Ruby to the vet tomorrow for blood work :( - Page 3 - Golden Retrievers : Golden Retriever Dog Forums
Reply
 
LinkBack Thread Tools Display Modes
post #21 of 42 (permalink) Old 12-21-2012, 10:37 AM
Member
 
2dogsandagrrl's Avatar
 
Join Date: Nov 2010
Location: Manitoba
Posts: 62
Mentioned: 0 Post(s)
Quoted: 0 Post(s)
Thanks: 1
Thanked 55 Times in 19 Posts
Try not to worry to much about the bloodwork. My dog's last bloodwork last week had her ALP at around 2200 and her ALT at 450. We've been dealing with these high liver enzymes for a couple years now. I was told Cushings, then liver disease, then Cushings. I finally insisted on a U of Tenn adrenal panel and it showed all elevated sex hormones leading to the possibility of Atypical Cushings. Sometimes the ALT is lower and sometimes the ALP. My dog is doing very well at 12 with all the supplements I have her on regardless of what the blood test show.
2dogsandagrrl is offline  
Sponsored Links
Advertisement
 
post #22 of 42 (permalink) Old 12-21-2012, 10:55 AM
Dog Lover

 
Join Date: Aug 2006
Location: Woodridge, Illinois
Posts: 40,287
Mentioned: 0 Post(s)
Quoted: 13 Post(s)
Thanks: 48,705
Thanked 15,063 Times in 11,075 Posts
Ruby

Want you to know that I am praying for Ruby and for you.
Please keep us posted!!

Tucker, Tonka, and Karen

SNOBEAR at the Bridge
Dec. 23, 1999-March 27, 2010


SMOOCH at the Bridge.
Feb. 14, 1999-Dec. 7, 2010
Karen519 is offline  
post #23 of 42 (permalink) Old 12-21-2012, 11:03 AM Thread Starter
Banned
 
Join Date: Oct 2011
Location: Ontario, Canada
Posts: 2,662
Mentioned: 0 Post(s)
Quoted: 0 Post(s)
Thanks: 30
Thanked 603 Times in 429 Posts
Well, basically her liver isnt functioning as well as it used to. Shes 10 years old. Also, with her urine PH being high and the fact theres struvite crystals makes me want to run a course of clavomox because while there was no infection found in the urine, I feel theres still one there because of the crystals. Not sure what the vet will say (I prefer the other vet there but hes gone for 2 weeks) but, I already know what *I* want her on its just a matter of hearing what the vet has to say. Im not going to do anymore testing.

I think Hepato Support, antibiotics and a food change would be a good start.

Cost of testing and meds 4 days before Christmas???? $300

Love of an old dog??? Priceless

Wont be having much of a Christmas now but at least we still have Ruby
A1Malinois is offline  
post #24 of 42 (permalink) Old 12-21-2012, 03:23 PM Thread Starter
Banned
 
Join Date: Oct 2011
Location: Ontario, Canada
Posts: 2,662
Mentioned: 0 Post(s)
Quoted: 0 Post(s)
Thanks: 30
Thanked 603 Times in 429 Posts
Alright, the told me she could have Cushings Disease so end of January I will run that blood test to see. He said struvite crystals in dogs urine did not mean anything...just in cats . I got Hepato support, cranberry (Bought it myself) and Medi-cal dental with s/o index
A1Malinois is offline  
post #25 of 42 (permalink) Old 12-21-2012, 03:26 PM
AKA: Joyce
 
Bentleysmom's Avatar
 
Join Date: Aug 2012
Location: SE MI
Posts: 7,445
Mentioned: 0 Post(s)
Quoted: 0 Post(s)
Thanks: 9,454
Thanked 14,430 Times in 4,353 Posts
Bentleysmom is offline  
post #26 of 42 (permalink) Old 12-21-2012, 03:43 PM
Member
 
2dogsandagrrl's Avatar
 
Join Date: Nov 2010
Location: Manitoba
Posts: 62
Mentioned: 0 Post(s)
Quoted: 0 Post(s)
Thanks: 1
Thanked 55 Times in 19 Posts
I been thru all the tests for Cushings with my dog and I would suggest the urine cortisol/creatine ratio test to start with. This won't diagnose Cushings but it will rule it out plus it's probably the cheapest if your concerned about costs. I'm assuming that the blood test your talking about is the ACTH Stim test? Cushings is very difficult to diagnose and this test is really not the best to diagnose Cushings. Someone correct me if I'm wrong. My dog had a postive ACTH test but she does not have Cushings as she then had a low dose dex suppression test which is the best test to diagnose Cushings and it came back negative. She's also had a few ultrasounds which can show enlarged adrenals and help to see what is going on. My dogs ultrasound did show enlarged adrenals. Even if Ruby has a positive ACTH test and the vet suggests the Cushings drugs I would be insisting on the LDDST and an ultrasound before I started any drugs as you don't want to be putting a dog that does not have Cushings on these drugs. I hope Ruby is feeling better soon.
2dogsandagrrl is offline  
post #27 of 42 (permalink) Old 12-21-2012, 03:47 PM Thread Starter
Banned
 
