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|05-16-2012, 07:32 AM||#1|
Join Date: May 2012
Location: Los Angeles
BAT & other results - what do you think?
I posted before that my 5yo little boy recently had a BAT (and other lab work) done. I just got a copy of results and I am not sure what to make of them. Any insight? We are currently awaiting his Protein C results.
Pre Meal Bile Acids: 9.4 (reference <10)
Post Meal Bile Acids: 97.2 (flagged as HIGH, reference <20)
Other CBC results flagged:
BUN/Creatine Ratio: 32 (ref. 4-27) *HIGH
Hemoglobin: 21 (ref. 12.1-20.3) *HIGH
Hematocrit: 70.2 (ref. 36-60) *HIGH
MCV: 81 (ref. 58-79) *HIGH
MCHC: 29.9 (ref. 30-38) *LOW
He has no symptoms at all, besides an increase in licking (he licks his lips a lot). The only reason we got him tested in the first place was because he started to have an occasional (maybe 1/2 weeks) bout of diarrhea (which has gone now) and our vet said many yorkies have liver problems so it was worth a check.
It says on the lab report that portosystematic shunting has increased Post Meal Bile Acids of >100. Does this mean we can rule that out? Could MVD be more likely here?
Thanks so much in advance
|05-16-2012, 03:20 PM||#2|
Ringo (1) and Lucy too!
Join Date: Sep 2009
Location: On the Edge of Glory
What did your Vet say?
Generally, the school of thought is under 100 - think MVD and over 100 - think shunt.
But those numbers are right on the border and she's got other bloodwork out of whack.
Mommy to Lucy, Ringo, and Matthew
|05-16-2012, 03:24 PM||#3|
T. Bumpkins & Co.
Donating YT Member
Join Date: Dec 2008
Location: New England
My dog had BAT over 107 and she was over the age of 6 at the time she was presumptively diagnosed with MVD.... her age was one of the factors in leaning more toward MVD vs a single portosystemic shunt. We did an ultrasound (conducted by a board certified radiologist) and that showed additional findings supportive of MVD and not PSS. We put her on Hill's LD and repeated the BATs which went way down.
I don't know about the licking as my dog doesn't do that....she does have pica though and licks the floor and tries to eat whatever tidbits of dust or crumbs she finds.
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Cathy, Teddy, Winston and Baby Clyde...RIP angels Barney and Daisy
|05-16-2012, 04:20 PM||#4|
Join Date: May 2012
Location: Los Angeles
Thank you for the insight. My Vet actually had to leave town for a week I haven't had a chance to speak with him about the results. He just ordered the Protein C test in the meantime - the results will be back the same time he is.
I am just trying to wrap my brain around the possibilities and navigate through all the info. If there is anything you think I should bring up at my next appointment with the vet, please share. I'm looking for any kind of advice/tips moving forward.
|05-16-2012, 04:24 PM||#5|
Donating YT 30K Club Member
Join Date: Oct 2005
Blog Entries: 6
My Cali had bike acid scores similar to that and a liver biopsy showed very mild MVD with no treatment other than I keep her on a low protein diet. Hopefully your little guy has a very mild case or something else threw his lab results off. Good luck.
Cali Pixie Roxie : RIP Nikki; RIP Maya;RIP my sweet Dixie girl 1/17/08