Q. My dog had a seizure last week and has a bile acid fasting 22 after eating 66 I noticed an occasional change in his gait 2 day, could this be related?
DESTINI R. HOLLOWAY, DVM
A. Yes it sure can. Increased bile acid levels can signify a liver shunt. When blood by-passes the liver and is not filtered properly this can cause an increase in ammonia which can cause seizures. I would discuss with your vet about prescribing lactulose which is commonly used to help keep the ammonia levels down. I would also discuss with your vet about a permanent surgical correction of the liver shunt, but this can only be done if the shunt is outside the liver (extrahepatic) and not inside the liver (intrahepatic).
I would also recommend keeping your pet on a liver friendly diet such as Royal canine hepatic or Hill's L/D.