.  We picked her up and again everyone was praising how good and healthy she was. Then, about Mid-April, she started hacking on and off but never vomited.  I was travelling on and off in April so my family was the one informing me.  April 30th I took her back to Vet that we took her in November for the hacking, eye discharge and she seemed weaker.  Her weight was 67 lbs.  The Vet told me that she had a "mass" on her spleen and that she needs to be evaluated by an oncologist.  I told the doctor thatI will look for a second opinion.  By then, I was in state of shock, it was heartbreaking.  Monday night, my daughter and I took her to another Vet and it was worse.  The doctor immediately stated "this is a sick dog".  She did 5 views xray and it showed the following: a.  Mass near her heart b.  Mass in her spleen c.  Mass in her stomach d.  Weird stuff in her lungs and stomach The doctor did a quick blood check and RBC level was 20 and the norm was 30 to 40.  The doctor told me that even transfusion will only buy her days.  She further stated again that she is a REAL sick dog.  She said spend another night with her and I should really consider putting her to sleep for she will NOT survive any operations.  I took my dog home and that night we watched her sleep, the next day my daughter stayed with her, my husband and I came home earlier and it looked like she will be OK.  However, every time she ate something even a small amount of food, she would hack and hack and then have difficulty breathing.  It was breaking my heart so we decided to put her to sleep.  We did NOT want her to suffer any longer.  Please help me figure out what happened.  Thank you all.  This has been very very hard for the family.

May 6, 2016

Our 5 month old standard poodle was just diagnosed with this 2 days ago. She is currently in ICU at the University of Illinois veterinary clinic. She was in shock when we arrived there yesterday and she has had 2 transfusion so far. We are told she is the youngest dog they have seen with IMHA. It is still early in her battle and so far we are $3000 into this. We are just at a loss about what to do.

May 5, 2016

My almost 12-year-old Westie  was just diagnosed with this devastating disease on 4/28.  She started with symptoms back on 4/2 but was misdiagnosed initially with what was thought to be a neck injury.  She was treated with dexamethasone injections at the time, which must have halted the disease briefly, but once she came off of that, she was back at the vet's a week later. She's been improving without needing a blood transfusion thankfully and the vet hopes she can come home on Sat.  I was hoping she could beat this thing but the more I read the less optimistic I am.  It seems like a constant uphill battle and will require constant vigilance.  Maybe she'll be one of the lucky ones and be managed on meds.  I can only hope.  My heart goes out to everyone who had or has to travel down this road.

May 2, 2016

My heart goes out to all of you, we love our furbabies so much....we are going through the same thing, but thank God, we still have our 8 yr. old Cocker Spaniel, Daisy, with us. I love her more than life itself. She became sick the last of Aug., 2015....a few days later, we were told it was IMHA. She became sick after two things...she had gotten vaccinated for rabies & then killed a snake that was following my hubby...she was just being protective. Right before the rabies shot, I had her titered for the first time...they said her immune system was strong enough to fight an illness off....OMG, it was then that IMHA hit-$8,000 later, several trips to the University of IL Hospital (and being told she had MAYBE 21 days to live, tons of other visits to the hospital here and many vet appointments, she is still here! No one knows much about I have been doing all my own research for 9 months now...trying to supplement her with whatever is the healthiest, buying the best food, making & freezing homemade, protecting her in any way that I name it, she is worth everything to us. She was declared 'EXEMPT' from vaccinations 9 months ago...I went to a vet last week, she walked in with a needle to give Daisy a 'combo vaccination'....AFTER I had said she was EXEMPT...I panicked. I told them she could not have it (I had taken her in with what looked like an infection, or maybe an allergic reaction, on her tummy)...the Vet became angry, plus the tech told me that "if anything happens, don't bring that dog back here!" I just about fell apart...I now have an apt. with another Vet...don't they REALIZE that IMHA dogs cannot have Vaccinations?! She could have killed Daisy. The new Vet said that she could take care of the 'EXEMPT' info., especially as far as rabies goes. The sad thing IS, she owns the vet office that I went to...but I am taking Daisy to her out-of-town office. The last blood test was not good, so she is back on Pred, but small doses. About a month before, her test came out great....they said it "was as good as a dog without IMHA", I was so happy! This is a scary illness, with ups & downs all the time, but I just pray that Daisy will be here for a good long time. I pray for all of you, too....for the ones who have lost their babies & the ones who are fighting this illness now. It can change so fast...I fell apart when I lost my last Cocker (she was 18.....these pets (or to me, family members)are ALWAYS THERE FOR US and we owe them everything. Can we afford all this? Well NO....but with her, we will do have her with us. She's our baby. I'll close now...but my heart and prayers are with all of you....I know the heartbreak of losing a furbaby....and the fear of going through this illness, plus the depression. I just wish you all the best.

April 30, 2016

So millie was diagnosed about 11 days ago with IMHA. Millie is our 3 yr old American bulldog and she is most definitely our furbaby. Unfortunately when she was diagnosed her pcv levels were at 21% they went up to 23% then the next day down to 21% again. A week later dropped to 16% & are now at 14%.Her platelets are low as well. She's on so any medications including prednisone as well as doxy and ciprofloxacin. She was eating fine and then bam tonight she has zero interest in food and that is NOT like her what so ever she NEVER denys food. She's panting more and the vet says this is due to her high dosage of the prednisone but idk I'm worried

April 22, 2016

This has been the worst news of my life.  My poor 6 yr old Golden Lily had been feeling off for about a week and I brought her to the vet for blood work because something just wasn't right.  (keep in mind I just had to put down my buddy JD 2 months ago from intestinal tumors) She was normal on ALL panels run (and I ran ALL AVAILABLE).  Within three days her gums were white and her RBC halved and put her in crisis.  We are literally in the midst of our FOURTH transfusion and meds are increasing with each one and she is not responding.  This is the WORST!  Her spleen in enlarged and there are even spots on her liver that biopsy says is "inconclusive."  Has anyone out there had any success with this disease.  Vets tell me it's manageable; so where are all those positives?  I'm hurting terribly and if this doesn't work.. we have to say goodbye.  Any help?

April 21, 2016

Hi Raina, I feel your pain with the financial piece of this disease. We are already in  $5700 and it has only been 6 weeks. We are no way near out of the woods. I was going to suggest care credit but I see you mentioned that was not possible. Maybe a co-signer for the card? Some people I know have made go-fund me pages on facebook when they need to reach out for help in emergencies or crisis situations. I feel for you and you baby that is sick.

April 21, 2016

My story is scarily similar to all the others I have read thus far. Our Emma (Chihuahua/Terrier mix) is 11 years old and usually a very spry little thing. About 6 weeks ago she started with being lethargic and not eating and we too thought that it could be something she ate or another bout of GI upset which she is prone to. We took her in and they treated it as another GI upset and sent us home. A few days went by and she didn't really seem to be improving. By the time my husband got home he checked her gums and they were white. He rushed her to the ER and she was hospitalized. She was then diagnosed with IMHA. Her RBC level was at 23% when she was admitted and they felt at that point she did not need a transfusion seeing she responded so well to the treatment she was receiving. She was discharged the next day at 27% and the doctors were hopeful that it was caught early. She went home on Prednisone, Atopica, and Clopidogrel. She actually seemed to be responding very well to the meds once we were home. She was not her normal self but seemed to be improving. We kept bringing her in every week to check her levels and every week they were dropping. It was finally determined that she would need a transfusion and we went ahead and admitted her for it. When we picked her up after the transfusion her levels were back up to 28% and she was like our old Emma again, barking wagging her tail and being kissy and playful. Within four days she was lethargic and had pale gums. I brought her in again through the ER and her levels were 15%. She was admitted once again and we did transfusion number 2. She just came home to us yesterday and still things don't seem right. Her gums are nice and pink, she is eating, doing all her toilet business perfectly but still seems really lethargic. We are due to go back in this Saturday to have her levels checked again. I am hopeful but after reading all the posts I am scared and feel defeated. I am not giving up on her but I am scared to death there is going to come a time to make a decision that I can't bare to make. I feel for anyone who is going through this or has been through it and lost their baby. My heart goes out to all of you.

Phyllis DeGioia
April 21, 2016

Raina, We're sorry to learn of your situation. Here's a list of organizations that offer money either for a certain condition, specific region, ER, or other types of bills. Call such places as your local shelter and other veterinary clinics to see if they know of any group that offers financial assistance. We wish you luck!

April 21, 2016

Hi my name is Raina my boyfriend and I have a very sick American bulldog who was just diagnosed with IMHA. she may need a blood transfusion and we already spent 1k just to save her life after her episode... we are so low on money and we feel so helpless all we wanna do is make her healthy again this is so hard. we were declined for care credit and now she needs blood work done several times a week to determine if shell need a transfusion. can anybody help us? Any information u can give to help us find some way of income help?

April 13, 2016

We lost our 7 year old German Shepherd mix, Snickers, last night. He was fine on Sunday, only ate half his breakfast on Monday, threw up Monday evening, and had bloody urine Tuesday. I took him to the vet Tuesday afternoon, where they did blood work and gave him a 50/50 chance if he had a blood transfusion. I wasn't sure what to do, because I was expecting something like a bladder or kidney infection. They gave him some fluids and prednisone, and I took him home to talk to the family and give Snickers lots of loving. I was supposed to go back to the vet today, but Snickers seemed so uncomfortable last night that we went to the ER vet. We had to make the horrible decision to put him down, but after reading this, I know we made the right decision. It happened so fast and was so unexpected. We will miss him. I'm sorry for all of your losses and wish everyone seeking treatment the best of luck.

April 10, 2016

Today we lost our precious Rocky boy to this horrific disease.  My heart hurts more than words can explain.  This disease hit my little man twice and the second time it ended his life.  I hurt for all other dogs that get this disease.  I'm going to really look into more about this and raise more awareness.  Too many of our furry friends are being taken from us too soon.  He was fine last weekend and it hit him Friday and we buried him sunday. Its too much.  Rocky boy momma loves you dearly. #betheirvoice

April 8, 2016

I just lost my beloved Chloe, a strong and fierce 12 YO Dalmatian to this disease. The story is similar to many others here, a happy and healthy dog last Sunday, and then stumbling and lethargic on Monday. She spent the last two days at the vet, and we rushed her to the vet hospital this afternoon. When presented with the options and the odds, we had only one decision due to her age and advanced state of decline. I had never heard of the disease before today.

April 6, 2016

My 10 year old viszla, was perfectly fine on Sunday, and by Weds was fighting for his life. 5k into it, one blood transfusion, and his blood at17 before transfusion. We took him home last night, he wouldn't eat anything at the vet hospital thurs-tues, we got him home and he definitely perked up, and ate chicken and white rice. Took him back this morning for blood work his RBC went from 19 up to 21. The vet was encouraged, now we can only hope there isn't a relapse. after reading every single post, im not optimistic,, but will try to remain hopeful. Thank you to all who shared their hard as these are to read, it helps someone like me just learning about this to have a sense of reality about what to expect. Thanks again

March 30, 2016

I lost my baby boy Chico on February 9 due to complications of IMHA which was determined to be due to a vaccination- it was a 10 month battle he fought with all he had. He developed steroid induced diabetes and I gave him insulin injections twice a day. We had 5 transfusions, his spleen was removed and just when things were looking up he developed severe pancreatitis- it broke my heart. He came home this last time for a week with me and then in less than 12 hours something changed and I knew he was wasn't going to turn that corner, it was too much. My heart is broken as I cared for him 24/7 for the 10 months. He was my baby. IMHA are 4 letters I wish we'd never heard. We had the best vets who did everything they could do. They are right when they say it isn't for the faint of heart. It's a roller coaster ride that can change on a dime. If your baby has IMHA love them with all you have, the odds aren't good and they deserve all the love and care you can give them.

March 16, 2016

My 3 year old Pomeranian struggled with IMHA for four months.  She had a transfusion in August 2015, and was on many meds listed here. She did well until she relapsed in January 2016.  Her platelet count plummeted and another transfusion was advised.  Instead of putting her (and us) through the stress and expense again, we let her go.  It was one of the saddest things I've ever experienced.  There is a site,, that I highly recommend for support and advice if you are dealing with IMHA and your dog.   Blessings to you all, IMHA is horrible and devastating.

March 2, 2016

My precious Hobbs died last Sat he was 2 years 9 mo. He was fine all day on Tuesday then when we got up to go to bed he stumbled and was disoriented and ran into the wall. He has never done that. By the next morn he was hot and peeing blood my husband got him to the vet. They had no idea at first but gave him steriods and meds. He perked up had a good afternoon acted like himself. By the next morn I knew it was bad. He started throwing up around 11 am couldn't walk peed blood. We took him to the ER and his red blood cells were at 7 after a transfusion he jumped to 24. But he dropped back to 16 the next day and after a 2nd transfusion he was only at 16 again. He passed way after 4 day battle it was fast and there is nothing we could have done. It's heartbreaking we miss him so much, sweet Baby Hobbs.

