Join Date: Feb 2017
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CAH and DCM
Josie is now 8 years old and was seemingly healthy. However, on routine blood work last week, her ALT was 487. She had no changes in drinking, appetite, stool, energy level, etc. Yesterday I took her in to a specialist for a liver ultrasound. Thankfully, her liver looked good (although a bit small), but when I asked if they could take a look at her heart, that wasn't good. Her function sucked, with a fractional shortening of only 10%. Prior to the echo, the vet wanted to do a liver biopsy, but with these heart issues that isn't an option at the moment. She has no DCM symptoms; no murmur, great pulses, no exercise intolerance, and no respiratory issues. The plan at the moment is to start her on Denamarin and Flagyl for her liver, and Vetmedin for her heart. I've been reading over old threads, but what I'm wondering if anyone has had personal experience with managing these two conditions at the same time. I've read a lot about Dr. Dodd's liver diet, but not sure that's appropriate for a dog with cardiac issues. What commercially prepared diets have you fed with DCM? I have just switched her from Taste of the Wild to Wellness Complete Health Senior. I am also wondering if anyone has recommendations for online pet pharmacies with good prices/service. PetCareRX seems to have good prices with the PetPlus program. I've been a little anxious with her running and playing today. She was full-sprinting around the yard chasing my foster dog who just turned two. The vet said I need to let her live as she has and enjoy her life, but I'm worried she will overexert herself. I have taken her hiking with me since she was a puppy; Now I'm worried to do that.
Sorry for rambling, but I am heart broken over her diagnosis, but would love to hear any advice/experiences that anyone has. Thanks in advance.