Quote:
Originally Posted by eringabrielle  Hello all-
I recently posted about my 2.5 pound Willow who had elevated bile acids discovered in April. She showed a pre-19 and post-45 (or so, I can't remember the exact #). She had no crystals in her urine. So we got referred to a specialist but in the meantime I put her on Royal Canin LS14 and waited a month to have her bile acids tested again.
Some quick background-She had one seizure episode over a year ago, but there were other factors (comfortis, possible trauma) involved so they weren't sure why and she has had none since. She has no other real symptoms, she circles when excited, but the specialits didn't seem concerend, said she appeared very healthy. She eats well and despite being so small, has good body composition.
This time she was pre-1.3 and post-31. Because the vet still can't be sure, she suggested a scint, because if we tested the bile acids again in 6 weeks, it could still be inconvlusive. She said she may have a shunt, or these levels just may be normal for her, the only way to be sure of no shunt is with the scintigraphy.
Should I go ahead and do the scint even with the risk of the anesthesia? She needs LP surgery soon so we need to know for sure if something major is going on. Should I get a protein C done first? Or should I just go ahead with the scint to rule out a shunt for sure?
I went ahead and scheduled her, but I am getting nervous!!! |
WHOAAAAAAA hold on ok - two red flags here LP surgery and scintigraphy for those low numbers - i am questioning vet now sorry
My dog has mvd and posts were 73, 54 and 26 on low protein diet - anything lower than 100 I would not do a scintigraphy - if you want to do protein c the go for it but scintigraphy is radio active dye and i would only do if dog is having symptoms such as seizures and sounds like your dog may have had seizure due to something else like maybe mixing comfortis and heartguard it sounds like is that what happened as you never mix those drugs.
AVMI- Portal Scintigraphy
is your dog head pressing on walls, acting spaced out after eating, vomitting, picky eater, seizing as these are all signs of liver shunt if not no way would i do testing like this
Now LP surgery should only be done if dog is in pain and lifting leg up constantly otherwise they will do fine with LP
ok going to read whole thread just panicked when i saw this so wanted to respond immediately