Update - BAT next steps Hi Everyone - This was my original post... http://www.yorkietalk.com/forums/showthread.php?t=98741 I wanted to let everyone know that I took my dog to NC State for further testing. There was no evidence of anything wrong with any of his bloodwork, urinalysis, Doppler ultrasound, nuclear scintigraphy, etc. So we are left with elevated bile acid (pre-40, post-65) and some diarrhea that we couldn't get under control (when weaned off of metronidozole). So, we aren't sure if there is a liver issue (MVD) causing the diarrhea, the diarrhea is elevating his liver issues or they are unrelated. Since my dog had NO liver symptoms, I opted not to have him biopsied (colon or liver)... I instead decided to give him the liver suppliments (denamarin) and not change the diet for liver reasons (instead to work on it to control the diarrhea issues). Of course he is AWFUL with the pills - and they can't be crushed so I am taking him to the vet every day to have them give the pills. And we have a plan for controlling the diarrhea. Anyway - just wanted to let everyone know that a BAT is a good thing and unfortunately, I don't have a final answer on what the issue is but did eliminate a shunt (which was a great thing for my two pound dog to prove everyone wrong who thought b/c of his small size there MUST be a shunt). NC State was a GREAT place and I highly recommend anyone to go there. We had a great experience. :aimeeyork |
Aww, I'm sorry you don't have a diagnosis. I know it is SOOO frustrating. Ellie's bile acid test came back postprandial 47 and we redid it and it is normal. We did a liver biopsy (because Ellie was getting spayed anyway or we would have skipped it) and the pathologist saw no MVD (but the vet is having her look again). Now the bile acids could have been up for nothing or there is another problem. I think with numbers like you got and there is no shunt, it is most likely MVD and I would probably do just what you're doing. |
The Hepatosupport (www.homevet.com) might be easier for your dog to take since it comes in capsules. It contains milk thistle and b-vitamins. Also, for the denosyl portion of the Denamarin, you could give him Vetri-DMG (liquid) which you can buy at www. entirelypets.com |
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