Same thing, you can still do those nose games indoors. You can have them either sit and watch you where you put those treats, especially when you're first doing these games, or put them out into a different room to make it a little bit more challenging once they're used to that. You can also give them a food puzzle. You can get these on Amazon and put their food inside it and they can work to get it out. Those are some really good things that you can do.

Some really good outdoor dog games to play would be things like nose games. You can get one of their favorite treats and have them sit inside while you go put treats around the various backyard and they can go look for them, which is a really fun thing for them to do. You can also even play hide and seek with your dog, they really like that. Of course, going on walks, hikes, those kinds of things can be great. Overall, just interacting with your dog in general and positive reinforcement with treats is really great as well.

Heart failure in dogs occurs when both the right-sided and left-sided heart disease are present. It typically starts on the left side and progresses to the right. When the entire heart is enlarged, it is considered complete heart failure.

The first step in treating an enlarged heart is getting x-rays, ideally followed by an ultrasound from a cardiologist. There are several medications available that can help the heart not to work so hard, reduce any fluid buildup, and provide general support.

Yes, diet can absolutely affect a dog's heart health. Recent studies have shown that grain-free foods have led to increased heart sizes in dogs. This is often due to a lack of amino acids and other nutrients. Therefore, it's crucial to discuss an appropriate diet with your vet.

Cardiomyopathy is essentially disease or inflammation of the heart. It can affect any side or all sides of the heart and is related to the heart not functioning correctly.

A heart murmur is when you have a leaky vessel and the blood, instead of flowing in one direction throughout the heart, flows backwards slightly. This increased pressure on the part behind the blood flow causes the heart to enlarge. This is, in a nutshell, a heart murmur.

The most common heart disease in dogs is left-sided heart disease. This occurs when a specific valve in the heart becomes slightly leaky. Over time, this can lead to the right heart enlarging, which can result in congestive heart failure.

If there's no diagnosis after diagnostic imaging, it depends on which one. If there's nothing after the x-rays and we've tried other things and your animal is not getting better, we may recommend more advanced diagnostic imaging. If all of those things are done, then typically working closely with a specialist in a certain field is where we would go.

It can be very effective, especially if we have done other testing and we've not found much information out. It can really help us to either rule out certain things or just start looking down a different path.