Enlarged Liver Average Cost

From 263 quotes ranging from $1,500 - 4,000

Average Cost

$2,200

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What is Enlarged Liver?

There are a number of diseases that can affect the functioning of a dog’s liver and lead to enlargement. An enlarged liver in dogs can often be accompanied by ascites, or fluid accumulation in the abdomen, in which the dog displays an abnormally swollen belly. An enlarged liver is most commonly found in older dogs. It is important to identify and diagnose the cause of an enlarged liver early, so that the underlying cause may be treated.

Hepatomegaly is clinical state of abnormal liver enlargement. Because the liver serves to filter toxins from the bloodstream, it can be affected by a number of diseases. An enlarged liver is a finding which should prompt a detailed clinical work-up for primary and secondary liver disease.

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Symptoms of Enlarged Liver in Dogs

Because an enlarged liver may be caused by various diseases, the symptoms may vary as well. However, some common symptoms are below:

  • Swollen belly caused by ascites, or fluid accumulation in the abdomen
  • Visible or palpable mass in the abdomen
  • Behavioral changes
  • Diarrhea
  • Vomiting
  • Seizures
  • Increase in fluid intake
  • Increase in urination
  • Grayish or white, soft feces
  • Reduced appetite
  • Sudden weight loss

Causes of Enlarged Liver in Dogs

An enlarged liver can be a symptom of one of the following diseases:

  • Hepatitis, or infection of the liver
  • Cirrhosis, or chronic disease of the liver
  • Heart disease or failure
  • Liver neoplasia
  • Cyst or abscess of the liver
  • Pancreatic tumor
  • Diaphragmatic hernia
  • Cushing’s disease
  • Heartworm disease
  • Liver neoplasia
  • Drug toxicity

Diagnosis of Enlarged Liver in Dogs

Diagnosis depends upon a thorough report of the symptoms your dog is exhibiting, as well as any recent incidents that may have been abnormal or you suspect may have led to your dog’s change in health. The veterinarian will conduct a thorough exam, starting with weighing and comparing your dog’s weight to its normal weight, followed by a physical examination of your dog, seeking any abnormalities or signs of liver enlargement. Unless your dog is very overweight, at this stage the veterinarian will have been able to detect an enlarged liver.

The veterinarian will then conduct a comprehensive round of tests in order to identify the cause of the enlarged liver. These include a blood sample to be analyzed for a complete blood count, which checks for anemia, signs of infection, and presence of Heinz bodies, or spotted red blood cells caused by hemoglobin accumulation; and a blood biochemistry profile, which measures liver enzymes, albumin, bilirubin and cholesterol level. Additional tests will include a heartworm examination, blood coagulation test, and a bile acid test, which requires 12 hours of fasting in preparation.

More-than-likely, the veterinarian will then conduct a urinalysis, which will be analyzed to determine kidney functioning. Depending upon the initial findings, x-rays may be taken to determine the size of the liver and gallbladder and the presence of metastisis, or a cancer having spread to another area of the body such as the chest cavity, as well as ultrasounds that detect the density of the liver and the presence of gallstones in the gallbladder. In the case a tumor is found or a severe liver disease is suspected, the veterinarian may require a liver biopsy in order to obtain a sample and determine if the tumor is benign or malignant, or the proper treatment for the liver disease. In the case of suspected heart disease, advanced tests such as echocardiography and electrocardiography may be conducted.

Treatment of Enlarged Liver in Dogs

As many different diseases may cause an enlarged liver in dogs, the treatment varies widely. In all cases, the underlying disease will be treated and care will be taken to prevent complications. Depending upon the severity, your dog may require a period of hospitalization, in the case of heart complications or advanced liver disease, or even surgery, in the case of cysts, abscesses, or tumors. Surgery will be used to remove the affected mass. A risk of surgical removal is hemorrhage, so the veterinarian will be ready in case a transfusion is needed. Additionally, liver surgery is considered an anesthetic risk, as anesthesia is processed in the liver.

Many treatments involve dehydration therapy, antibiotics and regular doses of multivitamins to promote recovery and overall liver health. Zinc and vitamins A, B, C, D, E and K will help to promote liver detoxification and health.

Recovery of Enlarged Liver in Dogs

Your dog’s recovery will depend upon diagnosis and treatment, but your role in the recovery will regardless be to follow all veterinarian instructions and closely monitor your dog’s health and behavior.

Your dog’s prognosis depends upon the cause of the enlarged liver; however, in any case, keep in mind that the liver is the site of drug metabolism in dogs, and do not give your dog any new medication without consulting your veterinarian first. Your veterinarian may prescribe a specific diet, such as high-protein, low-salt, or continued multivitamin intake. In any case, changing your feeding pattern to small and frequent meals may be helpful for recovery.

Cost of Enlarged Liver in Dogs

Your dog may have an enlarged liver for any number of reasons. As a result, the total cost will vary greatly. However, multivitamins (especially those that contain zinc, A, B, C, D, E and K) are essential for liver detox and overall health of your dog. Multivitamins can be bought at most pet stores and can cost between $12 and $34. The veterinarian may suggest an antibiotic to treat (or avoid) infection. Antibiotics usually cost between $15 and $53. The veterinarian may want to remove the mass surgically which may require a blood transfusion. The blood transfusion may cost $150 to $380 per unit on average. The surgery itself can cost between $2,000 and $4,000 depending on the cause of the enlargement. Your dog will likely require hospitalization that can cost between $67 and $112 with intravenous fluids. The total cost with what has been mentioned here would be between $2,237 and $4,425. The overall cost will likely be greater than the total mentioned here. The underlying cause of the enlarged liver can mean any number of tests which can add substantial cost to the total.

Enlarged Liver Questions and Advice from Veterinary Professionals

Chunu
Pomeranian
5 Years
Serious condition
-3 found helpful
Serious condition

Has Symptoms

Jaundice
Vomiting

Helloo..my pet has lost weight in a week and refuses to eat and vomits. .took him to a vet but she says that nothing can be done and suggested euthanasia..please help!!

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Having not examined Chunu or seen any blood tests, I am unable to make a diagnosis or recommendation. The liver plays multiple important roles within the body; when the liver loses 75% of its functionality clinical signs start to appear. There are various causes of liver disease: infectious, poisonous, congenital abnormalities, immune mediated etc… The cause of the liver disease will determine possible treatment options and prognosis. Sorry I cannot help any further. Regards Dr Callum Turner DVM

I am 54 years old and I was told I had COPD 7 years ago. I immediately quit smoking, but as the years pass by my condition got significantly worse, and I started having serious attacks. I used to be able to exercise, but it became so hard because I`m constantly out of breath. My pulmonologist started me on oral steroids to help control symptoms and minimize further damage but my symptoms never stopped getting worse. In January this year, my pulmonologist and I decided to go with natural treatment and was introduced to NewLife Herbal Clinic natural organic COPD Herbal formula, i had a total decline of symptoms with this COPD Herbal formula treatment. The infections, shortness of breath, fatigue, dry cough and other symptoms has subsided. Visit NewLife Herbal Clinic official website ww w. newlifeherbalclinic. com or email [email protected] newlifeherbalclinic. com.


I have had great improvement with my over all respiration with this product and i breath very much easier, i can never be thankful enough to nature

My mother was hospitalized for triple pneumonia and was diagnosed at that time with COPD. She had been a smoker since she was 16 years old and was about 70 years at diagnosis, so she had been smoking for about 55 years. We were so well educated about the damage smoking had done to her lungs,and we know there is no cure to COPD ,thank GOD for leading us to GOOD HEALTH HERBS HOME,please don't ignore this post is real, Dr George(Good health herbs home) is a real herbal Doctor ,he cured my mother of COPD,she was totally cured within 5 weeks of usage. Dr George (Good health herbs home) herbal medicine for COPD has no side effect,it works like a miracle,please viewers out there that have any deadly disease,please don't fail contact Dr George via email drgeorge @ goodhealthherbshome .com , info @ goodhealthherbshome . com..or website goodhealthherbshome . com ..

