Quote:
Originally Posted by katy-yorkie  Maggie doesn't really have any vomiting. I never see any but every now and then I smell it on her breath when I get home from work and she's kissing me. But I don't find any vomit in the house. She's a good eater, never been a picky eater. I think she will adapt to the new food as she rarely turns up her nose at food. This is why the bile acid being high caught me offguard. She loves to eat grass and dirt and I hear thats a sign of an upset stomach.
If the bile acid is high when she goes for recheck I'm sure he will suggest biopsy, really though she's the picture of health. The only reason I had her tested was because the behaviorist suggested it. He did recommend that I watch her for the next month for any signs of change. |
Except for the high Bile Acids and smell of vomit on her breath, she sounds like she's doing well but those two are biggies. Tibbe would likely have cleaned his vomit himself if I hadn't stopped him as dogs routinely eat their own vomit soon afterward in the hopes they can hide their illness from predators and for the food value in it. But I used to hear him wretching when he was symptomatic and then he would spit up bile and that no one can miss. Afterward, he was anorexic for a whole day, just refusing all food. These bouts of nausea, spitting up and refusal of food and usually water would then go away, he act and eat normally for two or thee days or more and then another bad bout of nausea/vomiting/anorexia and lethargy. He'd just lie about.
If the repeat bile acids aren't wildly high or she isn't very symptomatic, what is the purpose of putting her through a surgical procedure to get a liver biopsy when nothing about her treatment likely will be changed? Ask your vet what difference it will make in how he treats her if he has a positive liver biopsy result and if he says no difference will be made, then what's the purpose? But maybe he's not sold on the MVD diagnosis and wants to try to nail a specific diagnosis down and if a liver biopsy shows no MVD and she's still having symptoms or further elevated Bile Acids, then he would go on looking with more testing. It is time for a second opinion.