Liver Disease in Dogs

Medically Reviewed by

Dr. A. Arthi (BVSc, MVSc, PhD.)
Group Medical Officer - VOSD Advance PetCare™

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What you will learn

The liver holds a pivotal position in a dog’s physiology. Nonetheless, it is susceptible to various ailments that can jeopardize a dog’s well-being. Familiarizing pet owners with the origins and indicators of liver disease is crucial for maintaining their dog’s vitality and wellness.

What Is Liver Disease in Dogs?

Liver disease in dogs encompasses a range of conditions leading to impaired liver function or its complete breakdown. Such conditions often induce inflammation or harm to the liver, whether originating directly within the liver or as a consequence of other underlying medical issues.

Symptoms

The liver in dogs performs numerous vital functions, including detoxification of the blood, metabolizing medications, energy processing, vitamin and glycogen storage, bile production for digestion assistance, and synthesis of essential blood clotting proteins. Due to its multifaceted roles, liver disease manifests various symptoms depending on the affected functions, often impacting multiple bodily systems.

Jaundice, characterized by a yellowish tint in the eyes, gums, skin, and ears, stands as a prevalent indication of liver disease. Bilirubin, a by-product of red blood cell breakdown, normally excreted by the liver, accumulates in the bloodstream when liver function falters, leading to jaundice in dogs.

Hepatic encephalopathy, a secondary condition accompanying liver disease, presents a spectrum of neurological symptoms in affected dogs, including seizures, disorientation, depression, head pressing, blindness, or behavioral changes.

Gastrointestinal signs also commonly accompany liver disease, encompassing decreased appetite, vomiting, diarrhea, weight loss, increased drinking and urination, alterations in stool color (such as gray or yellow), and abdominal fluid retention (ascites).

To diagnose liver disease, veterinarians typically recommend various diagnostic tests, including blood work, abdominal ultrasounds, X-rays, and urinalysis, aimed at assessing liver function and identifying the underlying cause of the condition.

Types

Various conditions or ailments can lead to liver disease in dogs, classified as either primary, originating within the liver, or secondary, caused by other underlying conditions or diseases affecting the liver. These conditions typically induce inflammation or harm to the liver.

Vessel Abnormalities

In young puppies, one prevalent liver disorder is a congenital portosystemic shunt, often referred to as a “liver shunt.” This birth defect involves a blood vessel bypassing the liver, leading to toxin accumulation. Congenital portosystemic shunts typically manifest in young dogs with symptoms like stunted growth, seizures, or disorientation.

Acquired shunts, more common in older dogs, develop when blood pressure builds up in the liver due to hypertension or cirrhosis. In response, new vessels form to bypass the obstructed area.

Treatment for a dog depends on the size and location of the shunt(s). Surgery may be viable for a single large vessel outside the liver, which is more prevalent in congenital shunts among small breed dogs. However, shunts inside the liver or those with multiple vessels may not be surgically correctable. In such cases, if the liver disease is incurable, veterinarians focus on managing the condition by prescribing a low-protein diet and medications to reduce blood toxins.

Endocrine Diseases

Disorders affecting the endocrine glands, responsible for regulating the body’s hormones, may result in liver complications. Conditions such as diabetes mellitus, hyperadrenocorticism (Cushing’s disease), and hyperthyroidism can all lead to compromised liver function.

If your canine companion suffers from any of these ailments, your veterinarian will prioritize treating the underlying endocrine disorder. Addressing the root cause is paramount for enhancing liver function.

Infectious Diseases

Infectious diseases pose a significant threat to the liver since all blood circulates through this vital organ. These diseases can stem from various sources, including bacteria, viruses, parasites, or fungi.

Among the viral infections affecting dogs’ livers, canine hepatitis stands out as a prominent example. It is an infectious ailment capable of inducing inflammation and scarring in the liver. Thankfully, vaccination offers protection against this disease.

Leptospirosis, a bacterial infection often associated with kidney disease, can also lead to liver complications. Dogs contract leptospirosis through exposure to contaminated water sources, and the infection can be transmitted to humans as well. Diagnosis of leptospirosis can be challenging, and even with treatment, it may result in lasting liver and kidney damage.

Coccidioidomycosis and histoplasmosis represent the primary fungal culprits behind liver disease in dogs. These fungi enter the body through inhalation or ingestion of spores present in the environment, particularly in areas where they thrive, such as hiking trails.

