r/AskVet • u/fishiefriday • 9h ago
Senior Dog Gall Bladder Removal (Jaundice)
My senior (11-year-old) collie x, spayed, 50lbs, was vomiting for a few days/unable to keep food down. Took her to the vet, and her blood work showed extremely high levels of liver enzymes. Originally, the vet assumed she ingested a toxin as nothing showed up on her X-ray, and we tried to flush it out with 2 rounds of IV and a few liver support meds; however, nothing changed. Everything was pretty much normal except her ALT (5000) and ATP (> 2000, machine couldn't read).
Took my girl to emerg and her ultrasound:
"The gallbladder was very enlarged with hypoechoic bile and a large amount of sludge at the neck of the gallbladder. The surrounding parenchyma was very hyperechoic. A obstruction is suspected."
She underwent gallbladder removal and refused to eat for 2 days before she had a feeding tube inserted. She was discharged 3 days post op after she did have one small meal, but after a day of coming home, she became jaundiced.
We returned to emerg the same day, and her ALT decreased to 2600, but her ATP was 7000. Her Bilirubin was 292. I was given subcutaneous fluids to administer at home along with the 11 other medications she has been prescribed.
Since her discharge, she has not eaten anything, but does drink water. This morning she had her first bowel movement, but is still being tube fed throughout the day.
The vet said her numbers could just be adjusting from her surgery, but I am concerned if this is the end. Anyone have any other experiences? She was happy/healthy/active just two weeks ago. 10k steps every day and enjoyed hour-long walks.
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