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 liver shunt  (again sorry!!) hi Just a couple of questions if you dont mind, i have tried searching but have not come across the answers to my question.. my Dog Ozzy an english bullterrier has just been diagnosed with a liver shunt he is two years old, i have been advised to feed him royal canin hepatic by the vet which is what i am now doing, previous to this i was feed him a natural diet of raw meat and vegetable.. for a long time now he has drank excessivley and urinated a lot..he often has a vacant look and is often shaking, very tired , eats dog poo???,and is very agressive to some dogs How many times a day should i be feeding him is small but often best, or does it not matter? also for the last 9 month he has has sores on both tips of his ears, they will not heal up, they scab over with a black bloody colour scab, the scab falls off and it then bleeds again, we have tried various creams from the vet but nothing helps, could the liver shunt be causing this? the vet has told me that they would not be able to operate on him as it would be a very risky operation because of his size ? will this cut his life short?:(:( Juliex | 
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 4-6 small meals a day is best. If there is any problem with stones, he may need water added to his kibble (equal parts water to kibble). I have no idea what the ear problem might be, but liver shunt can weaken their immune system. How much does he weigh? What tests have been done? Have you seen an internist? Is he on SAMe, milk thistle and lactulose? | 
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 You really need to get a couple more opinions.  His immune system is greatly compromised and is why he isn't healing properly.  Surgery now would be very dangerous.  You really need to put him back on real food and give him good vitamins.  I don't know how much your dog weighs, but dogs as small as 2 pounds have had liver shunt surgery and done just fine.  Call this office and let them direct you to the best surgeon in your area. MSPCA-Angell: Surgery Homepage | 
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 Hi Ozzy weighs 30kg i took him to the vets originally for a upc test as i was worried he had kidney disease this came back fine, his urine was very couloured and smelly(he has always excessivly urinated and drank water) I then took him back to the vets as i was still concerned about him as i knew he was just 'not right' i asked for blood test to be done, they came back as a high bile acid, high potassium , and one slightly dehydrated kidney..we then had further test for Addisons Disease which came back ok, next was a bile acid test which was high. i am so worried about him at the moment a good while back he was such a strapping lad, now he has no life in him, if he does have the odd play with Mavis my other bullie he is tired out for the rest of the day The vet has told me to feed him this food and to touch base with her in a few weeks to see how he is getting on, his vaccines are due the end of this month do we give him them or not , totally confused to be honest by the whole thing juliex I am in the uk | 
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 If you want him to be as normal as possible, he is going to need to be pu on SAMe (Denosyl or Denestra) and a couple other things immediately. | 
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 OMG, NO, NO, NO vaccines. Hon, you really do need to change your Vet. before she kills your dog. I'm so very sorry to be so blunt, but you really do need to find a specialist and I pray you call the number I gave you. You really need to act ASAP and get him into the right Dr. right away, and not be on YT trying to get such critical information. Please, call that number and find the right surgeon now! | 
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 Thanks again juliex | 
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 Thanks again Juliex | 
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 Please join this yahoo group: DogLiverDisease : Dog Liver Disease The members there are very helpful and there are a number of different breeds there as well that also have liver shunts. The RC kibble is the correct food. You can also use Hill l/d (wet) food, which has more moisture content. You may need to add some water the RC kibble if he is having urine issues. Did they check for stones or crystals in his urine? What was his Bile Acid results? | 
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 juliex | 
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 Hi  have not had much time to get back on here as i am back at work..Paddy my husband had to take him back to the vets this morning as he had taken a turn for the worst and was falling over....the vet has now given us a lactulose solution to help him get rid of the toxins that are in his gut... i have also joined the yahoo group and they have been so helpfull in this short time, from Ozzy's bile test results they have said that it looks like he has multiple internal shunts and are more than likely unoperable...the group is brilliant and have helped me a lot in the short Hours i have been a member about food etc Thanks juliex | 
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 I agree! I joined the group very recently and I have learned a lot as well. :) I saw that you had posted there before I saw your post on YT. I hope your boy can over come this and you are able to find right doctors for him. | 
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 Thankyou so much for directing me towards this group..i have been really upset tonight because of Ozzy and his problems and they have helped me so much..he is now fast asleep on my knee after eating a little pasta with his lactulose mixed in....fingers crossed it stays down juliex | 
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 I'm sending you lots of Hugs and Prayers.. | 
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