Treating these infections often proves challenging, with anti-fungal medications being necessary for several months. Due to the complexities involved in combating fungal liver diseases, the long-term prognosis remains uncertain.

Liver Masses

Liver masses are a common occurrence in dogs, with several types being identified.

Liver cysts may manifest from birth, although some dogs may develop them as they mature. Although cysts are generally benign, larger or expanding cysts can provoke symptoms indicative of liver disease. Surgical excision of these sizable cysts is usually curative in resolving a dog’s liver problems.

Liver Cancer

Liver cancer presents itself in two primary forms: primary tumors, which originate within the liver itself, and metastatic (secondary) tumors, which spread from other parts of the body.

Primary tumors are less prevalent compared to metastatic ones. Treatment approaches vary based on factors such as the type of cancer, its location, and the number of masses present. Options may encompass surgery, chemotherapy, radiation therapy, or a blend of these modalities.

Breed-Specific Liver Diseases in Dogs

Breed-specific liver diseases are observed in certain dog breeds. Copper storage disease is a recognized issue among Bedlington Terriers, Doberman Pinschers, Skye Terriers, and West Highland White Terriers. These breeds may possess a metabolic anomaly that results in copper accumulation within the liver, culminating in chronic hepatitis. Amyloidosis, characterized by the buildup of abnormally-formed proteins in cells, is prevalent among Shar-Peis.

Diagnosis

When presented with clinical signs or jaundice in your pet, veterinarians typically initiate the diagnostic process for liver disease.

Beginning with bloodwork, a serum chemistry panel aids in evaluating your dog’s liver values, providing valuable insights to the veterinarian regarding potential liver disease. Additional assessments may involve advanced blood tests to gauge liver function or screen for conditions like Cushing’s or hyperthyroidism.

To further examine the liver and identify any abnormalities, your veterinarian might recommend abdominal X-rays or an abdominal ultrasound. In certain cases, your pup may require liver sampling or biopsy for a more detailed analysis.

Treatment

The treatment of liver disease in dogs is contingent upon the severity of the condition and the possibility of addressing the underlying cause.

When treatment commences before long-term damage sets in, a favorable prognosis can be anticipated. The liver possesses remarkable regenerative capabilities, thus acute or mild to moderate liver disease often yields a positive outcome.

Conversely, chronic or severe liver disease carries a less optimistic prognosis. In such cases, treatment focuses on managing disease progression and alleviating symptoms.

Common medical management strategies for liver disease encompass:

  • Implementing a diet higher in carbohydrates and lower in protein to reduce blood ammonia levels.
  • Administering vitamin supplements.
  • Utilizing lactulose to bind toxins in the gut.
  • Prescribing antibiotics.
  • Providing vitamin K if bleeding issues arise.

Regular monitoring by your veterinarian is crucial for managing your dog’s liver disease and enhancing their quality of life. However, in instances of chronic or severe liver disease, discussions with your vet may center on your pet’s quality of life and the potential for improvement, even with intensive treatment. In some cases, liver disease can be fatal.

Prevention

While not all instances of liver disease can be prevented, taking certain precautions can help mitigate the risk of specific diseases.

Consulting with your veterinarian regarding which diseases, such as Leptospirosis, your pet should be vaccinated against is essential, especially if you reside in an area prone to fungal or other types of infections.

Recognizing the signs of liver disease and promptly seeking veterinary care if you observe any concerning symptoms is crucial. Early diagnosis and treatment play pivotal roles in curing liver disease and averting serious illness in your beloved companion.

Liver Disease in Dogs FAQs

Can liver disease be fatal for dogs?

Liver disease can prove fatal for dogs, particularly in cases of chronic or severe conditions. Nonetheless, with prompt and intensive treatment, liver disease can be effectively managed, allowing the liver to undergo repair processes.

How long does a dog live with liver disease?

The lifespan of a dog with liver disease varies depending on the underlying cause and the severity of the condition. While some dogs may live for several years with liver disease, it can also lead to acute fatality.

If your pet exhibits elevated liver values in bloodwork, it’s essential to discuss potential causes and prognosis with your veterinarian.

Are dogs with liver disease in pain?

Liver disease in dogs can cause discomfort, along with symptoms like nausea and loss of appetite.If your pet is diagnosed with liver disease, consult your veterinarian about suitable medications to ensure your pup’s comfort and well-being for as long as possible.

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