Ask a Dog Vet and Get Answers to Your Dog Veterinary Questions
I am sorry to hear you are worried about your Boston terrier. My name is Rebecca. I am a veterinarian and will do my best to help.
If his ALT is over 1000, that indicates that there is inflammation in his liver. The inflammation could be from infection, from blockage of the bile duct, from pancreatitis, intestinal inflammation, hepatitis. Cancer is a possibility as well, but high liver enzymes are not at all specific for any one condition. I have seen dogs with liver cancer that had normal liver enzymes.
Is he being treated for liver disease? Has an Xray or ultrasound been done to evaluate what his liver looks like? These would be the next steps to take if he is not doing well.
Do you have copies of the blood tests you can post here? I know what PCT is (if it is high it probably indicates dehydration), but not sure what IDR and PDT are!
Do you know his white blood cell count (WBC)? His albumin (ALB) or bilirubin?
Good that the ALB is normal. ALB is made by the liver, so even if there is inflammation in the liver, liver function is still good.
GLOB is globulins, very different from WBC.
If the liver enzymes are elevated, that is not at all specific for any one particular liver condition. Treating with appetite stimulants, steroids, and supplements is a reasonable way to start. However, if you want to know what is going on in the liver, doing an ultrasound and possibly even using it to guide a needle to get a biopsy of the liver should tell you what liver condition he has.
Vomiting can be treated with famotidine (available over the counter), 5 mg per 10 to 20 pounds body weight, twice daily. Cerenia, a prescription medication is also good.
How is your dog doing? Can I help with or answer anything else?