12 year old MN Sheltie (12 kg) with hx hypertriglyceridemia. Well controled on low fat diet (Sci Diet Lite) and 1200 mg omega 3 fatty acids. Has been on ursodiol 62.5 mg BID since February, when originally identifying moderate amount of hyperechoic gravity dependent debris in GB w/ mildly thickened GB wall. Beginning of this month, rescan of GB revealed images similar to what we see today, two weeks later (both worse than what I saw in February). He has been on metronidazole and Baytril since beginning of this month. This is a 2 hour post prandial scan.
12 year old MN Sheltie (12 kg) with hx hypertriglyceridemia. Well controled on low fat diet (Sci Diet Lite) and 1200 mg omega 3 fatty acids. Has been on ursodiol 62.5 mg BID since February, when originally identifying moderate amount of hyperechoic gravity dependent debris in GB w/ mildly thickened GB wall. Beginning of this month, rescan of GB revealed images similar to what we see today, two weeks later (both worse than what I saw in February). He has been on metronidazole and Baytril since beginning of this month. This is a 2 hour post prandial scan. He is not painful and is asymptomatic with normal liver enzymes – am I over-reacting with all the medications?
2 responses to “more gall bladder dilemas”
Th gb has reduce a bunch and
Th gb has reduce a bunch and has the sludge still. We know now that the gb works, its a bit sludgy but not a mucocele in any way and not likely causing any issues. Treatment is debatable but wont hurt with ursodiol and its a sheltite so there is a predisposiiton. But not sure any tx is really needed here. Maybe a sit and watch in a couple of months recheck it.
Awesome – super helpful,
Awesome – super helpful, thank you!