Help! How Do I Know When “It’s Time”! (Vet Answered)
This question has been answered by a vet
Veterinarian & Animal Behaviorist
With nearly two decades in veterinary medicine, Dr. Paola brings hands-on experience across multiple species. A graduate of the University of Guadalajara, she specializes in preventive care, animal welfare, and positive reinforcement training.
The Question
“My dog Freckeles has 2 very large mammary gland tumors and is 14 years old. She is still eating and drinking and can go to the toilet. She is also still bright and alert. I would like to know if I should consider putting her to sleep.“– Gerard
Quick Info about Freckeles
Hi Gerard,
I can only imagine how difficult this situation feels. Making end-of-life decisions for a beloved companion like Freckeles is never simple. The presence of large mammary gland tumors in an older dog can be concerning, especially at her age, but the most important consideration is her overall comfort and quality of life rather than the size of the masses alone. If she is still eating, drinking, interacting with you, and able to move around to relieve herself without distress, these are encouraging signs that she continues to find joy and comfort in her daily life.
However, it is essential to monitor for any signs of pain, infection, or decline. This can include changes in breathing, reduced mobility, loss of appetite, withdrawal from interaction, open or ulcerated tumors with odor or discharge, or visible discomfort when touched or moving. A veterinarian can help you objectively assess Freckeles’ quality of life using established tools such as the HHHHHMM scale (Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More good days than bad).
You clearly love Freckeles deeply, and that love is guiding you to do what is kindest for her. If she is still comfortable, you can continue to provide palliative care and focus on keeping her pain-free and happy. When the balance begins to shift and comfort can no longer be maintained, humane euthanasia becomes an act of compassion rather than loss.
Sincerly,
– Dr. Paola