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Ask the Vet About Liver Disease in Dogs and Cats

Liver Disease in Dogs and Cats
Symptoms & Diagnosis
Treatment
Ask the Vet
Ask the Vet About Liver Disease in Dogs and Cats
Dr. Michael Dym
Dr. Michael Dym
VMD, Veterinarian
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DoctorDym.com

As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.

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Date: 11/24/16
Category: Ear Care
Pet Type: Cat
Topic: Possible Chronic Ear Infection

Question:Hello, I Adopted A Stray When He Was About A Year Old. I've Had Him For About 6 Months Now And He Has Had A Constant Right Ear Infection Ever Since. Recurring Symptoms Are As If He Has Ear Mites (which He Has Been Treated For Twice) Black Clumpy Stinky Discharge. No Fever, Vomiting, Diarrhea Or Any Other Symptoms And It Is Only The Right Ear. His Veterinarian Has Had Him On Rounds Of Different Antibiotics Which He Responds To But The Infection Returns. He Has Been On Mometamax, Azithromycin, Clavamox, Trizedta, Acarexx And Now Orbifloxacin. He Never Seems To Be In Pain And Is Eating Drinking And Using The Litter Box Regularly. I Don't Want To Give Up On It For Fear It Willl Turn Into A Bigger Health Problem But I Don't Know What Else To Do And His Veterinarian (bless Her Heart) Is Stumped. I Would Be So Greatful And Appreciative Of Any Advice Or Ideas You May Have. Thank You.

Answer:Might Want To Ask Vet To Refer To You To Veterinary Dermatologist In Your Area Who Can Evaluate To Make Sure Vet Has Not Missed Anything In This Case. Evaluation Of The Discharge Under The Microscope, As Well As Possibly Culture Of The Discharge May Be Helpful To See If Resistant Bacteria Or Unusual Type Of Inflammation Is Present. Nonspecific Discharge, However Is Not A Disease Itself In Cats, And As A More Holistic Oriented Veterinarian, I Will Tell You That Sometimes Internal Imbalances Of The Body, Including The Liver And Kidneys And/or Digestive Tract, May Lead To Nonspecific Ear Discharges That Are Not The Primary Disease Process. You May Want To Have Complete Blood Workup, Etc To Make Sure Nothing Internal Going On. You Could Also Try A More Holistic Approach With A Homeopathic Trained Veterinarian. I Would Get The Book The Natural Cat By Anitra Frazier Which Is A Great Place To Start. See The Website Www.drpitcairn.com For List Of Homeopathic Vets In Your Area

Date: 10/23/16
Category: Other
Pet Type: Dog
Topic: Liver Disease

Question:Which Heart Worm Medicine Is Safest For A Boston Terrior Dog Who Has Liver Disease And Taking S-adenosyl-l-methionine 200mg Since 2014. I Would Like A Second Opinion Please. She Ate Something Toxic And Was Treated 2014 But Blood Tests Continue To Show Liver Values Still Higher Than Normal But Stable. The Biopsy In 2014 Did Not Show Anything. Vet Said Maybe Needle Gage Was Too Small So Not Enough Tissue Was Taken.

Answer:All Of These Meds Have Potential Liver Toxicity No Matter What So The Old Adage, Pick Your Poison Truly Applies. Heartguard Has Been Around The Longest And May Be Worth A Look. You Can Also Look Into Herbal Heartworm Prevention From Biovance Company On The Website Www.fiestapetdeli.com

Date: 07/21/16
Category: Digestive Care
Pet Type: Cat
Topic: .? Reaction To Topical Revolution

Question:My Cat Is Almost 14. Her Alt Was100 3 Months Ago And Is Now Double. She's Lost A Little Weight...i Am Told She May Have Inflammatory Bowel Disease. Her Eosin Count Was Elevated @ That Time Also, But She Was Treated For Parasites....my Question Is Could There Be Any Relationship Between The Revolution I Applied 3 Days Before Her Lab Draw And The Elevated Liver Enzymes?

Answer:I Have Seen Topical Pesticides Cause Elevations In Liver Enzymes If A Particular Pet Is Sensitive. May Be Good Case To Consult With A Holistic Vet, As They Can Often Offer Other Supportive Treatment Options Including Supplements, Homeopathy, Etc. Most Traditional Vets Will Only Offer Steroids, Antibiotics, Etc. To Diagnose Liver Disease And/or Inflammatory Bowel Disease, Ideally Imaging Of The Abdomen Including Ultrasound And/or Scoping May Be Needed By Vet Internist. Learn More About Holistic Approaches Www.doctordym.com Many Holistic Vets Offer Phone Consultations

Date: 07/15/16
Category: Other
Pet Type: Dog
Topic: Liver Disease

Question:My 13 Year Old Male Dachshund Has Been Diagnosed With Liver Disease A Year Ago. He Just Had Bloodwork Done Again And His Alt Has Increased From A Month And A Half Ago. He Has Been Taking Denamarin Since He Was Diagnosed. I Currently Feed Him Orijen Senior Formula Dog Food And Wondered If There Was Something Different/better I Should Be Feeding Him In Support Of His Liver? Also, What Kind Of Healthy Treats Are Best? I Am Very Picky About What Ingredients Are In His Food And Treats.