February 27, 2016

On the 19th jan my dog Ajax didn't seem himself ,his gums were almost white ,so off to the vet we went and he was admitted into hospital ,blood tests found he had IMHA,we thought he had been bitten by a snake as the symptoms were similar ,so  they gave him anti venmom and a blood transfusion ,he picked up ,his PCV was 20 by the following week it was back to 25 so they let him come home he has to have his Pcv checked twice a week and it has been good until last Sunday he started showing signs of no energy again back to the vet for a full blood work they found his white blood cell count high at 27 should be about 17 so he is on about 5 different drugs and he definitely isn't the same dog he gets very tired,I am hoping he can recover fully ,I just have to take each day as it comes he is only six and has never been sick until this

February 26, 2016

Caylee my corgi was diagnosed with IMHA earlier this afternoon. My mom brought her in because she had not been eating and hardly moved anymore. When she was outside she would just sit, which was unlike her crazy active self. My mom brought a sample of her poop, which had blood in it and the vet told us her diagnosis. Her RBC was super low. We talked on and on about treatment options. Everything was so expensive. It is unreal how fast this disease course is and if only love was enough. She had to be on oxygen during these last few hours and was severely struggling to breathe. The vet said she would not likely make it through the night and because she was struggling so hard we decided to put her down. She was my sweet little girl and I will forever miss her. IMHA is horrible and I grieve for all of the doggie lives lost because of it.

February 13, 2016

I lost my 2 year old great dane, Mae, over a decade ago, one night without other symptoms she became gravely ill, she began bleeding from every orafice in her body, I speed her to the vet hospital she died apon arival within an hour. Her autopsy revealed she had no platelets in her body, but it didn't list a cause or a name for the condition. I think it must have been this condition. I suspected this condition came from her flea and tick oil I had recently put on her neck.  I will miss her forever.

Kristy E.
February 12, 2016

Brandy, our nine year old Shih Tzu was diagnosed with IMHA.  On Friday she was listless,  her urine was brown and her stools were orange.  I took her to the vet. The vet stated her gums were pale. Blood work was done. Saturday morning the vet called and stated her bloodwork results were critical. We immediately took her to a 24 hour emergency vet. Her RBC was 13 so we decided to go ahead with a blood transfusion and IV cortisone therapy. Sunday her RBC was up to 30.  Monday her RBC was 24 and Tuesday her RBC was down to 13.  We decided not to put her through another transfusion and bring her home and hold her.  She only lived a few hours after we brought her home but we had her with us when she passed.  We then began regretting that we didn't try another transfusion  but after reading the comments listed on this site (the side effects etc) we take comfort in our decision.  We miss our little Brandy but feel fortunate we had nine wonderful years with her.

February 12, 2016

Thank you for writing this article. I lost my furry baby girl Rory, a shih tzu at the not too old age of 9 to this disease back in November and it was and still is heart wrenching. She was diagnosed in April, didn't even need a transfusion, did well on her meds(pred and cyclosporine), then at the end of October, the pale gums and lethargy came back, and new thing, enlarged liver from the pred, within 2 weeks, she was gone. I'm still not over it, I didn't think it would happen to us since she survived the diagnosis very well, I didn't think we would lose her in the relapse, I thought we could ride it out with her meds, but she just got worse and worse until her kidneys started to fail and her skin turned yellow :(. God help those of us that have to handle this disease, it's not for the faint of heart.

Roberta R
February 8, 2016

We too are devastated. Yesterday at 4:40 pm we had to euthanize our 7 year old Lab X Moira due to IMHA. She was my husband's best friend they were inseparable and spent every hour of every day together.  She was great on Sunday Jan 31 and went for a two hour walk. On Tuesday she was a little slower than normal so we though she might not be feeling well, perhaps having eaten something she shouldn't have. By Wednesday morning she didn't want to get out of bed or eat. We knew then something was terribly wrong.  We got her to the vet's where she was put on fluids and medication and diagnosed with IMHA.  Her count was 18, by the afternoon she was down to 16 and transferred to the overnight emergency clinic. The next morning her count was down to 14 so she was transferred to a specialty clinic.  That evening (thurs feb 4) she had her first transfusion and her count went up to 20 and held there for several hours, by friday night the she was down to 19.5.  By Saturday she was back down to 14 and so had the second transfusion.  Her numbers popped up to 16 but quickly fell back to 14.  She was so lethargic with shallow and rapid breathing and a racing heartbeat. We stayed with her all day and around 4pm she began to slip away.  Ten years ago I had a Lab X Luke who passed away at 6 with the same disease only he passed within 24 hours from diagnosis.  This is such a monstrous condition, and the most frustrating thing is not knowing the cause.

Angela D.
February 6, 2016

Hello: My dog Dixie Darlin' was diagnosed with IMHA last Saturday 1/30. She was completely fine a day before but I noticed that something was wrong with her late that night. She wasn't herself when I got home that night, no excitement, no kisses, no happy barks. I took her out but she wasn't walking as much and was at behind me. I kept an eye on her all night but next morning, she couldn't get out of the bed to go pee so I called my vet and drove her around 8 am. The office looked busy when we got there, I explained her symptoms and she was taken to the back, they said they were going to call me but when 3:30 hit, I called them. The hubby and I got there at 4ish and even though IMHA was never mentioned, she had to be transferred to the doggy emergency right away.  So Dixie was diagnosed with IMHA and her PCV was 21%, the vet said that we caught it early. So after 6 transfusions and lots of strong medication, the vet decided to discharge her last Thursday 2/4. we were giving medication to continue treatment are home, that night we watched her like a hawk. I think she was really happy to be back home, we made her some kidney shakes (forgot to mention that she didn't eat at all while staying in the ICU) mixed with her pills and waited for the next morning to check her PCV. Her lab results were at 28%, it has been more than 24hrs since last transfusion, vet was so excited but we were not out of the woods yet. Today 2/6, she is still with us, we had  her PCV check again and it is at 37%, not sure if I should be happy because I am so afraid it will drop again. I honestly though she was not going to make it but she proved me wrong. Anyone else got to the end and though it was over? Thanks!

February 4, 2016

We are devastated. Our precious GSD boy Zhivago passed away on the 1st of February. He was feeling like his normal self on Sunday, didn't want to eat though. On Monday morning he went outside to do his morning business, but didn't want to come back inside. He just laid by the garage. My husband recognized that this is not normal behavior & told me he is taking Zhivago to the vet. Two hours later he called and said "Our boy just died". I couldn't believe it! I blame myself for not noticing something earlier! We had no idea such horrible disease IMHA can come so quick and take a life so fast! Please check your dog's gums often. Even if your furry friend is a little bit "off", go see a vet! We are gonna miss our big boy forever... RIP Zhivago. I love you.

February 2, 2016

My heart goes out to everyone who has dealt, or is dealing, with this disease. My story is similar to most - my dog was feeling great last Monday, and on Tuesday stopped eating and was very lethargic. Unfortunately, I assumed it was a virus or something and waited for it to pass. Thursday, I was concerned enough to take her to our vet who diagnosed her with IMHA. We went to a 24 hour critical care animal hospital and she had her first transfusion on Thursday evening, and another Friday evening as her red blood cell count went up and then back down. After the second transfusion, her number was holding at 22 (it was 14 when she was admitted) so they released her to me. Sunday and yesterday she was very tired and didn't want to eat her regular food but would eat some deli meat slices I bought for her, which I just assumed was normal for a couple of days after all of this stress. Today I was concerned enough to take her back, because she had no interest in eating anything. Her count is back down to 17 so they are going to give her a 3rd transfusion. It has been a hellish roller coaster ride the last 6 days and I'm terrified we are far from out of the woods. I'm sending good vibes to all who are going through this same process, or who have lost their beloved pet to this.

January 31, 2016

Btw way, my vet said that a transfusion wasn't always helpful as sometime it actually can make the patient worse. I think he said that it could cause haemorrhaging. It may be worth asking so that you are aware of how this treatment may affect your beloved dog. Unfortunately nothing is guaranteed to work. But it is hard not to try.

January 31, 2016

We lost our beautiful playful mini schnauzer Roxy a few days ago. She had just turned 9. She was perfect one day and the next was diagnosed with IMHA. We don't know what set her poor body against itself. Her RBC was at 1.6 and her white cells very high (over 35). Her breathing was so laboured that we could not bear to see her suffer any more. We brought her home and had lots of cuddles and then in the morning we carried her to the beach for one last smell as that was her favourite place to run. She no longer had any energy to stand let alone run but I think I saw her smile one last time before we decided it was time to say good bye. Our hearts will ache for a long time but hopefully the memories of the joy she brought to our family will help as time goes by. I feel for all of the families dealing with IMHA it is a dastardly disease.

January 25, 2016

I think this is what our 6 year old female miniature schnauzer had.  She was perfect one day and lethargic the next and we took her to the vet as we were about to leave for the holidays and I received the call from my wife to come there right away we had to make a decision.  The count was very low and in addition to some x-rays they did some type of blood test in which the blood didnt react right I think it was which the vet said was yet another identifier.  He said we had the choice of vet hospital, transfusions, and a lifetime of shots similar to organ transplants and then it was a 50/50 that her body could reject the transfusion.  Then said even if it worked it could happen again and would all be very costly.  He felt she had about a 20% chance.  He said the cause was unknown but could be environmental that caused it to begin.  He even said some animals react where there is livestock around and they drink from the water.  My question is when the time comes down the road we want another schnauzer but the comment about livestock concerned me because we live near animals adjacent to our yard.  Is this something that is random among all breeds?  Has anyone heard of the livestock connection?  He was of course just throwing out ideas and said it could have been anything in the environment.

January 25, 2016

My rescue Max who is approx 10 yrs old  is going through his 3rd relapse with IMHA.  He first developed this dreadful disease 3.5 years ago.  He was in the hospital for a couple of weeks, had two blood transfusions and was on the usual meds (azathioprene, cyclosporine and prednisone).  His red blood cell count at one point went down to 15.  He developed pancreatitis at this time as well.  He was able to be weaned off off all medication and then relapsed 6 months later.  He went through the usual treatment and went into remission again.  He remained on 25mg of cyclosporine 2x day for life.  This past July he relapsed again.  As a result of that relapse, he was hospitalized again, went through the usual treatment and went into remission again.  He remained on 25mg cyclosporine 2x day and 5mg prednisone 2x week.  He relapsed again this past Fri.  He red blood cell count was up yesterday from the day before and today is lower than it was when he was first hospitalized (35 today).  We're devastated.  We love our little guy and want only the best for him but this is gut wrenching. We will continue to fight for him knowing he may lose the battle.   It's in God's hands and we have no control over the ending of this tragic story.

Kimberlee Bryant
January 19, 2016

I wanted to write a post in honor of my Bella, an IMHA survivor, while this is an extremely complicated disease with heartbreak at every turn, there is hope.  Yes the mortality rate is extremely high, but some dogs do make it.  Some cases are worse than others and many dogs will not see life past the initial two weeks of diagnosis. It is expensive and the cost truly depends on the ability to have the financial means to wage a war on this dreaded disease.  It also requires much diligence on behalf of the pet owner to care for the IMHA patient.  I will never regret giving Bella the chance.  We were extremely fortunate that her case was not as critical as some have experienced, nonetheless, it was gut-wrenching. It took a lot of time for her to return to her "normal" even after remission.  Finally, 3 years later, and we are still okay, but ever mindful of the emotional scars this disease has left on our hearts.  The constant fear of relapse is always there no matter how great things are going.  I truly believe that Bella's case was driven by vaccinations or Trifexis.  It is beyond difficult to find the underlying cause of this monster. I learned a lot during this fight and encourage you to seek help by joining the IMHA page on FB.  There is loads of support and advice on that forum.  I truly learned things from others that my Vet was not even aware of!  Please feel in inbox me on FB if you have any questions. Kimberlee Bryant.  I remember just craving some sort of hope when we were going through this horrible nightmare.  FYI...I'm not sure about the month of December as noted previously as being suspicious, this disease is coming out of the closet in a big way.  Summer/Spring is the most prevalent time for diagnosis as some allergens (i.e. bee stings) could be a possible culprit as well.  Many blessings to all of you fighting this!

January 10, 2016

Back in the mid 70's ( honestly now I don't remember the exact date )I lost a Champion male Samoyed to IMHA - within about a week after his (then) annual Vaccinations.  I will always believe that the series + the rabies was just too much for his aging ( he was 12 )body. He was gone in just a few days. Thank goodness vacs are no longer required on a yearly basis - plus so much more has been learned about 'over-vaccinating' that we knew back in the 60-70's. 

January 9, 2016

We were told on Thursday evening the our Molly has IMHA. She has a blood count of 25.  She has been given 25mg prednidale twice daily. We have been told to make an appointment in a month. Is this the right course of treatment ??? After googling lots of information I'm beginning to wonder.  The vet said this is not curable but it is manageable but is our treatment the right treatment ?

