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Thank you for using Just Answer. My name is Rebecca; I am a veterinarian. Please give me a moment to type my answer.
I am sorry to hear about your terrier having liver disease. Were any tests besides blood tests done, such as X-rays or an ultrasound?It sounds like all we know is that his white count is low, and the liver enzyme ALT is high. This does indicate some kind of liver problem, but it could be hepatitis or cancer or an infection. Further tests are needed to tell you exactly what is wrong with his liver.This happened to my own dog in February; her ALT was high and she was not eating. I did an ultrasound and a liver biopsy to find out what her problem was (sadly, it was cancer).If doing more tests is not possible, then I try treating for every liver condition I can think of: antibiotics (which you are doing), nausea medication and Denamarin, as well as ursodiol (helps liver function), sometimes steroids, and vitamin K. Basically I treat for every liver condition I can think of. However, if this is liver cancer, none of it will help.If he is getting worse, I would consider a liver ultrasound, and/or adding ursodiol and steroids and vitamin K to what he is getting. You can also try appetite stimulants like mirtazapine.Please let me know if this is helpful and what other questions I can answer.
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