I'm wondering if anyone has experience with gallbladder and liver issues. This is will likely be a long story so please bear with me.
Fawkes is 11 and had a bout of severe vomiting in August and we ended up at the emergency vet as the vomiting just would not stop. They weren't really able to pinpoint the exact cause. The blood work showed a bilirubin count of 3.1 (normal range is .0 - .9) and lipase of of 2011 (normal 100 - 1400). They gave him fluids and cerenia injection and we took him home. We followed up with our regular vet and she basically wanted to take a wait and see approach so we retested in a week and the numbers had come down.
Last Sunday the vomiting started again and off we went again to the emergency vet. Same deal elevated bilirubin and liver enzymes. Nothing showed on the xray they did. He was given a cerenia injection, pain medicine, fluids and metronidazole 50mg and we went home. Unfortunately I don't have the blood counts at this time. The emergency vet doesn't open until 8pm and I'll call and get them then. His appetite had been completely normal up until the vomiting episodes so hepatic lipoidosis was ruled out. Again we followed up with our vet on Monday. She did an ultrasound and said there was "sludge" in his gallbladder and possible mucocele and that could be causing all the elevated numbers. Kidneys looked fine. She started him on SAMe 100mg for his liver and Ursodiol 75mg for his gallbladder. He also has asthma and is on Flovent for that and a history of constipation so miralax 1/8 tsp twice a day. He's also a tripod and slightly over weight.
Today he has been listless, licking his lips and doing this odd behavior of sniffing the floor. I'm not sure when he last urinated. Some time between yesterday morning and this morning when I cleaned the boxes and nothing since. On Monday she said his kidneys and bladder looked fine. I called the vet and she didn't seem concerned about any of this and said to just watch him.
I'm not sure if this treatment is correct. Dr Google has conflicting information. I contacted another vet and they said they don't really use Ursodiol and would need to see him. He gets so stressed going to the vet but I'm worried something is seriously wrong and its not being caught. Does anyone have any experience with this and guidance to offer? I'm so worried and anxious. I don't know what else to do for him or if I'm even doing the right things. Thanks in advance for any help you can give.
Fawkes is 11 and had a bout of severe vomiting in August and we ended up at the emergency vet as the vomiting just would not stop. They weren't really able to pinpoint the exact cause. The blood work showed a bilirubin count of 3.1 (normal range is .0 - .9) and lipase of of 2011 (normal 100 - 1400). They gave him fluids and cerenia injection and we took him home. We followed up with our regular vet and she basically wanted to take a wait and see approach so we retested in a week and the numbers had come down.
Last Sunday the vomiting started again and off we went again to the emergency vet. Same deal elevated bilirubin and liver enzymes. Nothing showed on the xray they did. He was given a cerenia injection, pain medicine, fluids and metronidazole 50mg and we went home. Unfortunately I don't have the blood counts at this time. The emergency vet doesn't open until 8pm and I'll call and get them then. His appetite had been completely normal up until the vomiting episodes so hepatic lipoidosis was ruled out. Again we followed up with our vet on Monday. She did an ultrasound and said there was "sludge" in his gallbladder and possible mucocele and that could be causing all the elevated numbers. Kidneys looked fine. She started him on SAMe 100mg for his liver and Ursodiol 75mg for his gallbladder. He also has asthma and is on Flovent for that and a history of constipation so miralax 1/8 tsp twice a day. He's also a tripod and slightly over weight.
Today he has been listless, licking his lips and doing this odd behavior of sniffing the floor. I'm not sure when he last urinated. Some time between yesterday morning and this morning when I cleaned the boxes and nothing since. On Monday she said his kidneys and bladder looked fine. I called the vet and she didn't seem concerned about any of this and said to just watch him.
I'm not sure if this treatment is correct. Dr Google has conflicting information. I contacted another vet and they said they don't really use Ursodiol and would need to see him. He gets so stressed going to the vet but I'm worried something is seriously wrong and its not being caught. Does anyone have any experience with this and guidance to offer? I'm so worried and anxious. I don't know what else to do for him or if I'm even doing the right things. Thanks in advance for any help you can give.