I went through this last October with Taycie, through Biopsy she was diagnosed with MVD. Taycie has always had slightly elevated liver enzymes her entire life.. but nothing to scare me at the time. It was like 2 -5 points out of "normal range". I was always told this could be because stress at the vet office.
About a year prior to her diagnosis with MVD she had already has been diagnosed with SIBO or small intestinal bacteria overgrowth.. she was placed on tylan powder and I had already put her on lower protein food because she just simply could not tolerate anything with higher protein levels. Now.. looking back.. I think this bought us time.. and pacified the problem for the time being.
In June, 2012 she had a dental done. This time bloodwork was done her liver enzymes were 50 points above normal. My vet at the time, ( not my current vet now) told me we need to watch this.. Lets retest in 3 months and then schedule an ultrasound.
In October, it all came to a head she would get up in the night and pace.. and act very strange. I would find her curled up in the kitchen in the middle of the night.. Her stomach would be tight.. and she would be starting at nothing.. I scheduled the ultrasound..
Ultrasound results were inconclusive... A scintigraphy for us was not an option.. no one does this in Salt Lake
So.. back to the vet we went and at this point her enzymes were 100 points above normal. I requested a BAT and her pre meal was 24 post meal was 109.
Taycie at the time got extremely sick and was hosptilized for 3 days.. She was sent home on a feeding tube for a week and then a week later went in for exploratory surgery.. She had a biopsy of her small intestine and liver. This is finally when we were able to rule out a shunt.
Her Biopsy report came back with MVD. Taycie is on Metronidazole and Lactulose. She is also supported with a Homecooked Diet Formulated by Dr. Remillard. On the positive side she is doing VERY well now! I am so happy with her progress! I will keep Toki in my prayers. I know how much YT helped me when I went through all of this.