Quote:
Originally Posted by Ellie May  I don't think urine bile acids are optimal (I could be wrong). Sometimes vets will do the blood test after a meal only if the dog has hypoglycemia problems. It isn't the best scenario but it can be done. Or, sometimes they just fast them for eight hours. It really does sound like hypo but better to be safe than sorry being as she did go unconscious and didn't perk up right after feeding or sugar this time. |
Here is some info on urine bile acid testing:
* the sensitivity and specificity of urine bile acids measurement were similar to those of serum bile acids, but the urine bile acids test was more specific for canine liver dysfunction than was serum bile acids testing.
* a pattern of results showing very high serum bile acids but only slightly increased urine bile acids may be indicative of a shunting disease such as PSS or MVD.
* while bile acids testing can identify animals with hepatic dysfunction, it may fail to recognize animals with hepatic disease in the absence of hepatic dysfunction.