Veterinary Guide to Canine Pulmonary Fibrosis (2025)🐶 

By Dr. Duncan Houston BVSc

🔍 Introduction

Pulmonary fibrosis in dogs is a chronic, progressive lung-scarring disease, most often idiopathic in older terriers like West Highland White Terriers. It stiffens lung tissue and impairs oxygen exchange. While incurable, thoughtful veterinary care can support breathing and prolong comfort. 💨

💡 What It Is & Who’s Affected

• Lung interstitial tissue becomes fibrotic—thick, stiff, and less effective at oxygen transfer.
• Predominantly affects middle-aged to older small breeds—especially Westies, Cairn, Staffordshire, Border Terriers; predisposition likely genetic.

⚠️ Causes & Risk Factors

• Idiopathic: unknown origin, abnormal wound-healing response in lung.
• Secondary: chronic bronchitis, pneumonia, environmental irritants, toxins, certain drugs, heart disease.

🚨 Signs to Watch For

• Persistent non-productive cough, exercise intolerance, rapid shallow breathing, open-mouth breathing, gasping.
• Blue or pale gums (cyanosis), lethargy, weight loss, fainting episodes.
• Lung crackles resembling “velcro” heard on chest auscultation.

🔬 How It's Diagnosed

• Physical exam & stethoscope findings suggest restrictive lung disease.
• Chest X-rays show interstitial to alveolar patterns, lung opacities.
• Arterial blood gas analysis confirms low oxygenation.
• High-resolution CT provides clearer assessment of fibrosis extent.
• Bronchoscopy or biopsy less commonly used—more invasive.

🛠 Management & Treatment

• Oxygen therapy: essential during flare-ups or at home with oxygen concentrators.
• Anti-inflammatories: corticosteroids (e.g., prednisone) may ease symptoms, though progression often continues.
• Bronchodilators: theophylline or similar meds to help airflow.
• Cough suppressants: controlled use of codeine, hydrocodone, or butorphanol for comfort.
• Antifibrotic drugs: agents like pirfenidone are emerging options (not yet standard).
• Manage pulmonary hypertension: sildenafil may help right-sided heart strain.
• Environmental control: avoid smoke, dust, fumes; maintain low-stress, cool, humid environment.

📈 Prognosis & Monitoring

• Guarded prognosis—average survival ranges from ~8 to 18 months after diagnosis, though outcomes vary.
• Regular rechecks every 2–4 months: evaluate weight, respiratory status, blood gases, imaging.
• Monitor for signs of pulmonary hypertension or right heart failure with echocardiography.

🛡 Care Tips for Owners

• Provide a calm, well-ventilated, dust-free environment.
• Encourage gentle exercise—short walks, rest periods.
• Offer high-quality nutrition and maintain ideal body condition.
• Consider humidifiers to soothe airways.
• Ensure vaccinations and parasite control are current to avoid further lung stress.

🔧 Tools & Support Services

• Ask A Vet App: 24/7 help with respiratory care, oxygen setup, and comfort planning 📱

✅ Final Thoughts

Pulmonary fibrosis in dogs is a serious, progressive lung disease, especially in older terriers. Though no cure exists, strategic supportive care—oxygen therapy, anti‑inflammatory meds, cough control, and environmental optimization—can significantly improve quality of life and comfort. In 2025 and beyond, tools like Ask A Vet, owners navigate this complex condition and maintain their dog's breathing capacity and well‑being. 🐾❤️

Download the Ask A Vet app today for expert support with oxygen strategies, medication planning, and lung wellness tracking. 📱💡