This past wednesday my yorkie Mickey had trouble peeing. I took him to the vet and he was diagnosed with bladder stones. He required emergency surgery because his urethra was blocked. He was neutered in the process and they made a new hole for him to pee out of. I went to visit the vet today in regards to his blood test and bile acid test.
The urinary bladder presented a 2.5 cm accumulation of sand. Small bladder calculi also appeared to be embedded in the prostate.
The liver was mildly subnormal in size and coarse in architecture. Bile acid profile is recommended especially if the calculi are ammonium buirates. (which they were) There was no evidence of shunt noted. However, if severe bile acid elevation is present the further imaging of the portal vein, vena cava and intracostal approaches would be recommended.
Bile acid test results
Pre meal bile acids = 109.1 (High) Reference range = < 10.0
Post meal bile acids = 102.8 (High) Reference range = < 20.0
AST (SGOT) = 225 (High) Reference range = 15-66
ALT (SGPT) = 452 (High) Reference range = 12-118
Also has low T4 result indicating hypothyroidism.
What am I dealing with here? This is the first dog I ever had and I'm just concerned with what I'm likely to be facing. He's never exhibited the symptoms of a liver shunt. He just turned 4 years old.
Picture of him
http://fbcdn-sphotos-h-a.akamaihd.ne...15981302_n.jpg
Many thanks. I look forward to reading all the replies I get.