January 6, 2016

So glad i came across this article tonight because my 10 year old healthy pit bull, Boston, is at the emergency vet with this right now. Much like the other people said about their dogs, he was fine then he wasn't.  Tuesday he started getting lethargic, wouldn't eat all his dinner, today he had bloody urine, was jaundiced and had little energy. His red blood count was 29% at the regular vet and emergency vet just called to say it's dropped to 26%. I'm praying he holds on till I get back to the vet about 8am. I don't understand how he went downhill so fast. He's my bully ambassador and is the best dog, can't imagine losing him at 10 years old. My heart is broken.

Cheryl Heuman
January 3, 2016

My female doberman came down with this in Feb. 2015. After 7 days in emergency she came home with meds of prednisone 75mg Cyclosporine 200mg and blood thinners 75mg. Its been almost a year and she is only on the cyclosporine 50mg. The vet wants to take her off that soon. Does anyone have experience with relapses. After a year with nothing should I be worried about the ceasing of all medications. Did anyone's vet say to keep your dog on something like prednisone or cyclosporine for the rest of their dogs life.

January 2, 2016

Odd to see so many instances of IMHA from December.  Our Cocker is currently hospitalized for this.  He was literally fine one day and down, struggling to breathe the next. It really is very helpful to have read this article as we are facing several decisions.  All the tests will be back Monday to tell us whether it is, for sure, IMHA or possibly something else. But based on what the vet is seeing - that's their best guess. You think you can keep them loved, and safe.  Do all you can to make sure they are eating healthy food, vaccinate (or not - depending on your stance) and then something like this comes out of nowhere.  We are heart broken. If the test results confirm IMHA we will need to put him down. So thank you for writing this so that we have a realistic expectation of prognosis.

December 30, 2015

Read many of the stories below and certainly have been through many/if not all of them as well. Our boxer came down with IMHA last January, after first noticing significant lethargy and yellowish urine.  For what it’s worth, he ended up needing 3 days in ICU/internal medicine hospital, 1 blood transfusion and then the now typical triple dose of immunosuppressive drugs.  Did extremely well few days later and was acting pretty much like his normal self.  We were thrilled and felt like we hit the lottery.  Then the chain reaction of issues and drug side-effects started.  1st it was the azathioprine (pancreatitis), then the cyclosporine (large skin, mouth sores started opening up al over).  Finally got our boy off those, until about 3 months ago, when a relapse occurred.  This time platelets crashed, so back on the three drugs again, then back through the side effects and weekly testing, finally leaving him on just pred.  Then about 1 month ago, several different/new health issues started up, starting with painful back/neck pain (to the point he couldn't bend down to bowl), chronic lethargy, ending with a very swollen back leg that has recently caused the partially healed sores to break back open.  It has been a constant steam of vet bills, pain pills and additional pharmaceuticals to try and deal with new issues and side effects.  It has been almost a year since our initial IMHA diagnosis and I’m heart-broken to say, today is Blue’s last day.  I share this long story with you not to dissuade you from trying to save your dog/friend from this terrible disease but to hopefully give you a perspective on what it may be like living with and treating the disease in the months/years ahead.  I’ve struggled with the thought of throwing in the towel and thinking we/he might be able to pull through yet again but when I think back through the year of IMHA, I’m not sure I’d do it all over again.   Blue is within days of being 10 years old and I truly believe he had the best first 9 years a dog could ever have.  Prayers to you and yours.

December 24, 2015

So much sadness, but I can relate.  We lost our precious Tori on 12/20/15.  She fought IMHA for 3 days, she had 4 blood transfusions.  We had to let her go, I couldn't put her through anymore, she had taken a turn and wasn't responding.  We are devastated. How can a 3 yr old healthy dog decline so fast??  I can't wrap my mind around it.

December 21, 2015

This disease is horrible. I was put in the same situation as all of you a month ago. Lucy was hospitalized at OSU for 8 days and had two transfusions to buy her time for the meds to work. Like all of you, I was so caught off guard and could not make the decision to put her down bc I had never even heard of this,  and she had been FINE three days before! So far we have been successful with the treatments. She has been home for 3 weeks, we have taken her off most meds, with the exception of prednizone, Mycophenolate,  and one stomach protectant and a med to reduce chance of blood clots.  We are on the verge of reducing her prednisone,  which makes me nervous. For two weeks she has gotten a very hearty appetite, thank goodness, but she needs Lots of water so she pees OFTEN. It has been extremely expensive, but we are considered "out of the woods" at this point. Praying for no relapses

December 19, 2015

Saying a dog diagnosed with imha's chance of survival is "50/50 at best" maybe a realistic probability of it's living or dying in the next few days or weeks .... IF your pet is not that far gone (HCT of 25 or better), immediate steroid treatment is started, this is the initial onset of imha (as compared to a relapse), and it don't rain. This is based on my personal experience and also studying imha generally.  You can read some professional studies like this one at which states that the results of 7 studies combined reflect that after the initial onset of imha the probability of living long enough to get out of the hospital is 57% but surviving for 1 year later is only 34%. That appears to be just for dogs hospitalized.  Considering that 34% statistic along with the fact that many dogs with imha never even go to a vet to become a statistic and many more never get sent to the hospital at all (many get put down or go home and die untreated), you can see that my conclusion that saying "50/50 at best" is really OVERLY OPTIMISTIC is a very reasonable conclusion. I just put my 8 yr old female cocker spanial to sleep this week after she experienced an acute imha relapse (her "HCT" test result was only 14, "RBC" test result was only 1.8, and she could barely wobble a few steps before running out of energy to stand up, the "HCT" results should be in the range of 36-55 and the "RBC" results should be in the range of 4.5 to 7.5). That HCT count is probably the same thing many people here quote as being told by their vets is what they are calling the "red blood cell count" or the "RBC" (there is in fact a DIFFERENT COUNT called the "RBC" which measures a different element of the bloods condition and that "RBC" count should be in the 4.5 to 7.5 range so when people talk about RBC counts in the 14 - 30+ range in the post here they must REALLY talking about the "HCT" reading NOT the red blood cell count or "RBC").  I guess many vets just quote the "HCT" result and call it the Red Blood Cell count and do not explain those technical details to their depressed customers. My dog was given the antibiotic "CIPROFLOXACIN" (which i later learned has a well KNOWN but very RARE side effect potential of causing the onset of imha) to treat an ear infection, TWO DAYS later she was laying around hardly able to walk so I took her back to the vet and then she got a blood test that showed her "HCT " reading of 28 which combined with the test results showing positive auto agglutination, spherocytes, and platelet clumping constituted a certain positive confirmation of imha.  I got a second OUTSIDE lab test to confirm the blood test done at the vets office, and I also got a second vet opinion on the treatment program (although i started the prednisone treatment immediately since i happened to know that drug was relatively safe compared to some of the cancer drugs used to compliment it).
since her initial onset was caught VERY EARLY (before the HCT result was down to 14-18 range which probably requires a blood transfusion to avoid immeninent death) Her treatment started with 10mg of prednisone twice a day and minimize activities.  After a few weeks she was able to at least walk outside to go to the bathroom without my holding my breath to se if she needed my help to carry her back in.  After about a month and a half she was moving around pretty well, i WON't say back to normal but I WAS CHEERFUL and she was a LOT better ... and that went on until 3 and 1/2 months when in the process of reducing the dosage of prednisone (we had reduced it down to 5mg one each every other day) she had her relapse, and i had her put to sleep.  The relapse came on literally overnight, she was acting pretty normal at bedtime and the next morning she could not walk out to go to the bathroom, so i took her immediately for a blood test that confirmed the relapse and that it was MUCH WORSE than it ever was the first time. My vet said it is common for relapses to be more accute and harder to treat than the original attack, i can confirm my dog's relapse was much more accute than her original attack but since i did not try to treat it i can not confirm if it would have been harder to treat or not. FYI ... after this relapse ... i did learn that "dark colored or orangish" urine (particularly if your dog uses a paper you might notice this) ... MIGHT BE an EARLY sign that imha is setting in  ... maybe an EARLIER clue if you are watching for a relapse than waiting for her to FALL DOWN or for her GUMS to turn white .... my dogs gums that morning of her relapse were NOT THAT WHITE ... maybe they were slightly pale or slightly less pink than normal ... but certainly not white ... and yet she could barely walk a few steps before stumbling to the floor. Here is the REALLY BAD NEWS ... i just gave her her monthly HEARTGUARD pill TWO DAYS BEFORE i had to put her to sleep.  It is MY OPINION that the HEARTGUARD PILL sparked HER RELAPSE.  I did NOT give her the annual dhpp shot which coincidentally came up for renewal while she was recovering since i read that dogs dont need those anyway (they really only need the DHPP shot once each SEVEN YEARS - it seems the vets just like to sell more shots than the dogs need) ... but i have actually had a dog die from HEARTWORMS here in texas so i did NOT quit giving her the heartworm medication because if you dont do the heartworm meds the dog will FOR SURE get heartworms if you live down south, it is just a question of WHEN will they get them.  So, you can NOT stop that and if I am right that the heartguard pill (which is the best widely used pill for heartworms) caused her relapse ... then the whole effort of trying to "save them" from the imha is an effort of FUTILITY. I prayed that my dog would get over it and never have a relapse, and i did what i could to try and make that happen, but she relapsed anyway. By the time she had that relapse, I had already concluded that i would not put her through the trauma of hospital treatment.  I would treat her at home as much as I could and if that did not save her then I would end her suffering. My conclusion now is that the overwhelming probability seems to be that even if your dog comes home from the hospital eventually SOMETHING will spark another relapse, so the whole idea of "beating imha" is just an illusion and the only real question is how much misery are you willing to put your dog through in order to postpone what seems to be the inevitable. I surely loved my dog as much as any human can love an animal, but after studying the options and probabilities i determined the most HUMANE thing for me to do was to put my dog out of her misery and not put her through some more misery when the probability was MOST LIKELY that if she did not die soon she would have ANNOTHER RELAPSE at some point in the future and die then, of course AFTER she suffered a lot of misery beating it now and trying to beat the relapse too in the future until she finally died from one.  I concluded that the trauma of being strapped to a bed in a strange place with strange people poking you with needles and hooking you up to various tubes to give you blood transfusions and intravaneous drugs for one to 8 days when the likelehood is VERY HIGH that the dog will die if not soon then later on maybe even after they got to experience this same hospital nightmare a second or third time after they had one or more relapse.  I had TWO VETS and neither of them explained to me the really grim picture imha presents, but after studying the options and probabilities i determined the most HUMANE thing to do was to put my dog out of it's misery. Being HUMANE to your pet does not mean you should feel guilty, although i in fact did, as each of you will also, but you just have to get over it because it does seem to be the best decision. Finally let me say YES, the reports are that there are some pets which do survive and i have read many hundreds of post at sites like this one and i can tell you that one thing i noticed about them was many if not most are still taking medications several years later (medications which themselves can have serious health risk and/or sideeffects) and like in my case if you try to step them down to wean them off those medications they often have a relapse which my vet said was even harder to arrest.  I have not read a lot of postings about dogs surviving and also having a normal "quality of life".  Also, for those precious few that do seem to survive with a god quality of life there is still that VERY REAL risk that some medication WHICH THEY NEED (like heartworm medication) could one day spark a relapse so even then there is a dark cloud over you and your pet each day. My point of writing this post is not to discourage someone who wants to try and save their pet, if that is your circumstance I PRAY TO GOD YOU HAVE "UNCOMMON" GOOD LUCK, seriously. What i do hope to accomplish by making this post is to help anyone laboring under the MISCONCEPTION that their dog with imha has a "GOOD CHANCE" of surviving ... to realize that the definition of "surviving" may not be what you would like it to be, and the probabilities even for that is most likely NOT GOOD. CERTAINLY less than "50/50" and maybe a LOT LESS. Also, for those who have not had time to research imha much to give you some basic information to help you make an informed decision which you can live with. God bless each of you and your pet, if you are reading this you and your pet both need it.

Ann G.
December 16, 2015

Our beloved little Jack Russell rescue dog was diagnosed with this dreaded disease only yesterday. She's had a transfusion and the vet is cautiously optimistic but still said that her chances are, at best, 50-50. Like other people have posted on this site, one day your sweet, playful pet is full of energy and the next is lethargic, with no appetite, unable to even stand up. My poor little girl. Our hearts bleed for her.

December 16, 2015

We lost our sweet Toby to this on Sunday, 12/13. Eight days after diagnosis we made the difficult decision to let him go.  He was 8 years old and we are heartbroken.

