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- e-Vet ALERT: Possible Spring Pet Injuries
- We have lost two special animals this past month
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- $5 provides a box of Valentine’s cookies for a dog, or a box of heart-shaped treats for a cat
I have a question about…conservative treatment for cushings in dogs
I have a 10 y/o male Cavalier King Chas. Spaniel. I took him to the vet for dental issues – needs a cleaning and a few extractions. His labwork showed elevated ALP and liver enzymes. UA showed dilute urine. (no other symptoms of Cushings) The vet wants to do a full Cushings work-up (ACTH stim test) before he is willing to clean his teeth. However, I am unsure as to whether or not I want to pursue the costly route of treating and monitoring his Cushings, since he has no symptoms or quality of life issues. Is it necessary to do this work-up to make sure he is safe for anesthesia? He suggested Propofol, and I agree it would be best re: his possible liver involvement. But does he need to be medicated for the Cushings before we proceed with anesthesia? I love my dog, but the cost of testing and treatment was a shock! Thanks!
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It would definitely be wise to determine the cause of the elevated liver enzymes prior to anesthesia. Dogs can be safely anesthetized even with elevated liver enzymes, but it is preferable to address all known issues prior to anesthesia. At the sanctuary, we would definitely diagnose and treat prior to anesthesia.