“Wormy belly” in puppies can be parasites—or protein loss, fluid, or congenital issues. Wrong dewormer class leaves parasites alive.
Common mismatches
Heartworm prevention is not the same as roundworm tablets. Protozoa need different testing.
Workup beyond deworming
Fecal PCR, ultrasound, or blood tests may be required.
Pet NGON does not diagnose abdominal distension.
After veterinary diagnosis, grooming improves coat shine when nutrition improves.
Next step: Vet exam if belly stays big despite deworming; Pet NGON bathing once stable.