Is it safe to give digestive meds to a puppy with a liver shunt?

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! Medical treatment for liver shunts consists of: Liver diet so despite him being a puppy I'd put him on Hill's l/d if a small breed dog or Purina HA for growth (Soy based and less likely to form ammonia) Lactulose Prilosec (omerprazole) to prevent gastric ulcers exacerbating signs Antibiotics usually short term but sometimes long term I hope this helps!

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! Poor Holly! I would consider doing a bile acid test if her ALT is still elevated at the recheck. That can help with the diagnosis of a liver shunt. Yes, dogs can live a relatively normal life if the symptoms of the liver shunt can be managed with diet, antibiotics and laxatives. That is if she is even experiencing hepatic encephalopathy signs. I hope this help and I wish Holly the very best!

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. If Pako has a deficiency of Taurine and L-carnitine, then yes, he should be on a supplement. However, that being said, most commercial dog food diets have sufficient amounts of both and most dogs do not need supplementation. If your veterinarian thinks this will help, I would look at ordering the following product, which can be found online quite easily. Liver support medications such as Hepagen C as well as a low protein, low fat diet such as Purina NF, Hills L/D diet, or Royal Canin Hepatic Support diet can help as well. These diets are formulated especially for dogs that have liver problems such as liver shunts, and they make it easier for the liver to metabolize nutrients that are provided to the body. Pako will have a decreased live span without surgical treatment of this disease. He may live a few years without many problems, but the disease can become refractory, and the neurological signs may worsen over time. 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.

Hello and thank you for contacting PetCoach. Yes, low protein diet is very important in managing puppies with liver shunts. There are prescription diets for dogs with liver shunts, for example by Hill's or Royal Canin, alternatively low protein food can be prepared at home. Here you have good articles on feeding pupps with shunts: https://vetmed.tennessee.edu/vmc/SmallAnimalHospital/Documents/Shunts/MVD-Brochure.pdf - from page 12 https://vetnutrition.tufts.edu/2018/07/liver-shunts/#:~:text=Egg%2C%20dairy%2C%20and%20soy%20protein,%2C%20organ%20meats%2C%20or%20fish. Good luck.

I'm sorry to hear that! It really depends on the severity of the shunt and what kinds of symptoms she's showing, so this would be a good question to discuss with your veterinarian - but in general, surgery is strongly recommended for dogs with liver shunts who are having neurologic symptoms. Medication and diet are usually not sufficient to control their symptoms without surgery.

Louis needs VERY specific nutrition or else his shunt is going to start causing problems. If you want to make a home made diet, you need to work with a veterinary nutritionist. 99% of diets found on line were found to be unbalanced and this would be very detrimental to Louis. I hope this helps and please feel free to post any additional questions.

This is not the same but is fine for your dog. The licorice root is a natural anti inflammatory herbal remedy and it also inhibits liver injury so it's a good choice for animals with high liver enzymes. You may still want to give the milk thistle if you can find it separately. You have done an excellent job maintaining Kandy throughout her life with a liver shunt. Thanks for using Petco Pet Education Center, formerly Petcoach to help you care for Kandy.