C10000974 / invoice 10000

04/03/2026 DATE/TIME of CONSULTATION: 20:37hrs, Wed 04/03/26
CLINICIAN: EH

PRESENTING COMPLAINT: D+ w blood

HISTORY:
- few months started intermittent d+ around the same time os went away, and while they were away he stayed at os parents' place 
- this has since settled and he has been going well, with minimal d+ incidents
- today d+ at groomer
- os dont think it is stress related 
- they presented here this evening due to blood on the last d+ he did 
- unsure if he is eating as they didnt offer food this evening yet and he is only fed once a day 
- changed food from farmers market woolies to another one (few weeks back) (again woolies brand food), both dogs didnt seem to like it and they did go soft together initially, os have just got a new bag of dog food yesterday that he has not started yet and they feel it is a better brand but cant recall the brand 
- not really the type of dog to eat random things and he generally takes his time eating food 

CLINICAL FINDINGS: 
- BAR, moist pink gums, crt 1-2 
- HR 98, reg FP s+s
- chest clear nomr BV sounds
- abdo comfortable, and non-reactive to deep palpation
- t 38.9
- did not perform rectal due to demeanour 
- LN wnl 

PROBLEM LIST:
- d+ flare up

DIFFERENTIALS:
- suspect stress related, cannot rule out dietary related/IBD/indiscretion, HGE, FB neoplasia other

OPTIONS PROVIDED:
- recomm trial prokolin
- discussed if continues to have these episodes will need further work up such as imaging, and faecal PCR 

DIAGNOSTIC TESTS:
- PEx only

DIAGNOSIS:
- open but suspect stress induced 

TREATMENT:
- prokolin 7ml BID

CLIENT COMMUNICATION/PLAN:
- bland chicken/rice diet for 5 days prior to transition to reg food
- recomm worming etc