December 14, 2015

Our 3 year old English Bulldog has been diagnosed of both IMHA and IMTP last Dec 2. It happened so quickly! He just refused to eat on Wed night and my partner took him to the vet. He stayed there for 5 days where he received a blood transfusion and a bunch load of medication - prednisone, cyclosporine and azathiorpine. His liver wasn't coping up well and he had jaundice as well and was given liver medications and antibiotics. He went home but after two days he was being lethargic and had an eye ulcer. He was discharged and came home with us for another two days where his RBC was at 25 and Platelet holding at 17. I bought Bioprepration with so much hope as I have read so many testimonials about IMHA recovery. Two days later he went back to the hospital. The doctor said he relapsed again and his RBC is down to 12. We either can give him blood transfusion which can buy him time or let it go. He can't walk anymore and it breaks my heart to see him. A part of me does not want to give this battle up but a part of me does not want to see him go through this and suffer. Really don't know what to do.

December 13, 2015

My 8 month old Auusie Shepherd, Buddy is going through this right now. I brought him to the vet on Wednesday and was sent from there to Emergency.  He had a transfusion on Thursday morning and came home Friday night. On Saturday, he wasn't himself but seemed a lot better than before. I was hopeful. Today, Sunday, he is sleepy and lethargic. The vet put him on more aggressive pills this morning but warned me that if his cell count drops over night, I will need to give him another transfusion. I am already $2500 in the hole. I am a single mom and cannot afford this - it's all on credit. I just don't have the heart to let him go without a fight. I will try one more transfusion and if that doesn't work, I will have to say goodbye. It breaks my heart.

December 11, 2015

First of all I want to extend my sympathies to everyone that has lost their beloved pets to this dreadful thing IMHA, our precious boy Stitch got a little sick 2 weeks ago, I took him to the Vet this past Thursday the 3rd and after a blood test the Vet told me the his count was at 7 and that he needed a blood transfusion and even with one he would not make it, so it was recommended that we put him to sleep, I was devastated and deeply confused but refused to do it, so I asked if something could be given to him so he got some supplements and I took him home, I could not bring myself to put him down, so on Monday at my job I happen to service a Vet from another country and I told him about Stitch and he said for us to get a second opinion, by Wednesday he's gotten so bad that we all painfully concluded that he needed to be put down to end the suffering, I cried so much with my girls, on Thursday I called the hospital (a different place than the one I took him) as I drove I could barely keep myself together along with my daughter, It was a difficult drive, we made it and the Vet there asked to see his results and he said that he may have a chance to live with IMHA, again I could not bring myself to put him down so we decided to give him a blood transfusion, his blood count is up to 33.5 and the prognosis for him is very  good! We're so happy but also scared as he's not out of the woods yet! He might come home tomorrow Sat the 12th! I know he's facing an uphill battle but I hope that with our love and care he gets to live a long life.

December 8, 2015

We lost our sweet baby Trinity at just 2 years old. 12-6-15. She was a beautiful English Springer. She had a distemper booster just 3 weeks prior to getting this horrible disease! 12-5-15 she was her normal happy self, eating, drinking and playing with her buddies our other 1 yr springer and 3 yr   old Lab, until mid afternoon when she wouldn't get up and wouldn't eat. I thought she might if just been feeling under the weather, never expecting to wake up on the 6 to find her eyes rolling back in her head. Took her to Emergency Vet only to hear those horrible words IMHA. Our world stopped when the Vet said she was to far gone for treatment, we made the decision to lay her down instead of her struggle until the end. We weren't told that the booster could have played a role or not, but it sure plays on my mind. To watch a vibrant 2 yr old die within 24 hrs is just unthinkable. My baby Trin is so missed beyond words.

December 8, 2015

We lost our sweet Kody boy, Vizsla, Weimaraner mix. It is the same story. One day he was running around the yard, the next day he was collapsing in front of our eyes. He was 2 months from turning 12 years old. We have never heard of IMHA before and didn't realize just how bad it was. We put our sweet boy through one blood transfusion and our baby relapsed three days later where we made the decision to set his sweet soul free for Kody was an active pup at the age of 11 and this disease took him down fast. Three weeks after begin vaccinated, he started collapsing. I wonder if we didn't have him vaccinated if this would have happened. We just lost him on 12/2. It has been a tough loss and we are trying to focus on all the good memories! What a love he was here and he will continue to love us and help us now from heaven!

December 6, 2015

Linda!!!! You made your decision out of love for your dog! How lucky was your pet to be so loved! Stop the guilt please! This disease is horrific! We decided not to keep our beloved Angel in a hospital cage without her family around her... It was inevitable she would succumb to this disease. You made the right choice on behalf of your pet. Be at peace. Please.

December 6, 2015

Another heartbreaking story to share is of our beloved Golden Retriever Angel. And her name truly described her personality. Fine one day....,5 days later ...,with the  Angels...,how does one cope with a happy 10 year old one day and losing her by the end of the week???  She loved her dinner hour and when she didn't eat we knew  something was wrong. No apparent pain.. But the physical weakness that progressed to the point where our son had to carry her outside was heartbreaking . We knew she had to be out to rest. Bringing her to a hospital in a cage for transfusions away from her family for a short fix was not an option. She spent her last night with her family who loved  her so very much and her fellow pooches of 4 others at her side was how she ended her life. That was only yesterday. The pain and sadness is overwhelming. But she had 10 happy years with us and we will try to focus on that. But such a loss and such a void in all our hearts. We love you Angel

Michelle Q
December 5, 2015

My poor Mom and Dad's Yorkie Noel is on her 3rd transfusion as we speak. Apparently she has been stricken with IMHA as the result of a routine vaccine she had 30 days ago. Her RBC is not increasing despite 3 transfusions. She was completely healthy with no underlying conditions. We are so devastated and after reading all of these blogs I have little hope for her survival although we are continuing to pray. I know my parents still have hope and I'm afraid to tell them that not many precious pets survive this horrific disease.

November 24 2015

My sweet 4-year-old Eskimo Dog Theda succumbed to this disease last week. She was fine on Sunday and at death's door on Tuesday. I took her to the vet and her blood count was 12. Took her to the emergency vet hospital where she was given a transfusion and was doing very well - I was driving to visit her when I got the call that she had gone into cardiac arrest. They tried to keep her alive until we could get there, but she was gone. They're pretty sure she threw a blood clot. Nothing else out of the ordinary showed up in her blood tests or her ultrasound. I can't believe I'd never heard of this devastating disease. We are heartbroken.

November 23, 2015

Our beautiful goldendoodle, Shadow, had always been perfectly healthy until last April. Like so many others, it hit suddenly and he died just five days after diagnosis, despite getting all of the recommended treatments. The vet did find a large cyst on his liver during his final day and that could have contributed to his imha, so please make sure you get all of the tests they recommend. Shadow had everything but an ultrasound as they said they were sure it wasn't cancer, so an ultrasound wasn't necessary, but it might have been helpful if they had found the cyst earlier. I don't know. Then again, it was a no win, heartbreaking catch 22. He had to have surgery to remove the cyst because it was giving him a bacterial infection, but he couldn't have the surgery because he would bleed to death. It's so heartbreaking. We chose to keep him home during his final days but I also wonder if I should have taken him to the hospital earlier. He had been going regularly to a specialist during those five days, but we didn't want him to be hospitalized. So many, what ifs. We'll always miss you Shadow, you were the world's best dog.

November 23, 2015

Our sweet little Lucy was an 11 year old beagle and Chihuahua mix. She was diagnosed with imha Monday 11/2/15. She was perfectly fine and acted normally the day before. She could not walk 2 feet before she would fall down. She would not eat. She was hospitalized at the vet and was given a blood transfusion. Thursday she was a little better and came home with meds. By Friday morning She was back to being as sick as she was Monday, if not worse. I took her back to the vet for more treatments, but no improvement. I could not stand for her to be in a cold lonely cage all weekend. Friday evening we brought her back home with us where she was happy and more comfortable. I sat on the couch and cuddled with my sweet girl all evening.  Her breathing was fast and shallow around 11:30 ok when we went to bed. She could not walk or stand, so I carried her to bed and laid her in her normal spot at the end of our bed with a blankie.  By 3:30 am Saturday 11/7/15 she had passed peacefully in her sleep. This was such a blessing as we had watched her suffer with no improvement for five days and Our sweet girl was no longer in pain. It has been two weeks and I miss my little Lucy like it was yesterday.

November 11, 2015

My Stella, who was a little over 3 years old got diagnosed with this. Took her to the vet and her blood count was around 23. She did not seem to get any better and I took back to the vet two days later. Her blood count went down to 13 and her prognosis was not good. She would not eat and could not walk any more. My wife and I made the grave decision to put her down. This was the hardest decision I had to make. She was in a lot of pain and was suffering. I feel guilty for doing this to her, but I believe in my heart it was the right decision. I never heard of this disease before, and I can't tell you how quick it moves. Fine one day, and then unable to do anything the next. I hope they figure out what causes this and find a cure. I really miss my Stella, but know she in much better place.

Kellie Tester
November 7, 2015

My beloved cocker spaniel died of this horrible painful disease on October 25,2015. She was fine Friday. Saturday morning she wouldn't eat and when she fell over trying to walk I took her to vet. She got continually worse as day went on. No energy, wouldn't eat, vomiting yellow, diarrhea etc...her red blood cell dropped from 18 to 12. We decided to do a transfusion. Next day she looked terrible. Yellow eyes, tongue, and mouth same symptoms as above. I was completely devastated and heartbroken. This dog that has given me so much joy and love was dying in front of my eyes. It was more than I could bear. That evening they called me in and told me she wouldn't make it through the night. I came in and she looked at me with those beautiful brown eyes and was wagging her little tail. I was with her when she put her to sleep. I am still grieving and heart sick over this. In 2 days I lost my wonderful girl. My advice to anyone going through this take your dog home and love on them. I missed that opportunity. She was in the hospital. I would not have not done the blood transfusion. It made her worse and more uncomfortable. I loved that dog so very much and wish she was still here with me. If anyone is going through this and need to talk I am here. My number is 423 306 5881 . In Mattie's memory I will never forget you my sweet baby!

Carol Zielinski
October 31, 2015

My 9 year old Beagle was just diagnosed with IMHA and was hospitalized for two nights. She was able to come home Tuesday, but I was nervous. We have the responsibility of determining her gum colors and more. She see the vet 1-2 a week and will be for quite awhile. Upon diagnosis s, her RBCs were at 14 - which quickly followed with a blood transfusion. She is home now and I work are. To give ground beef or patties high in liver, beer and spinach.  I believe this is helping her. Her gums are getting pinker and little bits of her are slowing coming back! i took her to a priest to have her blessed, I think that might have helped in some small way.

October 26, 2015

@Linda Stewart Please don't feel guilty. My heart is breaking for you. You made the right decision! I really feel like my dog's survival was a miracle. I too would have had to let her go if she didn't get better. The cost is so much. So glad you had your husband to help you. I didn't have anyone, so I told a friend that I needed her to step in and tell me when it was enough. I was afraid I would keep her alive for my own selfish reasons. This is a horrible nasty disease. My dog is still on meds and I worry every day that she will have a relapse. I hope you find comfort in your decision. It was the right one. I'm praying for you!

October 24, 2015

Hi, I am looking for connections to diagnosis of this disease to dogs that have had the Proheart Injection. I normally stay away from systemic medications but this was a special circumstance (due to the job she is preparing for) and the dog has not been the same since. She was in heat and then spayed just before she was given the injection. I attributed her behavior changes to hormones but knowing dogs like I do, she should be past that by now. She is a young female Jack Russell, just over a year and a half. She has been in training for a job involving scent work and has just seemed to have lost interest and has had some personality changes. I have been looking into early signs of this and just general side effects of the injection and she isn't presenting symptoms other than behavior changes but I am going to get blood work done this week just to be sure. Anyway, I didn't notice a correlation in any of the comments, but wonder if any of your dogs were receiving this type of heartworm prevention or had received it in the months leading up to diagnosis. Thanks for your input and I am so very sorry for your losses and suffering. I have had many friends lose dogs to this so I try and be hyper vigilant. I hope I didn't cause something by straying from my normal routine.

Linda Stewart
October 19, 2015

My 10.5 yr.old Shih Tzu was fine. She got lethargic with white gums and wouldn't eat. We took her in next a.m. Red blood cell count was 17. They wanted to do a blood transfusion to buy time to be sure. After two painful hours of saying yes then no...we elected to let her go. They were wonderful. They let us do it outside on a blanket with her on my lap. The trouble is ,I am wracked with guilt was because part of the decision was based on not wanting to put her through the possible treatment and the cost too. I feel like I let her down and should have tried harder. My heart is broken because I'll never know if I made the right decision because I didn't go for that blood transfusion. I didn't want to leave her there to be poked and prodded but I also couldn't imagine spending perhaps thousands that we'd need to put on a credit card. I feel like I don deserve to have a dog if I can't afford the illnesses that come up. Most of my dogs have lived very long lives. I'm still in shock. Thanks for letting me vent. My husband has accepted our choice and I'm driving him nuts with my doubts.

