He always could have had a shunt and as he is getting older it is getting more taxing on his liver and toxins are building up and why you see the shaking. Not all dogs are diagnosed as a puppy.
Yes make sure you go to someone who has experience looking for a shunt. That was how my Quinn was misdiagnosed as a puppy a regular ultra sound did not show the shunt ( or vet did not know what he was looking for) and his post bile was in the 80's which usually means MVD. 4 years later the shunt was found with a doplar ultra sound I believe by a vet who had experience looking for them.
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Kerrianne |