Occult blood in urine.

Hi Dr. Marie

This is in regard to Oreo, I dont know if you recall our situation from a year ago when he was diagnosed with Vacuolar Hepatopathy? He had a liver biopsy and he had ALT and ALKP levels all over the place. He was put on Denamarin and now it's been a little over a year and he is doing good.

Oreo had some blood work done last week along with a urinalysis. I love my vet so much but there are times when I wonder if I should change vets because she doesnt tell me the total truth when she calls me with results. Overall he had good results, his ALT was 122 nothing to worry about and she felt and I agree, that the Denamarin is helping. His ALKP was up but that has bounced around alot in the last 18 months. Last week it was 585 and I beleive last year at the University clinic we went to at University of Wisconsin in Madison, it was 650. Then last spring it came down, now it has gone up. Oreo has been tested for Cushings and Addisons, no sign of either disease. So while you might recall I worry, I have learned a bit to chill out because my vet was taught that you treat the dog and not the numbers.

However what has me concerned is she mailed me a copy of his results and she either forgot to tell me some high areas of his urinalysis or she didnt think it was that significant. So if I may, let me run it by you...

He was catherized...color was yellow...appearance....cloudy...everything normal except Occult Blood was 3+ and RBC was 11-20.

Now I try not to google this stuff cos it what I find I dont understand, LOL and if I do sort of understand it, it ends up scaring the crap out of me.

So I read on some website that the Occult blood 3+ is indicative of some problems. I just dont understand why my vet neglected to tell me this and about the RBC of 11-20.

So here I am at nearly midnight wondering why?

I've always valued your input and believe it or not the ALKP of 585 doesn't worry me! I think his will always bounce around.

Your input is very valued. Thanks so much and congrats on your baby!

Sincere wishes

Suzie