Answer:You May Want To Ask Your Vet For Referral To Vet Internist In Your Area For Expert Opinion, Ultrasound, Blood Bile Acids Test, And/or Biopsy If Indicated To Perhaps Guide Further Therapy. You Can Also Explore Holistic Options As Well. To Learn More See My Website Www.doctordym.com Many Homeopathic And/or Holistic Vets Do Offer Phone Consultations

Date: 04/05/16
Category: Heartworm Medicine
Pet Type: Dog
Topic: Heartworm Treatment For Dogs With Health Problems

Question:My Miniature Dachshund Has Liver Disease (treated With Denamarin) And Had Her Gall Bladder Removed. Each Month When We Give Her Heartworm Preventative Medication, She Gets Very Sick For A Day Or Two (vomiting, Shaking, Decreased Appetite). Is There A Heartworm Preventative Medication That Would Be Less Toxic For Her? We've Tried Heartguard And Revolution So Far. Same Result For Both. Thanks!

Answer:I Would Skip The Heartworm Meds If This Is Her Reaction. Consider Herbal Alternative By Going To Www.fiestapetdeli.com And Ask About Their Herbal Alternatives

Date: 01/20/16
Category: Digestive Care
Pet Type: Dog
Topic: Blood In Feces

Question:My Chihuahua Has Intermittent Bloody/mucus In His Feces. It Will Show Up Once A Week After He Has Eaten Dog Treats Or Cooked Meat. No Other Symptoms. What Could Cause This? He Is An Indoor Pet But Is Controlled When He Goes Outside.

Answer:These Tiny Breeds Do Have Tendency To Intermittent Colitis, Which Can Be Secondary To Virus, Parasite Or Even Dietary Allergy/sensitivity, In Addition To Occasionally Metabolic Disease Of Liver And/or Pancreas. If Signs Persist, Best To Take To Vet For Medical Workup For These

Date: 12/06/15
Category: Digestive Care
Pet Type: Cat
Topic: My Cat Has Been Having Runny Brown Poop

Question:My Cat Has Been Having Runny Almost Completely Liquid Brown Poop Since He Was Dewormed And Treated For A Stomach Infection And Diarrhea 2 Weeks Ago. He's Pooping 2-3 Times A Day. He Has A Healthy Appetite And Seems Active And Is Acting Normally. Is There Something Wrong With Him? He Eats Whiskas Canned Food And Gets Greenish Grainy Soft Stools When He Eats Dry Food. The Vet Also Said He Is Allergic To Raw Chicken Which Is What He Was Eating When He Was A Kitten.

Answer:Many Possibilities Here From Dietary Allergy/sensitivity To Metabolic Disease Such As Inflammation Of Liver Or Pancreas, As Well As A Chronic Immune Mediated Disease Known As Inflammatory Bowel Disease. A Full Medical Workup Is Recommended, Including Blood, X Rays And/or Ultrasound. I Would Feed A Species Appropriate Natural Diet Which You Can Learn More About In The Book The Natural Cat By Anitra Frazier. Also Consider A Good Probiotic And Enzyme Such As Fortflora And Naturevet Enzymes From 1800petmeds. Ask Your Vet About A 2 Week Trial With The Intestinal Antibiotic Metronidazole. Also Can Consider Holistic Options. To Learn More See Www.doctordym.com

Date: 12/02/15
Category: Digestive Care
Pet Type: Dog
Topic: Blood In Feces

Question:Vet Has Checked For Parasites, None Found. What Are Other Reasons For Blood In Feces. Right No, He Is On Meds For General Inflammation Of Unknown Origin.

Answer:Blood In Feces Typically Means Colitis, Which Is Inflammation Of The Colon, The Lower Digestive Tract. Many Possible Causes Including Hidden Parasites Your Vet May Have Detected On A Stool Check I.e Whipworms Or Giardia, Dietary Sensitivity Or Allergy, Metabolic Disease Of Liver Or Pancreas, Inflammatory Bowel Disease, And Even Cancer Of The Bowels In Middle Age Or Older Pets. I Would Recommend Full Blood Work, Urine Analysis, And Possibly X Rays And/or Ultrasound If Problem Is Chronic. Sometimes Scoping Is Needed Of The Colon For Definitive Diagnosis, If This Problem Persists, And/or Above Workup Does Not Reveal Any Thing.