My mother was hospitalized for triple pneumonia and was diagnosed at that time with COPD. She had been a smoker since she was 16 years old and was about 70 years at diagnosis, so she had been smoking for about 55 years. We were so well educated about the damage smoking had done to her lungs,and we know there is no cure to COPD ,thank GOD for leading us to GOOD HEALTH HERBS HOME,please don't ignore this post is real, Dr George(Good health herbs home) is a real herbal Doctor ,he cured my mother of COPD,she was totally cured within 5 weeks of usage. Dr George (Good health herbs home) herbal medicine for COPD has no side effect,it works like a miracle,please viewers out there that have any deadly disease,please don't fail contact Dr George via email drgeorge @ goodhealthherbshome .com , info @ goodhealthherbshome . com..or website goodhealthherbshome . com ..

these responses are totally irrelevant to liver disease not to mention dogs in general.

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Champ
pitbull
7 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

white stool
Jaundice

Hi. over the last 3 weeks, my 7yr old white pitbull has had jaundice, loss of appetite, white stools, dropped weight and not very active. after 2 ultrasounds from 2 different vets and blood work, his liver enzymes are sky high along with bilirubin. aspirates were taken and showed no signs of cancer. Vet is leading towards bile duct obstruction but exploratory surgery is needed to hopefully find cause as to what is happening. Any thoughts as to what is happenenng?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

White stools in dogs maybe caused by dietary problems, calcium metabolism, consumption of large amounts of bones, consumption of poor quality chalky pet food, pancreatitis and bile duct obstruction. If ultrasound hasn’t managed to confirm a diagnosis exploratory surgery is usually the next step; the increased liver enzymes are consistent with liver disease or bile duct obstruction. Regards Dr Callum Turner DVM

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Cotton
Bichon Frise
13
Mild condition
0 found helpful
Mild condition

Has Symptoms

Extreme Thirst

My 13 year old Bichon recently had a complete senior blood work up, urine and stool checks and all the tests came back within normal range. He and I walk about 3 miles a day, his appetite is good and he drinks plenty of water. He sleeps a good bit, but he is after all getting older. My vet says that he has an enlarged liver and wants to send me to a specialist with him. I want to do what is best for the dog, but I honestly cannot afford really costly vet bills right now. I am retired and live on a fixed income. Is it acceptable to take a wait and see attitude since all the other tests are normal at this point?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Hepatomegaly (liver enlargement) in dogs can be a sign of numerous different conditions including infection, inflammation, parasitic disease, toxins, fat degeneration, heart disease and cancer. Cotton’s liver may still be functioning well (according to senior blood work which would cover liver enzymes, kidney function etc…); but the liver can still function with up to 75% of the organ failing, once more than 75% of the liver is affected, clinical signs start to show. A visit to a Specialist or another Veterinarian may shed some light on the cause of the liver enlargement by carrying out ultrasound examination, repeat blood work and a biopsy (to be cautious in a dog as old as Cotton); I would recommend getting another opinion. Regards Dr Callum Turner DVM

I am 54 years old and I was told I had COPD 7 years ago. I immediately quit smoking, but as the years pass by my condition got significantly worse, and I started having serious attacks. I used to be able to exercise, but it became so hard because I`m constantly out of breath. My pulmonologist started me on oral steroids to help control symptoms and minimize further damage but my symptoms never stopped getting worse. In January this year, my pulmonologist and I decided to go with natural treatment and was introduced to NewLife Herbal Clinic natural organic COPD Herbal formula, i had a total decline of symptoms with this COPD Herbal formula treatment. The infections, shortness of breath, fatigue, dry cough and other symptoms has subsided. Visit NewLife Herbal Clinic official website ww w. newlifeherbalclinic. com or email [email protected] newlifeherbalclinic. com.


I have had great improvement with my over all respiration with this product and i breath very much easier, i can never be thankful enough to nature

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Coco Chanel
Shih Tzu
8 Years
Fair condition
2 found helpful
Fair condition

Has Symptoms

Increased thirst
Increased thirst for her approx 6-8

My 8 year old Shih Tzu liver enzymes (ALP 745 and ALT 142) were elevated. When this first occurred our vet suggested that we put her on Denamarin for 1 month and retest her. Well after retesting her ALP went up to 1299 but her ALT dropped to 95. Then we referred to go to specialist for an ultrasound. The results did show "Subjectively enlarged Liver no masses or nodules seen slightly heterogenous.Her gall bladder had a mild amount of gravity dependent debris but stated that it "could" be normal. She did suggest testing for Cushings and Lepto. as for now we are treating her with Denamarin and Ursodiol and will recheck in a month. I am thinking of changing her diet ie homemade and was wondering do you have any suggestions on what should or should not be included in her meals.

Dr. Michele King, DVM
Dr. Michele King, DVM
1525 Recommendations
I'm not sure what diet Coco is on right now, but before considering changing her diet to a homemade diet, ti would be worth seeing the combination of Denamarin and Ursoldiol help. Those are both very good liver protectants, and Ursodiol is quite effective at clearing 'sludge' from the gall bladder. Her lab values are not startling, and if her lab work improves, she may benefit from a good quality senior dog food, which your veterinarian can discuss with you, as I do not know enough about her overall health status. I hope that things return to normal for her!

Thanks so much... The only issue that I have had with her are allergies and ear infections. She is currently eating Science Hills light. My pup is overweight 13.8 pounds (she is short)

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Ruckus
Golden Retriever
9 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Weight Loss
anorexia
Lethargy
Vomiting

Took my dog to the vet last night due to anorexia, vomiting, lethargy, weight loss. She did blood work that showed mild anemia, and grossly normal liver enzymes. Abdominal films showed an enlarged liver, but no visible tumor, normal heart, no blockage or foreign object. She was unable to diagnose based on these findings and recommended ultrasound, which is not available in the small town we live in. She alluded to the diagnosis being hemangiosarcoma, but couldn't diagnose based on the findings. I just don't want to put my precious boy through a bunch of costly tests, only to find out that it is indeed hemangiosarcoma. I am aware of the prognosis of such diagnosis. My question is, is there any likelihood that it could be something that is treatable? Are these tumors ever benign and treatable with surgery?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

An enlargement of the liver may be caused by many different causes including cancer, liver failure, poisoning, infections, parasites, hormonal conditions among other causes. Hemangiosarcoma is a malignant (sarcoma = malignant tumour of non-epithelial tissue) tumour; unfortunately prognosis is generally poor. Surgical removal may help prolong lifespan, but depending on the metastasis, this can be variable. Regards Dr Callum Turner DVM
www.vetary.com/dog/condition/spleen-liver-hemangiosarcoma

Hi Our golden lab was diagnosed a year ago with Hemangiosarcoma. She is still going strong after being treated with Chinese Herbs( Statis Breaker,Yunanan) and Vitamins A,C,D,E and Omega 3. We also blend all her natural food in a blender to help her digest it easier. After a year she is still going strong as ever :)

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Ale
14
Moderate condition
0 found helpful
Moderate condition

Can a vet determine liver damage by extraction of fluid in a dogs swollen belly?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Thank you for your question. In some conditions it is possible to make a diagnosis of liver damage (which is a vague diagnosis) by looking at the abdominal fluid. If the fluid is yellow-green in colour this may indicate bile peritonitis for example. If “liver damage” is suspected, I believe it is always good practice to carry out blood counts and biochemistry profiles to get an overall picture of internal health before carrying out a diagnosis. Your Veterinarian may have carried out other tests apart from the abdominocentesis and I could not comment on their path to their diagnosis. Regards Dr Callum Turner DVM

I was diagnosed of Chronic Obstructive Pulmonary Disease (COPD) in 2012 at the age of 63. I had been a heavy smoker, my symptoms started out with dry cough and shortness of breath, i ended up in the hospital, on a ventilator. I should have known it was coming, but like most smokers, thought it would never happen to me. My COPD got significantly worse and unbearable because of my difficulty catching breath. Last year, i started on a natural COPD Herbal therapy from NewLife Herbal Clinic, i read a lot of positive reviews from patients who used the treatment and i immediately started on it. I had great relief with this herbal treatment. I breath fine now, no case of shortness of breath or chest tightness since treatment. Visit NewLife Herbal Clinic website ww w. newlifeherbalclinic. com. This COPD treatment is a miracle!!

