First of all welcome to YT. I am just so sad that it is under these conditions!
Your Perry sounds quite ill. I know that you live in England, and I am not sure if you have vet teaching hospitals easily available to you, but that is where I would advise a Canadian to go for diagnostic testing.
In a moment or two, I will do some searches on here, as we have many good informative threads on Liver Shunt.
First the results of your BATS tests, usually (but certainly not always) the after food number is a whole lot higher than 33 or 25. Now having said different labs may work with a different set of result(s) guidelines by small margin or two. Those results might be more indicative of an MVD. Microvalvular Dysplasia. That is still a liver condition.
Just so that you know ultrasound is often times not that accurate in determining an extrahepatic shunt, scintography is usually preferred. But you are already in the process of having one done. For interest and information sake, I would ask about the experience of the person doing the ultrasound.
Usually symptoms begin to show after eating as the liver has problems in de-toxifying the food etc. And usually they start fairly mildly, but if the condition is left un-treated the symptoms usually worsen over time.
Let me close now and see if I can find you some more informative threads on Liver Shunt.
Let us know how today goes.
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