September 29, 2015

On Sunday, Sept 20, 2015, My 10 year old chihuahua was not acting herself- Linkin wouldnt eat or drink and she just laid around. On tuesday Sept 22, I took her in to the bet.  Linkin was extremely anemic. Her gums were white, she was so dehydrated, breathing was really bad.  Her pvc levels tested 20%. My vet gave her iv fluids, drew blood to send off to test for tick diseases. On wednesday Sept 23 she looked worse,  We went back to the vet. Linkin was lethargic, gums white- extremely dehydrated again, breathing was worse.  Linkins levels were down to 18% now. The vet gave her iv fluids again and started her on Minocycline and Prednisolone and a compound for baby aspirin. Thursday Sept 24 we were back in her office- This time her levels were down to 10%. Linkin needed a blood transfusion right then. We used the vets personal dog for the blood. He is a universal donor, so it wasn't an exact match and I was told we will only be able to use a universal donor once. The blood transfusion was slowly done in her office that day. She sent us home at 5pm with an additional rx "Atopica". She also scheduled an appt for the next day to get an ultrasound done in Dallas. the ultra sound will show if she has any tumors or cancer.  The next Morning (Friday Sept 25) she was doing so much better. gums were pink again, she could walk again. The ultra sound came back clear. Praise Jesus! We went back to her office for more iv fluids and her levels tested at 37%! I took her in Yesterday (Mon sept 28) and her levels were at 43% no fluids were needed and the tick test came back negative. We are going to test her levels 2 x a week for awhile and we are keeping her on the prednisolone,  Atopica and the baby aspirin. She took her last pill of the minoclycline last night. I feel so much better about her recovery now. She's doing so well. I dont think I have prayed so much in my life. I am praying for all of you that are going through this with your baby- and praying for all of you that lost your baby to this nasty disease. My heart breaks for you all after reading your stories.

Jane Lomax
September 29, 2015

After my father became sick and hospitalized on Dec. 6, 2014, I took his beloved chihuahua, Trigger, home to I've with me, my husband and 3 dogs and 1 cat.  Trigger was 6 years old but still very playful.  She was over weight from my Dad spoiling her.  My Dad died on Jan. 7,2015.  Trigger was happy and healthy unail Monday, September 28, 2015 when she didn't leave her bed much that day or eat as much as normal.  By today, Tuesday morning ,September 29, 2015, she was struggling to breathe and I noticed her tongue and gums pale.  I took her to the vet who immediately diagnosed her with IMAH- which I never heard of before.  Her blood work showed her red cell count t was 5...the vet didn't think  she would survive 2 1/2 drive to a state university vet school.  I made the hard decision to let her go in peace and not suffer.  I felt as though I was losing a part of my Dad all over again.  I am heartbroken and in shock how fast she went from being happy and healthy to a sick, little girl.  My vet gave me this article on IMHA to read and I am blown away by others stories.  Now I am scared my 3 year maltese/shih tzu,  my 12 year Westie and my rescue dog will come down with this.  Trigger had received no shots or any medicine prior to this occurring which is what truly scares me for my other babies!! Thanks for letting pour our my tears on this page. Prayers for all the fur parents who are struggling with this awful disease.

Christine C
September 18, 2015

Our 3 1/2 German Shepherd, Annie, was swimming on Thursday, a little tired on Friday, not eating & lethargic on Saturday, 5 am Sunday morning she was at the ER vet with 106 temp after noticing her red urine. The Dr. suspected IMHA but treated her with fluids & told us to keep her quiet. Her PCV was 33.  By noon, I could tell she was going downhill & we rushed her to the Vet teaching hospital in Madison, WI.  Her PCV had dropped to 22.  We admitted her overnight & stayed in Madison for a consult the next day with an internal medicine doc.  Her PCV dropped to 19 so they gave her a transfusion.  It had bumped up to 23 when we saw Annie the next morning.  The doctor was very honest with us & told us it was either all in or put her down.  We went all in and she stayed in the ICU unit for 6 days.  Her PCV dropped to 17 & they had to give a second transfusion but then she started slowly improving.  We brought her home the following Saturday with 3 medications, Plavix, Prednisone & Atopica.  It is now 3 weeks later and we have started tapering her prednisone & her PCV has gone up to 49%.  The only side effect she is having is extremely loose stools.  After reading so many sad stories, I know we are one of the lucky ones for now and keep praying she holds her own and doesn't relapse.  Neither of us had ever heard of this devastating disease before.  I truly believe if we had not taken her to Madison, she would not have made it.  I can't say enough about the care she received there and believe her staying in the ICU with constant monitoring made the difference.  Fortunately, we could afford the $6500 bill and expensive medications she is on.  My heart & prayers go out to anyone who gets this diagnosis for their best friend.

Terry Gonzalez
September 16, 2015

My husband and I recently lost our dog Ruca to a massive heart attack after seven blood transfusions for IMHA.  I decided to put up a website with information on the disease in hopes of provided other dog owners some solace in the fact that they are not alone in their grief.  Please check it out (especially Ruca's story) at

Car Godin
September 5, 2015

My beautiful 6yr old Coton de Tulear was never sick a day in her life. Went to bed Saturday and woke up Sunday not wanting to do much of anything. Rushed her into the ER Vet Monday am as it was so unlike her but she was eating and drinking and going outside to go to potty. ER Vet said she had a fever but felt there was nothing life threatening that couldn't wait until 7 am to see her regular vet. By 8 am, she was diagnosed with IMHA and treatment was started. She was on IV all day and came home at 7pm, had a rough night and was back for blood tests at 7 am the next day. Her numbers dropped so she wanted her to have a blood transfusion. I turned her over to the ER Vet we'd been to the night before for treatment....4000 for one plan, 1500 for the other of what the dr. told me was a "totally treatable disease". After getting her transfusion, her numbers rose from 11 to 29 and the dr felt she'd be back with me by 6:00 pm the following evening. I checked on her several times throughout the night, all reports good, though she still wasn't eating but walking, drinking, being interested in what was going on around her. When I walked in the door at 6:45 I was told that she'd thrown a blood clot and in the process of dying (I was paying for her to be under 24 hr observation and they left her for an undisclosed amount of time and found her down.) This is a very cruel and horrible disease that scares me! I also have a 6 yr old Bichon that I am worried sick over because of how quickly and without warning this struck and took my babygirl. I was ready to fight the battle and do whatever it would take to beat it but did not get the chance.

August 28, 2015

My Schnauzer mix was diagnosed in early August.  I thought I had lost her twice but she is doing much better and is only on Prednisone now.  It has been an emotional roller coaster but she is hanging in there.  She is still really weak and I have to lift her on and off the bed and sofa.  She has had her moments when she is playful, however.  To anyone going thru this, I would say don't give up hope.  I never gave up on her and I think my dog knew it.  There were low points when I was feeding her with a syringe food and water.  She's not out of the clear yet but I am relieved she's doing much better.  So again, don't give up hope.

August 24, 2015

My 9 y/o mini schnauzer was just diagnoses with IMHA this past Friday. My mind was in such a spin that I just went with what the vet said she was going to do...she did not explain the 50/50 chance before beginning treatment or ask if I wanted to treat.  I feel that in those moments, it is crucial for the vet to just come out and state the odds, the long term effects etc.  I am not unfamiliar with terms since I am a nurse, but in those moments... I was not.  I needed someone to really hit me hard with the realities. I was sent home, Holly got her transfusion, and I came back at the end of the day to pick her up along with all her meds... and a bill of close to 2000.00.  I pulled out all my ATM and credit cards to pay... went home with my weak, ill, beloved Holly and cried. Over the weekend, we had our ups and downs, and now I am waiting to hear back from the vet regarding her blood counts today.  It has come to the point where I have had to draw a financial line in the sand, which I feel terrible about.  IMO, lines should be drawn based on quality of life,long term effects, etc. and not finances, but that isn't an option for me anymore.  Holly is doing fine at the moment. Each day is different, up, down, all around.  She did not present with jaundice, or any other organ involvement, but I am afraid every day ... every moment, that I will hear her  count has dropped and she needs a transfusion... My hope is, of course, that things just continue getting better...her lethargy is improved, and I see sparkle in her eyes. I also wanted to mention that with Holly, there was no vaccination that it could possibly have been linked to.  I stopped vaccinating her 3 years ago after an anaphylactic reaction immediately following.  Maybe it is something hereditary in her... probably will never know. Thank you for listening to my rant. Many prayers and well wishes to those who are going through this, and those who have yet to be diagnosed.  Prayers and condolences to those who have been through this and lost their companion.

August 21, 2015

My dog is one of the fortunate few that has survived IMHA. He was diagnosed last November and I was told he likely would not make it more than a month, 9 months later he is healthier than ever, had his blood work done today and his RBC is 49. I know it can strike again anytime and I watch him like a hawk. His vet team has never seen a dog recover so well and every time we go in like to tell me I need to play the lottery because we are so lucky to have had such a remarkable recovery. With that being said I want to share what we have done in addition to the traditional route (steroids, immune suppressive medications)....A few days after he had his rabies vaccine is when I noticed the lethargy and lost appetite. I know a little bit about vaccine injury and contacted a homeopath who recommended I give him a dose of silicea....I immediately ran to Whole foods and got the silica and gave it to my dog. That evening he was not showing improvement and we went to the ER and after all of the tests he was diagnosed, his RBC was 11 and they ruled out all other causes of the anemia. He had a transfusion and slowly but surely his RBC started going up, 3 days later he was home and recovering, he slowly bounced back and 2 months later was off all medication. We also feed him a homemade diet of free range chicken, turkey, beef, fish, sweet potatoes, spinach and various fruits and veggies. We do not and never will vaccinate him again and are very selective about what medications we give him as we do not know what could trigger another IMHA episode. I attribute his recovery to the vets of course but also believe the homeopathic remedy was a key factor. He is almost 10 years old and as healthy as ever. I hope our story can help some of you going through the dread of IMHA, there is hope!

August 21, 2015

We have 2 Lancashire Heelers Tara and Stumpy aged 13 and 12. Last September both had their annual boosters and exactly 3 weeks later Tara became lifeless and had pale gums. At first we thought she was just tired and getting old but then the following day she went off her food so we took her to the E Vet who advised she had a PCV of 27 gave us an antibiotic and told us to her bring her back to see usual vet the following day. Tara deteriorated overnight she could not stand up and we had to carry her to the vets. Our vet gave her a scan took bloods and advised her blood count was 18 and was almost certaint she had a tumour on her pancreas and asked if we wanted to call it a day. Yes those were his exact words!!! I was horrified at this because she had never been ill in 13 years and this would not come on overnight. Therefore, we insisted to see a specialist which did that same night and straight away she recognized the symptoms and said she was almost certainly was IMHA and tests will confirm this which they did. Tara stayed in the hospital for 5 days had a blood transfusion was put on the steroids and then came home with us. We knew she wasn't out of the woods and knew we had a long road ahead of us but we was prepared to give it a go. To cut a long story short, she has had her off days the steroids come with side affects and she has sickness and upset stomach a lot and has had one relapse when her medication was reduced too quickly. She has also had a bleed from her intesrine but recovered the following day. But despite all this we have managed her illness well but do have to monitor her because we know that at any time she can fall ill because this disease is vicious. We have learned to take each day at a time and today she is happy and full of life and we cherish every extra day we have with her. Tara is a lovely little dog and yes it's hard work at times but we do not regret giving her that second chance when our vet at the time wanted to call it a day.

Dr. Tony Johnson
August 19, 2015

Hi Claire; So sorry you are going through this. This is a terrible disease, and that's why I felt the need to write this piece. You are totally justified either way - going ahead, or stopping. It is harder to treat the second time, so the odds are against you, sad to say. It's not a painful disease and depending on how well she handles the trip to the hospital, it may not be all that bad to take her in for blood tests, but she likely feels quite weak and lethargic. Only you (with the help of your vet) can decide what's the right path, but in my experience listening to that little voice inside is very helpful. You could also talk to your vet about seeing an internal medicine or critical care specialist as there are some newer medications (like mycophenolate and cyclosporine) that are used with variable success, but there's no dishonor ins topping as you face badd odds. I wish you the best of luck and I am sorry for both of you - I hope it resolves in a way that you feel at peace with whatever decision is made.

