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Originally Posted by Ellie May  When you say anesthesia would have been required for a biopsy or ultrasound, so you mean an ultrasound guided biopsy or just one to visualize the liver? IF it's the latter, anesthesia does not have to be used unless they just cannot hold it still (which is not the majority of the time).
I'm not really into the biopsy route if the dog isn't already opened up (for apay or whatever), but there are other things that can cause high bile acids and it's really the only way to know for sure. I'm thinking of one (not too common in dogs though) that would require higher protein, not lower. So while (imo) a biopsy should not be rushed into, there are a few cases that it is needed with high bile acids if things aren't adding up or whatever... |
but wouldn't this other disease exhibit low protein or something else on blood work to determine the difference. I know you have stated this before and it is myfairlacy dog so i really wish she would post or maybe there is a thread you can link to this as i really want to learn more about this to possibly change my mind on this but until i know all the info about it I still feel strongly against biopsy even with a spay. Do you know what the disease is called Crystal as i have not read about this on any dog group and really want to know more about this. I can pm her on another group she is more active on unless you can find the thread as that would be great. I am always open to hear both sides so I can better understand why people do invasive procedures. I am much more conservative in my approach to things than some so I have to feel convinced to do something so just because dd has high bats I would not run out and have a biopsy done on her with no symptoms when she is under for a procedure in future to confirm mvd. Now if she was sick and we could not figure out what the heck was making her so sick and low protein diet not working and sam-e, milk thistle, lactulose,etc and she was still real sick - skin turning yellow her vomitting, etc then heck ya I would do further testing to see what the heck was going on to get her better.