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03-28-2013, 02:12 PM | #1 |
Donating YT 1000 Club Member Join Date: Nov 2007 Location: KS
Posts: 3,289
| 9 mo. Yorkie/maltese w/ ALT 498-food reccomendation I picked up a little yorkie mix about a wk. ago. She came from a family that could not even afford a vet appt. for health check. She is very tiny (3.6 lbs) and lived w/ small children which, of course, is never a good idea. I immediately made an appt. and asked for blood work since she just appears so skinny, although asymptomatic. Her ALT is: 498. That got my immediate attention. Vet wants to do a recheck in a month after she has been on a low-protein diet. I'm not sure I want to wait that long or even where I should began her testing....K-State or U of Tenn.? A concern I have is that she is only 9 months old. She needs minerals and vitamins to develop. RC Hepatic is low in copper. A puppy needs that. Anyone have any suggestion on what to feed a puppy who has possible LS? Additional info: Her name is Eva. She has not had a rabies shot nor is she spayed. They are now at the bottom of my to-do list until I find out more about her health. I was going to send her on to a rescue but I'm not sure that is such a good idea at this point. My dh says we need to keep her to make sure she is taken care of. Not sure I can handle another sick baby. Feel like I've had enough. ~Joanne~
__________________ Joanne Eli ChipperEva Snowboy Rosie(R.I.P. 1996-July 29, 2013) Cocoa(R.I.P 1998-April 26, 2012): |
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03-28-2013, 02:16 PM | #2 |
Donating YT 30K Club Member | I am so glad she is with you. I don't think I would wait. I would want a bile acid test to start with. I hope other have more suggestions for you. Please keep us posted.
__________________ Cali Pixie Roxie : RIP Nikki; RIP Maya;RIP my sweet Dixie girl 1/17/08 http://callipuppyscastle.bravehost.com/index.html |
03-28-2013, 02:59 PM | #3 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Is the ALT the only elevated enzyme? I agree with Patti, a BAT would be good to do. I'd also get her on Denamarin asap to help her liver.
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03-28-2013, 03:11 PM | #4 |
Donating YT 1000 Club Member Join Date: Nov 2007 Location: KS
Posts: 3,289
| GGT is 10 U/L.....0-7 normal and AMYL is 497 U/L......500-1500 normal Haven't researched as to what these abbrev. refer to. Is Denamarin prescription or over-the-counter?
__________________ Joanne Eli ChipperEva Snowboy Rosie(R.I.P. 1996-July 29, 2013) Cocoa(R.I.P 1998-April 26, 2012): |
03-28-2013, 03:15 PM | #5 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| Denamarin is OTC, but your vet may carry it. I get Tink's from Vet Depot online.
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
03-28-2013, 03:16 PM | #6 |
Donating YT 1000 Club Member Join Date: Nov 2007 Location: KS
Posts: 3,289
| Went on-line and answered my own question. Purchased Denamarin. Still concerned about Eva's food.
__________________ Joanne Eli ChipperEva Snowboy Rosie(R.I.P. 1996-July 29, 2013) Cocoa(R.I.P 1998-April 26, 2012): |
03-28-2013, 06:01 PM | #7 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
Posts: 18,866
| I had to do dinner, lol. I'm trying to link an article for you but I keep getting errors... I'll keep trying. Here it is... it's working now. http://veterinarymedicine.dvm360.com...eID=1&sk=&date= Been thinking while I was cooking, as she's 9 months old, I doubt a low protein diet will affect her too much as most of her growth is done. The high ALT could be a result of eating something toxic to the liver. Amylase is a pancreatic enzyme and only slightly low, GGT involves the Gall Bladder, and again only slightly off. This does not look like typical enzyme results of dogs with LS to me (IMHO).