August 19, 2015

Please help me I don't know what to do, my lunar has been hit with this for the second time. First time in 2013 and she was hospitalised, transfusions and a huge combination of drugs for months. She has been better since, never as energetic but happy. Now she has it again and is so weak. Back on steroids but getting slowly more lethargic by the day. Back to vets on Friday for more bloods. I don't know if I put her through all this again or let her go. It is breaking my heart to see her like this. She is only five and already hit twice. It's so unfair :-( please help me decide what's best for her. Will she be ok if we try to save her again or are we selfish to let her suffer. :-(

Katie Sherman
August 18, 2015

I had to elect to put my dog down because of this disease, not by choice but because there was nothing left for me to do. Money was not a factor when it came to his treatment. Over the course of one year, I spent over $10,000 and he did pretty well for about 2 months and then a relapse set in. The only positive about this scenario is that I worked from home and never left Charlie's side. The vet in Austin, Tx, Dr. Bowen was nothing short of amazing. We almost narrowed down the cause from over vaccination, which I know is not proven but it appears there are more cases than not referencing this same issue. Charlie was only 5 years old and essentially my child. I felt terrible about putting him to sleep but I knew it was the absolute right choice for him. Anyone who comes across this article with a pet who has IMHA, I send you all the good vibes I have. My girlfriend and I stayed up all night for many nights researching this disease but we held out hope. So I hope this gives you some encouragement to love the hell out of your fur baby if they are diagnosed with this terrible disease.

Debra Ryll
August 9, 2015

We just lost our 5-1/2 month old Airedale puppy  to this disease. One day she was fine, and three days later she was gone. On 7/20/15 Pepper had trouble peeing and passed some blood clots. The Vet diagnosed her with a UTI and put her on an antibiotic. She responded right away. Just over a week later, on 7/30, she was her usual happy, healthy, energetic puppy self. The next morning she was lethargic and wouldn't eat or drink. We took her to the Vet the following day, and her blood count (I found out later) was 22. She was put on a saline drip and given prednisone (along with every test in the book). She spent the night in the hospital and the next morning her count was 16 - I thought they meant it was improving, not falling. They said she should come back in 12 hours for a blood test, but I waited until the next morning as she had been so poked and prodded I wanted her to rest. The next morning, 8/2, she was much worse - she could barely stand - and when we brought her to the hospital her blood count was 10. The Vet said it was either euthanasia or "balls to the wall" medical intervention, blood transfusions, hospital stays, etc. I looked at my poor little puppy, and I knew in my heart she was not going to survive. We put her to sleep, but making the decision whether to fight the disease or let her go was the hardest choice I have ever had to make, especially since she was so young. We are totally devastated.

Dee Israel
August 4, 2015

I just lost my Bernese Mountain Dog to IMHA 7/28/15. This was a dog so full of life. We did classes, therapy work, and loved hiking.  The very first problem was his lack of appetite. I kept telling others I couldn't get my Berner to eat which was not like him. Then when I took him to vet we were hit with the bad news,(IMHA). In all my years of having dogs and cats this was something we had never had before. After blood transfusions that only bought us a couple days,then his numbers would drop to 12-14%. After learning that Booker's immune system was forever compromised and we wouldn't be able to do the things we always enjoyed, I let my BIG guy go. I miss him so much everyday. Booker was only 3 years 3 months. As hard as it was to euthanize my best friend. I also allowed OSU to study his remains in hopes of gaining more knowledge so other families won't have to go through this horrible disease. Booker always gave. He enjoyed the children at school, people in the hospitals and everyone he ever met. He is MISSED by many.

Annette Cross
July 30, 2015

My 8 year old maltese, Leo, was diagnosed this past Monday with IMHA. He went to vet office with many of the same symptoms discussed in this article. HCT was 15% and after blood transfusion his HCT was 21% and the next day remained at 21%. My vet said that made her really happy, so I am hopeful. We have started on 10 mg prednisone daily along with other meds to protect his stomach. He is eating, drinking and urinating, but has no energy at all, which I expect. I am hoping he has a milder form of this awful disease, but still I am very guarded and understand that he can take a turn for the worse at any given time. We will know tomorrow what his blood count is and I am hoping for the best. I appreciate all those that have taken the time to post as it has helped me tremendously. I wish the best to all those who are surviving. My heart goes out to those of you that lost your friend. I understand that Leo's fate can go either way. I just hope that I  continue to understand that I owe it to him to ensure a quality life.

Jenny A.
July 17, 2015

My 11 year old Shih Tzu, Bubbles, died out of the blue yesterday. She was acting completely normal, she had eaten her breakfast and my husband, our Doberman Bear, Bubbles and I were outside. The dogs were doing their business and my husband was getting our boat ready to head out on the water. I went inside to get a cooler ready and not 30 seconds after going inside, my husband yelled for me to get back outside. I run out and Bubbles is laying lifeless in the grass. Her heart is barely beating but her eyes are wide open and her tongue is hanging out. She looks dead but for the very weak heart beat. We got in the car and tried to make it to the animal hospital but half way there I felt her heart stop. The vet confirmed, she had no heartbeat. I asked her what she thought the cause might be and she could only speculate but noticed some bruising on her belly that was not consistent with trauma. I thought maybe my husband accidentally hit her while backing the car out or maybe our 2 year old Doberman ran into her running too fast. But she said it didn't look like trauma. Short of doing an autopsy, which she would have had to send her to another location for, she thought it might be IMHA. But in reading everyone's posts on here, I feel like there would have been SOME indication of something being wrong with her. I had rubbed her belly the day before and had noticed no bruises Also, my husband said he heard her make a weird yelp sound like a cry for help just before and that's what made him look. Is it possible IMHA could take effect all in such a short time? I just need some closure, I need to know what the heck happened to my baby! It's driving me crazy. She had a rabies vaccine not 2 weeks ago. She had lots of allergies, ear infections, and licked her paws incessantly, and had swollen lymph nodes at her appointment a couple weeks ago. She was on an antibiotic for that. Does anyone have any idea what might have caused her death? does this sound like IMHA like the vet thought it might be?

July 15, 2015

My Tibetan Spaniel was diagnosed in October of last year 2014.  Similar story to all of yours except that they did not give her transfusions.  She stabilized with Prednisolone and Azathioprine.  She was weaned off very slowly from the Pred and kept on the Aza a few months later, her numbers started going down again, so back she went on the Pred.  She acts like she doesn't know that she is sick.  She is happy, goes for walks etc... After reading your comments, I wonder how much time I have left with her.  Blessings to all of you.

Marcy Hamilton
July 15, 2015

I am so sorry to read about all the dogs who lost their lives to this horrible is truly heartbreaking.  I want to add our story, because our little Lhasa Apso, Honey, is one of the fortunate few to have a happy ending.  I want others to know that while there is a lot of uncertainty with an IMHA diagnosis, there is also hope...a couple of days after getting an injection of heartworm prevention medicine from our vet, when she was 2 1/2, she suddenly stopped eating and drinking, laid down and would barely move. The next morning, she went outside and collapsed. We rushed her to our vet and her red blood cell count was 10...and she had been just fine less than 48 hours before this.  The vet had us immediately rush her to an emergency vet hospital, because he was certain that she might not make it thru the next hour.  She was given 2 blood transfusions, and treated with many meds.  Five days and $2500 later, she came home with a bag full of prescription medicines with months of refills.  It took months, but she slowly got better until eventually it was like she had never had it.  That was 11 years ago, and she has not even had an ear infection since then.  However, she has also not received any vaccinations or preventative medicines since then.  We had never heard of IMHA, so we went online and read everything we could.  The one thing that the majority of owners agreed on was that it seemed to have been brought on by a vaccination or heartworm shot...all of the vets however were convinced that it wasn't, and were generally not happy with our decision to discontinue any shots for her or our other two Lhasa's.  In fact, we were just told by the vet today, for the very first time, that the consensus now is to discontinue vaccinations for any IMHA survivor.  I'm not advising owners to not get vaccinated, but to just keep a close eye for a few days afterward, because it does hit incredibly fast.

Marge Davis
July 7, 2015

I would just like to add a little bit of hopefulness to this sad conversation, and point out that successful treatment--though expensive and time consuming, can indeed buy some precious, genuinely high-quality time with your dog. Our lab-mix rescue Stella, age about 5, was diagnosed with IMHA a little over a year ago--June 1, 2014. She was in tough shape, RBC around 15%, got two transfusions and a slew of meds--prednisone cyclosporine, Chlorambucil, etc. Vet visits 2-3 times a week in the early stages, weekly for months, then finally just every 2-3 weeks. We stopped tallying costs when they got to $10,000. (Hey, we are a childless older couple, so we could afford this--not many can.) Anyway, the good news is that Stella survived the crucial first week and has been a happy, beloved dog for more than a year--albeit an obese one, as she never could go off the prednisone (or some of the other drugs) and her appetite was huge. And though she never did regain a truly healthy level of activity, over the past year we have taken walks as long as three miles, lots of boat rides, played (sort of) at the dog park, swum in be lake and had countless hours of priceless cuddling time--the time with her has been worth every penny and we are inexpressibly indebted to her awesome vets in Maine and Tennessee. But now the sad news--our run of good fortune appears to be over. Stella's platelets dropped last week, her appetite fell off and she grew suddenly weak. She went back to 2x a day prednisone, plus an antibiotic and an immunosuppressant (she's still on the Cyclosporine and Chlorambucil). She is now a but unsteady on her feet, her breathing is shallow and fast, and her gums have turned back to that dreaded pale. Her regular vet isn't in today so we have an appointment for tomorrow, and we know we won't be bringing her home. We are dumb with grief, but nonetheless grateful for every moment we've had with her these last 13 months. Just something to consider along with all the other variables that confront owners of dogs faced with this fearsome disease.

Nadene Goleski
June 30, 2015

My little girl was Rosie Maltese 6lbs was just diagnosed yesterday. She went from playful to laying around and us having to carry her. I have noticed that with in the past few weeks (3-4) that changes were apparent. She didn't run around in circles when asked to go out, didn't jump up on my husband's legs wanting to be picked up, didn't ask to go out any more and went in the house we just thought it was because it was wet out side from all the rain. I thought these were all little attitude problems but I realize that it started about 6 weeks ago and I didn't question it. she is now just laying around. I give her the steroids and an appetite stimulant and something called Atopica plus force feeding her. I don't know if I should do the transfusion form all that I have read. I just can't bear to losing my little girl. Please if anyone has any suggestions please help I am at a loss for words on all of this and am shocked to all of it.

Kris Armstead 
June 4, 2015

Hi, Miranda our standard poodle, was less that 3 years old and in top show condition  when she missed 2 meals and went quiet  so off to the vets with a temp of 41.5 and jaundiced.  Since then she has had 3 blood transfusions full body scan lung xrays 10 days with the specialists on drips etc  She obviously threw off a clot but was already on  medicine to allay this. Miranda came home after 10 days  and I put her on to 2 hourly feeding  her weight went to 15 kilos from 25 but over the course of the last 6 weeks etc she is back to 24 kilos and is now allowed to exercise on a lead. Her beautiful stunning coat now cut off, she has a patchy dry skin and 3 or 4 sores on her but she is back to her princess self with her 2 slaves in attendance. Miranda is still not out of the woods but  we have now started to reduce her medication  and she is down to 12.5 predisone a day plus her 200 grams of Atopica  . I can  not say enough about the treatment  she has received from the specialist and my home vet .  I read the few comments from other people who have been through this emotional roller coaster of trying to  cope with this disease and I feel so lucky to have had the means to be able to pay for treatment, to have had such a strong willed dog who would fight and not give up . We are not out of the woods completely but we can see light at the end of the tunnel and God willing she will recover completely .

Max's dad, Rick 
June 3, 2015

Our experience sounds so similar to the others.  Max first appeared sick Monday night.  Brought to the vet Tuesday morning.  They diagnosed Imha (RBC /26) and gave meds.  The vet and staff seemed very reassuring that he would be fine.  He seemed about 75% normal Tuesday night but by the morning the high dose of prednisone had worn off and he was worse then the day before.  We took him back to the vet and his RBC was 16.  He could not move and his breathing was shallow and rapid.  We discussed the options and chances of success and sadly decided to let him be at peace.  He was one of 3 dogs and my other two boys are going to miss him.  One was his brother and they were side by side about 23.5 hours a day.  Now I'm researching dog bereavement and hoping the survivors do well with the leader of the pack's absence.

Betty Patchell 
May 23, 2015

My sweet little female Dachshund was 7 1/2 when she got IMHA, she was in the hospital for 7 days, she came home at night the last 2 days of her life, she died in my daughters arms taking he in for a blood transfusion, she had many of them and piles of pills put down her throat. I miss her so much and feel for all of you that have been through this, it is horrible, all I have left of her is a box of ashes. I hope they can come up with a cure for this disease.

Pamela Michel 
May 23, 2015

On Thursday April 9th, my almost 15 year old toy poodle Peggy Sue started acting strange.  She would stop and stare off into space like she forgot where she was going and not eating nor drinking as she normally did.  Before then she was running around and jumping like a 3 year old pup!  No one could believe she was 14!  That Tuesday IMHA was confirmed.  After 4+ weeks of vet and hospital visits, transfusions, meds, it became apparent that her immune system would not quit destroying her red blood cells.  Sadly I had to say goodbye to my darling little girl on May 8th.  I will never know what triggered it...I will never know if "trying one more thing" would have resolved it...but I do know that "IMHA" is a horrible disease and no pet nor pet owner should have to go through it! Although God answered many of my prayers during that time (I did have her with me for longer than many pet parents do), He did not answer the prayer to save her. I am still crying...and I miss her so much!  My heart is life feels empty...and sometimes I feel that all the joy has gone out of my life forever.  Now I am trying to figure out how to raise money for Meisha's Hope Fund #338 at the Morris Animal Foundation.  The Meisha's Hope Fund raises money for AIHA/IMHA research.  That way maybe I can feel that something good came out of my darling Peggy Sue's illness.

