My Samoyed's amylase is high. Is current treatment effective?

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. Just because a Lipase is elevated does not automatically indicate that a dog has pancreatitis. Serum lipase and even amylase can increase with multiple other causes, not just pancreatitis. This is why it is difficult to diagnose pancreatitis based on these levels alone. If Diesel is symptomatic for pancreatitis with these values, I would have additional testing performed to help confirm pancreatitis. I would even consider an abdominal ultrasound if possible. 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.

The bilirubin is a bit high, as is the ALP (alkaline phosphatase) but neither of these values is super specific in terms of what the cause or the best treatment is. We can see the ALP be elevated with stress, age, and sometimes even normal cell regeneration within the liver. The bilirubin can be slightly elevated when the blood sample is what we call "hemolyzed," which can sometimes happen when blood is spun down for a blood test to be run. Therefore, if he is still showing symptoms of illness, I would echo what Dr Ana said; it may be time to consider imaging. Either X-rays or an abdominal ultrasound maybe helpful in identifying the problem and therefore identifying the best way to treat it. Take him back to the vet if he's still having troubles, as he probably is in need of some more fluids as well. Thank you for asking Petco Pet Education Center, formerly Petcoach, I hope he's feeling better.

Hi, I am sorry to hear Fox is having these problems. If she has had pancreatitis once before, it is a possibility she has it again, as some dogs can get chronic pancreatitis. If her Amylase and Lipase are very high, she can have pancreatitis. If you want to know for sure an abdominal ultrasound is the next step. This can be done at some regular vets, or a speciality facility with the Internal medicine department. If your dog is not acting right, I suggest doing this test. Her hematocrit should be rechecked in 48 hours roughly to see if it is dropping. If it is holding steady, I would be less concerned. If it is dropping, there may be a blood disorder or a cancerous tumor that is bleeding internally. 32 is just on the low end. I strongly suggest rechecking her blood work if she is not getting better and getting an ultrasound. Your vet can tell you how to go about getting this. Good luck, and I hope Fox gets better!

So sorry to hear about Samson, he sounds very unwell. It is impossible to predict from a single blood test how he will do and often repeating this after 48-72 hours to see if it is rising or falling can be very helpful

Mild increases in liver values can be seen for a number of different reasons, and sometimes it can be very difficult to determine what the underlying cause might be. Infections like leptospirosis, migrating parasites, congenital diseases like a portosystemic shunt or some toxins can cause liver values to increase. It seems like Leo is on supportive medications for the liver - it would be helpful to know if his values are increasing or decreasing since trends are most important. An abdominal ultrasound might be the next step, or you could also ask about referral to a specialist if available in your area.

Pancreatic lipase can be falsely positive in case of gastrointestinal problems of different nature than pancreatitis. If the levels are elevated with a snap test you should ideally ask for a quantitative test (which gives you a specific number and it is more reliable to evaluate). My questions would be: why she was tested the first time? what were the signs? and was an ultrasound performed at all? What kind of liver damage she had? No, the stress of the trip to the vet cannot raise CPLI levels. 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.

Further testing including abdominal ultrasound are appropriate at this point. If this testing was or will be done, the results of a fine needle aspirate of the liver will help direct the course of treatment. If you have further questions, please feel free to request a consult with an expert where more questions can be asked and diagnostic data can be provided.