My golden retriever is vomiting with liver and kidney issues. What's next?

Question

My golden retriever, 4 years of age has a creatinine level of 6.7 mg. He has some liver problems too with SGPT: 144 IU/L and SGOT: 110 IU/ L. He has vomited multiple times yesterday. Saline has been given according to Doctor's advice with Zofar. What other things need to be done. Can you plz suggest? Pet's info: Dog | Golden Retriever | Male | 4 years and 9 months old

Elva Ma DVM · Accepted Answer

I'm sorry to hear that Goldie is feeling so unwell. Thank you for attaching his blood results. They do show signs of liver disease (high ALT, ALP). Low albumin can also be tied to liver disease, as the liver is responsible for making albumin. A low creatinine value is less of a concern than a high value. Some possible causes of elevated liver enzymes may include infection, toxicity, liver shunt, liver mass, or chronic hepatitis. I would suggest an abdominal ultrasound and a bile acids test as a next step. If Goldie is still vomiting and feeling unwell, he may also need to be hospitalized back on IV fluids again to restore his hydration and energy. I hope this helps, and that Goldie is feeling better soon!

My golden retriever is vomiting with liver and kidney issues. What's next?

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