Liver levels increased after tooth extraction and antibiotics

Our dog had some swelling on her face and it was determined that she had cracked a molar. A blood test was done prior to the extraction. She was administered many drugs for anesthesia and pain during the procedure then Baytril & Tram idol after the surgery. (Of course if you look up each of the drugs she was given they all have side effects of liver damage.)

On the 13th day of the Baytril she would not take it and became weary of anything we gave her. She lost her appetite and regurgitated/vomited often. We took her to another vet and he did a blood test and her kidney levels had risen to high and her liver levels were off the scale. They put her on fluids and now she is eating and drinking and becoming more like herself every day.

We took her back 3 days later to have the blood tests done and the levels are still not readable but she is acting fine now. He wants to give her an ultrasound to look at her liver & kidneys.

MY question is it appears that some drug caused the rise in the levels. Have we given her enough time for the levels to drop? If he sedates her for the ultrasound is that going to just aggravate the condition? Should we rush for the ultrasound or give her some more time since she appears fine?

I guess it’s possible that she MAY NOW have a damaged liver but I was just thinking we should give it more time since she is now acting fine?

Thank you so much for your input!!!


Answer from Dr. Gaylord Brown:
The blood levels will slowly decrease over time. If she is improving clinically, I would not rush to ultrasound if it includes sedation. Drug reactions are possible with any drug. However, the reaction you describe would be rare for Baytril and tramadol. I am pleased your pet responded to treatment and is on the mend.



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Posted in Ask The Vet, Kidney and Urinary