Quote:
Originally Posted by ladyjane  Kathy, hepatic encephalopathy is not easy to pick up in dogs until it is severe. I just recently had this discussion with the specialist who sees Teddy Bear. As he said, it is easy to pick up in a human because they can answer questions...in dogs you don't see it until it is severe....and they are symptomatic OR develop stones. As I said in the thread about him, I was stunned..they told me they see this a lot. Pups come in as adults with LS that had NO symptoms and no abnormal labs.
As for not doing BATs, I would ask why since often the liver enzymes can be perfectly normal and this can be very misleading. When they follow up on Teddy Bear they do both...
I hope she can stay on that food because she is at high risk with too much protein as I know you are aware. If she continues to dislike food, I would consider getting a home cooked diet for her.
Good luck. |
Ever since I brought Tink home, after a stop at the vet's where I first learned about her liver issues as she had been at the same vet with her previous owner, I have constantly assessed her behavior throughout each and everyday. I am very acutely aware of what is normal behavior for her, and can spot even the slightest abnormal behavior in her very quickly. I also have her meds on hand should she need to go back on them, including treatment for HE.
Tink's Liver enzymes have never been normal. I do want to have a BAT done, and as I'll be at the vet's tomorrow evening, I will schedule it then. Why it wasn't done the other day, IDK as I had requested it. Maybe the vet was looking for a more overall health assessment due to the changes in her meds and diet. I thought the BAT was being done, but by the time I found out it hadn't been done, it was too late to do it that day. The surgeon did not find a Portosystemic shunt. Her diagnosis after her surgery was MVD, Bile Stasis, and bladder stones with an E coli infection. Hopefully, her now normal Liver enzymes are telling us that her organs are functioning better than they were before her surgery,
QUOTE=Wylie's Mom;4177252]Great news, Kathy!!!!
I was reading Lj's post - do you think you still have to do the BATs? I had no idea liver enzymes could be normal![/QUOTE]
I will discuss doing the BAT with the vet. I am more curious than anything... whether it's actually needed IDK, but I will find out.