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Paco
Chihuahua
9 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Swollen Abdomen

I have a 9 year old Chihuahua who is in CHF, he is on Lasix, Vetmedin and Enalapril. I took him in today because I noticed his belly was full feeling and hard. They took xrays and said his liver is enlarged, but said no fluid was seen and there is nothing they can do for him??? I am confused I know my boy is not in the best of health and his time is limited, but not doing anything? Does that seem right? Can or would Milk Thistle help at all at this point?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations
Without examining Paco and reviewing blood tests (particularly liver function) I cannot get an indication to the severity of his condition, although it seems he is in a critical condition from your question. Milk thistle (Silybum marianum) which is used in products like Denamarin (silybin and SAMe) may be beneficial in some cases but would need to be used together with other treatments (treatment of primary condition, supportive care, dietary changes etc…). Giving milk thistle would not hurt, but I cannot say it would help in this case. Regards Dr Callum Turner DVM

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toby
Goldendoodle
11 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Weight Loss

Hi I have a 11 year old golden doodle and out of no were stopped eating for 2 days and just layed around took him to the vet and said he look ok but his liver felt a bit enlarged did blood work liver enzymes over 1000 wbc high and rbc low. Without any med a day later toby is fine eating going to the bathroom and drinking, although he did lose about 10lbs over the last 7 months and a little weak in the legs he seems to be ok. Toby was put on antibiotics and steroids do u think this will help as we have no way of knowing what is happening without a ultrasound.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Thank you for your question. The enlargement of the liver may or not have been related to the loss of appetite. In increase of white blood cells may be caused by different factors: infection, pharmaceutical, immune system disorder or a bone marrow disorder. Low red blood cells may be caused by a decrease in production or an increase in destruction (either by the immune system or an infectious agent. For the enlarged liver, short of performing a biopsy; an ultrasound is the best way to examine the internal structure of the liver to check for abnormalities in the structure and the hepatobiliary system, at the same time checks of the spleen and other internal organs may be carried out. Regular checks of blood and urine may also indicate a pattern of liver disease since an enlarged liver may be a primary or secondary condition. Regards Dr Callum Turner DVM

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Scooby
2 1/2months
Moderate condition
-1 found helpful
Moderate condition

My puppy is 2 1/2 months German Shepherd. The vet suspected hepatitis looking at the symptoms n signs...he had vomiting but the subsided and even loose stools have subsided
The stool is still black in clout but it is solid n no more loose stools ...
The skin around his mouth has a little white patches
He isn't abe to stand on hind legs and we are worried will he not be able to stand at all
I mean he is standing if we help him but he isn't standing on his own

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Thank you for your question. Black stool usually indicated blood in the stool caused either by an upper gastrointestinal bleed or from ingesting large quantities of blood; blood in the stool can be connected to liver disease. Without examining Scooby and checking blood counts and biochemistry results I couldn’t make a diagnosis or suggest treatment. If a biochemistry panel hasn’t been performed yet, I would recommend that you get one done to determine if the liver enzymes are outside of physiological range which may also lead to a diagnosis. In German Shepherds, they are prone to hind limb problems like hip dysplasia and problems in their lumbar spine (lower back); an x-ray of the hips and of the lumbar spine might diagnose some congenital problems. Regards Dr Callum Turner DVM

I was diagnosed of Chronic Obstructive Pulmonary Disease (COPD) in 2012 at the age of 63. I had been a heavy smoker, my symptoms started out with dry cough and shortness of breath, i ended up in the hospital, on a ventilator. I should have known it was coming, but like most smokers, thought it would never happen to me. My COPD got significantly worse and unbearable because of my difficulty catching breath. Last year, i started on a natural COPD Herbal therapy from NewLife Herbal Clinic, i read a lot of positive reviews from patients who used the treatment and i immediately started on it. I had great relief with this herbal treatment. I breath fine now, no case of shortness of breath or chest tightness since treatment. Visit NewLife Herbal Clinic website ww w. newlifeherbalclinic. com. This COPD treatment is a miracle!!

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Mylee
Bichon/Lhasa mix
12
Critical condition
0 found helpful
Critical condition

Has Symptoms

Loss of Balance
Weakness
Vomiting
Loss of Appetite
Excessive Thirst

My Lhasa/Bichon mix is being tested for Addison's disease. She took a turn for the worse this morning, so she is at the vet getting IV fluids and medications. Two days ago, the vet said her liver was slightly enlarged. Now her belly is very distended, and on X-ray, her liver is very enlarged. My vet doesn't want to do a biopsy because, "If it's cancer, why add to your bill?" This is breaking my heart. I need to know that everything is being done to help my baby live and live well.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Apart from the Addison's disease test, it would be good to have a full blood panel done to see how elevated the liver enzymes are and the kidney health along with blood counts etc… This will give a good general overview of Mylee’s internal health. Whilst ‘if it’s cancer’ may not be treatable, you would at least have a diagnosis and would have a better picture for management of the condition to improve her health span (as opposed to just lifespan). I would go for the biopsy, but it is down to you; an ultrasound may give an indication of pathology but may yield no useful information. Regards Dr Callum Turner DVM

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Chloe
Maltese
7 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Weakness
Depression
Loss of Appetite
lethargy,

Chloe at this time is hospitalized. Her blood work was in normal ranges. We had her wellness exam done in June where the protein in her urine was 4.4. The protein in her urine now is I believe 21.9. She had an ultrasound yesterday where they found that her spleen and liver were enlarged. I believe today they will be preforming an aspiration of both. What exactly will this tell them? What causes this enlargement in both organs especially when the blood work is in normal range? We are worried and don’t know what to expect next.

Dr. Michele King, DVM
Dr. Michele King, DVM
1525 Recommendations
I'm not really able to give you much guidance without knowing more about Chloe and her situation, unfortunately. Protein in the urine typically means either an infection, or kidney disease, and many situations can cause an enlarged liver and spleen. By aspirating those organs, your veterinarian will be able to get a better idea as to what might be causing her problem so that they can help her. Since I don't know much about her, it would be very reasonable to ask your veterinarian for more detailed explanations of what is going on, as they will be able to explain her situation and treatment.

What would you like to know about her?

