Message Number: FHL13077 | New FHL Archives Search
From: "jbmccaughey"
Date: 2011-03-30 01:42:54 UTC
Subject: [ferrethealth] Elevated ALT and ALKP

Back in August Mocha had a little pre-op mini-panel before having a small hemangioma removed from her side.

Fasting glucose was 77. Her ALT was elevated at 604 (82-289 U/L) and ALKP 106 (9-84 U/L). We did an ultrasound of the liver, that appeared normal. Since Mocha had been acting completely normal she had her surgery and went on Clavamox, and we also gave her milk thistle consistently for about a month and then every so often thereafter.

She just had an exam and full panel last week and again her enzymes show up elevated but not as high. ALT 351 (10-280) and ALKP 74 (15-45). Glucose 77 again. Other values appear normal, including AST 86 (50-280) Bilirubin 0.3 (0.0-1.0).

The vet prescribed Clavamox again but if bacterial infection is rare this has me curious as to whether these high enzymes are high for some other reason.

She's had an enlarged spleen for a couple years, I wonder if its possible the spleen could rub on the liver and irritate it?

She's always been a lower energy ferret that likes to stretch and groom and lounge. She needs to be entertained and then she will play, so she's the same in that regard. She has a good appetite and has maintained her weight.

I read about fat stores being moved quickly in absence of food but she hasn't been without food. I don't know how quickly that might happen, I wonder if she didn't eat before we went to the vet if not having food for an hour or 2 could even show slight elevation where no food for more like 6 hours before surgery would show greater elevation.

I'm not sure where else to look for a cause.



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