__________________ Kat Chloe Lizzy PeekABooTinkerbell SapphireInfinity |
03-28-2013, 06:25 PM | #8 |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,451
| First of all, enzymes will not always be elevated when there is a liver shunt. I found that out recently with one of my pups who I have had for 7 years. He suddenly developed bladder stones and during that surgery, the found a shunt. He has had lab testing done yearly since he came to me and never had ONE elevation in anything at all...and he never had symptoms that one would expect. This is more common than people realize. Since it is the only enzyme that is elevated, I might be inclined to wait and retest as the vet suggested. Of course, it certainly won't hurt to go to a specialist. You don't have to go out of state to do that. I would find a board certified specialist in your area. I know everyone touts UT and that's all ok but there is travel involved and LS surgery is not rocket science. Many many surgeons all over the country do this surgery successfully. As I said, I just recently had one of my pup's shunt repaired and I was so grateful that the place was close by. Of course, his came up suddenly so I honestly did not have time to even think about where I would have it done. His surgery was fine...and he is fine now! You also could just ask your vet about doing bile acid testing.
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03-29-2013, 04:24 AM | #9 |
Donating YT 1000 Club Member Join Date: Nov 2007 Location: KS
Posts: 3,289
| Thank you so much for your comments. It truely helps me calm down a bit. ~Joanne~
__________________ Joanne Eli ChipperEva Snowboy Rosie(R.I.P. 1996-July 29, 2013) Cocoa(R.I.P 1998-April 26, 2012): |
03-29-2013, 06:02 AM | #10 |
Donating Senior Yorkie Talker Join Date: Dec 2005 Location: Dothan, AL.
Posts: 357
| My dog Zoey is having Bile Acid Tests done today. Her lab results that were concerning were GLU 56mg/dL (Low) 74 to 143 is Normal - BUN 4mg/dL (Low) Normal is 7 - 27 TP 4.9 g/dL (Low) & Normal is 5.2 - 8.2 ALB is 1.8g/dL (low) and normal is 2.3. - 4.0 ALT is 143 U/L (High) and normal is 10 - 100 AMYL is 412 U/L (Low) and Normal is 500-1500 Some of you who have had LS Dogs, do these indicate LS to you. I am waiting for BAT now. Thanks for any imput or info.
__________________ Julia Howard |
03-29-2013, 06:13 AM | #11 | |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,451
| Quote:
Since you are doing the BAT you will know more. Good luck.
__________________ Last edited by ladyjane; 03-29-2013 at 06:14 AM. | |
03-29-2013, 06:48 AM | #12 |
Donating Senior Yorkie Talker Join Date: Dec 2005 Location: Dothan, AL.
Posts: 357
| Thanks. The BUN was also the biggest concern of the vet. Hope we can find out something with the BAT.
__________________ Julia Howard |
03-29-2013, 10:21 AM | #13 |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,451
| That may be a combination of the elevated BUN and low albumin. I don't know what it has to do with LS. I would ask.
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03-29-2013, 02:33 PM | #14 |
YT Addict Join Date: Feb 2013 Location: Fountain Hills, AZ USA
Posts: 385
| Unless there is a real concern about a shunt, I'd consider trying the Dodds diet. The liver needs protein to regenerate itself, but some proteins are easier for the liver to digest. Consider using white ocean fish, skinless boneless chicken breast or egg white for the proteins and stay away from red meat. White potatoes, sweet potatoes, or no yolk noodles make up most of the rest of the diet, and you can add some veggies. Over cooked carrots, squash,and green beans are all very good veggies to add. Also small meals several times throughout the day are much easier on the liver than feeding just twice daily. My pups numbers are finally coming down now after a serious issue with his liver. He's been on the dodds diet for eight months now and I feed him small amounts every three hours. Hope it's nothing serious with the pup. Diana and the Scoobster |
03-30-2013, 11:55 AM | #15 |
Donating YT 1000 Club Member Join Date: Nov 2007 Location: KS
Posts: 3,289
| Eva is not feeling well today. Eats a little and sleeps a lot. Has a low-grade temp....102.7. Been in contact with my vet. Said to keep an eye on her. Vet said it could be the bully stick she accidently got a hold of last night. Might bother her since she is not used to them. Just majorly worried. Do I understand right that the Dodd diet should not be used if a shunt is suspected? ~Joanne~
__________________ Joanne Eli ChipperEva Snowboy Rosie(R.I.P. 1996-July 29, 2013) Cocoa(R.I.P 1998-April 26, 2012): |
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