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Max
Maltese
15 years
Moderate condition
0 found helpful
Moderate condition

Medication Used

Vetmedin , diuretic
Vetmedin

My Maltese is 15 years old with heart disease. The last two days he has not wanted to eat. He is swollen at his belly. I gave him diuretic and he urinated a lot. But tonight I notice him drinking a lot. He is on two meds.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations
Abdominal distension may be due to the accumulation of fluid, organ enlargement or gas; ascites (abdominal fluid) is a common symptom of heart failure and you may need to take Max back to his Veterinarian for an examination and a review of treatment, it may be that the diuretic needs to be combined with another diuretic or the Vetmedin may need to be combined with an ACE inhibitor. All this will be assessed by your Veterinarian. Regards Dr Callum Turner DVM

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Zee
Mixed
14 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Lethargy

Medication Used

Amoxicillin

My 14 year old staffordshire terrier mix was diagnosed a few days with Lyme Disease and a UTI. An xray shows an enlarged liver with some excessive enzyme readings, but not the bilirubin according to the vet. Could Lyme cause an enlarged liver? She's on amoxicillin and after the diagnosis the vet reduced her pain meds from 1 carprofen and 4 tramadol daily to 1 carprofen daily. I'm giving her milk thistle and awaiting the shipment of SAMe.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations
Liver enlargement isn’t a characteristic symptom of lyme disease, however elevated liver enzymes may be seen in infected animals; continue to give treatment as prescribed by your Veterinarian and the milk thistle (silybin) and SAMe should help with the liver enzymes. Regards Dr Callum Turner DVM www.msdvetmanual.com/dog-owners/disorders-affecting-multiple-body-systems-of-dogs/lyme-disease-lyme-borreliosis-in-dogs www.msdvetmanual.com/generalized-conditions/lyme-borreliosis/overview-of-lyme-borreliosis

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SAMANTHA
Bichon Frise
14 Years
Serious condition
1 found helpful
Serious condition

My 14 year old Bichon, Samantha, suffered sudden symptoms: blindness, increased hunger, panting, and weakness in back legs. The blindness was determined to be SARDS by a vision specialist. Our vet tested for Cushing Disease but the results were "inconclusive". Samantha then started having diarrhea, extremely watery with a bad smell. She has been in this state for 5 months. Over these months she has been treated with numerous diarrhea medicines, non of which have worked.
The vet just did more tests showing an enlarged liver, a growth on the spleen and possible pancreatitis. She has recommended a low fat diet, Tylan powder, OTC probiotics and follow-up test in a month.
My questions: If after the re-test in one month, if there is no change, what type of specialist should I be looking for??
(Samantha is also on Denamarin and Ursodiol for gallbladder, and tramadol for pain.)
Thank you.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations
If the next round of tests don’t come back with any positive direction towards a cause or treatment path, I would recommend visiting an Internal Medicine Specialist; I’ve added a link below to a directory of board certified Internal Medicine Specialists so that you would be able to search someone close to your area. Regards Dr Callum Turner DVM http://find.vetspecialists.com/

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Mighty
Yorkie
Almost 6
Serious condition
1 found helpful
Serious condition

Has Symptoms

Shaking..bloated..drinking alot..
Shaking bloated urinating alot lethargic and stayi

6 yr old yorkie has enlarged liver thru xray..Hes lethargic, shaking, wont bark anymore, drinking and urinating alot and has bloated hard belly..Also breathing hard..We set up ultrasound..Doc thinks liver cancer or in another organ...What about cushings? Any opinions on what this can be would be appreciated...thx

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

An enlarged liver and bloated abdomen are not very specific symptoms; whilst you can see these symptoms with Cushing’s Disease, normally you would notice other signs like increased, thirst, increased appetite, poor hair coat (or losing of hair symmetrically). Liver disease is the most probable cause, blood tests and an ultrasound can be beneficial in reaching a diagnosis. Regards Dr Callum Turner DVM

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Hases
English Mastiff
5 Years
Serious condition
1 found helpful
Serious condition

Has Symptoms

Diarrhea
Noisy Breathing
Out of Breath

What are causes for an enlarged liver and liver enzymes elevated in blood?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Thank you for your question. With the limited information provided, there are a variety of different causes for the liver enlargement: infectious, cancerous, parasitic, hormonal or from heart disease. The breathing difficulty may be due to the diaphragm’s inability to fully move limiting the depth of s breath. In some cases, a condition called Cushing’s Disease (hyperadrenocorticism) gets overlooked in the differential diagnosis. Hyperadrenocorticism may be miss diagnosed as general liver disease. A low dose dexamethasone suppression test would confirm if the cause of the liver enlargement and increase of liver enzymes are due to hyperadrenocorticism. Regards Dr Callum Turner DVM

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Tilley
Cocker Spaniel
10 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Pain

Our 10 year old cocker spaniel was diagnosed with pancreatitis 4 days ago. She does not seem to be responding to antibiotics and the Tramadol doesn’t appear to be relieving the pain. X-rays have shown an enlarged liver but nothing else. She has previously had cancer three times the last being March 2016 when she had anal gland carcanoma. This was successfully removed but we chose not to follow up with chemotherapy as our vet said that it may only make a difference of six months so why put her through it. Our current vet has told us that if she doesn’t turn the corner tomorrow then decisions will have to be made. We don’t want invasive surgery but is there anything else we can do to find out what is going on? She also has sores all around her mouth, runny eyes and sores on her body. Advice would be appreciated

Dr. Michele King, DVM
Dr. Michele King, DVM
1525 Recommendations
Thank you for your email. I can't really comment on what might be going on with Tilley without seeing her, but I am sorry that she is having this happen to her. One thing that you didn't mention in your email that might help give some answers would be an ultrasound if your veterinarian has that available, as they may be able to see more detail on her liver and her pancreas, and see if there are masses present, or tumors, or abscesses. Otherwise, I'm not sure what tests or medications have been given. I hope that she recovers, and feels better tomorrow.

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Diamond
Pit
6 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Jaundice
Enlarge liver
Swollen Abdomen

Medication Used

Doxycycline
Furosemide
denamarin

She started with Jaundice in February vet prescribed medication that seem to be working but 3 weeks later she had swollen stomach x ray shows fluid in abdomen. Wants her to see internal medicine specialist to see what's wrong. What's your suggestion.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Did your Veterinarian increase the dose of furosemide? In some cases, an increase in dosage or change of diuretic (which works with a different mechanism of action) may help with the fluid accumulation. Were fresh blood tests taken after the ascites presented? Checking the blood proteins may indicate a reduction in albumin and globulin which may have caused ascites. Other causes include peritonitis, liver tumours or kidney disease. A visit to an Internist may be required. Regards Dr Callum Turner DVM

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Mack
Husky
10
Critical condition
0 found helpful
Critical condition

My dog husky/shepherd mix had been battling intentional problems for over a year. He would improve after anti-inflammatory treatment. Last week he stopped eating. When checked he was diagnosed with fever & infection. He was put on IV and was given an ultrasound. The ultrasound showed enlarged liver with rounded causal margins. Liver extends to level of umbillicus. Diffusely abnormal texture. Mixed echotexture with hypoechoic & hyperechoic irregular nodules throughout with very minimal normal architecture. He was sent home with metronidazole, Rimadyl & Enrofloxacin. While home he couldn't keep anything down including water which made it difficult to give him his medication. He started having pain & we returned to Vet where they recommended euthanasia. We agreed because of the pain but wondered if he would have been kept on IV with medication, could he have had a chance to survive. Cancer was not confirmed & blood tests were not done.

Are ultrasound readings definitive enough for a diagnosis?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations
Ultrasound is highly suggestive but not definitive, a biopsy of the liver or fine needle aspirate would have needed to be done; however, the size of the liver was abnormal if is was extending to the umbilicus. Blood tests are usually ran in these cases, however depending on the results of the physical examination by your Veterinarian and the overall condition of Mack, your Veterinarian may have determined that euthanasia would have been the best outcome for Mack; a necropsy would have been useful afterwards to confirm the suspected diagnosis. Regards Dr Callum Turner DVM

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millie
Cocker Spaniel
12 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Lethargic, black red discharge, diarhea
off hind legs
Drinking lots of water
Coughing
Off food
Disorientation
sleeping a lot

Medication Used

Omeprazole
you move
Tramadol 50 mg.
Steriods

Our dog Millie is 12 yrs old cocker spaniel. She started going off her hind legs but mainly when standing up from seated position but able to hold her weight once upright. Next she started becoming lethargic and withdrawn going into corners staring ahead bumping in to things walking over her bowls food & water. She then started to loose weight and go off her food (which she was always fond of) She continued to drink a lot of water. Then all of a sudden Millie started having diarrhoea and very loose stools.. we took her to vet who diagnosed liver enlargement after ultrasound although blood tests were normal. The vet suggested putting on diet of chicken .. white fish.. and antibiotics - she continued to be unwell so having returned to the vet she was started on steroids for liver issue and tramadol (for pain relief). Millie sleeps a lot and mostly off her food her weight has slumped to 13kg and is also having sight problems and it appears to be affecting her sense of smell too. She now has watery type bowl movements... disinterested in activities. Millie has now developed a cough too.. I have read your posts in relation to liver issues and I accept that there are many reasons for liver issues in dogs (as in humans) but If Millie's liver is the cause of the issues will the steroids help her to get better ? The vet says because of her liver issues the toxins my be building up and possibly affecting her brain which could be why she becomes disorientated..
Will the liver be able to function enough for her to recover as I want Millie to have every chance of recovery she is so special. thank you ..

