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Originally Posted by kjc  Here's my line of thought: Since the pup has been on hormone suppressing drug a good amount of time, coming off this drug allows his system to start producing hormones again. His body may be reading that as overproduction, causing the rise in ALP (if that iso is responsible... further testing needed). So it's not that the fluconizole is helping the liver directly, but indirectly by suppressing the hormone production. Or his system has gone wacky and is overproducing the hormones. IDK.
Here's a great link: The diagnostic approach to asymptomatic dogs with elevated liver enzyme activities - Veterinary Medicine
Also rule out Lepto and any tick borne disease. I'd keep him on Denamarin indefinitely. Thinking about Doxycycline but not sure if okay with liver involvement. |
Hi kjc, just a quick update. I finally received the radiology report for Scooby's ultrasound at the Internal Medicine doctors office from February 14th. After being assured by the vet that there was not an indication of Cushings disease, the very first line on the ultrasound says...Assessment: suspected pituitary dependent hyperadrenocortisoid disease. Hmmm...that's Cushings, right? I feel like that darn vet ordered these tests and then didn't even bother to read the results. I am working on getting the testing scheduled right now.
Diana and the Scoobster