Quality ofLife

The perceived changes are often best observed from the owner and not from the dog as with idiopathic LPR pain and/or dis­comfort is not obvious, there is no loss of function, and there are no overt cosmetic changes. It is important that the owner is fully educated in the disease and that treat­ment at best is aimed at some form of control rather that cure and that clinical signs may well be life-long for the dog. Despite the poor long-term response, idiopathic LPR is unlikely to result in the death of the dog.