Date: 10/26/15
Category: Other
Pet Type: Dog
Topic: Dog's Symptoms

Question:My Two Year Old Female Dog Has Vomitting,Lethargy And A Fever. What Could Be Wrong?

Answer:Many Possibilities From Acute Viral Upset, Paraasite, Dietary Indiscretion, Metabolic Disease Of Liver Or Pancreas. If Signs Persist Or Worsen, See Vet For Full Workup And Evaluation For Proper Diagnosis.

Date: 10/22/15
Category: Digestive Care
Pet Type: Cat
Topic: Runny Poop

Question:My Indoor/outdoor Cat Has Loose Stool For A Week Now.iseen Her Eat A Big Rodent About That Time.she Was Also Spooked By A Unfamiliar Tom A Week Ago And Has Since Stayed Inside To Prevent Stress.she's Had Digestive Issues Before For A Long Time But Has Finally Gotten 'regular' These Past Few Months Until Now.i Gave Her Rev Today To Rule Out Round And Hookworms.she Is Acting Normal Other Than Digestive Issues.i Did Not Change Her Food.when Should I Worry About It Beeing Serious?

Answer:Does Not Sound Serious But Some Cats Are Prone To Inflammatory Bowel Disease, Which Can Cause Periodic Flareups Of Digestive Signs, Including Diarrhea, Vomiting And/or Changes In Appetite. Parasites Occasionally Possible As Well As Other Metabolic Disease Of Liver And/or Pancreas, Viruses, Etc. Not A Bad Idea To At Least Have A Veterinary Exam And Evaluation. A Course Of The Antibiotic Metronidazole Can Often Help With Gi Symptoms.

Date: 04/23/14
Category: Seizure Disorder
Pet Type: Dog
Topic: Can Baby Aspiring Cause Seizures In Dog?

Question:Hi There..i Have A 75lb Male Dog Who Is Mixed (sharpei, Shepherd, Great Dane), And He Had A Seizure W/ Convulsions This Morning And Yesterday Morning. Yesterday Was The First Time, And He Both Pooped And Peed On His Bed While Also Drooling. I Did Not See The Seizure Yesterday, But Caught Him Right After. After, He Was Disoriented, Listing To The Left, Bumping Into Things. He Walked Around The House And Backyard For A Few Hours Without Lying Down. But He Seemed To Get Better After Several Hours. This Morning, He Had Another Seizure W/ Drooling. Same Symptoms As Yesterday Without The Body Function Issues. It Seems To Have Affected His Left Eye As Well As He Seems To Not Be Able To See Very Well With It (his Eye Does Not Move When I Move My Fingers In Front Of It). He Is 13 1/2 Years Old And Has Some Arthritis In His Back Legs. I Started Giving Him 2 Baby Aspiring Twice A Day About 12 Days Ago. I Also Started Him On A Different Fish Oil W/ Higher Epa Levels About 4 Days Ago. I Wanted To Get Him Used To The Fish Oil Before Discontinuing The Baby Aspirin In The Next Few Days. Could The Baby Aspirin Have Caused The Seizures? I'm Not Giving Any More To Him, And Am Hoping That He Will Not Have Any More Seizures. Could You Give Me Some Advice As To What I Can Do For My Dog In The Meantime? Thank You!

Answer:I Doubt Aspirins Involved, But Lots Of Potential Causes In Pet This Age, From Liver Disease, Kidney Disease To Brain Tumors. Needs Full Vet Exam And Evaluation To Sort This Out And Best Treatment Plan.

