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-   -   Slightly Abnormal Bloodwork???? (https://www.yorkietalk.com/forums/yorkie-health-diet/150869-slightly-abnormal-bloodwork.html)

Ellie May 11-01-2008 04:13 PM
A blood panel can be done at the same time as the bile acids test. She can have water before either. I would wait a couple weeks because of the drugs she just had and the trauma she just went through. I also wouldn't give her heart worm med a week or two before.

Ultrasounds for shunts are only 60-80% accurate. Unless you want to see the size of the liver or if she has bladder stones, it could be a waste of time and/or money. Protein C testing and scintography are the better tests for this.

With MVD you may need to change her diet and put her on supplements. With an intrahepatic shunt, she may need surgery. That is one very good reason to get the bile acids test done pre-spay...the shunt surgery and spay can be done all at once.

It may be another problem altogether though or just mild MVD, so I would wait til the bile acid numbers are in to figure out what to do next.

bellasmomok 11-01-2008 05:07 PM
Quote:
Originally Posted by Ellie May (Post 2309715)
A blood panel can be done at the same time as the bile acids test. She can have water before either. I would wait a couple weeks because of the drugs she just had and the trauma she just went through. I also wouldn't give her heart worm med a week or two before.

Ultrasounds for shunts are only 60-80% accurate. Unless you want to see the size of the liver or if she has bladder stones, it could be a waste of time and/or money. Protein C testing and scintography are the better tests for this.

With MVD you may need to change her diet and put her on supplements. With an intrahepatic shunt, she may need surgery. That is one very good reason to get the bile acids test done pre-spay...the shunt surgery and spay can be done all at once.

It may be another problem altogether though or just mild MVD, so I would wait til the bile acid numbers are in to figure out what to do next.
I just gave her Interceptor a week and a half ago...could that be why??

I'm so sad now. :( I don't want her to have any liver problems....or any problems at all for that matter!! Not that I get to choose that...no one does.

I wish I had decided earlier to do all this now so I would have had time to find out all the things I needed to do and had time to do them before now. I'm going to feel really guilty if she ends up needing surgery.....

Which begs the question, what if I go ahead and get health insurance for her now? Is it too late since she's had abnormal blood work...would they not pay if she ended up having to have surgery?? Or do they not pay on that anyway since it's basically congenital?

Can I do the blood work in 2 weeks or should I wait a little longer?

bellasmomok 11-01-2008 05:15 PM
Quote:
Originally Posted by dwerten (Post 2309503)
did they do urinalysis as when demi had bun of 28 and bun creatinine ratio of 31 they had me do urinalysis and she was +30 protein in urine - if creatinine is normal and demi had .9 usually not an issue but bun is tied to kidney's so that is the concern but it could be due to dehydration as well is what they told me. They are more concerned with demi as she has protein in urine and she is 4 and has periodontal disease but does not sound like the case with yours. Not sure about the other values but I would not be concerned with the bun if the creatinine was normal is what they told me
Her Creatinine was 0.8.....so that would make her BUN/Creatinine ratio 36.25. Normal for Creatinine says 0.5-1.8, though, so she's well within normal on that. And this says her "TP" (does that stand for total protein??) is 5.9 (normal is 5.2-8.2). Also, her ALKP is normal (178, with a normal range of 23-212) and so is her glucose (104 with a normal range of 74-143).

And now I'm noticing that at the top of the paper it says "Adult Canine"....she is definitely NOT an adult!!! Could this mean those normal values are off??

bellasmomok 11-01-2008 05:24 PM
Ok, now I found this website VetInfo Digest and the normal ranges it lists aren't like the normals on my paper....ALT normal on my paper says 10-100 and ALKP says 23-212....totally different on that site. In fact, if you use that site's normals (10-100 for ALKP), then she is abnormal on that too at 178! I know ranges differ at different "labs" but that's a big difference...23-212 vs. 10-100!!!

Ellie May 11-01-2008 09:09 PM
I would go by the reference ranges that the vet gave you for the lab that he deals with.

I do not believe that Interceptor would cause ALT to go 200 points above high normal. It may raise bile acids though.

The BUN could very well have been dehydration. That wouldn't be uncommon, but I would not like seeing it even 2 poinds too high with the liver enzymes in question too.

There are so many things that can throw the ALT off. Try not to panic too much but I would definately recheck and do a BAT as soon as possible.

Yorkieluv 11-02-2008 07:52 AM
Quote:
Originally Posted by Ellie May (Post 2310046)
I would go by the reference ranges that the vet gave you for the lab that he deals with.

I do not believe that Interceptor would cause ALT to go 200 points above high normal. It may raise bile acids though.

The BUN could very well have been dehydration. That wouldn't be uncommon, but I would not like seeing it even 2 poinds too high with the liver enzymes in question too.

There are so many things that can throw the ALT off. Try not to panic too much but I would definately recheck and do a BAT as soon as possible.
:thumbup: I agree completely with this...go by your vet's reference ranges, and please retest as soon as meds are out of her system. ALT is quite high. Many times when ALT is off like that, so is the BUN.

bellasmomok 11-02-2008 05:49 PM
Is 2 weeks ok?
 
Does anyone think 2 weeks is long enough to wait to retest?? (so that her levels will have time to normalize after all the pain meds she had before, during, and after her surgery)....Or should I wait longer than that? I didn't give her anything today, and I'll hold any other "meds" I give her just in case they were in anyway affecting her labs.

I'm due to give her Interceptor again in ~ 2wks, but I'll wait until after her retest to give it.

And I forgot to mention earlier that I've been giving her Angels' Eyes for about a week (the vet said that it would be just fine to give it to her to see if it would at least clear the red out of her tears, if not help altogether...he said to only give it for 1 month). And she's been getting 1/4 of a children's Maalox too, because she has acid reflux, which we think is because she eats so sporadically...making the acid build up in her stomach. I didn't give either today and won't until we retest.

I am sooo hoping the next test is a good one...I'm worried about my little girl.

Ellie May 11-02-2008 05:57 PM
Hmmm, Angel Eyes can falsely elevate ALT. That is quite high though, so I would definately retest. Two weeks "should" be fine but it is one of those things where nobody knows for sure. It should be plenty of time for her body to process the meds that she just had. I'd go for it in 2-3 weeks.

Yorkieluv 11-04-2008 06:34 AM
I agree...Two weeks is probably good...BAT and a blood panel should be done.
Good luck!! Please keep us posted!


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