> Two weeks ago he stopped eating (which is not like him at all),
........other than that how is he acting? Has your dog been on any
medications or have you had a recent flush of mushrooms in the yard or could
he have eaten anything else toxic?
> They tell me it can be cancer, a tumor, hepatitis, liver infection, old
> age(?), or fatty liver disease.
>
> Would his levels drop down this low if it is cancer or a tumor?
......sounds like he responded to the antibiotics, which I would assume is a
good sign and personally I would think they should just keep doing this -
could get him over the hump if it's something infectious. Probably ought to
be on a special diet though.
> Will he ever recover from the other possibilities?
..........yes, you can recover from liver infection, hep and fatty liver
disease.
> They want to do a biopsy (600.00)....is it going to matter?
.........I think biopsy is the only way to definitively say it's hep, and
probably cancer, don't know if it would be helpful for infection or fatty
liver disease (a problem in cats, but don't know how common it is in dogs).
Ultrasound isn't exactly cheap either, but you could at least perhaps see a
tumor or see if the liver is enlarged. Perhaps an ultrasound guided biopsy
would be the way to go. The only way to make these decisions is to see if
actually knowing what is going on will change the treatment. Have the vet
outline treatments for the possibilities. I wonder about a test for
leptospirosis - some varieties of this bacteria affect the liver more than
the kidneys. Might get a urinalysis done and even send the blood off for a
test for lepto if there is anything suspicious in the urinalysis.
Lepto
http://www.news.cornell.edu/releases/Oct97/lepto.hrs.html
http://www.merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/51203.htm
Here's a few sites that might help:
Diagnosing Liver Disease in Dogs: What do the Tests Really Mean?:
http://www.vin.com/VINDBPub/SearchPB/Proceedings/PR05000/PR00128.htm
Management of Chronic Liver Disease in Dogs:
http://www.vin.com/VINDBPub/SearchPB/Proceedings/PR05000/PR00430.htm
Dr. Mike on Liver Disease in Dogs:
http://www.vetinfo.com/dliver.html
The Liver
http://b-naturals.com/Mar2003.php
........good luck with your pup...please post back
buglady
take out the dog beore replying