YorkieTalk.com Forums - Yorkshire Terrier Community


Welcome to the YorkieTalk.com Forums Community - the community for Yorkshire Terriers.

You are currently viewing our boards as a guest which gives you limited access to view most discussions and access our other features. By joining our free community you will have access to post topics, communicate privately with other members (PM), respond to polls, upload content and access many other special features. You will be able to chat with over 35,000 YorkieTalk members, read over 2,000,000 posted discussions, and view more than 15,000 Yorkie photos in the YorkieTalk Photo Gallery after you register. We would love to have you as a member!

Registration is fast, simple and absolutely free so please, join our community today!

If you have any problems with the registration process or your account login, please click here to contact us.

Go Back   YorkieTalk.com Forums - Yorkshire Terrier Community > YorkieTalk > Sick & Injured / Emergencies Talk
Register Blogs FAQ Calendar JavaChat Mark Forums Read

Reply
 
LinkBack Thread Tools
Old 11-15-2009, 09:03 AM   #1
YorkieTalk Newbie!
 
Lexie Loo's Avatar
 
Join Date: Jul 2009
Location: Southwest, Florida
Posts: 4
Animal Smiley 036 Bile Acid test 94.500 - Above Normal (Range 0 to 20)

Our 6 month old Morkie, Lexie was scheduled to be spay on October 15th and routine blood work showed her blood count was high: ALT=136 (Range 8 to 75), so the spay was postponed 2 weeks. They sent us home with Metronidazole 250mg, Amoxicillin Drops and Hivite Drops 30ml with plans to follow up in weeks.

We returned 2 weeks later to recheck and if ok then perform the spay. A Bile Acid test came back: Preprandial 94.500 (normal is 0 to 20) and Postprandial 65.700 (range 15 to 25). We were sent home with Adenosyl 100mg and suggested to get an ultra sound done (they don't do them there). Doctor says she is demostrating signs of hepatic disease (suspect hepatic microvascualr dysplasia).

Returned 2 weeks later for follow up however, Lexie was having diareha for several days (waking three times in the middle of the night to go out). Took her in and a Giardia test came back fine as well as the intestinal parasite exam. Sent us home with Amoxicillin 100mg, Ampicillin Trihydrate and Panacur 100mg. Our vet (Banfield @ Pet Smart) wants us to get an ultra sound (they don't do there) so currently in search of finding one. Having problems financially so searching for the least costly one which so far is $450.

My poor little one. I have never ever ever ever loved a dog as much as I do Lexie. {SIGH} On a good note, or I think, she has sooooooooo much energy and eats perfectly.

Thanks for listening (reading) and I look forward to reading others posts.
Lexie Loo is offline   Reply With Quote
Welcome Guest!
Not Registered?

Join today and remove this ad!

Old 11-15-2009, 09:34 AM   #2
TLC
Slave to My Rug-Rats
Donating Member
 
TLC's Avatar
 
Join Date: Jun 2005
Location: Long Island
Posts: 7,247
Default

Could be MVD or could be a shunt. Ultra sounds are only about 60% accurate and the person doing it has to be very skilled at reading a U/S.
Also, a U/S will NOT show MVD, rather a Liver Biopsy done during spay can be taken and tested for MVD. A shunt can be seen on a U/S or it can not, as it is only about 60% accurate in seeing a shunt.

Since you are in FL, I would consider looking into the U of Tenn, as they are the BEST in shunt/MVD care.

Also, if it is MVD, it can only be maintained thru diet and supplements.

I am not a fan of Banfield and I would suggest looking for a different Vet, only that has experience with Small Breeds and Liver Shunts/MVD.
__________________
Adopt Donate Foster
www.yorkie911rescue.com
TLC is offline   Reply With Quote
Old 11-15-2009, 09:35 AM   #3
TLC
Slave to My Rug-Rats
Donating Member
 
TLC's Avatar
 
Join Date: Jun 2005
Location: Long Island
Posts: 7,247
Default

What food and treats are you feeding her?
__________________
Adopt Donate Foster
www.yorkie911rescue.com
TLC is offline   Reply With Quote
Old 11-15-2009, 09:45 AM   #4
Donating YT 2000 Club Member
 
Ladymom's Avatar
 
Join Date: Sep 2007
Location: North Carolina
Posts: 8,317
Default

As TLC said, ultrasounds aren't very reliable. The next step would be a Protein C test. Many vets have never heard of it so here a link. It has to be submitted to Cornell.

Comparative Coagulation -- NYS Animal Health Diagnostic Center

TLC is right. University of Tennessee is the place to go if you are in the Southeast.

Portosystemic Shunts FAQ
Ladymom is offline   Reply With Quote
Old 11-15-2009, 10:12 AM   #5
YorkieTalk Newbie!
 
Lexie Loo's Avatar
 
Join Date: Jul 2009
Location: Southwest, Florida
Posts: 4
Default

Thanks Ladymom and TLC.

Someone had also suggested that an ultra-sound would not produce 100% results and that I should request a Doppler-Sound??? I too am not thrilled with Banfield Vet, but we are committed to a one year puppy care package with them. It expires next July (UGH) and will make a switch then.

