She developed liquid diarrhea with mild pancreatitis in August 2013 after getting a large marrow bone. Also discovered to have a mild urinary tract infection at that time. Tongue was dusky pink with lavender centre, slight whitish coating, active BL 18 and 20.Given antibiotics by the emergency vet, but I added Wei Ling Tang when I saw her a few days later.
After that, no further issues until "routine" blood was taken in April 2016, and we discovered an elevated SGPT (at 1314, ref range 18-121); other enzymes in normal range. Started on Hepatosupport (VetriScience), Ursodiol, Hepatosyl (SAM-e and antioxidants), and Vitamin A and D. SGPT dropped somewhat by September 2016 but came up again by November. Still no clinical signs. Unfortunately I don't have details on tongue and pulse for this time, but during the next few months we cycled through Wei Ling Tang, Xiao Yao San, Ge Xia Zhu Yu Tang and Xiao Chai Hu Tang with no lasting improvements in the SGPT (although in June 2017 it was down as far as 697). Finally in October 2017, her SGPT jumped back up to 1193. After this, Maddie had an abdominal ultrasound. Her liver looked relatively normal, but there were some signs of inflammation in the lining of her small intestine. We dropped the Ursodiol, Vitamin A and D and the Hepatosyl in case any of these were irritating her GI.
A repeat of her liver enzymes in late December showed her ALT was 1098, slightly lower than in October. At that time, her tongue was dusky pink to slightly reddish, her pulses were toned, wirey and superficial, and Bl 18 and 22 were active. She has no clinical symptoms. She is a little shy in the clinic, and always defecates in the kennel on the way in to the clinic, but at home is apparently fairly outgoing.
I would appreciate an opinion on herbs or other supplements for Maddie.