C10009077 / invoice 10000

Complaint: GI signs

History:
slightly off food for the past week. sometimes turning her nose up but will still eat substantial amounts of the food put out later on that day.
has always been picky and won't eat kibble, wants human food instead
vomited as least 6 times over the past few days, but O is unsure of the actual frequency. vomits consisted of white frothy with small amount of grass which O has found around the house
to tempt her to eat, O cooked meat and vegetables + added a pinch of garlic salt which she ate all of last night and no vomiting after
has had loose stools for about a week but, this morning was straining and had small amounts of diarrhoea with fresh blood and mucous
bright, not lethargic
drinking normally, urinates in yard so unsure re urination
can be a scavenger. goes after lizards
on simparica trio
gets motion sickness, hypersalivates and vomits in the car

Physical exam:
extremely bright, alert and responsive
MMS pink and moist, crt 1-2 sec
normal skin tent
dental dx 0/4
eyes/ears NAD
heart normorhythmic, no murmur detected, difficult to estimate HR as so bouncy
lung sounds clear, panting as excited
abdo palp S+C
anus normal appearance, no redness
femoral pulses SS
peripheral LNs NAD
BCS 4/9

Assessment:
ddx primary GI most likely (dietary indiscretion, infectious gastroenteritis causing vomiting then colitis, others)

Plan:
recommend placing on bland diet with increased fibre to help with colitis. recommend cooked chicken breast + white rice + cooked pumpkin/sweet potato or 1/2 tsp psyllium husk for next 5 days
advised large amounts of garlic can be toxic so not ideal to add garlic salt to food
if symptoms not improved in 5d or if worsens in meantime (not eating, lethargic, vomiting more) recommend recheck for further work-up
discussed cerenia tablets for motion sickness, O declines for now due to cost