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I ask because ultrasounds are only about 60-80% accurate and an experienced person needs to do them. Unless bladder stones are a concern, it could be a waste of money. Usually Protein C tests and scintographies are recommended. Liver biopsies are very invasive and may not be necessary. If your pup was getting spayed, it might be okay to biopsy because they are already in there. Some specialists wouldn't agree with opening her up just to diagnose MVD. My Yorkie had a liver biopsy during her spay. She had an ultrasound that diagnosed pancreatitis but not liver problems. Her post bile acids went up to 106. We still have no answers but no real symptoms either. So, please make sure that you don't let any vet push you into something without making sure it is necessary. A specialist would probably be a good choice. |
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Prayers for your baby!! I think if the BAT comes back high again, I would ask for a Protein C test or biopsy only if she is already going in for something else like a spay. |
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She was spayed quite awhile back. I won't let her vet here open her up....i'd talk to the vet who did her BAT and let him recommend a specialist. What's a protein C test? I'm so new to all of this....so bare with me! |
Hopefully someone knows exactly what a Protein C test is because I do not.:) I've read about them and know numbers in one range mean normal or MVD and numbers in another could mean liver shunt. It is a blood test sent to Cornell. That is about all I know right now. |
How is your yorkie doing? Is she on medicine for her pancreatitis/ high liver enzymes? |
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She is on Denosyl for her mystery liver problem. Just low-moderate fat food for her pancreatitis. It isn't recurring. |
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(My best friend is a bio/chem grad student...and emailed me this...) |
Her bloodwork on her pancreas came back excellent. So, we're kinda back to square one. My vet wants her back on metro for a week, in case she has a bad infection that just didn't go away with the other dose that she took. She's also staying on the anti-vomiting 3x a day for the next week instead of reducing it like I was originally told. The vet is going to re-test her liver enzymes in a week, and if they still aren't down then they are going to do an ultrasound. :rolleyes: |
Metro is so harmful to some. Mine had a toxic reaction to it and had seizures. We had him in neurology at Red Bank Animal Hospital in Tinton Falls, NJ, for 10 days in intensive care. His local vet diagnosed him as having epilepsy and had him on phenobarb. It was the metro. He had every test done there. Cats are more prone to a toxic reation to it then dogs. He was on low doze for colitis. I thought we'd lose him. I ask to be referred to this diagnostic animal hospital after reading about it on here. I will prayer for your Yorkie. Jessica |
My Tadders did the same thing, after many many tests, meds etc. Went thru the whole thinkits his kidneys, liver then decided it as Pancreatitis. His bloodwork came back good on his pancreas also but that is still what it was. Put him on lowfat dogfood only, no people food and he has made an amazing recovery. We had one slipup when he got a hold of a rawhide bone one night and chewed on it for just a few minutes before I caught him, but it was enough that he had another vomiting attack the next morning. The difference in him since he went on the lowfat has really changed him. |
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Boiled chicken should be fine, keep the little one well hydrated as well. Good luck! |
It seems that Mayme is only having troubles in the middle of the night now. She woke up at 12:30am and kinda coughed a little. I guess that's what you'd call it, because she didn't quite dry heave, but it was enough to make her hop out of my bed and act like she was going to spit something up. She was a little restless after that...and then woke back up at 4:30am with a tiny cough-like thing. During the day, she acts completely normal...is still full of energy, and eats just fine. I thought if she coughs again tonight, that I'll call the vet tomorrow to go ahead and schedule a specialist to come in and do an ultrasound. Granted, she isn't vomitting, but I am still concerned. Any thoughts on the cough? Is this just her body's way of healing itself of the bug she might have had? No idea here.... |
I just called the vet to find out her bile acid results bc it's just been killing me to know how high they were. The nurse said it would take the vet awhile to get back to me but that the vet told her it was around 48. I'm guessing thats the Post number. How high is that? I read somewhere that less than 15-20 was the normal range? How high is the number in dogs with liver shunts? Thanks for all the help! |
