I need help! - Page 11 - YorkieTalk.com Forums

dwerten · 01-30-2010, 06:30 PM

Quote:

Originally Posted by mly

I also wanted to post these pictures I just took. Its been hard for me to hold Bella because she's off to one side and most of the time she'll be looking up like in the pictures. Is this another symptom of L.S?

http://img.photobucket.com/albums/v7...s/IMG_0442.jpg

http://img.photobucket.com/albums/v7...s/IMG_0443.jpg

http://img.photobucket.com/albums/v7...s/IMG_0444.jpg

this one is tough i keep thinking neurological

and that vestibular really looks more the issue than liver shunt as i have seen alot of videos on liver shunt and have never seen this

the good thing is she is acting normal other than head tilt and balance issue- I am going to post this rabbit video with vestibular -- i really think you need to have a neurologist see her asap

but first i need to see those bile acids

dwerten · 01-30-2010, 06:37 PM

here is a schnauzer with vestibular and i know the vet said no but i keep going back to this as it looks like your dog

more than the liver shunt videos and she is not affected by eating. My guess is she has mild liver disease like mvd and her bile acids were slightly high but we will see as my vet said my dd had liver shunt and to have scintigraphy etc and everything and her bile acids were below 100 with no symptoms so sometimes they are trying to find answers so badly the throw it out there and keep running tests to figure it out. If those biles are not over 100 this is not liver related it is neurological - also i think someone posted that 2 days on lactulose if it is liver shunt related the symptoms should subside. Have you seen any of it subside at all since giving the lactulose?

YouTube - My sick Sammy the schnauzer - recovery!

dwerten · 01-30-2010, 06:43 PM

i keep going back and looking at those videos over and over ok if this was my dog and those bats are not over 100 i would skip the whole liver shunt and i would go straight to neurologist and have them review everything. If bats are over 100 then I would call dr centers and discuss this case.

darn i wish we had those bats

that is really going to determine which way you go with this

mly · 01-30-2010, 07:21 PM

My husband and I both agree that Bella's just like Sammy in the video. I've read that liver shunt behavior is associated with food and Bella is fine before and after eating (no addition symptoms).

She's been the same today and I started her meds yesterday at 4pm when I got them from the vet. I would say she's a tiny bit more active. She actually picked up her squeaky toy today but other than that, she's the same as other days. Where did you say Dr. centers was located?

dwerten · 01-30-2010, 07:35 PM

Quote:

Originally Posted by mly

My husband and I both agree that Bella's just like Sammy in the video. I've read that liver shunt behavior is associated with food and Bella is fine before and after eating (no addition symptoms).

She's been the same today and I started her meds yesterday at 4pm when I got them from the vet. I would say she's a tiny bit more active. She actually picked up her squeaky toy today but other than that, she's the same as other days. Where did you say Dr. centers was located?

she is at cornell university but you can fax her info and do a phone consult

Cornell University Hospital for Animals

Ithaca, New York - Cornell University
Dr. Susan Center
Phone: 607-255-2000

dwerten · 01-30-2010, 07:37 PM

Quote:

Originally Posted by mly

My husband and I both agree that Bella's just like Sammy in the video. I've read that liver shunt behavior is associated with food and Bella is fine before and after eating (no addition symptoms).

She's been the same today and I started her meds yesterday at 4pm when I got them from the vet. I would say she's a tiny bit more active. She actually picked up her squeaky toy today but other than that, she's the same as other days. Where did you say Dr. centers was located?

yeah she may have mvd as well and why bile acids were elevated as that runs pretty heavily in the breed and my dd has it and not a big deal just low protein diet. I am just real curious as to those bats. My friends dog had liver shunt surgery and his bats were 501 so way over 100 and he had no symptoms pretty wild and alt was not high either - he is a 7 year survivor of liver shunt surgery and doing awesome

dwerten · 01-30-2010, 07:45 PM

here are the internal medicine specialists and neurologists in your area you can search this site

ACVIM

dwerten · 01-30-2010, 07:46 PM

Name Univ/Hospital Specialty City State
Dr. Wayne Lester Berry Southern California Vet. Specialty Hosp. Neurology Irvine CA
Dr. Melanie Campbell Animal Care Center Sonoma Cnty. Neurology Rohnert Park CA
Dr. Stephen M. Hanson Veterinary Neurology Center Neurology Tustin CA
Dr. Lisa S. Klopp The Sams Clinic Neurology Mill Valley CA
Dr. Marguerite F. Knipe University of California, Davis Neurology Davis CA
Dr. James A. Lavely Animal Care Center of Sonoma County Neurology Rohnert Park CA
Dr. Robin E. Levitski-Osgood Veterinary Specialty Hosp. of San Diego Neurology San Diego CA
Dr. David Lipsitz Veterinary Specialty Hospital Neurology San Diego CA
Dr. Michelle Murray Veterinary Neurology Center Neurology Tustin CA
Dr. Veronique Sammut Neurology Woodland Hills CA
Dr. Tammy L. Stevenson Veterinary Surgical Specialists Neurology San Diego CA
Dr. Beverly K. Sturges University of California, Davis Neurology Davis CA
Dr. Stacey A. Sullivan Animal Specialty Group Neurology Los Angeles CA
Dr. Karen M. Vernau University of California, Davis Neurology Davis CA
Dr. Diccon Westworth University of California, Davis Neurology Davis CA

