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Originally Posted by Ellie May  Do you really trust your vet? Have you considered switching? I ask because while ultrasounds are great at showing bladder stones (secondary to liver issues), they are only 60-80% accurate in the diagnosis of shunts. So unless the vet is looking for other diseases, it could be a waste of money, especially since she can't have surgery anyway and you would treat as symptomatic MVD anyway... A Protein C Test would be much cheaper and helps distinguish between LS and MVD. Also, if a dog has high bile acids and neurologic symptoms (hepatic encephalopathy), they should be on lactulose to help push the toxins out of their bodies (toxins building up makes them feel sick). This is a laxative and should soften her stool. She should have two soft but formed bowel movements a day on it.
She should be on SAMe (Denosyl or Vetri-DMG), lactulose and possibly fish oil and vitamin e. Milk thistle is also good. |
I agree with Crystal. You might have to change vets. The problem is that most vets don't see that much liver disease and are not up to date on diagnosis and treatment. If you have a vet school within driving distance, that is your best bet.
An ultrasound is a waste of money since they can be as low as only 60% accurate. Current protocol is to get a Protein C test after a high BAT. You'd be surprised how many vets have never heard of it. Here is information you can share with your vet:
Comparative Coagulation -- NYS Animal Health Diagnostic Center