How did the vet come to the conclusion that there is no external shunt? When Brodie had surgery, the vet didn't think there was a liver problem at all, so they may not have even looked at the liver. It does require a high incision to se it. That tells me they are going by ultrasound alone and that is only 60-80% accurate for this. Many things can cause high bile acids, but with urate stones and this being a Yorkie, it is almost certainly a shunt or MVD. Really if the money is just not there to get a positive diagnosis for one of these things, then all that is left is supportive care (which is all that can be done with MVD anyway). If it is an external shunt (could have missed it), then surgery is likely his best option. Drooling indicates neurological issues and he will need to be supplemented at the least (which he already should be). What does the vet currently have him on?
__________________ Crystal  , Ellie May (RIP)  , Rylee Finnegan  , and Gracie Boo🐶 |