​When a dog’s internal body temperature goes above a normal temperature of 101.5 Fahrenheit (F), this is a fever and is called hyperthermia. When the body temperature is above 105F, the dog may be suffering from heatstroke.
Dogs have only a couple of ways to cool off: blood vessel expansion and panting. When dogs pant, they evaporate moisture from their tongues, nasal passages, and the lining of their lungs, and this cools them down as air passes over the moist tissue. They also cool off via vasodilation. Blood vessels, especially in the ears and face, expand – bringing overheated blood closer to the surface to cool down.
The bottom surfaces of paws can sweat, but not enough to make a difference. “Heatstroke usually occurs when high ambient temperature overcomes the dog’s ability to dissipate heat. The degree of damage is determined by how high a body temperature is reached and how long the animal is exposed,” says Dr. Jerry Klein, AKC chief veterinary officer.

Heatstroke in dogs is life threatening and can also result in very serious complications. There are early signs of heatstroke that you can be alert to that may help you remedy the condition before things get too serious.
Early signs of heatstroke include: heavy panting and rapid breathing, excessive drooling, dry mucous membranes, bright red gums and tongue, skin hot to the touch, and a higher heart rate. Affected dogs become hyperactive and may have difficulty maintaining balance.
As exposure to excessive heat goes on, the dog’s condition worsens and includes signs of shock: pale mucous membranes with white or blue gums, very rapid heart rate, and a drop in blood pressure. The dog hyperventilates, and dehydration becomes more severe. Pupils dilate, the pulse becomes more irregular, and the dog has muscle tremors; he may become lethargic and unwilling to move; urinate or defecate uncontrollably; collapse and become comatose.

Heatstroke generally occurs during the hottest part of the year, especially when it is humid. Contributing factors include:

• Breed: Heatstroke can be seen in all breeds, but may be more likely in longhaired and brachycephalic (short-nosed) breeds.
• Age: Very young dogs, as well as older dogs are more susceptible.
• Physical fitness: Dogs that are out of shape are vulnerable when they exert a great deal of energy in excessively hot surroundings.
• Weight: Overweight and obese dogs are more likely to suffer.
• Medical disorders: Hypothyroidism, cardiac disease, and laryngeal paralysis also contribute to heatstroke.
• Environment: The most common cause of heatstroke in dogs is confinement in a closed automobile. The ambient temperature inside a closed car can become dangerously high in a matter of minutes, and the results can be fatal. Other causes of heatstroke can include being confined in an exercise pen without fresh water in direct sunlight and dogs left in cages for an extended period of time with cage driers on them unchecked.
• Water: Restricted access and not drinking enough water causes overheating.
• Acclimation: Sudden change to a warmer climate can cause heat stress.

How to Treat HeatstrokeHeatstroke therapy involves immediately trying to lower the dog’s body temperature. If you notice signs of heatstroke in your dog, it’s critical to stop any activity and help your dog cool down by:

• Walking or carrying the dog to a well ventilated, cool area.
• Spraying or sponging the dog with cool (not cold) or tepid water especially on the underside. Do not immerse the animal in cold water.
• Using a fan to blow cool air on him.

If you have a rectal thermometer, you should take your dog’s temperature. According to Dr. John Hamil, DVM, if the temperature is less than 105F, you should still consider this an emergency and immediately take your dog to your veterinarian.  If the temperature is higher than 105F, try to cool the dog down, and after a few minutes retake the temperature. Don’t reduce the temperature below 103F, because the temperature may descend to critical levels.
Immediately take your dog to your veterinarian as soon as the temperature reaches 103F or if you are unable to reduce the temperature significantly. Severely affected dogs require fluids, medication, support, and oxygen. Complications may not occur immediately, so it’s important to let your veterinarian determine the type of follow-up treatment required.

Immediate action and correct treatment is so important because it can mean the difference between a swift and complete recovery and long-term complications. Some veterinarians also advise that once a dog has experienced heatstroke, it is more likely to reoccur.
Our dogs live to please us, and if we ask them to jog or hike or play catch, they’ll do it with enthusiasm – even on the hottest days. So it’s up to you to keep the weather in mind and limit the time your dog exercises when the temperature soars. Choose cooler times of day for play or training sessions. Always provide plenty of cool fresh water, shade, and frequent rest periods when it’s hot. And never leave your dog in the car – he may miss you, but he’ll be better off waiting for you at home.

1. Hang the loop of the Bells on the inside doorknob of the door that your dog typically exits the house. Choose wisely as you do not want to move the bells after training has started.
2. Every time you take your pup/dog outside to potty, state a simple command phrase, I use "Go Potty" or "Outside". All members of your household should be consistent and use the same wording and actions with your pup/dog.
3. After stating your command phrase, immediately ring your Bells in front of the dog.
4. After ringing the bells and saying your command, allow your dog to go outside. When they have done their "Business" reward them with verbal praise and a pat or stroke. DO THIS EACH TIME YOUR DOG IS TO GO OUTSIDE AS CONSISTENCY IS KEY!
Training Tip: I suggest that you not use potty time to play with your dog outside so they don't associate ring time with playtime. You can always take your pup outside to play at other times when you choose to. The pup/dog will eventually associate ringing the bells with going and the praise they receive from their favorite person, you, is reward enough!
I certainly hope this helps someone out, as I have successfully trained several puppies to use the doggie door bells. Below is a link to the Poochie-Bells on Amazon.