Quote:
Originally Posted by Ellie May  I see you wrote you have been misquoted. Will go back and read this thread in the next couple weeks (hopefully).
But her first BAT was only mildly elevated? Was that when they were 126? Because that isn't a mild elevation at all. That is of the level where an IMS is needed asap. I know there are many dogs with higher BAs, but that is still 5 times higher than it ever should be. |
I am surprised also that 126 postprandial was interpreted as a "mild" elevation. The lab report itself informs the doctor of the interpretation and clearly states that animals with post readings >100 umol/L are "markedly increased" The normal postprandial reading is <20 umol/L.
A lab report would have alerted the veterinarian to the probability of shunt and to the markedly increased postprandial value.
Here is what Antech has to say at the bottom of the Bile Acids report-- this is a direct quote cut and pasted --
FASTING BILE ACID CONCENTRATIONS Elevated fasting bile acid concentrations can occur with inadequate fasting, spontaneous gall bladder contraction and with hepatobiliary disease. The probability of hepatobiliary disease increases when fasting bile acids exceed 25 umol/ L. Fasting bile acids may be higher than those of postprandial samples. Potential causes include gall bladder contraction and delayed gastric emptying. If either result exceeds 25 umol/L, abnormal liver function should be considered. POSTPRANDIAL BILE ACID CONCENTRATIONS Elevated postprandial bile acids are supportive of hepatobiliary disease. The majority of animals with congenital or acquired portosystemic shunting have markedly increased postprandial values (>100 umol/L).