vomiting again

[Ellie May]

Originally Posted by Hannah3183

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.

Since there are so many dogs on YT with liver issues, I get the pups mixed up sometimes.

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.

[Ellie May]

Okay, I see a U/A was done. What was questionable about her urine?

[Malia]

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....

[Hannah3183]

Originally Posted by Ellie May

Since there are so many dogs on YT with liver issues, I get the pups mixed up sometimes.

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.

She had vomiting, but no diarrhea. Since we've changed her food from Wellness to Hill I/D, she hasn't thrown up since. (Just a few episodes of dry heaving/cough but that stopped after two days) She's been completely symptom free for almost a week and a half now.

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.

[Hannah3183]

Originally Posted by Malia

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....

I don't think she had an empty stomach.I have quite the muncher on my hands! The night she threw up multiple times was the time it came back mucusy...but that was after I saw all of her food come back up before the bile/mucus vomits started. She vomited about 2.5 hrs after she ate for a few days straight.....one day it happened in the morning...the next day at night. So, that's what made me wonder if she couldn't handle her food or there was something wrong with it.

[leipshen]

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.

[Ellie May]

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.

[Hannah3183]

Originally Posted by Ellie May

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.

Thank you for the suggestions!
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...

[Ellie May]

Originally Posted by Hannah3183

Thank you for the suggestions!
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...

Ultrasounds are often inconclusive and could be a waste of money to diagnose LS but because liver shunt can cause bladder problems/stones, ultrasound is sometimes a good way to go to look for stones that aren't visable on xray. Scintography is more expensive but better for a diagnosis. If the bile acids don't go up anymore, you could maybe do a Protein C test and decide where to go from there. Science Diet I/D is not a liver friendly food. The protein may be low but it contains pork liver and some people even question giving turkey to LS patients. Since the GI upset isn't happening so much now though, you may need to stay with it but I would consider going to something else.

[Malia]

Originally Posted by Hannah3183

Thank you for the suggestions!
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...

Please keep us updated, you have us worried about lil Daisy!!
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

[Hannah3183]

Originally Posted by Malia

Please keep us updated, you have us worried about lil Daisy!!
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

I am constantly pulling things out of her mouth! She wants to go outside just to see what she can get ahold of! I've been super watchful of her, so I know she hasn't gotten anything lately. I also took her treats away from her(in case they were upsetting her tummy) and her rawhide bones. Poor girl! She's about to die for something to chew on!

[Hannah3183]

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.