<< First | < Previous Next > | Last >>

dwerten · 01-30-2010, 07:51 PM

there are 5 pages of internal medicine in california so cannot post but only one page of neurology - what i found interesting is dr centers is not on the list in new york

I thought she was a board certified internal medicine specialist ??? I know she knows alot on this and is running a study on it as well as dr tobias who is the surgeon for liver shunt i would go to

mly · 01-31-2010, 08:54 AM

So Bella's been having really runny poo and had an accident in the house since she's been on lactulose and clavamox. I was suppose to be giving her 3 cc of the lactulose, do you think 2 cc is too much of a decrease or should I go with 2.5cc? (vet is closed)

dwerten · 01-31-2010, 10:03 AM

Quote:

Originally Posted by mly

So Bella's been having really runny poo and had an accident in the house since she's been on lactulose and clavamox. I was suppose to be giving her 3 cc of the lactulose, do you think 2 cc is too much of a decrease or should I go with 2.5cc? (vet is closed)

can you call er to ask them sorry i have never given lactulose maybe tlc can help - the runny poo can be from either as antibiotics can cause diarrhea so make sure to give 1/2 food antibiotic then other 1/2 food that is how i give antibiotics so it is mixed in real good with food. The lactulose not sure how to do that one

maybe ask on yahoogroup as well they will know

TLC · 01-31-2010, 10:18 AM

Quote:

Originally Posted by mly

So Bella's been having really runny poo and had an accident in the house since she's been on lactulose and clavamox. I was suppose to be giving her 3 cc of the lactulose, do you think 2 cc is too much of a decrease or should I go with 2.5cc? (vet is closed)

Runny poop, I would say cut back on Lactulose.

I belong to a Dog Liver Disease on Yahoo Group (different than the other one posted).

Please join. Olga is the owner of the group and she has done soooooooo much research and has really good advice and experience, she follows Dr. Center. She also runs a Small Breed Resuce, and she really gets her fair share of Yorkies with LS and MVD and also other diseases, so I KNOW she can help and advise you.

DogLiverDisease : Dog Liver Disease

Also, show them the videos, as Olga could really say if she thinks that is HE symptoms or not...

And she could very well have MVD too, that would be why high BATs, but we'll have to see what those #s are...

dwerten · 01-31-2010, 10:20 AM

Quote:

Originally Posted by TLC

Runny poop, I would say cut back on Lactulose.

I belong to a Dog Liver Disease on Yahoo Group (different than the other one posted).

Please join. Olga is the owner of the group and she has done soooooooo much research and has really good advice and experience, she follows Dr. Center. She also runs a Small Breed Resuce, and she really gets her fair share of Yorkies with LS and MVD and also other diseases, so I KNOW she can help and advise you.

DogLiverDisease : Dog Liver Disease

Also, show them the videos, as Olga could really say if she thinks that is HE symptoms or not...

And she could very well have MVD too, that would be why high BATs, but we'll have to see what those #s are...

agree i like olga too she does a ton of research and my friend rescued an LS surgery survivor from her so join that group too the more info the better

mly · 01-31-2010, 10:37 AM

Thank you, I just joined the group.

mly · 02-01-2010, 06:22 PM

Finally, I got a copy of Bella's records from the vet.

If I'm reading this correctly it says:

bile acids results: 15.5
reference range: 0.0-6.9 umol/L
flag: H

bile acids post pranidial results: 42.9
reference range: 0.0-14.9 umol/L
flag: H

(I have no idea what this all means)

I'm also looking at her bloodwork she had done the day before that and noticed there were some highs/lows. They were:

Bun:28- high
B/C ratio: 35- high
MCV: 79-high
MCH: 26.1-high
neutrophil seg: 49-low
lymphocytes: 48-high
monocytes:2-low
eosinophil: 1-low
absolute eosinphil: 94-low

(I'm not sure if all these matters or not since when vet called, she said Bella's blood work came in normal)

I'll also have to go to two specialist since the one in Santa Rosa, CA does internal med and neuro but their MRI price is way expensive and the one place in Roseville, ca only does neuro.

I was thinking I'll go to the place in Santa Rosa for Bella's liver shunt and the one in Roseville for Bella's neuro tests.

With her BAT results, do you think she'll have to continue eating prescription food forever or can I just feed her low protein food?

If anyone can please explain her BAT results to me since the vet was with a client when I picked up her records.

