Quote:
Originally Posted by mly  I believe the vet said the clavamox was for the build up of bacteria because her liver wasn't passing the toxins through (I think).
The referral for the neurologist is to get an ultrasound and maybe xrays to see if it was because of a single blood vessel (which Bella can have surgery to tie it off) or if it was multiple little blood vessels (which we can't do anything about). |
Yeah that's what the antib is for and then the lactulose binds to those toxins and expels them thru waste. Just never heard of the antib being Calvamox, usually it is Metro (can't spell the entire name
).
An ultrasound is only about 60% accurate and the person reading the u/s has to be really skilled. Roxy's u/s cost $400. She had a normal shaped liver, and normal size, no shunt was seen. However, they told me, that doesn't mean there isn't one, they just didn't see it. So to me, it was a waste of $400. Also, you can't see multiple little blood vessel (MVD) on a U/S - they can only really determine MVD with a complete liver biopsy.
The BATs result will tell us more. If they are really, really high (like wayyyyyyyyyy above 100), then I would probably skip the U/S and go right to Scintigraphy (again, spelling is not my best subject), as that is radio active dye put thru her system and that will show a shunt wayyyyyyyyyyy better than a U/S.