When to Euthanize a Dog With Liver Failure: Expert Advice

As liver dysfunction progresses and medical intervention becomes increasingly ineffective, a dog may experience a deteriorating quality of life. Dogs are often plagued with severe lethargy, weakness, vomiting, diarrhea or prolonged weight loss. Our goal is to help pet parents make the most kind decisions regarding a pet’s health. This guide will help you understand when to euthanize a dog with liver failure based on medical, financial, and emotional factors.

When to Euthanize a Dog With Liver Failure

When considering euthanasia for dogs with liver disease progressing to failure, pet owners must carefully evaluate the disease’s progression, recognizing that in advanced or end-stage liver failure, euthanasia should be strongly considered to prevent further suffering. Continuing treatment and exploring palliative care options may be appropriate in the early to moderate stages. 

The euthanasia decision requires a comprehensive assessment of the dog’s medical condition, potential treatment outcomes, and the financial and emotional impact on both the pet and the family. Our veterinary team will help you recognize the signs, provide veterinary advice, and explore ways to provide comfort and peace for your pet.

 

Factor Quality of Life Indicators Considerations
Early stage Responsive to treatment;

Medications manage liver disease symptoms such as: anorexia, vomiting, diarrhea or lethargy. 

Appetite stimulants, anti-nauseau medications are effective

Other medications prescribed for pain control helps to maintain social interactions; There is little change in a patient’s routine

Focus on treatment and monitor response

Veterinarians may recommend further blood panels to monitor liver values 

Further diagnostics may be centered at finding the underlying cause of liver disease. These test may include an ultrasound to image the liver, liver biopsy or FNA (Fine needle aspirate) 

Bile acid panel or clotting panel. These tests and response to medication can help determine prognosis. 

Moderate stage Increased lethargy; reduced mobility; significant weight loss, decreased appetite, vomiting or diarrhea minimally improved with medications  Increased medical intervention

 Hospitalization with intravenous fluids recommended and more intensive medical treatment and monitoring

Advanced or end-stage Anorexia, profound weakness, minimally responsive, jaundice may be visible with yellow color to eyes, skin or gums;  bruising or life threatening internal bleeding, dark black stools caused by gastrointestinal bleeding, evident suffering Recommend euthanasia
Financial and emotional toll Quality of life for both dog and owners; caregiver burnout and financial strain Assess financial capabilities and emotional well-being

Early Stage

During the early stage of liver  disease and failure in dogs, symptoms may not be very severe, and life quality may be reasonable. While it’s still not ideal to pursue pet euthanasia, you should pay attention to specific signs of discomfort and physical changes to determine the best steps for your pet.

  • Mild lethargy
  • Mild appetite decrease or intermittent anorexia
  • Weight loss
  • Intermittent vomiting or diarrhea
  • Minor behavioral changes, including irritation or isolation
  • Lack of interest in everyday activities, including walks and playtime

Work closely with a veterinarian to manage these early symptoms. Maintain open communication with your vet to tailor the best care approach for your pet, including diet and medications. A blood panel is needed to confirm liver disease is present. The chemistry panel will have elevated liver values along with other possible changes. The liver values include: ALT, AST, ALP, GGT and Bilirubin. Only some or all of these values may be increased. Other tests may be recommended. These include: an abdomen ultrasound, Xrays (Radiographs) or other follow up blood panels. Medical treatment may include: liver support, antibiotics, steroids and others to improve anorexia, vomiting or diarrhea. Mild liver disease may resolve depending on the underlying cause or worsen.

A veterinarian gently places a comforting hand on the dog's side, while the family members sit close, offering support

Moderate Stage

In the moderate stage of liver disease, dogs show noticeable changes in behavior and health. While you can hold off euthanasia during this stage, it’s important that a veterinarian monitors your dog’s condition and adjusts treatments as needed. Observe these physical symptoms as they often indicate worsening liver function. 

  • Decreased interest in activities
  • Changing sleep patterns
  • Reduced appetite or severe anorexia
  • Jaundice (yellowing of the eyes or skin) may be present
  • Vomiting and diarrhea

You’re best positioned to notice subtle changes in your dog’s behavior and health. Providing additional measures for comfort can be especially helpful during this stage. Hospitalization may also be needed with IV (Intravenous fluids) and intensive medical treatment. 

Advanced or End-Stage

Making a compassionate choice of considering euthanasia can be the kindest action for your dog in an advanced stage. As liver failure progresses, physical symptoms can become more pronounced. These indicators can guide you in assessing your pet’s situation:

  • Significant loss of appetite that indicates serious health decline
  • Lack of energy
  • Noticeable distress 
  • Profound weakness
  • Icterus or jaundice (yellowing of the eyes, skin or gums)
  • Seizures due to toxin buildup or low blood sugar
  • Swollen abdomen or fluid accumulation
  • Confusion or disorientation
  • Bruising or signs of internal bleeding such as pale gums, profound lethargy, collapse or increased breathing rate and effort
  • At this stage, we can provide you with compassionate euthanasia services in your home, providing comfort during this challenging time. Prioritize your dog’s well-being and make sure they experience love and care until the very end.

A small white dog with a fluffy coat sits in a woman's lap, attentively looking at a document held by a veterinarian

Other Considerations: Emotional and Financial Impact

Pet owners often struggle with the profound emotional pain of losing a beloved companion. You may find yourself grappling with guilt, holding onto hope for a miraculous recovery, or cherishing every possible moment with your pet, which can make it difficult to determine the next step. 