May 21, 2015

Our dog, a seven year old Cocker Spaniel developed IMHA four days after having received a Lepto booster shot. Within 48 hours of diagnosis, he passed. We researched the disease, treatment, prognosis and sadly decided the life he had would never what it was, only suffering. To the medical community, there needs to be more research and CONSIDERABLY more caution when vaccinating this breed. Given susceptibility, titer tests need to be the norm before needlessly stressing and challenging the immune system.

Lucinda Slabaugh 
May 16, 2015

I am commenting to this site to help anyone whose pet is diagnosed with IMHA. After 5 days in an emergency hospital and almost $5,000.00 in expenses my female standard poodle Millicent was put to rest. In hindsight I wish after receiving the diagnosis I had taken her home and let her pass on naturally. The devastation of watching her for five days struggle for me was almost too much to bear.  My heart goes out to anyone who's beloved dog is diagnosed with this horrible disease.

Kimberly Beveridge 
May 12, 2015

Our sweet English Shepherd died yesterday of IHMA.  He was 6 1/2.  Thursday he was fine, Friday he didn't want to finish his dinner and Saturday he was at the vet getting blood transfusions.  We brought him home on the 4th day and had our vet put him to sleep on his favorite blanket as his kidneys were shutting down.  I am beyond devastated and shocked at how a healthy and happy dog succumbed to this.  We green lighted everything in order to save his young life.  I hate this disease and have the outmost of compassion for anyone else who has to experience it.  For the love of dogs, I hope there is a better survival rate one day.

Leslie Allen 
May 10, 2015

I've read all the comments here.... And I just want to say...I'm so sorry. I'm so sorry for everyone here that has had to go through this terrible ordeal. It has been 6 months since my sweet little Lilly passed away... My life forever changed because of this disease.  So many precious lives....too many sweet souls have been taken.  My heart goes out to all of you...treating this disease currently and those that have lost your sweet  little friends to it.  I continue to say it's so unfair everyday... How I miss her so.  Praying for a cure and soon <3

May 8, 2015

My DDB had her checkup and was said to be healthy. She was just under 8 years old. 2 weeks later she skipped a meal. The next day I took her into the E-vet because she skipped breakfast and had white gums. Her PCV was at 15%. We had to take her to Wisconsin (we live in northern IL) for treatment. By the time we got there her PCV dropped to 12%. She got a blood transfusion and IV meds. She was able to come home the next day but needed to be checked each day for the next few days. After the 5th day Her PCV finely rose to 23%. We were able to back off the PCV/CBC tests to once a week. The first week she only went up 3% and the next week she didn't rise at all, she had stopped at 26%. She was on 5 different meds. That was this past Tuesday. On Thursday morning she was weak and didn't eat. I rushed her into the vet and they took her in before the office even opened. She couldn't even walk in, I had to carry her. Her PCV had dropped to 9% IN JUST 2 DAYS. The vet said there was nothing to do but let her go (more or less). She said if I took her home she would begin seizing and would dye within 1-3 hours. All this treatment cost just over 2000.00 and I only got 3 extra weeks. In these weeks she was isolated (as we were destroying her immune system). I wish I could have taken her to all the places she liked. She had gotten her CGC and TDI. She helped me through my recovery from a traumatic brain injury and loved/was loved by everyone. I had to just leave her at that e-vet office that was not her office with people I didn't know. I am just sad.

April 28, 2015

I must say it's been a trying month. My 8 year Bichon X was diagnosed about a month ago with IMHA. He was perfectly fine before then, not many health issues. Then I noticed he stopped eating his kibble, but I didn't think anything of it since he can be picky and he was still eating his treats. A day or two later he stopped eating his treats. I noticed he lagged a bit while out on his walks and thought maybe he ate something that was upsetting his stomach. The next morning he wouldn't get out of bed. I noticed how pale his gums were and took him to the vet right away. The vet suspected IMHA and started him on a high dose of prednisone while we waited for the results of the blood test to come back. His RBC count was about 35% of normal range and his hematocrit was about 44%. Day 3 was horrible, he looked like he wasn't going to make it, refused all food and wouldn't drink water. I was reluctant to do the blood transfusion as I read a lot of horrible things that had happened to dogs with IMHA so opted to add cyclosporine. It probably took until Day 5 to see improvements. He started eating on his own and perked up a bit. I was able to keep him on the same dosage of Prednisone for about two weeks, then he started to hyperventilate in the middle of the night. The vet told me to reduce the prednisone which made him more comfortable. He was almost back to normal - eating, drinking, would go out for walks but you can tell he wasn't 100%. His blood test came back with improvement. Things were looking good. Until yesterday. We had decreased his prednisone again but yesterday he started vomiting up his food. He still had a bit of an appetite but he couldn't keep anything down. Today he had no appetite. The vet gave him something to coat the stomach but I'm not having any luck. This is really frustrating as he just had a blood test done on the weekend and he is almost within normal ranges (94%). We're going to try to lower the prednisone again, hopefully it'll help manage the side effects.

March 22, 2015

My pitbull-American bulldog mix Valentine got diagnosed on Black Friday 2014(so glad I didn't go shopping) and it's been a rough go since then. After a 3 day vet stay, a transfusion and about $4,500 His cbc is coming back in the normal range, but the prednisone is ruining his liver. They didn't tell me what his levels are at, but it's severe enough that we're having to drop the prednisone 10mg about a month ahead of schedule. Hepatic support meds, hepagin c, cyclosporine, aspirin, on and off antibiotics to control infection, 6 bowls of water a day and liver diet dog food ($60 for 13lbs) along with another med I have to pick up tomorrow from the pharmacy along with blood tests and other side effects causing extra visits to the vet. It's costing about $600 a month to keep him going. Luckily I can afford it (barely) but this disease is one tough SOB and my heart goes out to anyone else having to go through this.

John Miller 
March 17, 2015

Our 4 year old Cocker Paisley, was diagnosed with IMHA on Sunday, March 14th. Her red cell count was 13. Our Vet immediately administered Prednisone, as we opted to forgo a blood transfusion. She is showing signs of feeling better i.e. eating steak and drinking water again and her urine has cleared up. We have a follow-up appointment to check her RBC's today, March 17th. I'm keeping my fingers crossed for good news. What a terribly devastating disease to battle. Our family wouldn't be the same without our Paisley.

March 14, 2015

My mini schnauzer had IMHA in 2009. Completely stopped eating and moving wouldn't go outside, just laid on the couch very very ill. I called the vet and he thought she had hepatitis and recommended I take her to MSU (Michigan State University) vet hospital. She was kept there for 2 days and released back to my vet's care. She was on a long list of prescription drugs for 6+ months and beat it, thank GOD. She's 11 months old now and doing great although she's been on a low dose of prednisone for the last 6 years. It was a very expensive treatment, $5k plus, but well worth the expense for my little girl.

D. Bonifield 
March 12, 2015

Our 8 1/2 year old cocker, Fenway, was diagnosed with IMHD on Monday, March 9, 2015. He was his normal self on Saturday, appropriately harassing my wife's friends at a party. Sunday morning he slept late and walked slowly to his bowl when he normally runs. He would barely eat and was lethargic all day. He began vomited about 4:00 PM so we did not feed him Sunday evening. Two more vomit episodes and red urine during the night. We took him to the vet Monday morning. The vet recognized the IMHA symptoms right away and he was admitted to the hospital. His initial red cell count was 10, so he started on Prednisone and had his first transfusion that afternoon. Count came up to 15 on Tuesday but had dropped to 9 by Wednesday morning. He started on cyclosporine. He could barely hold his head up. Second transfusion on Wednesday raised the blood count to 21, but by Thursday morning it was 14 again and 15 Thursday evening. He was very sick when we visited Thursday evening. We are hoping to see blood count stabilize tomorrow, Friday. Many things to think and pray about.

S. St. Amant 
March 1, 2015

My beautiful and loving rescued Standard Poodle, Piper was diagnosed with this disease yesterday.  He woke up very listless on Friday morning.  He usually would jump off the bed or onto it and run to go outside.  He slowly got to the door and barely had the energy to move.  I let him rest, assuming he and his sister Holly had gotten into something they should not have.  I took him back outside and noticed his urine was red.  He and I went to the vet and he had a temperature of over 103. He was immediately taken to cool down.  His temperature eventually spiked at over 105.  He spent the night with IVs and medicines and when I saw him in the morning he perked up a bit.  Unfortunately his red cell count continued to drop, I stopped asking after in fell to 14 and his white cell count started to climb.  He was the most wonderful loving dog and I did not want him to be in any pain.  He had had a difficult time before he came to us and I did not want him to suffer, after all the love he had given us.  I sat with Piper for an hour and his Vet came in, who was also crying and he was put to sleep.  Piper gave us so much joy and kept me company.  He was my Love Bug.

Rebekah Mason 
February 21, 2015

Our 8mo old Italian Greyhound is battling this right now. She is on her second transfusion. On a combo of Prednisone and Cyclosporine. She is at 19% now.

D. Webber 
February 12, 2015

Our precious little chihuahua Lily Belle was very healthy, had a checkup & vaccines, bloodwork, etc. mid Dec. 2014.  Our baby dog was 8 yrs. young..picture of health...very playful, anyhow..This past saturday, she was fine..playing with us..we took her outside, she enjoyed sniffing the air.. everything was fine.  Sunday she laid around all day in her little bed on our couch..Sunday evening i took her up to my bed as i normally did every night.  She was very lethargic, had not eaten or drank all day.  I did dip my finger in water a few times and moistened her lips so she could lick it off.  Monday morning we took her to the vet.. blood work was done.. she was diagnosed with  Hemalytic Anemia.  We had never heard of it ..Our baby was given a blood transfusion, prednisone, aspirin..we were told a lot of stuff by the vet, which i remember in spurts now.  We left her at the animal hospital that day..later that afternoon we went to visit her and just hold her.  Her blood count had come up with the transfusion.  I held her and loved on her till the office closed.  Was planning to go visit at 10 am the next morning..Dr. called me just before i was to leave to go down there..said our baby was not doing well and to get down there quickly..when i got there she was gone.  It's so heartbreaking to know that she was so 'well' on Saturday, Sunday was sick..Monday had some treatments and we picked her up  and buried her on Tues.  I'm still in shock over this right now.  Dr. also said that this is more common in white dogs..which ours was/is white.  I pray that i'll never ever have to go thru this again with another pet.  It's so heartbreaking, our home is so quiet now.

February 11, 2015

Our 7 month old kitten passed away from this horrible disease this morning. She had a blood transfusion a month ago and was doing great until Monday night, took her in yesterday and vet said she was looking good last night & we could plan on bringing her home today..... then we got the call this morning :( Her sister is home very depressed. Good luck everyone.

Michelle Balent 
February 6, 2015

My four-year old Aussie was just diagnosed yesterday.  I appreciate the honesty of this article and all of the posted comments.  Onset for my Aussie was rapid and we are hopeful, yet realistic.  Prayers to all in treatment.

Dr. Tony Johnson 
February 3, 2015

Hi Elsie; A PCV of 30 is close enough to normal to feel OK. He may be feeling a little off from the meds, or from all the inflammation that comes along with the disease. Many dogs don't get to a normal PCV for weeks, and usually they are on meds for a total 4-6 months. Hopefully he'll start to feel better very soon. I wish you the best of luck.

February 2, 2015

We have been fighting this disease for the last month with our 9 1/2 year old goldendoodle. One day great, next day PCV of 19.  He has been on prednisone, doxycycline, and mycophenolate.  Today his PCV was 30.  He looks a lot better but still not "right".  How long does it normally take to get PCV into normal range? Any help would be greatly appreciated.

Dr. Tony Johnson 
January 29, 2015

Hi Julie; There's lots of the picture that we don't have here, so it's hard to say what's normal and what isn't but if this is IMHA the one word that sums it up is 'unpredictable'. It depends on the degree of anemia and how fast it came on. He may have a milder form of it, or may still have enough blood that if he rests he will have some energy. I wish you and Petey the best of luck - I think at least discussing it over with your vet or with a specialist would be a good idea to make sure you have good information and know all the options.