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Liver disease or loss of liver function can cause the level of waste products to accumulate in the bloodstream which would eventually lead to neurological impairment; although you would see some signs on the blood test results. Steroids are used in the treatment of liver conditions quite often and would be indicated depending on the underlying cause. Ideally changing to a low protein (but higher quality) would reduce the work of the liver (and the kidneys) as well as symptomatic and supportive therapy along with treatment of the underlying cause. An enlarged liver isn’t a disease, it is a symptom of another disease process; I cannot say whether Millie will regain enough liver function to reduce the toxins in her bloodstream. Regards Dr Callum Turner DVM

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Boomer
Golden Retriever
12 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Enlarged liver and spleen. Poor app
Enlarged liver and spleen.

My 12 years old Golden Retriever experience poor appetite but extreme intake of water. He also experienced vomiting. I took him to the vet and found out he has an enlarged spleen and an enlarged liver. She gave him an antibiotic which stopped the vomiting. 7 days later he still was not eating sill lethargic. They did blood work and he had elevated enzymes but nothing else. X-ray showed very enlarged liver and possible enlarged spleen. Vet suggythat he may have cancer but to Get and ultrasound. Income is limited. Would getting the ultrasound make any difference on his prognosis? Would treatment for other diseases like poisoning or liver disease improve his quality of life? Would it be wise to get the ultrasound or just let him go naturally?

Dr. Michele King, DVM
Dr. Michele King, DVM
1525 Recommendations
Thank you for your email. Im sorry that Boomer is having problems. The ultrasound may give your veterinarian a better idea as to why his liver is so enlarged and soem ideas as to how to treat it. If the cost of the ultrasound is soemthing that you can't manage, it would be best to talk with your veterinarian about more empiric treatment options. They may be able to offer options without that additional information, it will just be more difficult for them to make him healthier. They will also be able to talk to you about his prognosis, since they have seen him and know his lab results.

I also would like to know of Boomers outcome because my 12 year old retriever also has an in large liver and has been vomiting for 5 days now and wont eat and get up but the vet said all blood work and xray came back fine that he is congested and to give him lasik twice a day . Its just not making sense to me why he is so sick if everything is normal.

Any news? My dog has the same he is hopistalized right now to drain the fluid

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Sammy
Yorkie
10 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

No appetite

My 10yo yorkie stopped eating. My vet did some tests and told me she has an enlarged liver, very high enzyme count. Ultrasound was done. Her spleen is also enlarged. During ultrasound the vet sampled fluid around spleen. No cancerous cells. She is lethargic, drinks and pees a lot. Vet is putting her on on cortisone. Says her days are numbered. Should I go for second opinion. Can't do biopsy because of collapsed trachea.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

An enlarged liver and spleen which is also called hepatosplenomegaly may be caused by a few different conditions including: infections, parasites, portal hypertension, autoimmune disease, metabolic disease, cancer and other causes. Further investigation is required, but options are limited; there would be no harm in getting a second opinion especially if you visit a Internal Medicine Specialist, but prepare yourself for similar news. Regards Dr Callum Turner DVM

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Tilly
7 Months
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Poor Appetite
Lethargy
Out of Breath

Hi there, my dog did not finish her breakfast yesterday and was very dull and lathargic the whole day. Took her to the vet and he gave a her injection for constipation and said that she has an enlarged liver. She has not drunk very much since yesterday and has lost her apitite, she has a big belly, but not dehydrated as I'm syringing water in her mouth she is still responsive but not her normal self, is there any advice ? Many thanx

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Liver enlargement is a symptom of many different conditions. Prognosis is variable depending on the original cause of the enlargement. Blood tests with biochemistry would give an overall indication of liver and kidney health, as well as circulating blood cells. Keeping Bella hydrated is important as well as offering food, try some wet food on your finger she might lick off. Again, I would recommend blood tests to determine internal health as well as supporting her with water and food. Regards Dr Callum Turner DVM

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Angel
Bichon Frise
13 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Paralysis
Enlarged liver

Medication Used

Meloxicam, Tramadol, Methocarbamol

All of a sudden, my dog's back legs just stopped working. She was running around outside like she usually does and seemed fine. Then she came up to me to ask for food and seemed happy, when all of a sudden her hind legs just dropped to the floor. She hasn't been able to walk, but otherwise seems fine. We took her to the vet and they said that she has a ruptured disk, but after taking an X-ray, they saw that she had a significantly large liver. They then went on to say that her walking ability may be tied to blood clot or embolism. They're not sure unless they do a MRI, but even with an MRI, they said it would be pointless unless we're willing to have her go into surgery. We don't know what to do at this point as she's older and other issues such as epilepsy and pancreatitis. Please help, any advice would greatly be appreciated! Thank you.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations
Whilst I don’t like to speak in these terms, at thirteen years old Angel is in the middle of her breed’s life expectancy so any consideration of surgery, anaesthesia and other tests etc… need to be balanced with length and quality of life afterwards; an MRI is an expensive test and the surgery wouldn’t be on the cheap side either. The cause of the liver enlargement should be determined as well starting with blood tests to check liver function before deciding on anything else. Regards Dr Callum Turner DVM

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Loki
Husky/Shepard mix
9 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Bulging Eye
receding eye
Blindness
stuffy nose
Enlarged liver

My husky mix has been seen by five different vets in the past few weeks and they are all stumped. She started by showing some head pain, one eye bulging the other receding, and ulcers on both eyes. Soon after see lost her sight. Liver enzymes were slightly raised. The head pain has gone, and after seeing an ophthalmologist the ulcers are healed, but sight hasn't returned most likely due to swollen optic nerves. Most recent vet visit showed very high liver enzymes and an ultra sound showed an enlarged liver but no large tumors, also nothing found by ultra sound behind the eyes. Waiting on liver test results. No real personality changes, except some more lethargy mainly seeming to be due to the blindness.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

It is difficult to say what exactly the cause may be and it is possible that the ophthalmic issues are not related to the liver enzyme levels. As the for the liver, if the results come back elevated from another test, it may be worth having a biopsy taken from the liver to see if there is any pathology or unusual cell in the sample; elevated liver results may cause some neurological symptoms but we would expect this to occur in cases with extremely high test results. Regards Dr Callum Turner DVM

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Cody
Dachshund
13 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Loss of Balance
Bloated Abdomen
Panting
Lethargic

Medication Used

Enalapril

So my dog's appetite decreased, didn't want to eat even his favorite foods, his belly seemed bloated and had been panting a lot in the evenings when just laying still. I took him to the vet she did x-rays on chest and abdomen found that his heart was slightly large but his liver was extremely enlarged. All blood work came back good. Ultrasound of liver looked like healthy liver. She put him on enalapril maleate and wants to see him back in two weeks. Does poor heart function cause enlarged liver and will this treatment be temporary or will he most likely have to stay on meds for rest of life. He is a 13 year old dachshund.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Enlargement of the liver maybe caused by a variety of different conditions including heart failure, infection, inflammation, parasites, hormonal diseases, vascular disorders, cancer and poisoning. Treatment is dependent on the underlying cause; however life long medication is probable in these types of cases, but you will know more after two weeks when you return to your Veterinarian. The positive blood work and ultrasound is encouraging but without examining Cody I couldn’t tell you for 100% his prognosis for treatment. Regards Dr Callum Turner DVM