Join Date: Oct 2011
Location: Ontario, Canada
Posts: 2,662
Mentioned: 0 Post(s)
Quoted: 0 Post(s)
Thanks: 30
Thanked 603 Times in 429 Posts
Quote:
Originally Posted by 2dogsandagrrl View Post
I been thru all the tests for Cushings with my dog and I would suggest the urine cortisol/creatine ratio test to start with. This won't diagnose Cushings but it will rule it out plus it's probably the cheapest if your concerned about costs. I'm assuming that the blood test your talking about is the ACTH Stim test? Cushings is very difficult to diagnose and this test is really not the best to diagnose Cushings. Someone correct me if I'm wrong. My dog had a postive ACTH test but she does not have Cushings as she then had a low dose dex suppression test which is the best test to diagnose Cushings and it came back negative. She's also had a few ultrasounds which can show enlarged adrenals and help to see what is going on. My dog dies have enlarged adrenals. Even if Ruby has a positive ACTH test and the vet suggests the Cushings drugs I would be insisting on the LDDST and an ultrasound before I started any drugs as you don't want to be putting a dog that does not have Cushings on these drugs. I hope Ruby is feeling better soon.
Im going to do the blood test. Its $66 for the blood test vs $55 for the urine test for cushings. If I do the urine test and it comes back positive then I have to do a blood test for it anyway so I will just do the blood test.
A1Malinois is offline  
post #28 of 42 (permalink) Old 12-21-2012, 03:54 PM
Member
 
2dogsandagrrl's Avatar
 
Join Date: Nov 2010
Location: Manitoba
Posts: 62
Mentioned: 0 Post(s)
Quoted: 0 Post(s)
Thanks: 1
Thanked 55 Times in 19 Posts
If the ACTH test does come back in the positive range for Cushings make sure you do the LDDST to make sure it's Cushings before your Vet insists on any Cushings drugs. This test will also tell you which type of Cushings it is and that will make a differece on what drug to use. Most regular vets do not know alot about Cushings so the more you know the better the questions you can ask. Ruby's liver enzymes are really not that elevated. Do you notice any trembling of her hind legs? Does she have incontinence?
2dogsandagrrl is offline  
post #29 of 42 (permalink) Old 12-21-2012, 03:54 PM
Preeminent Member
 
OutWest's Avatar
 
Join Date: Oct 2011
Location: El Dorado County, CA
Posts: 10,646
Mentioned: 0 Post(s)
Quoted: 3 Post(s)
Thanks: 14,823
Thanked 10,591 Times in 5,440 Posts
Did vet give her anything for the bloating? Do you think she's uncomfortable? I don't understand all the test results but my almost 10 year old Tess has developed congestive heart disease and is on all sorts of meds. I feel terrible when she coughs--I can appreciate how worried you are about Ruby. Keep us posted.
OutWest is offline  
post #30 of 42 (permalink) Old 12-21-2012, 05:32 PM Thread Starter
Banned
 
Join Date: Oct 2011
Location: Ontario, Canada
Posts: 2,662
Mentioned: 0 Post(s)
Quoted: 0 Post(s)
Thanks: 30
Thanked 603 Times in 429 Posts
Quote:
Originally Posted by 2dogsandagrrl View Post
If the ACTH test does come back in the positive range for Cushings make sure you do the LDDST to make sure it's Cushings before your Vet insists on any Cushings drugs. This test will also tell you which type of Cushings it is and that will make a differece on what drug to use. Most regular vets do not know alot about Cushings so the more you know the better the questions you can ask. Ruby's liver enzymes are really not that elevated. Do you notice any trembling of her hind legs? Does she have incontinence?
What one is the LDDST test? I am limited budget so I dont have money for all this special testing. He said it could be the start of Cushings. I dunno, I didnt like her urine PH or Struvite or the fact he said both were fine when the lab said otherwise as did any google search. I dont have the money for a big surgery when the struvites turn into big stones :S She trembles all the time (seems like shes cold) but shes always done that. She only does it is seems when shes not cuddled up sleeping. No urinary incontinence that I notice

Quote:
Originally Posted by OutWest View Post
Did vet give her anything for the bloating? Do you think she's uncomfortable? I don't understand all the test results but my almost 10 year old Tess has developed congestive heart disease and is on all sorts of meds. I feel terrible when she coughs--I can appreciate how worried you are about Ruby. Keep us posted.
Vet gave her nothing. She's not uncomfortable
A1Malinois is offline  
Sponsored Links
Advertisement
 
Reply

Bookmarks

Quick Reply
Message:
Options

Register Now



In order to be able to post messages on the Golden Retrievers : Golden Retriever Dog Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.

User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.

Password:


Confirm Password:
Email Address
Please enter a valid email address for yourself.

Email Address:
OR

Log-in









Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page
Display Modes
Linear Mode Linear Mode



Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On

 
For the best viewing experience please update your browser to Google Chrome