C09983646 / invoice 10000

Reason: PB PleaseHistory:Genie presented today for a check on progress with a GIT abnormality. Owner reports that Genie does not appear ill, but has kept owners up through the night with toilet visits. Clinical signs:Continuation of weight lossHas become very fussy with food.Not bloatedGums pink.Gait OK.Assessment:Previous tests have ruled out worm burden as possible aetilogy for PLE.Plan:Continue probiotic - dispense more SynbioticDispense Mirtazapine to stimulate eating.Trial a tapering dose of Macrolone (in case IBD) which may also help to stimulate eating.    Vital Signs    Weight: 17;