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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 28031
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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My 6 month old puppy had low liver values come back on his

Customer Question

My 6 month old puppy had low liver values come back on his blood work. He's been hacking and trying to spit something up but nothing happens. He's also been sleeping more, but when he's not sleeping, he is rinning around being his normal puppy self. Should I be worried?
Submitted: 8 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 8 months ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Expert:  Dr. Michael Salkin replied 8 months ago.

I'm sorry to hear of this with your pup. Hacking and gagging at his age usually indicates an infectious tracheobronchitis ("kennel cough") which can be addressed with the antibiotic Clavamox. Most dogs will remiss within 1-3 weeka. It doesn't sound as if this has slowed him down and that indicates a positive prognosis for his recovery.

Liver enzyme values lower than normal are rarely a significant finding. This might be seen in dogs with a poorly functioning liver which is unable to manufacture those enzymes but these are very ill dogs and don't run around being normal pups. Can you upload a copy of all of his test results to our conversation? I understand that you might not have a copy at home but hisvet can give you one which you can scan into your computer and then give me the file link or you can photograph the pages and upload them by using the paperclip icon (if you can see that icon) or by using an external app such as dropbox.com/

I can be more accurate for you if I review all of his test results.

Customer: replied 8 months ago.
Here are the blood results.
Expert:  Dr. Michael Salkin replied 8 months ago.

Thank you! Give me a moment to review them, please.

Expert:  Dr. Michael Salkin replied 8 months ago.

There's no significance to the decreased ALT and the other liver enzyme AP is in the normal range. I'm concerned that his serum albumin level is low. Dietary protein intake should be evaluated and I would check to see if he's losing protein through his urine or bowels. A complete urinalysis is indicated. If he's not diarrheic he's not likely to be losing protein through his bowels. Please continue our conversation if you wish.

Expert:  Dr. Michael Salkin replied 8 months ago.
Hi Elena,

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin

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