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Microvascular Dysplasia My 15 month sweet little boy has had bile acids over 1300 and just had a cat scan and biopsy done to determine if there was a shunt present. Luckily there is no shunt, but the biopsy results came in and he does have microvascular dysplasia. He is currently on metronitonzale and lactolose and eats a perscription K/D diet. What should I do to help him, would different food or medicine be helpful. I have talked with others with yorkies with microvascular dysplasia who have bile acid counts between 75-100. My Timmys is so much higher and I am worried. If anyone could help me with information, I would GREATLY appreciate it! |
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All the best to you ! |
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There's a Yahoo group you can join where they have a lot of information and a protocol for LS and MVD dogs. Are you a member of that group? My Lucy has MVD too - but so far very mild with no symptoms. Her last test was 35 so much less than the numbers you have. 1300 sounds like a lot. Is your dog having any symptoms . . .or doing well on the protocol you have him on now? |
That does seem high for MVD. My Cali has a very mild case, diagnosed by Bile acid tests and confirmed with a liver biopsy. Her BA were below 100. Are they going to redo his bile acid test after a few months on medicine and diet? |
I'm sorry to hear your baby has MVD. Our dog Daisy was diagnosed with MVD at age 6 -- our vet just did not know what was wrong with her all those years so you are lucky to find out early in your baby's life. Our Daisy went on the Hill's L/D diet initially, along with milk thistle (we use the product Marin). She is now on a home cooked diet formulated just for her as her situation is complicated by severe allergies and IBD. Daisy does great and is well managed medically. Lots of dogs with MVD do great on the right diet. I just wanted to also tell you that Daisy's BAT and overall liver functioning have IMPROVED consistently since her diagnosis. So it is possible! I wish you good luck! |
1300? Are you sure that isn't one of the liver enzymes? If it's MVD, K/D is not recommended. L/D canned is preferred or Royal Canin LS 14 Hepatic kibble. SAMe (Denosyl or some use Vetri DMG) should be given. Milk thistle is also good (Hepato Support seems to be the favorite for severely liver compromised dogs). Some give vitamin e also. Any symptoms? |
The only symptoms he has currently is he shakes once in a while. the bile acids were 1300 which I thought was insane. He is doing ok on the K/D, he is on that because of the low protein. The medicine so far he is ok on...The biopsy said to be MVD, but I have never heard of anyones yorkie having bile acids over 100! |
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Purina EN is VERY high in protein! I have a poodle on that because she has inflamatory bowel disease. Is your yorkie doing ok on the EN. I wish I knew what I could do, I feel helpless not being able to help him! |
Are you going to an internist? I believe Actigall can bring the bile acids down, but they would no longer be measurable. The K/D is not recommended because there is pork in it which is hard on the liver. Vets tend to use it because they see the low protein and think it's a great choice, but low protein isn't all that is needed. They tpe of protein given is very important. Some types cause toxins to build up faster and that causes symptoms. SAMe is generally considered a very important part of liver shunt and MVD in severe cases... |
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I have an appointment with an internist april 1st!...I will switch him right away to L/D... What is SAMe? |
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ask vet what pre and post bile acid numbers are and ask vet what ALT is and what is normal for that lab |
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His ALT levels are normal, they are 25...They said that they put a dye into his system to see the flow of his blood to see if it is shunting, which is what I thought a scintigraphy was, but they called it a cat scan. He acted almost drunk (standing still and wobbling, rocking back and forth) the day we started this, but now on the mediucine he shakes once in a while. I don't know if he has some hypergylcimea or if that is something associated with MVD. |
I just found out that his bile acids were 129, and it was his liver enzymes that were 1329. But his ALT level was 25, normal! |
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The Prescription K/D is not good, it has Pork in it. The food recommened for LS and MVD babies is either Wet Hills l/d ...OR... ROYAL CANIN Veterinary Diet® canine HEPATIC LS™ 14 HEPATIC LS | Royal Canin Veterinary Diet PLEASE JOIN THIS GROUP: DogLiverDisease : Dog Liver Disease They are really wonderful there, lots of LS and MVD experience... |
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Please read my info that I posted above ;) |
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was it this one? if so this was the prob as protein and fat are really high |
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Yes it was, I tried him on L/D and he hates it. my picky little boy! The natural Balance Vegitarian diet is ok? Since he was little I brushed his teeth because I know that yorkies have teeth problems, since all this medicine started he wont let me go near his mouth, so I would prefer a dry food so his teeth stay as clean as they can! I would hate to have to put him under anysthesia to clean his teeth! |
The food recommened for LS and MVD babies is either Wet Hills l/d ...OR... ROYAL CANIN Veterinary Diet® canine HEPATIC LS™ 14 HEPATIC LS | Royal Canin Veterinary Diet I just learned that the Hill l/d is 10% higher in fat than the Royal Canin, so I would go the RC Hepatic LS 14 route.... For teeth, dry food will not deter tartar and plaque. Maybe get some guaze and wrap on your finger to do some brushing, until you can gain his trust again to use a tooth brush ;) |
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Yes natural balance vegetarian is also used for mvd dogs as it is a low protein diet. My mvd dog is on purina ha a hydrolized soy diet which is vegetarian as well. Her numbers went from 73 and 54 post to 26 on the diet after 6 months. Many dogs like L/D better if you bake it in the oven |
can you re post for me pre and post bile acids AND alt of all tests and symptoms |
here is info on natural balance vegetarian Dick Van Patten's Natural Balance® Vegetarian Formula i agree L/D is higher in fat and my pancreatitis dog is on 8% fat and 18% protein which is the purina ha so fat content is important for yorkies as pancreatitis runs in this breed as well I like the nb veggie as it is 18% protein and 8% fat as well an mvd with symptoms needs to be on 18% protein and a dog with no symptoms 22% protein I think your dog had symptoms as your dog was on a very high protein so dropping to 18% you should see a difference - the key also is a highly digestible protein like fish and veggies, egg whites, soy |
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His Pre-bile acid test was 126.4 His Post-Bile acid test was 131.1 His ALT was normal at 25 The day we took him to the vest he was acting drunk or as if he was having a stroke, leaning to one side and looked frozen and confused. He now gets off balance once in a blue moon and he shakes once in a while (about 5x a week for a minute each time) So which is better HA or NB Veggitarian? |
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Yup he had that almost 2 weeks ago, thats why he had the biopsy and it came back MVD...He goes back april 1st to get his stitches out nd talk about new medicines then. Right now he is on the lactolose and metronitinzal |
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Thank you sooo Much...He does shake every so often, but no seizures per say. He never really had seizures ever. His bile acids have not gone down at all so i would like to change something so they can start going down some. |
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