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Originally Posted by yorkietalkjilly  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. |
What???? She is with the best...not to say that second opinions are not good; but why at this juncture would she need this??? I am quite stunned and baffled by this.