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C
Beagle
8 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Vomiting
not drinking
uncomfortable
Lethargic

My husband and I went on vacation for a week, and our dog stayed with family. He swam a lot during that time, may have had bad scrap foods, and drank salt water. He was found licking his paw and possibly been bitten by a scorpion. He was taken to the ED where he received IV fluids and pain medication. The next day we took him to our vet and had lab work completed. He was put on Meloxidyl. He would not touch his water or food bowl, but luckily I was able to get him to drink water with shredded chicken and wet dog food. This went on for 6 days. He threw up white/foam almost everyday and burps after eating or drinking where sometimes he throws itbup but is able to hold it in. His labs came back with elevated AST, Alk phosphatase, Precision PSL, triglycerides, and cholesterol. He was found to be anemic. A x-ray was completed and one of his liver lobes seemed to be inflamed. He tested negative for tick fever and currently is pending a thyroid panel and Valley Fever. He is tired and not really drinking a lot. He is having normal bowl movements and peeing. Do you know what could cause this?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Liver enzyme increases may be caused by a few different causes including infections (including viral infections), poisoning, metabolic disease, hormonal conditions among other causes; it is a case of investigating many possible causes based on your Veterinarian’s differential diagnosis and ruling out each condition until a diagnosis is found. The symptoms of vomiting, lethargy and elevated liver enzymes are not specific for any single condition; if C was swimming in large bodies of water or along the coast or bank he may have consumed some toxin or a dead animal which may be causing these symptoms now. For now, whilst your Veterinarian is testing C, it may be worth putting C on Denamarin for liver support; it is a natural product (so no fear of interactions with other medications) and may be given without prescription. Regards Dr Callum Turner DVM

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Kaiser
English Mastiff
3 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Lethargic
Enlarged liver
Loss of Appetite
Bloated Abdomen
Fluid in Abdomen
Change in temper

Medication Used

Metronidazole
Amoxicillin

About a week and a half ago I took my dog Kaiser to the vet for a bloated abdomine. After an X-ray of his stomach, the vet concluded that his liver was inlarged which is causing his organs to be pushed back. His blood test came back with a few numbers being high... AST (SGOT) - 114 (HIGH), Alk Phosphate - 290 (HIGH), Platelet count - 457 (HIGH), Amylase - 1225 (HIGH). The vet isn't sure what's wrong with him so we took him home with some medicine 4 days ago and he's only getting more lethargic...

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

There are a few causes of liver enlargement in dogs which may include infection, liver failure, congestion, cancer, heart failure, poisoning among other causes; blood cell counts (normally done with biochemistry), x-ray and ultrasound would all be useful next steps in determining a cause. Current treatment is for infection, but if there is no improvement more investigation would be required. Regards Dr Callum Turner DVM

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Emma
Chihuahua
11.5 years
Critical condition
1 found helpful
Critical condition

Has Symptoms

Breathing Difficulty
Fever
Weakness
Weight Loss
Diarrhea
Lethargy

My dog was diagnosed with an enlarged liver, sever anemia (gums almost white), her protean and sugar levels were in the toilet, she was having trouble breathing and had a liquid diarrhea that wasn't followed by any others. In the prior 6 months she had lost the ability to use her hind legs except to balance herself when going to the bathroom (I am attributing this to adequan she was given for early arthritis issues but that is my best guess based on the timeline and research I have done). The dr said there was nothing that could be done and she was out to sleep but everything I have read since says liver issues are treatable. I need to know if the wrong decision was made for my mental sanity. I know I can't go back and change things but I will know if I can trust this vet when I adopt another dog in the future. I keep replaying that day in my head and I just need a second opinion that j couldn't afford that day so I stop questioning myself. Nothing can be changed, but answers will help my mind out this to rest.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Condolences on your loss. Unfortunately I cannot give you absolute closure because there are numerous causes of hepatomegaly (enlarged liver). Some are treatable, some are manageable and some are not treatable. The results of blood biochemistry would indicate liver health and severity of any liver damage. The liver is the largest gland in the body and is responsible for numerous different functions. If there is damage to around three quarters of the liver, it is unable to function properly and waste products (like ammonia) may accumulate in the blood stream which are unable to be excreted by the kidneys. The original cause of the liver enlargement would determine the treatment and the overall prognosis. I cannot say that Veterinarian was right or wrong. Regards Dr Callum Turner DVM

We have a Chihuahua corgi cross she is 25yrs old+ she's had a few sizures and her back legs are weak she hasn't eaten in 4 days but does drink. She had a steroid injection without much change. The vet said she has a heart mermor and enlarged liver her eyesight is also going. But each time I go to think about putting her down she raises her head and looks at me.

I had a 14yr old Chihuahua with an enlarged liver also, but she also had many other things which they found at the same time. Plus enlarged liver could have meant Cushing Disease which the treatment is not good. My dog also had diabetes, pancreatitis and a tumor on her chest causing her breathing to be very labored. I had to make the very hard choice to put her to sleep but it was the kindest thing I could have done for her and while I miss her like crazy I don't regret it.

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B
Whippet
14 Years
Critical condition
0 found helpful
Critical condition

Has Symptoms

Loss of Balance
Weakness in hind legs
bloating, loss of appetite
Anemia

My whippet who 8 months ago went through removal of an isolated ​Hemangiosarcoma tumor ( determined by a stunned oncologist after 8 post aspiration later) we put him on herbs and eliminated all carbs from his body. With increased stress of moving and depression from the loss of his brother, he started licking the ground, seem to drink less water, slowing down, loosing strength in his hind legs and bloating. Blood test showed he was anemic and had a couple spots on his liver (also shown in blood prior to his previous surgery) An ultrasound showed his liver extremely inflammed, almost purple in color with some little clusters, but again aspiration showed non-cancerous. He is on milk thistle to clean out his liver and yet again another herb to help detoxify. Other than some bad heartworm meds in his first 8-9 years he has been on any other meds. My vet seems at a loss and we are trying the current treatment plan but whereas he is finally eating and his poop has gone from nonexistent, runny yellow/orange to brownish and more shaped and solid, he's still fairly bloated and his hind legs seem to worsen....
Am I just not giving enough time for his liver to detox or is something being over looked.
As previously mentioned he is a bit of an anomili already given the isolated case of the hemangiosarcoma tumor (the oncologist said he was now one in 5 based on a recent study that had come out.) Do you have any thoughts to add?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Unfortunately I don’t really have anything further to add; as your Oncologist has already mentioned B is an exceptional case. Milk thistle is a common treatment in these cases; comfrey root extract is used to reduce inflammation and is a commonly used to treat liver disease which may also help. In these cases, supportive and symptomatic care are usually the only course of treatment. Regards Dr Callum Turner DVM

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Missy
Mix bread
13 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Confused
Drinking Water
Eating more
No movement

I have a dog that had exrays done and blood work. Everything showed to enlarged liver. Her belly is really swollen. The vet has her on a med for antibiotic, and Denemarin, and Pepcid for stomach. We are waiting to go back in 2 weeks and do another round of blood work to see if any numbers are down. But seems her stomach is getting bigger, will it go down?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations
It depends on whether the liver is enlarged, congested or whether there is fluid in the abdomen causing distention; you should give the treatment as prescribed by your Veterinarian and monitor for improvement. Regards Dr Callum Turner DVM

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Zoey
Bichon Frise
11
Serious condition
-1 found helpful
Serious condition

