C09990868 / invoice 10000

Reason: Straining To Defaecate - PainfulAppointment Notes: THTBC Nurse: LFHistory:Presented for straining to defecate, vocalising yesterdayLiquid coming outThe owner reports the dog consumed a large beef brisket bone yesterday afternoonOvernight, the dog was reported to be crying and unsettled.With reduced appetite --only ate approx less than 100g of prim 100 SPD last night/didn't touch the dry food Offered olive oil, but no breakfastThis morning, on a walk, the dog was screaming while attempting to defecate. Only a small amount of liquid and one small, hard piece of faeces was passed. Still interested in food- eating treats No current medsDiet: SPD boar, salmon, chickenExamination: Abdo- mostly comfortable, can feel hard matter in faecesRectal- some dark blood, no stoolLaboratory: Assessment: Pancreatitis vs FB vs Gi impactionTreatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:1) Rads (rule out blockage)- provide est2) Monitor with bland diet andn extra fibre (pumpkin/physllium husk)Reduce food slowly to loose weightGastrotomy booked for tomorrow morning--- 05/03/2026 10:58:03 THI:Pre-approval for abdo xrays submitted. TH    Vital Signs    Weight: 16.1;