u/Strong-Landscape7492

What is my next step… repeat bloodwork, supplement/diet change, or ultrasound?

I’m trialling a new vet because the last one seemed very expensive with surprise bills and costs not disclosed up front, though they were extremely thorough.

I took my dog to this new vet in May for an emergency check due to lots of blood in the stool. “A focused abdominal ultrasound was performed and did not identify abnormalities of the bladder, spleen, intestines, liver or gallbladder.”

Continued with this clinic and got a senior checkup done on my dog. The checkup just seemed minimal (heart rate and breathing), without any thorough history. The first samples hemolized (for both of my dogs) we had to go back a second time to repeat bloodwork.

My dog is a 12 yr old neutered male. Miniature dachshund. Has SARDs, onset 1 year ago. Otherwise healthy, no symptoms. Urinalysis unremarkable.

He is on a raw chicken diet. (Snacks are usually apples, blueberries, carrots, cucumber, etc with some store bought treats.) I did not know it is advisable to fast them before bloodwork on a raw diet. He probably had his meal 2-3 hours before the blood draw.

New clinic is investigating urine, but I didn’t understand why. The only thing that has changed is he is marking more outside, because he had stopped after he went blind. It has resumed but nowhere near the frequency before he went blind. I thought this would be a positive change of return to old habits.

“The urinalysis was quite unremarkable. The urine concentration was adequate and so was the pH. There was some blood in the sample, which is consistent with the method of urine collection. There is also a very minimal amount of crystals in the urine sample that I am currently not concerned about.

Pending on the Chemistry results of the bloodwork, it will help guide us on the next steps. The next step may be to get an ultrasound of the abdomen/bladder to better visualize the contents of the bladder.”

TLDR: 12 year old male neutered dachshund with SARDS. No symptoms. Had blood test right after meal (raw chicken). Blood tests show elevated kidney and liver. Recent ultrasound showed no liver issues. Recent urinalysis was unremarkable. Given blood test results what should my next step be:
-Repeat bloodwork (fasted)
-Supplements and diet change for 2 months, then repeat bloodwork
-Abdominal ultrasound

I’m trialling a new vet because the last one seemed very expensive with surprise bills and costs not disclosed up front, though they were extremely thorough.

I took my dog to this vet in May for an emergency check due to lots of blood in the stool. “A focused abdominal ultrasound was performed and did not identify abnormalities of the bladder, spleen, intestines, liver or gallbladder.”

Continued with this clinic and got a senior checkup done on my dog. The checkup just seemed minimal (heart rate and breathing), without any thorough history. The first samples hemolized (for both of my dogs) we had to go back a second time to repeat bloodwork.

My dog is a 12 yr old neutered male. Miniature dachshund. Has SARDs, onset 1 year ago. Otherwise healthy, no symptoms. Urinalysis unremarkable.

He is on a raw chicken diet. (Snacks are usually apples, blueberries, carrots, cucumber, etc with some store bought treats.) I did not know it is advisable to fast them before bloodwork on a raw diet. He probably had his meal 2-3 hours before the blood draw.

I’m looking for advice on where to start from here. Given these values, would you recommend proceeding with a repeat bloodwork, supplements or diet change, or an ultrasound?

Edit to add urinalysis.

I don’t know why they are investigating urine. The only thing that has changed is he is marking more outside, because he had stopped after he went blind. It has resumed but nowhere near the frequency before he went blind. I thought this would be a positive change of return to old habits.

“The urinalysis was quite unremarkable. The urine concentration was adequate and so was the pH. There was some blood in the sample, which is consistent with the method of urine collection. There is also a very minimal amount of crystals in the urine sample that I am currently not concerned about.

Pending on the Chemistry results of the bloodwork, it will help guide us on the next steps for ———-. The next step may be to get an ultrasound of the abdomen/bladder to better visualize the contents of the bladder.”

Had family photos done recently and this one came out stunning! Sharing this here because most people only want to see my baby, but I am blown away by how handsome this boy is!

Wishing I could share this with the breeder I got him from, but sadly she passed away years ago.

This has never happened before. Versa 4.

The main watch face has this ugly grey background now. I’m not sure if it’s even updating the starburst with activity.

The heart rate is now a flat line.