C10007327 / invoice 10000

persistant v+

CVES hx attaches ES

History: (yesterday vomited after eating way too much, then collapsed
ate well last night twice
this morning vomited again, no collapse
normal behaviour otherwise

)
 EDDU: (faeces improved with added fibre. occ bloods but overall better)
 Diet: (mostly RC, some dine)
 Medical condition: ( )

History:
- C/O vomiting x2 over 2/7
- Yesterday afternoon: ate large amount of food (overnight food left out, possibly spoiled), vomited, then collapsed at hospital
- This morning: vomited again at breakfast
- Ate 2x dinner last night without vomiting
- Previous episode ~2/12 ago with mild dyspnoea post-vomiting
- Occasional blood in stool - improved with vitamins
- Normal self at home other than vomiting
EDDU: Appetite normal last night, urination and defecation normal
Diet: mostly RC, some dine
Medical condition: fibre responsive colitis
Medication: none
Kept: Indoor, access to plants but doesnt eat them
Parasite control: Wormed July 2025
Behavioural concerns: Picky eater

Examine:
Weight change: 6.41kg, slightly up from previous
Mentation - NAD
CRT <2 seconds
Abdominal palpation - NAD, comfortable, normal faeces palpable
Pain score - 0/6

Assessment:
- Acute gastroenteritis - likely secondary to spoiled food ingestion
- Possible vagal reflex response post-vomiting

Treatment:
- Anti-nausea injection given today (also provides abdominal pain relief)
- Anti-nausea wafers dispensed - half wafer PO daily from tomorrow, dissolve on inside of lip or gums

Plan:
- Monitor at home
- Return if concerns or vomiting persists
- Blood work not indicated at this stage - can reassess if needed
- Worming deferred due to current GI upset

colitis

History: (for years (since moving from brisbane to cbr) has had recurrent constipation and haematochezia.
has seen different vets and tried different thing. was advsied to change his diet, however he is fussy so this didn't work. 
another vet suggested a laxative - helped but came back when stopped. still blood even when softer stools
o has tried giving pumpkin but wont eat it or other human foods
last 10 days has been worse - anus red, licking, scooting, fresh blood at end of solid stools)
 EDDU: (good appetite, constipation and haematochezia)
 Diet: (loves treats - temptations. dry food hill's, mostly fed wet food RC sensory tastes, also wet dine)
 Medical condition: (colitis)
 Medication: (none)
 Kept: (indoor and balcony)
 Parasite control: (utd)
 Behavioural concerns: (none)

Examine:
 Weight change: (stable)
 Muscle condition score: (a)
 Mentation - (BAR)
 CRT (<2) seconds
 Teeth/oral cavity - (g0)
 Eyes - (NAD)
 Ears - (NAD)
 Skin - (NAD)
 Lymph nodes - (NAD)
 Thyroid - (NAD)
 Heart rate - (160)
 Heart rhythm - (NAD)
 Chest auscultation/Lungs - (NAD)
 Abdominal palpation - (NAD, comfortable.)
 Musculoskeletal - (NAD)
 Urogenital - (NAD)
 Pain score - (0/6)
AGs empty, anus normal and comfortable

Assessment: (colitis - ddx fibre responsive, IBD, other)

Treatment: ()

Plan: (try fibre supplementation - either benefibre, psyllium husk or chia seeds (1/4 to 1/2 tsp of each)
ini then adbo u/s (or can try another food trial but is fussy) - also bloods in case hyperCa etc.
gave IBD handout)

Recheck/Recall/Reminder: (o to call with update as needed)

 

o called for unwell 

something is red and inflamed 
o would l ike it check by a vet asap but says is not an emergancy offerd unwell on the 11th but o cant do will call 12/11 for unwell
o has a thick acsent and is hard to understand over the phone

had oa booking on the 1/12 have put into hold list