January 29, 2015

My Petey (80lb boxer) was diagnosed last night. He couldn't stand or walk & his gums were so pale. They said he may need. Transfusion soon but not yet. They said I need to decide either to go the steroid route or full blown treatment at a specialized hospital which I'm sure I can't afford. I'm taking him to my vet this morning to go over options. He looked near death last night but when we were leaving the vet he got up & walked out seeming much better. This morning his color is back & I can see he's feeling a lil better but definitely not 100%. Is this normal?

Jerry Goodell 
January 27, 2015

I'm writing this to help others who are seeking information and maybe hope while facing this dreaded condition. Our 10 year old Coton de Tulear Apple was diagnosed with IMHA in October. She had visited the vet for a cough 2 days before the diagnosis. They ran a blood test (normal) and the vet diagnosed her as having a throat irritation and prescribed a narcotic. For the next 2 days, she was very lethargic - which I attributed to the narcotic. More concerning, however, was that she refused to eat anything during that period. I took her back to the vet and they ran more blood tests. The vet came back and told me "You have a very sick dog. Her red blood cell count has dropped from 44% 2 days ago to 25%. Take her to an emergency hospital as soon as possible." At the ER, they ran more tests and diagnosed her with IMHA. They told be that she needed to be hospitalized while they treated her and to expect that the cost would likely be $5000+ - if she survived. When I left the hospital, there were tears in my eyes as I said goodbye to her for perhaps the last time. She ended up being hospitalized for 4 days and received 1 blood transfusion while they stabilized her condition. After returning home, treatment involved 14 pills a day (prednisone, cyclosporine, aspirin and Prilosec) + injections of heparin every 8 hours. Additionally, vet visits for blood tests were initially weekly (now every 3 weeks). After 3 months now of treatment, Apple has responded well - her red blood cell count is now normal although her white blood cell count is still elevated (though improving). She's down to 4 1/2 pills a day  and has regained her normal energy level. Total costs (hospitalization + medicines + vet visits) has been approximately $8000. On an ongoing basis, we have been told she can never be vaccinated again (which means boarding her is out) and needs to stay away from any strange or sick dogs because her immune system is now compromised. I hope this helps others! Good Luck!

January 12, 2015

May God Bless you all!  Our Yorkie/poo Harley is 4 days into treatment for IMHA is having his 2nd transfusion as I write to you.  This is an AWFUL disease, we are so heartbroken I can't begin to express the pain.  If the transfusion helps I plan to start on a Holistic plan ASAP.  Seems more promising than medications.  Keeps us in your prayers!  Harleyboy's  Mom

December 15, 2014

Our daughter's 8 yr. old Jack Russell "Macie" was diagnosed with IMHA on Dec. 5, 2014.  She was "healthy" 3 days prior and was as active as ever.  Macie was put on meds but this terrible disease took her on Dec. 11th.  Her hematocrit was 18% on Dec. 5th and stayed at there over the weekend.  The vet did not want to do a blood transfusion yet.  Macie was weak and was eating and drinking but the meds were too much for her.  I went over to be with Macie on Dec. 11th until my daughter came home from work.  Macie was resting in her bed and did show some signs of difficulty breathing but it wasn't until she rolled on her side for a "belly rub" that I could see that it was much worse.  I could hear that there was fluid in her lungs.  Macie didn't seem to be in any pain, just had difficulty breathing and was tired.  She did seem weaker than usual and her gums were now white.  As soon as my daughter came home from work, she went to Macie, took one look at her and said, "We are taking her to the emergency vet."  My daughter had to move her car and when she came back into the house she saw me kneeling over Macie screaming and crying.  Macie had a heart attack right in front of me and there was nothing I could do about it.  Macie did not whimper or anything.  It was very sudden.  My daughter didn't want to accept it or give up so we took Macie to the vet.  She was gone by then.  My daughter and I broke down and cried our eyes out.  Macie was the "best friend" my daughter ever had.  She was her "wiggle butt" and was the cutest dog with a great personality.  My husband and I watched Macie several times and we even let her sleep in our bed with us. She literally wiggled her way in to our hearts!  We still can't believe our Macie is gone. My daughter is devastated and can't go more than an hour without getting teary eyed.  There will never be another Macie.  There is an emptiness in our hearts.  We are all going to try to remember the good times with Macie.

Laina Hearney
December 4, 2014

My 8.5 year old mini Schnauzer, Kobe passed away from IMHA within 6 days. Devastation doesn't begin to explain how I feel. Mommy misses you, Kobe. I'll never get over this loss. Kobe and I were robbed of so many years however, I'm so happy I was his mommy.

November 23, 2014

Thank you for sharing this article. Our sweet girl, Cassy, was diagnosed with IMHA 1.5 years ago at age 10. Got through with just prednisone therapy and no hospitalization. Had a relapse over this past summer and we were very close to losing her. She was hospitalized for 4 days. Received transfusions and started on immunosuppressive therapy in addition to the steroid. It was touch and go for a while but she came back. As a now 12 yr old half lab/golden, she acted more like a 7 yrs old dog. Experienced such great times with her as we knew we were getting a second chance. They started tapering her meds. She did well, until the cyclosporine was stopped. The hematocrit dropped from 40 to 35 in 5 days.  Wanted to trend it and recheck in 1-2 weeks. I started seeing subtle changes in her behavior. Stopped following me floor to floor, winded up hill on walks. Had her CBC checked 6 days from the 35 reading. Dropped again to 33. Specialist wanted to hold off on adding anything back until her hematocrit dropped below 30% or her reticulyte count dropped below a certain point. That was this past Friday. Saturday, she woke up and was not ready to go as she usually is...and then she wouldn't eat. She has been in the hospital for 24+ hrs now with multiple transfusions and her PCV keeps dropping. Going to give it one more unit to buy time for the meds but it doesn't look promising. We were grateful to have these "extra" few months with her. What I would like to stress is listen to your gut. You know your dog best. If their behavior changes, no matter How subtle, don't make excuses for it. Have them checked out immediately. Her hematocrit/PCV was 33 on Thursday and is 12% today, Sunday, post transfusions. This is a terrible immune disease. Wish there was more research on it. Have a sliver of hope but have a feeling tomorrow will be a very sad day.

Leslie Allen 
November 16, 2014

My sweet precious Lilly pug passed away on 11.14.2014 from this heinous disease.  She was such a character and loved everyone.  She is terribly missed and we will never have another dog like her.  She didnt eat her dinner Sunday 11.09.2014 and it wasn't odd, she had done that before especially the nights that she just wanted that treat so bad.  On Monday 11.10.2014 she seemed sad and tired.  We should have taken her to see the vet then but still didn''t realize she was sick.  On Tuesday 11.11.2014 she started to be very weak and even refused an egg breakfast that day..she seemed even weaker than the day before so i made her an appointment with the vet on Wednesday.  Wednesday 11.12.2014 she laid around all day and at about 4.20pm she tried to get up and fell over...i ran to her...her heart racing and her eyes twitching from side to side...i thought she had had a seizure. i wish that had been all it was...her appt was at 5pm and he said she was severely anemic...her blood was 10 and most dogs are at 50...he rushed us off to the emergency vet..there they would tell us IMHA.  By Friday 11.14.2014 she would have a blood clot in her lungs and be on oxygen.  We went to visit her and i placed my hand in the box she was in...she was in so much pain and my normally "happy" girl was no longer there...she waited for us.  I placed my hand on her belly and said "i love you Lilly" she immediately went into cardiac arrest and we made the painful decision to help her along.  My husband and I stayed close by her side until her final breath.  This disease has forever changed my life.  She was my dearest companion and at only 9 years of age...i had so many plans for our next 4 to 5 years together.  My heart is broken.  Please help make others more aware of this disease..and DO NOT ignore the signs.  Its never silly to take your pet to the vet no matter how small you think it is.  I feel like if i had not ignored the signs on Monday my sweet little pug would still be with me.  Forever in my heart baby girl...until we meet again <3

Talbot's Family 
November 7, 2014

I am heartbroken to read all of your comments. You would think that I'd feel a sense of comfort, knowing that I am not alone in my grief of this terrible disease, but I am angered that our beautiful, sweet babies have all fallen victim to IMHA. IT JUST DOESN'T MAKE SENSE!!  Our 4 year old male, Talbot, was the light in our home. Just a week ago today, he spent Halloween dressed up as a squirrel (he loved to be dressed!!) and was so happy and vibrant to meet the kids at the door. On Sunday, Talbot showed no interest in food, but we just thought his belly was hurting (as had happened many times before). Monday morning, Talbot had urinated blood and we knew something was wrong. After some hours at the local vet, we were told that Talbot was severely anemic and needed intensive care - including a blood transfusion. When we got to the best veterinary hospital in New Jersey, we were told that Talbot had IMHA. We knew we had to give our little boy the best fighting chance he had, no matter the cost, and we did - his little body just couldn't fight off this terrible disease. Talbot passed away yesterday, November 6, 2014 at 8 AM. Our family is heartbroken and wants our little boy back. The house is so empty without him in it - I'd do anything to hear that bark again! We love you Tally boy! Please find a cure for IMHA!!!

November 4, 2014

This horrendous syndrome took my beloved 10 year old Haley on October 14, 2014.  Like so many Otha, she was her normal self just 36 hours before we lost her.

No one can tell me how often it occurs, although I have been able to glean from the articles that certain breeds contract more than others, and from the DNA testing my Haley had 3 of the breeds that are known to contract it.

I miss her terribly, and I just hope that in the not-too-distant future that they find a cure for this syndrome.

Jay and Dina 
October 29, 2014

Our sweet baby Logan, a 6 yo female miniature schnauzer was diagnosed with this disease from hell a week ago.  She was mistakenly diagnosed with a UTI which is common but later was rushed to NC State where we got the horrific and gut wrenching news.  She received 3 blood transfusions, immunoglobulin and immunosuppressant drugs, and heparin.  Her PCV was as low as 13 but was steadily climbing to as high as 25.  Because of her progress the vet had hopes to discharge by weeks end but sadly we were notified this morning that Logan died suddenly from a probable pulmonary embolus.  This is a cruel, heartless and non discriminating disease.  She fought for 7 days and her body failed her.  We are completely devastated and grieving her loss.  There will never be another like her.

October 9, 2014

My 17 year old Malti/Yorkie was diagnoses with IMHA 3 months ago.  She is doing pretty well now, but it was a rocky road!  She was hospitalized twice in July for transfusions.  She developed pulmonary and cardiac complications, both resolved/controlled now.  We are weaning her Prednisone, and still on Cyclosporine and aspirin.  Her red cell count seems to have plateaued at 27-28.  She is happy, eating well, and oblivious to the danger she has been in!...I am so grateful for that!!!  We continue the fight as long as she is happy to fight too! Good luck to all of you facing this daunting disease, and God bless!

September 12, 2014

My darling dappled daschund, Tallulah, and I are now in our 6th week of fighting this insidious disease. One day she was fine and then one day she simply refused to eat. Though we did the Combs test, it was evidently a false negative, and at the advice of my vet, we immediately began an antibiotic and prednisone, even before the test results came back. Her red blood cell count has gotten as low as 12, though thank God it was 22 last week. We live from the blood draws and results from week to week. I elected to do none of the ultrasounds, transfusions, etc. - I just wanted to take her home and let nature take its course. In our case the medication therapy is beginning to work. She is a brave little fighter, and as long as she can have a decent quality of life, I will fight along with her. I sympathize with anyone who has gone through, or is going through this - be realistic, but do not give up hope. Tallulah hasn't!

Michelle Pugh 
August 25, 2014

I lost my sweet Bailee girl to this horrific illness last month. She was one month shy of her 4th birthday. She was happy, vibrant and healthy and then gone less than 48 hours later. I was (still am) devastated. It is so hard to understand, and comprehend. My heart aches for anyone who has to endure this. I only hope they find more ways to treat, diagnose and prevent this condition in the future.

August 9, 2014

Heartbreaking.  Our beloved, healthy, 8 y/o GSD died within days from IMHA, after transfusion, cardiac monitor etc.  His RBCs were holding, but most likely a pulmonary embolism took him. We miss him terribly.

Leigh Schmidt 
August 8, 2014

We just had to put our beloved 10 yr old GSD Gretchen down because of IMHA. Fine one day, fighting for her life the next. Devastating!!!

July 30, 2014

Paula I just went through this last week. Our six year old coon hound mix was fine one day and the next she acted depressed so we took her to the vet. From there we went to 24 hr hospital specialist.  Diagnosed with IMHA she stayed there for 5 days. 3 or 4 blood transfusions with numerous test and medication. Her blood level would not stay constant and we had her put to sleep. I feel horrible maybe I should have tried something else. Maybe brought her home to die but I didn't want her to suffer.  She was the sweetest dog we've ever had.

Paula Laird 
June 9, 2014

Thank you for the insight.  I have just lost a 7 year old female poodle who had never been ill and 3 weeks earlier had a clean bill of health.  We went the treatment route at LSU, but indeed ended up with a blood clot and ending this precious dog's life.  This article puts all the information together clearly and concisely.


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