Well the time has come for hard decisions. My almost 14 year old Maltese Coco has been acting older over the last couple of years. The vet had said she had signs of heart disease in the past year or two, and attributed her cough and wheezing to it. This past weekend she fell down about 15 stairs, stairs that she usually never climbs because they're not carpeted and she slips on them. She had been extra clingy lately which is why she followed me up thy stairs. She got up and walked away like nothing was wrong. But yesterday morning she had a seizure, which she has never had before. Wife took her to the vet and they did xrays, which showed her heart being very enlarged with fluid around it, compressing her trachea, which probably accounts for the chronic coughing. We started her on meds for the heart (ACE inhibitor and diuretic), but today she had 2 more seizures. After the seizure she's a little out of it but otherwise looks normal. I can't help but think the fall is causing the seizures, possibly from some head trauma. But vet attributes it to heart as well (?? wife was there so I couldn't ask questions). No anti seizure meds were offered. Vet basically said consider putting her down soon, as it's a matter of time given how the heart looks. The hard thing is that when she isn't having a seizure she looks like her normal old lady dog self. Isn't acting particularly uncomfortable or as if she's in pain. She has lost a lot of weight and isn't eating well or drinking much, which concerns me since she's now on a diuretic. It's just hard for me to come to grips with putting her down. If she keeps having frequent seizures though it will be hard to just let it go. Luckily only my 5 yo daughter likes her, for whatever reason the older 2 boys never cared for her. I think because she's small and not a really playful dog, and she didn't ever care much for them. She's my adopted dog daughter, my wife had her for about a year and a half before I met her. So before we had kids she was our only child and got way more attention than she has since we had our 3 kids. We've started prepping the 5 yo for what may come, and she doesn't seem too upset when we say Coco is sick and may be going to doggy heaven soon. But I'm not sure she gets that it means she'll be gone forever. Just venting and looking for advice. Pic attached.