Interpret it
I can give a useful preliminary read from the photo, but this is not a diagnosis. Please confirm with your veterinarian promptly.
What stands out in this dog’s panel (6 years, male)
From the values visible:
- Total bilirubin 2.0 mg/dL (high)
- ALT/GPT 107 U/L (high)
- AST/GOT 136 U/L (high)
- Urea 68.5 mg/dL (high) with Creatinine 0.86 mg/dL (normal)
- Total protein 4.5 g/dL (low)
- Albumin 1.5 g/dL (low)
- A/G ratio 0.5 (low)
- Sodium 95 mEq/L (very low)
- Chloride 66 mEq/L (very low)
- Calcium 7.8 mg/dL (low)
- Glucose mildly high; ALP near-normal; potassium at low-normal edge.
Likely interpretation pattern
This combination suggests a significant systemic problem, with strongest concern for:
- Hepatobiliary/liver dysfunction or cholestasis
- High bilirubin + elevated liver enzymes
- Marked hypoalbuminemia/hypoproteinemia
- Could be from liver synthesis failure, protein-losing enteropathy, kidney protein loss, inflammation, or poor intake
- Severe electrolyte disturbance
- Sodium/chloride are very low and can be dangerous
- Pre-renal azotemia/dehydration or GI loss
- Urea high with normal creatinine can happen with dehydration, GI bleeding, high catabolism, etc.
How urgent?
Given the very low sodium/chloride plus liver-related abnormalities, this should be treated as urgent veterinary review (same day/emergency if symptomatic).
Go immediately if there is:
- vomiting/diarrhea
- lethargy, weakness, collapse
- poor appetite
- yellow eyes/gums (jaundice)
- tremors, disorientation, seizures
Recommended next steps with vet
Ask for:
- Repeat chemistry + electrolytes (to confirm true values)
- CBC
- Urinalysis + urine protein/creatinine ratio
- Bile acids / coag profile
- Abdominal ultrasound (liver, gallbladder, GI)
- Consider ACTH stimulation test if Addison’s is suspected clinically/electrolytically
If you share symptoms (vomiting, appetite, urine/stool changes, jaundice, weakness) and current medications, I can help you prioritize what this most likely is and what to ask the vet right now.
This is a shared conversation. Sign in to Orris to start your own chat.