Sorry....just catching up with this thread...I just give one regular pill during the times when he seems to be a little more distressed (warmer more humid days).
How we manage it...hmmmmmmm...great question 'cause this whole thread has caused me to think hard on this.
I've been avoiding going the surgery path. I probably WILL NOT be able to avoid it after this year. I term it "mild" but this summer HAS been hard on Howie. There were a couple of days where his wheezing might have bumped him up to the SERIOUS category rather than the mild. We had 105 degree days PLUS humidity here and even yard turn outs were hard for him.
Meanwhile, I keep the boy COOL. I live in the air-conditioned capital of the world so there is a window unit in every room in my house. I have beds situated at the COOLEST spots and I keep lots of cold water out. That is the main thing - to keep him as COOL as possible.
The problem is that Howie is like Riley: he loves his walks, his car rides, his play time in the yard and at the park...we've REALLY REALLY had to cut back on all this ..I'm not liking it for his sake but that is the price we pay for aging pets.
The good news is that when he IS kept cool and calm, you wouldn't even know he has any problems. The Zantacs DO help (for whatever reason that may be) and THANK GOODNESS we are coming up on October when we will go back to 73 degree days.
Again, I will have to deal with it next year, but that'll give me time to save up money and choose the best vet/surgeon to do the surgery.