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April is Heartworm Awareness Month, making it the perfect time to discuss this potentially fatal disease that affects dogs and cats. Despite being entirely preventable, heartworm disease continues to pose a serious risk to pets across the country—including right here in Michigan. At Family Friends Veterinary Hospital, we’re committed to educating pet owners about heartworm prevention, treatment, and the myths that may put pets at risk.

What Is Heartworm Disease?

Heartworm disease is a serious and potentially deadly condition caused by a parasitic worm (Dirofilaria immitis). These worms live in the heart, lungs, and associated blood vessels of infected animals, leading to severe lung disease, heart failure, and organ damage. The disease is transmitted through mosquito bites, making all pets susceptible—even those that spend most of their time indoors.

How Does a Pet Get Heartworms?

Heartworms are spread by mosquitoes that have bitten an infected animal and picked up immature heartworm larvae. When the mosquito bites another animal, it deposits the larvae into their bloodstream. Over the next several months, these larvae grow, mature, and eventually lodge in the heart and lungs, where they cause extensive damage.

This cycle is why year-round prevention is critical—one infected mosquito can pass heartworms to your pet, even in colder months when mosquito activity is lower but not eliminated.

Photo from Pexels

Signs and Symptoms of Heartworm Disease

Heartworm disease progresses over time, and symptoms may not appear until significant damage has occurred. Here are the signs to watch for:

In Dogs:

    • Persistent cough
    • Fatigue after mild activity
    • Weight loss and decreased appetite
    • Difficulty breathing
    • Swollen belly due to fluid buildup in severe cases

In Cats:

    • Coughing or asthma-like symptoms
    • Vomiting (often unrelated to eating)
    • Weight loss
    • Sudden collapse or sudden death in extreme cases

Unlike dogs, cats are not typical hosts for heartworms, so they may only develop a few worms or none at all. However, even a single worm can cause significant respiratory and heart problems in cats.

Diagnosis and Treatment of Heartworm Disease

Diagnosing heartworm disease requires a blood test to detect the presence of heartworm proteins. If a test comes back positive, additional tests such as x-rays or ultrasounds may be needed to determine the severity of the infection.

Treatment for Dogs

Heartworm treatment in dogs is expensive, risky, and requires months of restricted activity. It involves a series of injections to kill the worms, followed by a strict rest period to prevent complications. The treatment process can cost hundreds to thousands of dollars and does not reverse the damage already done to the heart and lungs.

Treatment for Cats

Unfortunately, there is no safe treatment for heartworms in cats. The focus is on managing symptoms and preventing further infections. This is why prevention is absolutely essential for both cats and dogs.

The Best Protection: Year-Round Heartworm Prevention

The good news is that heartworm disease is 100% preventable with monthly preventive medications or an annual injection for dogs. These medications kill heartworm larvae before they have a chance to mature into adult worms.

Prevention options include:

  • Monthly chewable tablets or topical treatments (for both dogs and cats)
  • An annual injection (for dogs only)
  • Combination products that protect against other parasites, such as fleas and intestinal worms

We recommend discussing the best heartworm prevention plan for your pet with our veterinary team at Family Friends Veterinary Hospital. Prevention is far more affordable (and safer) than treatment—especially when considering that heartworm disease can be fatal.

Photo from Pexels

Common Heartworm Myths That Put Pets at Risk

Misinformation about heartworm disease can lead pet owners to make risky decisions. Here are some of the most common myths—and the truth behind them:

1

"My pet doesn’t need heartworm prevention because they stay indoors"

Fact: Mosquitoes can easily get inside homes through doors, windows, and vents. Even indoor pets are at risk of being bitten and developing heartworm disease.
2

"Michigan winters are too cold for heartworms to be a concern"

Fact: While mosquito activity is lower in winter, it doesn’t disappear completely. Additionally, heartworm larvae can survive inside infected animals for months before maturing. Year-round prevention is essential to ensure full protection.
3

"Only dogs get heartworm disease"

Fact: While heartworm disease is more common in dogs, cats can also be affected. There is no treatment for cats, making prevention even more critical.
4

"I can just give my pet heartworm prevention in the summer when mosquitoes are active"

Skipping doses leaves pets vulnerable. Most preventives work retroactively, killing larvae from the past 30 days. If you miss a dose, larvae can mature into adult heartworms, and prevention will no longer be effective.
5

"Heartworm prevention is expensive"

Fact: Prevention costs a fraction of what treatment does. Treating a heartworm-positive dog can cost over $1,000, while monthly prevention costs as little as $10–$15 per month.

Schedule Your Pet’s Heartworm Test and Prevention Today

Heartworm disease is a silent but deadly threat that is far easier to prevent than treat. At Family Friends Veterinary Hospital, we recommend annual heartworm testing and year-round preventive care to keep your pets safe.

If your pet isn’t currently on heartworm prevention or needs a refill, schedule an appointment with us today! Let’s work together to keep your pets happy, healthy, and heartworm-free.

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