Yes, I read somewhere (I think here on SM or a link from here) that about 15-20% of dogs have inverted results, which is why the test is done in pairs (pre and post).
that's really interesting. Is it possible it was just a fluke and that the gallbladder contracted and released bile? I think I've heard that that is possible and that sometimes just the smell of food can trigger it. I think I'd almost want to retest one more time just to see. I'd be curious if anyone has any additional info on Pre-meal results only being highYes, I read somewhere (I think here on SM or a link from here) that about 15-20% of dogs have inverted results, which is why the test is done in pairs (pre and post).
The 12 hour fasting rule is outdated. These dogs do not need to be fasted that long. Your vet may not be up on the latest information about the test but you can bring this handout with you to help them understand the newer protocol: http://www.ytca.org/health_biletestproced.doc-1.pdf This was written by Dr. Sharon Center, the leading expert on Liver Shunt and Bile Acid testing in dogs.Sorry I'm new to all this. My little guy Tucker is 13 weeks old. I have only had him for a week and he started vomiting a few days after I got him, refused to eat or drink and ended up at the vet with dehydration and hypoglycemia and almost didn't make it through the night. I had bloodwork done and they found elevated liver enzymes. My breeder told me that none of her dogs have had liver problems and she doesn't think this is what he has. The vet said that because he is so tiny (about 2 lbs) it isn't safe to do the bile testing because he has to fast for 12 hrs and that if it was a liver shunt he would probable be too tiny to do well with the surgery. She said the prognosis for him isn't good. I am to feed him every two hours (which he refuses) and keep him well hydrated. He eats well first thing in the am but after that refuses. I've been trying to use a syringe to feed him his wet food watered down slightly but he resists that too. I feel like I am being mean! He is on a pill for his liver, lactulose, neoease and Amoxicillan. I am wondering what I can do to ensure him the best outcome possible. I am so worried. It's such a tough call because I've only had him a week and I love him so much. I am a single mom so money is a concern as well. The breeder seems completely unconcerned and feels he is just adjusting to his new home and will straighten out with time. I go back to the vet on Friday to see if the bloodwork has improved at all. Any information or ideas would be greatly appreciated! Thanks