How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Scott Your Own Question

Dr. Scott
Dr. Scott, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 15100
Experience:  12 years of small animal, equine and pocket pet medicine and surgery.
Type Your Dog Veterinary Question Here...
Dr. Scott is online now
A new question is answered every 9 seconds

My dog has had elevated liver enzymes and a high white blood

Resolved Question:

My dog has had elevated liver enzymes and a high white blood cell count. He has ran numerous blood tests, x-rays, ultrasound and cannot find any reason for the test results. He has had her on antibiotics but they have not helped the white blood cell count. She does seem to feel better while she is on them. Now he just wants to try Prednisone therapy. Shouldn't she be on an antibiotic also?
Submitted: 2 years ago.
Category: Dog Veterinary
Expert:  Dr. Scott replied 2 years ago.
Hello there,

How high were the liver enzymes?

Have they been rechecked to see if they are going up or coming down?

How high was the white cell count?

Does she have any symptoms of illness?

Did she have a fever?

Have you pulled any ticks off the dog recently?

Has the dog been screened for Cushing's disease?
Customer: replied 2 years ago.
I don't know the numbers. I just know that her liver enzymes are above the the maximum & have gotten higher while on 20 mg prednisone a day. The white blood cell count has been the same (a little high, don't know exact numbers) since November.
She started acting lethargic at the end of November & shivering. Took her in for check up & he gave her some pain meds.

Dec. 14 - I accidentally gave her 500 mg Naproxen, which she then threw up blood a couple of days later. He prescribed antibiotics then & checked everything, kidneys, urine, blood. Said everything was fine except the elevated white blood cell count & a little abnormal liver enzyme count.

She did not throw up anymore, but stopped eating & we took her back to vet on 12 - 22, he did an ultrasound, intestinal parasite test, & pancreatitis test, blood draw & CBC, of which got same results. Prescribed antibiotic & appetite stimulant which did not help. Took her back on 12/27 as she was running a temp of 105. Gave her zeniquin. She continued to have a mild temp for another week at which point he put her on 20 mg. of Prednisone.

Her appetite has increased, she is still feeling a little lethargic & seems to not feel quite as good now that she's off the antibiotics. I have changed her diet to Dr. Becker's protocol, but cooked. I am feeding her 3 parts lean turkey or lean beef, 1 part greens, veggies, & pumpkin (no grains) and fruits, along with suplements (along with yogurt, salmon, sardines, enzymes, vitamin C, Krill oil, etc.
Expert:  Dr. Scott replied 2 years ago.
The prednisone can cause the elevated liver enzymes and white count. If the white count is not above 30,000 infection is unlikely. Slight elevations are seldom a major concern. If the dog stays on prednisone the liver values will not likely come down. The Naproxen could easily have caused the liver value issues. it also could have caused stomach ulcers which would cause the loss of appetite. Damage as a result of the Naproxen could cause elevated liver values for several weeks while the liver heals. Now that prednisone has been started they may not return to normal until that has been stopped. In cases where the values do not come down Cushing's disease should be ruled out by a special test that needs to be sent off to a larger lab. The fever does not always mean there is infection. If the fever resolves while on antibiotics they should be continued until the fever breaks. As long as the fever is present the appetite will be affected.
Customer: replied 2 years ago.
Would you take her off Prednisone & give her an antibiotic to see if the liver & white blood cell count comes down or would you continue an increased dose to see if it helped her, to see if she has some autoimmune thing going on?
Her liver enzymes & white blood cell count were out of the norm before the Naproxen.
Expert:  Dr. Scott replied 2 years ago.
They likely used prednisone for the fever and as an appetite stimulant. I would not be concerned about the white count unless it was close or over 30,000. The liver enzymes can be elevated by a long list of things. The tests already done have ruled out alot of them. If there is no improvement in appetite, behavior or blood tests I would take the dog off prednisone and test for adrenal gland problems. The steroids will affect test results the antibiotics will not. The antibiotics are not going to hurt anything if they are continued and the dog seems better when on them.
Dr. Scott, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 15100
Experience: 12 years of small animal, equine and pocket pet medicine and surgery.
Dr. Scott and 6 other Dog Veterinary Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
< Last | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    13796
    UC Davis graduate, emphasis in dermatology, internal medicine, pain management
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    9550
    12 years of small animal, equine and pocket pet medicine and surgery.
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    7758
    DVM, Emergency Veterinarian, BS (Physiology)
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Dog Veterinarian

    Satisfied Customers:

    6598
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    6377
    13 years of experience as a small animal veterinarian
  • http://ww2.justanswer.com/uploads/BI/bigislandvet/2013-2-21_214244_IMG0357.64x64.JPG Dr. Michael Salkin's Avatar

    Dr. Michael Salkin

    Big Island Vet

    Satisfied Customers:

    6049
    University of California at Davis graduate veterinarian with 41 yrs. of experience.