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If you don't want to type the whole thing, you could start with ALT, AST and BUN. |
I just got home from dropping Sunnie off at the vets for his teeth cleaning. I was able to talk to the vet a little about Rainbow and don't feel like I got any answers. But I did get a copy of her blood panel. Here it is in it's entirety COMPLETE BLOOD COUNT test result range Hemoglobin 15.5 12.1-20.3 Hematocrit 44.0 36-60 WBC 7.7 4.0-15.5 RBC 6.24 4.8-9.3 MCV 71 58-79 MCH 24.8 19-28 MCHC 35.2 30-38 platelet count 539 (HIGH) 170-400 Platelet Estimate increased (HIGH) Differential Absolute % range Neutrophils 4004 52 2060-10600 Bands 0 0 0-300 Lymphocytes 2618 34 690-4500 Monocytes 693 9 0-840 Eosinophils 385 5 0-1200 Basophils 0 0 0-150 CHEMISTRIES test result range Glucose 106 70-138 Urea Nitrogen 25 6-25 Creatinine 0.7 0.5-1.6 Total Protien 5.8 5.0-7.4 Albumin 3.2 2.7-4.4 Alkaline Phosphate 29 5-131 ALT (SPGT) 281 (HIGH) 12-118 Patassium 5.2 3.6-5.5 Globulin 2.6 1.6-3.6 Comments: Hemolysis 1+, the following results may be affected by this degree of helolysis -INCREASE- ALT may be increased by 15-20% AST may be increased by up to 10% LDH may be increased by up to 20% -DECREASED- Direct Bilirubin may be decreased by up to 80% That is the entire report I did ask the vet about taking her off of the EVO and she said that the protien is processed by the kidneys so it wouldn't make any difference. |
sorry for the first post (minus the results) I discovered if you hit the TAb KEY, IT POSTS YOUR MESSAGE TOO SOON |
Okay, that ALT is very high. Creatinine is also a bit low. I would make them do a bile acid test and I would make them do it now.;) Protein goes through the liver. It is eliminated by the kidneys. Although some vets say higher protein is okay, this is only the case if the dog isn't having any hepatic encephalopathy symptoms (head pressing, circling, seizures). Because all of that protein isn't needed, I wouldn't leave my dog on it with any liver issue. The ALT could be up for so many reasons, but if your vet even thought it could be a shunt or MVD, they should have went to the bile acid test. It is thought that the ALT won't go excessively high (and stay up) until the liver is 70% damaged from a shunt, so while you need to make sure the ALT goes back down, a bile acid test has to be done. I would not be happy with them for wanting to repeat a blood panel without a BAT when they are considering a shunt. That makes no sense. |
Definitely get a bile acid test. I'm pretty sure ALT levels can be off for many reasons. A bile acid test will better pinpoint if it is livershunt or not. I'm sorry you and Rainbow are going through this :( I hope it turns out to be nothing |
I just wanted to say I'm sorry you are going through this and I hope you get some answers soon! I will keep your little one in my prayers. |
I'm sorry. I hope everything turns out okay. I will say prayers for you and your baby. |
I hope Rainbow is ok. :( So sorry about all this. |
:( I could feel the panic through your post, I'm so sorry you're going through this. I hope you can get a definitive answer on Rainbow very soon. Hugs!! |
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I just realized that when I posted this, all of the spaces between the readings were removed making it hard to read what I wrote. I will ask them to schedule her for a BAT asap. I am still so shocked because she shows no symptoms at all. Never has been disoriented... Never sickly. and I have no idea what the platelet count which was high means.. That wasn't even mentioned at all. in fact, she acted like the ALT was "just a little elevated" in her words. This is such a small town and as much as I like my vet.... she really is nice and she really seems to love my babies.. she is also young and I just don't think she has much experience here. I don't want that lack of experience to cause more harm to my baby. |
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I wish I could be more confident about it. But from what research I have done, the ALT reading in itself shows some damage to the liver or heart. Here is just one quote I found ......SGPT is Serum glutamic pyruvic transaminase. It is an enzyme that is released into the blood when there has been damage to something like the liver or heart So I am pretty sure it isn't going to be "nothing". I dont want to wait 4-6 weeks. How much worse will she get? I mean, I feel like if I am not doing something RIGHT NOW... she is getting worse, not better.I just feel so damn helpless |
Sonya, I do think it would be wise to get Rainbow off the food she is on. I have heard of too many problems that dogs develop when on that food. I will be praying for Rainbow. |
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If they come back normal than you could look for other liver problems and if they come back abnormal you could retest in a month or do other shunt/mvd testing. |
we to live in a small town luckly for me our vet delt with one other patient who had liver issues so he acted quick. we are both still learning about it because the other dog in town died soon after it was diagnosed. i know the owner of that other dog and she didnt do what she was told to do. any wat get the bile acid test done asap and really if i were you i would change food. and listen to ellie may lol. |
Just wanted to send prayer's and good wishes for you and Rainbow. The doctor should have been more explicent with you. No wonder your paniced. I am glad so many were able to offer you help so you can ask the questions you need answers too. God willing is't not as bad as it sounds. Hugs, |
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