Thanks!

01-30-2010, 06:43 PM	#153
dwerten BANNED! Join Date: May 2007 Location: USA Posts: 11,073	i keep going back and looking at those videos over and over ok if this was my dog and those bats are not over 100 i would skip the whole liver shunt and i would go straight to neurologist and have them review everything. If bats are over 100 then I would call dr centers and discuss this case. darn i wish we had those bats that is really going to determine which way you go with this

01-30-2010, 07:21 PM	#154
mly Senior Yorkie Talker Join Date: Nov 2008 Location: california Posts: 216	My husband and I both agree that Bella's just like Sammy in the video. I've read that liver shunt behavior is associated with food and Bella is fine before and after eating (no addition symptoms). She's been the same today and I started her meds yesterday at 4pm when I got them from the vet. I would say she's a tiny bit more active. She actually picked up her squeaky toy today but other than that, she's the same as other days. Where did you say Dr. centers was located?

01-30-2010, 07:45 PM	#157
dwerten BANNED! Join Date: May 2007 Location: USA Posts: 11,073	here are the internal medicine specialists and neurologists in your area you can search this site ACVIM

01-30-2010, 07:46 PM	#158
dwerten BANNED! Join Date: May 2007 Location: USA Posts: 11,073	Name Univ/Hospital Specialty City State Dr. Wayne Lester Berry Southern California Vet. Specialty Hosp. Neurology Irvine CA Dr. Melanie Campbell Animal Care Center Sonoma Cnty. Neurology Rohnert Park CA Dr. Stephen M. Hanson Veterinary Neurology Center Neurology Tustin CA Dr. Lisa S. Klopp The Sams Clinic Neurology Mill Valley CA Dr. Marguerite F. Knipe University of California, Davis Neurology Davis CA Dr. James A. Lavely Animal Care Center of Sonoma County Neurology Rohnert Park CA Dr. Robin E. Levitski-Osgood Veterinary Specialty Hosp. of San Diego Neurology San Diego CA Dr. David Lipsitz Veterinary Specialty Hospital Neurology San Diego CA Dr. Michelle Murray Veterinary Neurology Center Neurology Tustin CA Dr. Veronique Sammut Neurology Woodland Hills CA Dr. Tammy L. Stevenson Veterinary Surgical Specialists Neurology San Diego CA Dr. Beverly K. Sturges University of California, Davis Neurology Davis CA Dr. Stacey A. Sullivan Animal Specialty Group Neurology Los Angeles CA Dr. Karen M. Vernau University of California, Davis Neurology Davis CA Dr. Diccon Westworth University of California, Davis Neurology Davis CA << First \| < Previous Next > \| Last >>

01-30-2010, 07:51 PM	#159
dwerten BANNED! Join Date: May 2007 Location: USA Posts: 11,073	there are 5 pages of internal medicine in california so cannot post but only one page of neurology - what i found interesting is dr centers is not on the list in new york I thought she was a board certified internal medicine specialist ??? I know she knows alot on this and is running a study on it as well as dr tobias who is the surgeon for liver shunt i would go to

01-31-2010, 08:54 AM	#160
mly Senior Yorkie Talker Join Date: Nov 2008 Location: california Posts: 216	So Bella's been having really runny poo and had an accident in the house since she's been on lactulose and clavamox. I was suppose to be giving her 3 cc of the lactulose, do you think 2 cc is too much of a decrease or should I go with 2.5cc? (vet is closed)

01-31-2010, 10:37 AM	#164
mly Senior Yorkie Talker Join Date: Nov 2008 Location: california Posts: 216	Thank you, I just joined the group.

02-01-2010, 06:22 PM	#165
mly Senior Yorkie Talker Join Date: Nov 2008 Location: california Posts: 216	Finally, I got a copy of Bella's records from the vet. If I'm reading this correctly it says: bile acids results: 15.5 reference range: 0.0-6.9 umol/L flag: H bile acids post pranidial results: 42.9 reference range: 0.0-14.9 umol/L flag: H (I have no idea what this all means) I'm also looking at her bloodwork she had done the day before that and noticed there were some highs/lows. They were: Bun:28- high B/C ratio: 35- high MCV: 79-high MCH: 26.1-high neutrophil seg: 49-low lymphocytes: 48-high monocytes:2-low eosinophil: 1-low absolute eosinphil: 94-low (I'm not sure if all these matters or not since when vet called, she said Bella's blood work came in normal) I'll also have to go to two specialist since the one in Santa Rosa, CA does internal med and neuro but their MRI price is way expensive and the one place in Roseville, ca only does neuro. I was thinking I'll go to the place in Santa Rosa for Bella's liver shunt and the one in Roseville for Bella's neuro tests. With her BAT results, do you think she'll have to continue eating prescription food forever or can I just feed her low protein food? If anyone can please explain her BAT results to me since the vet was with a client when I picked up her records. Thanks!