Has Symptoms

high bile results

11 yr old Bichon female. She developed SARDS 1 1/2 yrs ago and at that time I had all sorts of tests done to make sure it wasn't anything else - it's such a frustrating disease. Just before she went blind, she developed a ravenous appetite that hasn't changed at all. She also pants a lot and water intake seems normal to high. The panting is worse lately so my vet suggested a bile test and check again for Cushings...we all thought it would be a positive. She showed no sign of Cushing BUT her bile levels were very high even in the resting test. Her after food test was up in the low 100's. She is now booked for an ultrasound to determine what's going on with her. Everything I read about liver problems states a decrease in appetite and this girl is always hungry and never turns down anything. I feed her raw food from Big Country Raw in a duck dinner.
Any thoughts?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Usually repeated high bile levels are consistent with liver disease or a portosystemic shunt; a portosystemic shunt is an abnormal connection between the portal vascular system and systemic circulation. I believe that your Veterinarian may suspect a portosystemic shunt which is why Zoey is booked in for an ultrasound; following the result of an ultrasound, your Veterinarian may require further imaging studies or will recommend medical and surgical intervention is a shunt is suspected. Below is a link to the American College of Veterinary Surgeons page on portosystemic shunts for more information. Regards Dr Callum Turner DVM
www.acvs.org/small-animal/portosystemic-shunts

Not sure how Zoey's condition parallels human COPD. This comment section is targeted for animal diagnosis, not human. Although, I'm glad all has worked out for Vivica, this has no bearing on liver enlargements in canines. An herbal remedy solution for liver disease in dogs would've been more suited in this comment section.

Thank you for answer and link.
One more question - can a dog develop a shunt at her age?

I am 54 years old and I was told I had COPD 7 years ago. I immediately quit smoking, but as the years pass by my condition got significantly worse, and I started having serious attacks. I used to be able to exercise, but it became so hard because I`m constantly out of breath. My pulmonologist started me on oral steroids to help control symptoms and minimize further damage but my symptoms never stopped getting worse. In January this year, my pulmonologist and I decided to go with natural treatment and was introduced to NewLife Herbal Clinic natural organic COPD Herbal formula, i had a total decline of symptoms with this COPD Herbal formula treatment. The infections, shortness of breath, fatigue, dry cough and other symptoms has subsided. Visit NewLife Herbal Clinic official website ww w. newlifeherbalclinic. com or email [email protected] newlifeherbalclinic. com.


I have had great improvement with my over all respiration with this product and i breath very much easier, i can never be thankful enough to nature

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Dandy
Goldendoodle
5 Years
Serious condition
-1 found helpful
Serious condition

Has Symptoms

Loss of Balance
Lethargy
Vomiting

Medication Used

Metronidazole

My 5 1/2 year old Goldendoodle has an enlarged liver, high enzyme levels, "sludge" in her gallbladder, thickening of the duodenum, and some kind of mass on the intestine (which could cause a blockage). We have had bloodwork done, and an ultrasound today and the vet prescribed three meds to treat the liver and gallbladder but my dog can't keep them down. She vomitted and now won't eat anything else. I have had, in previous days, success feeding her cooked chicken but she won't even eat that. We have an x-ray scheduled for tomorrow. If there are no other visible tumors the plan was to check her clotting ability, then proceed with biopsies of liver and mass on the intestine and then, after making sure her blood will clot, remove the section of the intestine with the mass on it. Vet didn't think liver and intestinal mass were related but couldn't tell me the cause of the liver issues. She doesn't seem to be in pain but she is certainly not feeling good either. I am wondering your opinion on how to proceed.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

It is possible that the liver enlargement / gall bladder condition is related to the duodenal problem they have close anatomic positioning and the common bile duct eventually makes its way to the duodenum. The gall bladder sludge sounds like it is a Canine Gallbladder Mucocele which can be caused by endocrine diseases, high fat diets, genetic predisposition or pancreatitis. In cases of Canine Gallbladder Mucocele, the best course of treatment is removal of the gallbladder. The intestinal thickening may have been caused by irritation, diet intolerance or by a tumour; obviously an enterectomy will remove the thickened area of duodenum along with the mass. Regards Dr Callum Turner DVM

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Benny
Rat Terrier
16 Years
Critical condition
0 found helpful
Critical condition

Has Symptoms

Stomach pain after taking meds.

Is an enlarged liver curable, or reversable? What may have caused it? Benny weighed 10 lb. and had severe arthritis at the base of his spine which affected the nerves in his back legs, making them week. He also had severe pain in his elbow which was thought to be possibly a tumor. X-Ray showed an enlarged liver also. Pain relievers helped with the arthritis and elbow but was given with food and either the med or the food caused horrific pain for about 3-6 hours after eating. I believe it was the liver causing the pain. He would howl and cry the whole time.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations
There are many causes for hepatomegaly (enlarged liver) in dogs and the causes are listed on this webpage, some causes of hepatomegaly may be reversible (like hepatic lipidosis) or the damage to the liver may be reversible but this all depends on the underlying cause. Regards Dr Callum Turner DVM

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Coco Chanel
Shih Tzu
8 Years
Fair condition
0 found helpful
Fair condition

Has Symptoms

Thirsty

Revised: The only issue that I have had with her are allergies and ear infections. She is currently eating Science Hills light. My pup is overweight 13.8 pounds (she is short)

Original:
My 8 year old Shih Tzu liver enzymes (ALP 745 and ALT 142) were elevated. When this first occurred our vet suggested that we put her on Denamarin for 1 month and retest her. Well after retesting her ALP went up to 1299 but her ALT dropped to 95. Then we referred to go to specialist for an ultrasound. The results did show "Subjectively enlarged Liver no masses or nodules seen slightly heterogenous.Her gall bladder had a mild amount of gravity dependent debris but stated that it "could" be normal. She did suggest testing for Cushings and Lepto. as for now we are treating her with Denamarin and Ursodiol and will recheck in a month. I am thinking of changing her diet ie homemade and was wondering do you have any suggestions on what should or should not be included in her meals.

Dr. Michele King, DVM
Dr. Michele King, DVM
1525 Recommendations
I would still stay with my previous advice of giving the medications a chance to work before changing her food. Once the repeat lab work is evaluated, your veterinarian can guide you as to diet choice - if she needs a diet for her liver, there are a number of prescription diets available.

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Bibi
Yorkshire Terrier
13 Years
Serious condition
1 found helpful
Serious condition

Has Symptoms

Sleeping all the time
He sleeps all the time

My dog has a tumour on his kidney glands, which made his liver really big (they think it makes him have coughing). He drinks and eat a lot. Seem to be ok but I feel his belly is so big (he's a little yorkie) that he must be in pain? When do we know when to put him down?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

It can be hard to determine when to put a loved one down and there are many different opinions of when that should be; I always told people “you know your pet better than anyone, you will know”, but often it isn’t that simple as dogs are stoic by nature and many times they don’t show signs of pain or weakness until it has gone too far. When Bibi has trouble with normal bodily functions and you notice behavioural changes (not greeting you when you come home and showing no interest in usual activities), it may be a time to evaluate the situation. Your Veterinarian would be able to tell you better as they can examine Bibi and offer a recommendation. Regards Dr Callum Turner DVM

thank you

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Daisy
Golden Retriever
2 Months
Serious condition
0 found helpful
Serious condition