Date: 04/11/14
Category: Other
Pet Type: Dog
Topic: Mystery Illness

Question:My 5 Year Old Ridgeback Recently Went In For Her Annual Checkup. They Did An Overall Exam, Rabies, Lyme And Distemper Shots, Fecal Test, Etc. Everything Came Back Normal And Good. She Even Lost The 8lbs They Wanted Her To Lose (although We Didnít Expect It. We Had Reduced Her Food A Bit But Given The Long Winter, We Had Less Exercise And Expected Maybe A 3-4 Lb Loss.) Around 3 Weeks Later We Came Home And Looked Like She Was Stung By A Bee. Her Face Was Swollen And She Had Hives All Over Her Body. We Brought Her To The Vet, They Gave Her A Steroid And Some Benadryl. We Were Instructed To Continue The Benadryl For A Week. 3 Days After The Initial Breakout, It Happened Again, Face As Starting To Swell And Her Hives Returned Ė Even Though She Was Still On Benadryl. She Was Also Having Diarrhea. Went Back To The Vet, Another Steroid Shot And We Kept Her On The Benadryl. The Thought Was Maybe A Food Or Chemical, Maybe Even Mold Allergy. There Were No Signs Of Bits Or Stings And We Washed Everything She Sleeps Or Lies On. Another 3 Days Later & The Same Reaction. Vet Gave Her A Steroid And Ran Some Blood Tests And Put Her On An Iv For The Day. She Was So Dehydrated, The Iv Added More Than 2 Lbs Of Water Weight. Meanwhile We Went To Chicken And Rice Diet But She Was So Lethargic That Didnít Have Much Interest In Eating. The Vet Also Put Her On Hydroxyzine And A General Antibiotic. Her Liver Enzymes We Slightly High, No Concerning, But Maybe Due To The Steroids. The Vet Decided To So An Ultrasound To See If There Was Anything Happening Internally. Everything Came Back Normal With The Exception Of A Smaller Than Normal Adrenal Gland. This Led Them To Think Addisonís Disease Ė The Atypical Kind. In The Meantime She Was Still Very Lethargic, Dehydrated, Low Energy And Even Having Minor Shaking. The Vet Gave Her An Appetite Booster Pill And It Worked. She Ate To Her Hearts Content And Her Energy Level Was Slightly Increased. The Following Day They Ran An Acth Stim To Confirm Addisonís. They Also Kept Her On Fluids All Day And Sent Her Home With A Camel Pack To Keep Her Hydrated. She Was Still Very Lethargic, Appetite Fluctuates And Having Shakes. Her Bowel Movements Have Been Few And Far Between But When She Does, Itís Still Diarrhea. Although The Diarrhea Seems To Be Getting Better. Results Came Back And She Is Negative For Addisonís. Vet Is Stumped. She Wants To Maybe Try Treating For Whipworm, Doing A Gi Panel Or Having A Specialist Do A Liver And Spleen Aspiration. I Donít Know What To Do. Thoughts And Suggestions Would Be Much Appreciated!

Answer:It Is My Strong Opinion That As A Cornell And Penn Trained Ivy League Veterinarian Who Has Also Embraced Holistic Medicine, That Your Pet's "mystery Illness" And Cause Of Suffering And Your Expense Are The Mega Vaccinations It Was Given. The Chronic Decline In Health Is Sadly Very Common To Cases Presented To Us As Holistic Practitioners. Your Pet Likely Has Severe Immune Mediated Bowel Disease, That Was Brought On By All The Shots, Suppressive Drugs, Etc. Cortisone Is Usually The Only Traditional Drug That Will Suppress Symptoms, But You Will Have To Spend More Money I.e In Scoping, Intestinal Biopsies Etc To Reach That Conclusion. There Are Other Holistic Options. I Would Learn More About Classical Homeopathy At The Websites Www.drpitcairn.com As Well As Download The Booklet On Www.beyondflatearth.com Consider Working With A Classical Homeopath Like Me, Who May Be Able To Help Restore Health Gradually Over A Long Period Of Time. My Website Www.doctordym.com Tells More About My Practice, Fees, Training, Etc. Good Luck And Let Me Know If I Can Help You Further From What I Consider A Vaccination Damaged Animal, Especially In This Sensitive Breed.

Date: 03/23/14
Category: Other
Pet Type: Dog
Topic: Frequently Drinking Water And Frequent Urination

Question:Hi There- One Of Our 4 Chihuahuas Has Been Drinking A Lot Of Water Lately, And As A Result He Has Been Frequently Urinating. He Is Now 11 Years Of Age. Is This A Minor Problem From Getting Older, Or Could It Be Something Serious? Thanks, Jane Schira

Answer:Many Possibilities From Diabetes To Liver Disease To Kidney Disease. Best To Have Vet Exam And Full Workup To Sort This Out And Best Treatment.

Date: 02/13/14
Category: Digestive Care
Pet Type: Cat
Topic: Vomiting

Question:She 10 Years Old Vomits When Given Hills Science Diet Mature Adult -active Longevity Or [human] Clover Leaf Tuna & Water

Answer:Many Possibilities From Food Hypersensitivity/allergy To Viral Disease, Metabolic Disease Of Liver Or Pancreas, Inflammatory Bowel Disease, Overactive Thyroid, Etc. Best To Have Vet Exam And Evaluation, Blood Work, Etc To Help Sort This Out And Best Treatment Plan

Date: 02/01/14
Category: Other
Pet Type: Dog
Topic: 12 Year Old Beagle

Question:Hello I Hope You Can Help Me. Recently My Beagle Has Been Pacing Back And Forth, Drinking Lots Of Water, And Shaking She Has Been Keeping Her Food Down And Sleeping Normally But It Seems As Though The Symptoms Are Getting Worse Is There Any Medication You Can Recommend?

Answer:

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