[MyFairLacy]

We just got back from our appointment. We did a urinalysis and no crystals were found so that was good. I did decide to go ahead with the X-ray because her vet said you can't tell liver size on ultrasound and an x-ray was the best way to tell...and that A&M would want to know if x-rays were done if we go there for an ultrasound. So anyway, we did one x-ray and everything looked normal. She said normally dogs with a shunt have very small livers and hers appeared to be a normal size, and nothing abnormal showed up on x-ray. So all good news there.

So most likely there is no aquired shunt since she's not more sick and liver appears to be a normal size. But obviously something is going on since her bile acids were high. So we are being referred to Internal Medicine at A&M and will be having an ultrasound...the radiologist there is supposed to be very good at finding shunts on ultrasound. So most likely we'll be doing that in a couple weeks as I have a lot of exams next week. I've got to call and coordinate an appointment time with the Internal Medicine specialist we'll be seeing.

So...if no shunt is found, I'm not sure what they'll want to do next.... I asked her about changing her diet and she didn't think I should at this point until we have a better diagnosis.