Has Symptoms

Weak, anaemic, limping, not eating but drinking
Weak, anaemic

My puppy was having fever & bloated belly and Use to groan.. I took her to vet and he said she is having ascites and decided for test but she had no blood only few drops we got from her body and were able to perform hgb tlc & dlc test. the result were- hgb 3.2 and lymphocytes 53% rest everything was ok. Vet gave lasix tab, hepamust liversyrup, iron syrup and injection she was active, eating well but was choosy..after that she suffer diarrhea and she became so weak stopped eating & now she is not able to stand and while walking she is limping ( hardly walking) & crying in pain if her front lymp parts are touched. she can't stand, even can't turn while lying without my help.. She also had rashes and fluid filled pimples in lower abdomin and groin region. Her belly is turning black in color from pink.. Urine- dark yellow, stool from yesterday - semi solid and no loose stool from yesterday because I reduced the iron dose ( From 3 ml to 2 ml) , now no bloated belly & eyes & gums-pale no redness.. She was 5 kg when I first took her to vet now I think she is merly 2.5-3 kg.. Not eating properly only drinks chicken soup which I don't give much coz I fear if she had liver infection...please help me I don't have good vet here, icant loose her, breeder gave me sick puppy but I want to save her.. Also I want to let u know that she is not vaccinated because the day I bought her she was having fever so we were not able to vaccinate her.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3201 Recommendations

Whilst I understand your concern about your local Veterinarian, I cannot recommend any at home treatments for a condition this severe and I cannot give you advice on prescription medicines legally as I haven’t examined Daisy. With her current condition, it would be best to visit another Veterinarian or if possible a Veterinary School nearby which may have better facilities to help Daisy. A young puppy has a poor immune system and is susceptible to infection; from your description, it may be that Daisy has septicemia; but I cannot say as I haven’t examined her. The link below is to a global list of Veterinary Schools. Regards Dr Callum Turner DVM
www.avma.org/ProfessionalDevelopment/Education/Foreign/Pages/ECFVG-world-colleges-colleges.aspx

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Cherry
Shih Tzu
9 Years
Serious
Has Symptoms
Abdominal Mass
Depression
Poor Appetite
Weight Loss
My Cherry is 9 years old shih tzu & developed tumor in her liver. She had blood work done a week prior to getting that tumor. Blood work showed no abnormalities. Then a week later, she got sick. Lost so much weight and her liver got enlarged in matter of days and it keeps growing. My doctor said that Cherry won't survive the surgery even if we decided to get the surgery done (she had two prior surgeries to remove tumors from her stomach & breast). The vet suggested that we euthanize her & gave us two weeks. Since then, she is still losing weight but she still eats (in very small amounts - give her low fat protein, low carb, diet with supplements= fish oil, milk thistle, & Life Gold), goes out to pee/poo, & plays with her ball (she gets tired and her activity level dimishing quickly). It is our second week. I was taking it day by day with Cherry who seemed to want to fight. I feel so guilty about not going through the surgery. Is it okay for me to keep her with me until I see the obvious signs of distress from Cherry or is my dog suffering already. I know she's still willing to fight but am I making her suffer? I feel so guilty about not being able to keep her healthy. I will always have regrets and think what ifs.. my wish is that she cross over peacefully at home but is it impossible? I just can't fathom euthanizing her...or is it best to do that for her sake? I'm afraid that her stomach might burst/have internal bleeding because it is getting bigger.
Red
Boxer
7 Years
Serious
Has Symptoms
Swollen Abdomen
Vomiting
Frequent Urination
Diarrhea
Hi, my dog has been very sick lately. It has been about 2 weeks since his symptoms first came up. He was acting normal in the morning one Sunday and when I got home about 6 hours after that he was completely lethargic, laying on the floor. I had to carry him down stairs so he could go to the bathroom outside. Over the next week I watched him closely. I thought he had gotten over heated due to a spike in temperatures and humidity the 2 days prior. He was still drinking lots of water, but he had stopped eating his dry food. I purchased wet dog food and he would eat a little of that but quickly lost interest. He would seem like he was getting better, but then he would seem like he was getting worse. He started having diarrea or not pooping at all, but still trying. He started urinating inside, he couldn't hold it more than 2 hours. He was waking me up all night and then he wet the bed. The next Monday I took him to the vet. She did a xrays and bloods tests. His liver was enlarged and his liver and Kidneys were highly elevated. She took more blood and urine samples and sent them to the lab thinking that he had leptospirosis. She gave him and IV fluid, and 2 injections (1 for nasuea & the other I dont know what it was) and antibiotics to give him. The anitbiotics at 100mg Doxycycline to give him 2 pills every 12 hours. He could not keep the pills down. They made him throw up and he had tiny little diahreas in the house as well as still peeing. She instructed me to give him 10 mg of pepcid ac 1 hour before eating. That worked the first time, but aside from that, every time I gave him the antibiotcs, he threw them up. He is now very wary of food. I did not give him his meds this morning. He was able to eat and keep down some food. He still will not eat regular food. Over the past week that I have been giving him the antibiotics, I had to cook food for him. I have been making rice, grilled chicken, ground beef, scrambled eggs and oatmeal.
Cole
Pomeranian
8 Years
Critical
Has Symptoms
Vomiting
Immobility
Lethargy
Diarrhea
Anemia
A few weeks ago my Cole started commuting yellow foam like with grass, than his food. I thought whatever it was would pass but it didn't he continued to vomit. I startimg feeding him rice and chicken and he did good good no vomit for 2 days. On the third day he vomited back up I tried to warm his dog food which he ate a little of but that came back up next day. He was very lethargic so took Him to vet recommended bloodwork. Got a 2nd opinion they recommended X-ray and gave him fluids, antibiotic and something similar to tums. I was able to give 3 doses of the meds and since he stoped eating. Yesterday was his 3 Rd day no food but alot of water and not moving. I had to carry him Out to potty and back legs seemed they were giving out. Soon as I got paid yesterday I got the bloodwork and revealed off the charts for liver issues and anemic and blood cells all in red. X ray shows something is present but unclear. I brought him back and got him hooked up to iv fluids, injectable antibiotic so it's easy on liver and an ultrasound showed no tumor in liver or pancreatitis. Doctor believes mass or something in intestines. My Pom is not stable enough for surgery. He recommends considering putting him down. I'm so torn I don't want him to suffer but he's not looking to good and surgery may not be possible anesthia goes through the liver. It's only been 24 hours on iv, antibiotics. Hoping for some kind of improvement. I hate him Being there alone.
Cali
Lhasa Apso
11 Years
Moderate
Has Symptoms
Anemia
Noisy Breathing
Depression
Poor Appetite
Weakness
We first thought she was having trouble peeing. They prescribed her antibiotics because they thought she had UTI. Urinalysis came back and they found nothing so they stopped antibiotics. They performed a complete blood count and X-ray. I forget what it was called but something related to the liver was elevated to 1000. They think she has Cushing's but they aren't sure. X-ray showed an enlarged liver and backed up feces so they performed an enema (she wasn't pooping as well). She was just completely different: not eating on her own (but will eat when fed on some days), won't drink at all (they provided subcutaneous lactated ringer's), depressed and very mopey. The vets are baffled on what to do next. They are thinking of doing an ultrasound. Any opinions?
Dozer
Pit
9 Years
Serious
Has Symptoms
Bloated Abdomen
My 9 YO Pitt Dozer went and got his yearly shots. We had to put him to sleep to get his nails cut. Once we brought him home it took a full day to recover. The bloodwork did show liver enzymes as a bit high. A couple of days after he started eating cardboard, then he was eating tissues from the waste basket. My son just got over a cold, chewed on a pair of shoes which he hasn't done in years. Got diarrhea in which it went away. Seemed fine for a cple months the He has gotten worse. Lost weight to the point of his back bone showing, so I thought maybe he needed a new food. Switched it and then his tummy starts swelling. He eats normally, his poop is not like it was before we took him to get but not runny not is it firm firm. He gets gas every once in a while. His tummy goes down some but then he eats and it goes back to being bloated. I heard milk thistle is good for livers but not sure where to get and if I should get liquid versus pills. I did see it at pharmacy but for humans and don't know if it's good for dogs. My problem is I don't have the money to get him treated I am at wits end on what to do for him.