Mayme went back to the vet for a full CBC and what my vet called a "snap" bile acid test. My receipt just says bile acids resting... The CBC came back fine, with still slightly elevated BAT results. (around 48 again). The vet said she could do an ultrasound, but thought that we should just use the rest of her meds and see how she does without any. I'm still going to keep Mayme on the Hills ID food. Is there anything else you all would do? Our her results anything to worry about since that seems to be the only thing wrong with her that they can find? I'm unsure as to what to do at this point since Mayme acts perfectly normal, just with elevated bile acids. |
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So, do I have this right? Had vomiting and diarrhea. Bile acid test was done as a precaution and came back high. What were the results? Now waiting and hoping they will come down. CBC normal. Was a urinalysis done? Did I get that right? I don't think SNAP bile acid testing is recommended. And if the bile acids are up at all with other symptoms that need diet or meds to control, I wouldn't just let it go personally. I prefer to give support to the liver if any problem is suspected. |
Okay, I see a U/A was done. What was questionable about her urine? |
I haven't had a chance to read all the posts (i'm at work). Just wanted to let you know my lil Romeo would throw up foamy, sometime yelliw liquids and it was usually in the morning. Overtime I realized it happened only when he didn't eat enough of his food. I'm not sure if this is true for you but just thougt I throw it out there... He's one of those puppies who would rather play than eat and I still have to hand feed him sometimes. I also make sure he eats sometime at night. He hasn't thrown up in months. So maybe make sure she eats enough since from your post it sounds like she's also throwing up on an empty stomach. Good luck to you and keep us updated. I hope this helps.... |
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Urinalysis was done and they found a little microscopic blood. The vet said she could have had an infection, since she was peeing quite often around the time I had that test run...but her peeing has returned to normal. Yes, CBC came back normal. The only number for her bile that I was given was 48. So, I'm guessing that was the post number. I had the regular bile acid test run by a second vet....and yesterday's "snap" test was with my normal vet who called and told me that they were still slightly elevated. |
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I was just thinking that you might want to read about the Colloidal Silver. I wrote a post on it here. It has No contraindications with other medications, It has worked miraculously for so many stomach ailments, attacking bacteria and virus. My son had colitis and after taking the Silver for one month he has not had another problem. So often the continued vomiting is like a vicious circle. they may vomit for a number of (non serious reasons), however, the vomiting itself causes sever stomach irritation, which then causes them to vomit more. I haven't been following this thread so I don't know if you already have any type of diagnosis,. I just thought I would tell you about the Silver. |
If the bile acids are still up on a liver friendly protocol, I would either proceed with testing or keep her on Denosyl and a low/moderate protein diet for life. More testing would be good but pricey and with those numbers it is most likely MVD if anything. It could still be a shunt or something altogether different though, so I can't just say not to keep testing. A dog with bile acids of 48 needs liver support if it isn't coming down all the way in my opinion. You could retest in a month if the vet is confident that she isn't in danger. |
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I'm compiling a list of questions for the vet....seems like I have so many. Mayme is my first small dog...and inside dog at that. Most people tell me I'm just not use to them and shouldn't worry so much. However, I can't help it... I am keeping her on the low protein food, but I definately want to ask about some supplements etc. I'll ask about the denosyl..... I've been researching MVD and LS. From what I've gathered - MVD is treated with the diet/medicine, and life expectancy is fairly normal? Since ultrasounds are too effective - should I ask for the stintography next? I plan on taking her back for another bile acid test next month to keep an eye on things... |
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Throwing up so much is not normal and seems like some type of a warning sign... So you have a muncher on your hands! How cute! Then watch if she's eating something else besides food. Just a suggestion... Good luck getting to the bottom of this, we'll keep you and Daisy in our prayers:) |
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She just threw up a little water...not sure what that means! The past two days I have started reducing her anti-vomit medicine from 3 x a day to 2x, but I don't think that was the cause. |
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