My dog's ALP is high. Should I worry and is Belamyl injection safe?

Hello, thank you for your question about Daisy. There are numerous causes for elevated ALP in dogs, many of which you have ruled out by the testing described. Some dogs can experience a condition called vacuolar hepatopathy, a benign condition that we can sometimes not identify the reason for. Many of these dogs demonstrated no symptoms even with a significantly elevated ALP. There is no specific ALP level that will lead to symptoms in dogs, it is very patient dependent (some dogs are much more sensitive to mild changes). I would recommend having her liver values monitored every 4-6 months, or sooner if she develops any signs such as vomiting or inappetance. Additionally, I would consider adding Denamarin/Denosyl to her treatment regimen. Although this may not normalize her ALP it can help prevent further elevation of the value in the future. Hope this helps, good luck!

She is a puppy. An elevated ALP is normal in puppies. ALP can go up because of liver problems, but also increases during bone growth. I see this elevation in about 80% of puppy bloodwork. I do not treat this as it it is not a problem and the value becomes normal when they stop growing. If there are other liver values elevated, then I am concerned, but ALP alone is not generally a problem. Per IDEXX, one of the largest veterinary pathology services in the United States, ALP values in puppies can be elevated 4 times normal (which is about where Luna is.) Denamarin, Vitamin B, and a low-carb diet will not hurt Luna, but they probably won’t change the ALP either. Best wishes to you and Luna.

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. Unfortunately ALP is such a vague value and does not tell us much in the way of specific diseases that it is not a very useful value. In older dogs with a high ALP, this may be a normal finding not related to any disease. Cushing's disease can cause an elevated ALP along with many other causes. If the ALP continues to rise or does not resolve, I would consider testing for Cushing's disease and have an abdominal ultrasound performed. Bronchitis and a tooth infection generally would not cause an increase in this value in my experience. I hope this helps! Please let me know if you have any other questions or concerns and I would be more than happy to help you further.

Your pet physio is not a vet, and there is not able to diagnose Rusty or his lab reports. Yes his ALP is a bit elevated, but typically vets do not worry about the ALP being elevated unless it goes above 500. He is well below that. I would follow your vet's instructions.

Thanks for using Petco Pet Education Center, formerly Petcoach! There are several conditions that can cause an elevated ALP and some of them do not require therapy right away. However, in terms of supplements, you could consider using a product called Denamarin which can help the liver in general with several different conditions. Good luck and have a good night!

This is not a particularly high ALT, I usually don't get too concerned until the liver values are twice the high end of the range. This does not seem like a toxic dose of ibuprofen or paracetamol for a dog Ginger's size if only 2.5 ml of the liquid was ingested. If he still seems restless or you have more questions about his lab results you may want to check in with his veterinarian.

This supplement is unlikely to influence any liver enzymes and can be stopped anytime if there is any suspicion of that. ALP is elevated but moderately and I would not focus on that. Albumin is low and that is a main concern at the moment. Vomiting should be treated with symptomatic medications. If there is high temperature, antibiotics should be given/continued. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!