As far as food...... we feed Lexie Eukanuba Puppy Small Bites. Rare we give her any snacks but 2 months ago we would give her a raw baby carrot to chomp on. I am so anal about upsetting her stomach and creating loose bowels that I haven't tried anything else but always opened to discussions. She is not a big eater, but the FortiFlora powder the vet gave me (to add goo bacteria to her body from the bout with loose bowls last week) she loves! It smells like beef and she devours her food when it is sprinkled on (cat tried to get it too). However, there is only one dose remaining.......
Lexie Loo is offline   Reply With Quote
Old 11-15-2009, 10:55 AM   #6
Donating YT 2000 Club Member
 
Ladymom's Avatar
 
Join Date: Sep 2007
Location: North Carolina
Posts: 8,317
Default

As far as imaging goes, scintigraphy is preferred over ultrasound for diagnosing shunts, but you don't have to jump into either right now. As I said, a Protein C test would your next step. Can you speak to the vets at Banfield and see if they can collect the sample to send to Cornell?

Here is a little more information for you on the differnet diagnostics:

Hepatic Vascular Disorders - WSAVA 2006 Congress

BTW, Dr. Sharon Center at Cornell and Dr. Karen Tobias at UT are considered the top experts on liver disease. Dr. Center is currently working on trying to find a genetic marker for shunts with a grant from the AKC.
Ladymom is offline   Reply With Quote
Old 11-15-2009, 11:07 AM   #7
Senior Yorkie Talker
 
Join Date: Jul 2005
Location: Maryland
Posts: 83
Secret

Have you checked with the breeder? As far as Banfield is concerned, I have had nothing but bad experiences with them. If there was something out of the ordinary, I would have to take my furbabies to a different vet because they could not handle the problem. As soon as the contracts expired (even though they tried to automatically renew them) I would not renew and take them to another vet. For these tiny furbabies, they gave way too many shots. You should let the breeder know what is going on, as this may be a genetic problem.
__________________
Helen and her Yorkies
LuvMyYorkies is offline   Reply With Quote
Old 11-16-2009, 02:47 PM   #8
Donating YT Addict
 
3FurryFaces's Avatar
 
Join Date: Sep 2008
Location: Long Island NY, USA
Posts: 302
Default

Quote:
Originally Posted by Lexie Loo View Post
Our 6 month old Morkie, Lexie was scheduled to be spay on October 15th and routine blood work showed her blood count was high: ALT=136 (Range 8 to 75), so the spay was postponed 2 weeks. They sent us home with Metronidazole 250mg, Amoxicillin Drops and Hivite Drops 30ml with plans to follow up in weeks.

We returned 2 weeks later to recheck and if ok then perform the spay. A Bile Acid test came back: Preprandial 94.500 (normal is 0 to 20) and Postprandial 65.700 (range 15 to 25). We were sent home with Adenosyl 100mg and suggested to get an ultra sound done (they don't do them there). Doctor says she is demostrating signs of hepatic disease (suspect hepatic microvascualr dysplasia).

Returned 2 weeks later for follow up however, Lexie was having diareha for several days (waking three times in the middle of the night to go out). Took her in and a Giardia test came back fine as well as the intestinal parasite exam. Sent us home with Amoxicillin 100mg, Ampicillin Trihydrate and Panacur 100mg. Our vet (Banfield @ Pet Smart) wants us to get an ultra sound (they don't do there) so currently in search of finding one. Having problems financially so searching for the least costly one which so far is $450.

My poor little one. I have never ever ever ever loved a dog as much as I do Lexie. {SIGH} On a good note, or I think, she has sooooooooo much energy and eats perfectly.

Thanks for listening (reading) and I look forward to reading others posts.
I agree with posts recommending Dr Tobias or Dr Center or a Doctor in your area that specializes. I am curious as to why the POST prandial is lower than the PRE, usually it is the other way around... Sometimes only an radiologic exam with flouroscopy (the dye) can tell if it is a shunt, or a particularly small shunt, or in a less obvious location. I would also be wary of drugs being given that they don't know why to give them. Some drugs have hepato toxicity (they can cause liver damage over time or in hi doses). These guys are small.
I am looking for a link to vet specialists by state...
Maybe someone else here has it handy...
__________________
Pam, CoCoa, Billy, Tuesday, Saucy, Snowflake, Sivi
*More Furry Faces* wwwYTCGNY.org
3FurryFaces is offline   Reply With Quote
Reply

Bookmarks

Tags
dyplasia, liver, microvascular, morkie, shunt



Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off




Google
 

SHOP NOW: Amazon :: eBay :: Buy.com :: Newegg :: PetStore :: Petco :: PetSmart


All times are GMT -8. The time now is 04:54 AM.


Powered by vBulletin® Version 3.8.9
Copyright ©2000 - 2024, vBulletin Solutions, Inc.
Copyright ©2003 - 2018 YorkieTalk.com
Privacy Policy - Terms of Use

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 729 730 731 732 733 734 735 736 737 738 739 740 741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 759 760 761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864 865 866 867 868 869 870 871 872 873 874 875 876 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894 895 896 897 898 899 900 901 902 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917 918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 933 934 935 936 937 938 939 940 941 942 943 944 945 946 947 948 949 950 951 952 953 954 955 956 957 958 959 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976 977 978 979 980 981 982 983 984 985 986 987 988 989 990 991 992 993 994 995 996 997 998 999 1000 1001 1002 1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014 1015 1016 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 1027 1028 1029 1030 1031 1032 1033 1034 1035 1036 1037 1038 1039 1040 1041 1042 1043 1044 1045 1046 1047 1048 1049 1050 1051 1052 1053 1054 1055 1056 1057 1058 1059 1060 1061 1062 1063 1064 1065 1066 1067 1068 1069 1070 1071 1072 1073 1074 1075 1076 1077 1078 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088 1089 1090 1091 1092 1093 1094 1095 1096 1097 1098 1099 1100 1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135 1136 1137 1138 1139 1140 1141 1142 1143 1144 1145 1146 1147 1148 1149 1150 1151 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167