Really scared for Brodie high enzymes please help
 

Hello
My baby Brodie is 8 months old. He was crying in pain and hadn't peed the other day for an extended period of time so I brought him to the emergency room at 4am. The man there was mean to mean when I told him Brodie's belly felt bloated - he told me "yorkie's don't get bloat". I took Brodie out of his travel bag, he felt his belly and told me the dog was probably just constipated, he could run xrays but he recommended I just go home. I took Brodie home and proceeded to listen to him scream for 4 more hours before my normal vet opened. I brought Brodie in first thing and my vet felt his belly and said Brodie had an extremely bloated bladder. I explained to him what I had told the individual the night before and he said Brodie was lethargic because the urine was poisoning him. He took Brodie's temperature and it was low as well. He found it odd that a dog so young would have a blockage but said they had seen it before in a dog four months old. He took Brodie, sedated him, cath-ed him and drained the urine. The urine was extremely bloody and Brodie did have a blockage. The vet xrayed to look for stones but didn't find any in the xray so sent the urine in to be analyzed for crystals. He also sent in blood to be tested. Brodie was put on an IV, pain medicine and an antibiotic.

This morning Brodie's tests results came back - his liver and kidney enzymes were elevated (they weren't sure if it was due to being blocked up though so are rerunning the blood work), the urine analysis came back and there wasn't a very high concentration of crystals so they are concerned that it could be because of a liver or kidney issue. They informed me Brodie has been really chowing down this morning and seemed very pleased to be getting food, but they are keeping him on an IV all day today and probably overnight as well. Today they are running an ultrasound to check for stones that couldn't be seen with the xray and to exam the liver. My vet said it is unlikely that he has a liver shunt as he has none of the other symptoms - drooling, head pushing, slowness.

Has anyone else had these issues? What could be going on with my poor baby? I really want him better and to be able to take him home it is so horrible having an empty house and to know he is in a cage alone thinking I left him. :(

Oh no! Sending hugs and prayers that this is just an isolated incident and that Brodie comes home very soon!!!! Oh, and I want to do this (insert bonking the night attendant at the emergency clinic on the head smiley) to <--- "that" guy!

bumping!:D

When you get his Blood result please post them on this Thread. We have lots of people on YT who may be able to steer you in the right direction.

Sending warm thoughts and prayer's for Brodie to be well again.
Don't hesitate to inform that ER that one of their vet's made
a misdiagnosis and sent you home! Your beloved pet could have died from the backup
of urine. It is poison to the body. It would give me great pleasure to let them know.
It's very upsetting to read, so often, on YT that vet's are rude
and misdiagnos so often.
Glad your vet picked up the problem and is doing his best to make
Brodi well.

Very true! I have never delt with an emergency clinic (knock on wood), but I am beginning to think that those clinics get the vets that can't find a job at a real clinic as many times as I read on here how often the ER clinic messes up. And, I am a huge advocate for vets in general.

I have to wait until tomorrow for a tech to read the ultrasound so poor Brodie is still at the vets tonight. I went and visited him, he had been sedated so was very groggy and unable to stand up. He was trying so hard and when I kissed him he was so happy and licked my face until he was too tired then just lay his head and one leg that didn't have an IV in it in my hand. I feel so bad for the poor little thing :( He still has yet to go on his own so had a cath sewed in. The urine that is coming out is pink in color, not running clear.
They told me his kidneys were inflamed and had a blockage which could be caused by two things - either an infection or liver issues. They said from the ultrasound they would be able to tell if he required surgery or not. I REALLY hope it was caused by an infection and he doesn't require surgery. I want my baby to come home! :(

this sounds like liver shunt to me :( get the pre and post bile acid test done asap - is he on a high protein diet? If so get him on 18% protein diet as sounds like he is not processing the proteins well. Join this group Liver_Shunt_And_MVD_Support@yahoogroups.com you will learn alot

they do not have to have all the symptoms of liver shunt to have a shunt. Some dogs have no symptoms so you need to check this out asap. Alot of vets are not real knowledgeable of liver shunt and it runs in 38% of yorkies so it is very common so you need to have the pre and post bile acid done to rule this out - if bile acids over 100 then very likley it could be a shunt

also unless the tech is real good it is VERY HARD to detect a shunt on ultrasound

My vet just called me to tell me Brodie is going to need surgery on Monday. He passed a small stone and he believes he has many more that are just undetectable. He says he would cut open his bladder and tract and remove the stones then sew him up again. He has a lot of experience with little dogs as I live in an area that has a lot of them. He also wants to run tests on the stones and such so said Monday would be the earliest. The tech still hasn't done a reading of the ultrasound, it was sent to a specialist as the first tech noted the kidney was inflamed and was concerned. I hope nothing is wrong with the kidneys :(
I unfortunately hadn't put pet insurance on my baby so this is becoming much more expensive than his mommy can afford :(

i think this is all tied to a liver shunt - if it is urate it could be tied to liver disease

Bladder Stones (Urinary Calculi) in Dogs

here is the info on stones

shunt info

Portal Caval Shunts (Liver Shunts) in Puppies

http://www.yorkietalk.com/forums/sic...creatitis.html

read this

are you near cornell university? as dr centers is great at this and dr tobias at university of tennessee is the surgeon and dr centers is an internal medicine specialist

I asked SEVERAL times about the liver and kidneys of my baby. My vet ran blood tests on him 3 times. The first time they both had elevated enzyme levels (immediately after I had brought him in with the inflamed bladder and kidneys), the 2nd and 3d times they were perfectly normal. He tested before and after food intake to see if there were any fluctuations. He wouldn't move forward with surgery unless he got good blood test results both times he told me. He explained if the results pointed to any complications with liver or kidney (which he had originally feared was the issue), he would not touch my baby but would give me the name of a specialist. He has assured me Brodie has a genetic predisposition to kidney stones and while we were going to have to surgically remove them this time due to their size he was sure that they could be controlled with a strict diet.
The specialist that looked at the ultrasound agreed that the kidney was enlarged due to the blockage being there so long before I had gotten Brodie to the vet. He is a tough little puppy so I guess he didn't "complain" of his issue until it was completely unbearable for him.

Does it sound like my vet has done everything right? I very much trust the vets I send him too and the specialist. My vet had a pacemaker and battery pack put in her dog by the specialist and she personally recommends him. They seem to be very thorough and careful. They showed me all of the equipment and room that they would be performing the surgery in. They have also explained each and every test to me and showed me each result. I have even seen 2 of the LARGE kidney stones the poor little dear has passed.

I really hope everything goes okay for him tomorrow! PLEASE let me know if there is anything else I should do?!

what type of stones? urate or struvite? also did he do pre and post bile acid tests - the test goes as follows 12 hr fast pull blood eat and 2hrs on dot not one minute later blood pulled so was this done? If so what were the numbers and were they sent to a lab as inhouse is not sufficient. If you look at the blood work from previous was the ALT ever high? Diet plays alot in stones and depending on the type of stone you will know more what you are dealing with. Does your dog drink alot of water?