The deep bond with your dog can make it incredibly difficult to consider euthanasia, even when your dog is suffering. As pet care costs continue to rise, it’s essential to consider both the financial and emotional impact of managing care for pets with liver dysfunction as well as the prognosis. A veterinarian will be able to help advise on your pet’s prognosis.

 Financial constraints of ongoing treatment: Liver failure in dogs can require extensive and expensive medical interventions, including: specialized diets, medications, veterinary visits, and potential hospitalization. The financial burden can be upsetting, forcing owners to make heart-wrenching decisions about continuing expensive treatments.

  • Emotional toll of medical decision-making: The decision to consider euthanasia  can be emotional, often accompanied by feelings of grief, doubt, and second-guessing. Family members may have conflicting opinions, adding emotional stress.
  • Long-term emotional and financial impact: Beyond the immediate decision, owners must consider the long-term emotional and financial consequences. Prolonging a dog’s life through aggressive treatments can lead to emotional exhaustion and financial strain, potentially impacting the family’s well-being

Be compassionate to yourself through the process. Emotions and challenges might seem wounding. However, with support and planning, you can make the most compassionate choice for your beloved pet.

Related Questions

How Long Can Dogs Survive if They Have Liver Failure?

Some dogs with liver disease may survive up to one to two years with aggressive treatment, consistent veterinary care, and symptom management. However, the exact lifespan depends on the underlying cause, stage of disease, and treatment. Liver failure means the liver is no longer functioning. Liver failure is very different from liver disease. The liver is needed to make clotting factors and other proteins in the bloodstream and detoxify or filter out toxins from the body. If the liver is failing and no longer functioning the body may have life threatening consequences such as internal bleeding, mental confusion, seizures and fluid build up in the abdomen or severe swelling. Euthanasia is recommended in End stage liver disease or liver failure.

How Can I Manage a Dog’s Pain Caused by Liver Dysfunction?

Pain management for a dog with liver dysfunction involves working closely with a veterinarian to develop a tailored pain control strategy that considers the dog’s specific condition and liver function. Medications, alternative therapies, and palliative care can also contribute to making your pet as comfortable as possible.

How to Cope With the Loss of a Dog Due to Liver Failure?

Losing a beloved dog to liver failure is an emotionally overwhelming experience that requires compassion and self-kindness during the grieving process. Seeking support from veterinary grief counselors, pet loss support groups, or trusted friends and family can help you navigate the complex emotions of losing a companion.

Conclusion

Understanding when it’s time to euthanize a dog with liver disease can prevent unnecessary suffering and honor your beloved companion’s dignity in their final moments. With Paws Into Grace, you’ll receive a supportive and empathetic service to guide you through this difficult time, resulting in professional and compassionate end-of-life care for your cherished canine friend.

Dr. Benson started Paws into Grace in 2007. She wanted to give pets and their parents a beautiful last encounter that didn't have to be in an unfamiliar office where pets were often frightened. The empathy she shows each family creates a lasting impression on them. In her free time, Dr. Benson enjoys running and spending time with her family, dogs, cats, and chickens.

  

Testimonials

I can't recommend them enough. I had to say goodbye to my 21 year old cat companion. I read the reviews here on Yelp and chose Paws Into Grace and they made an unbearable situation not worse - from the people on the phone to the amazing doctor who... read more

Renee C.

My absolute love Dante had heart failure three months ago. After having him on many medications to help him, his enthusiasm and appetite declined last couple of days. He was in pain and we decided to help him go to heaven rather than torturing him... read more

Diane C.

I wanted to thank you for sending Dr. Brown to euthanize our beloved Myleigh on March 4, 2021. She was compassionate and accommodating, she explained every step of the procedure, and gave us some alone time with Myleigh after she sedated her, but... read more

Terry A.

Renee C.

I can't recommend them enough. I had to say goodbye to my 21 year old cat companion. I read the reviews here on Yelp and chose Paws Into Grace and they made an unbearable situation not worse - from the people on the phone to the amazing doctor who came out to the house. She was so understanding and supportive. They were all so helpful, understanding and nice. My girl got to stay at home and say goodbye in the backyard (a hummingbird flew over and it seemed like a good sign too). So glad I didn't have to take her to a cold vet office.

Diane C.

My absolute love Dante had heart failure three months ago. After having him on many medications to help him, his enthusiasm and appetite declined last couple of days. He was in pain and we decided to help him go to heaven rather than torturing him with more medications which would make him even more miserable. I called and spoke to a very kind lady who was patient as I cried through making an appointment. We made an appointment for 1:30pm. Dr. Toni arrived. She was very kind, explained everything to us and gave us the time to be with our boy after the first shot. He wasn't relaxing enough so she gave him a second shot. We stayed with him throughout the entire process and I carried him to her car in the end. It was a very difficult decision but knowing that our boy is not in pain, gives us some peace. We are thankful to Dr. Toni for her kindness and compassion. They will arrange the cremation for us. Since we are in a pandemic, we had our masks on and said goodbye to our boy in our garden.

Terry A.

I wanted to thank you for sending Dr. Brown to euthanize our beloved Myleigh on March 4, 2021. She was compassionate and accommodating, she explained every step of the procedure, and gave us some alone time with Myleigh after she sedated her, but before she attached the IV. We were relieved that we made the decision to let her go to doggy heaven at home. It was a tranquil and serene passing for her, and it very much aids us in the grieving and healing process knowing that she passed away so peacefully. Based on the grace and compassion Dr. Brown demonstrated on one of the most awful days of our lives we would not hesitate to recommend Paws Into Grace for others facing this very painful time.
San Diego Orange County Cremation Office