C10016488 / invoice 10000

Reason: Some Blood In Stool KBAppointment Notes: Overdue remindersHistory: BIB: Saloni (lovely)Vaccines: Due in febParasite Prophylaxis: UTD w nexgard spectra and tapewormerEDDU: WNL, apart from last couple of days has had some fresh blood and mucus in stools (although o showed picture, stoold still well formed)Os friends have created and are selling a wellbeing supplement for dogs (looks legitimate but o could not find name of it - has glucosamine, chondrotin, green lipped mussel and omega oils in it, is salmon based). Has been on it for ~6 weeks Is now on lyka kangaroo which is going wellExamination:BAR, anxious but loves treatsBCS: 3/5Eyes: ClearEars: ClearMouth: Dental disease grade 1CRT:  1s, MM p&mPeripheral lymph nodes: WNLCardiac: Clear, HR 108bpm, no murmur on auscultationThoracic: clearFemoral pulses: s&s Abdo: ClearOrthopaedic: ClearSkin: Small amount of erythema on all paws Rectal temp: 38.3Assessment:Blood/ mucus in stool past 2 days - large bowel pathology - ddx dietary indiscretion, gut disbiosis, IBD, food sensitivitiesDental disease grade 1 - increased dental prophylaxis indicatedPlan:Trial bland diet - gastro low fat for next 5 days. INI or deterioration, return for bloods (declined for today)Discussed large bowel pathology based on faecal appearance, on chance it could be food sensitivity to salmon, directed o to pause for now to see if it makes a positive difference    Vital Signs    Weight: 14.3;