C10016984 / invoice 10000

Pls see email form O> 
I'm emailing to provide an update on Obi Lupig and to check in regarding his current treatment plan. As you know, Obi is a 13 year old dog who was recently diagnosed with prostate tumour. 

Last week, after Obi had two episodes of liquid stools, I called the clinic was advised by the vet receptionist to hold Obi's meloxicam for the time being. Since then, Obi has been on a diet of boiled chicken with chicken broth with a small amount of ham to help administer gabapentin. 

He is currently taking Gabapentin twice daily along with Prokolin (3ml twice a day). After trialling this from March 5 - March 6, his stool remained somewhat inconsistent - sometimes soft and sometimes more liquid. 

Following this Dr Anya advised adding a pinch of Metamucil twice daily with this food for additional fibre which we started on March 7. 

Since then, his stool is still somewhat inconsistent although most stool are now soft rather than liquid. I have attached some photos for reference. We have also noticed that occasionally when he squats to poop, he tries to push but nothing comes out. He does not appear to be in pain when this happens. 

Could you please advise on the next steps for Obi's treatment plan?

should we continue prokolin 3ml twice daily and if so, for how long? 
should we continue the boiled chicken and broth diet or can we slowly reintroduce his regular dog food?
should we wait until his stool becomes consistently soft before making any changes? 
regarding the paused meloxicam, should this remain on hold for now? or would you recommend adjusting the dose or switching to another medication? 

Additionally, we've noticed that some of Obi's stool appears thinner than usual at times although they still pass fairly quickly and he does not appear to strain for long. Please let us know if this is something we should monitor or if any adjustments to his still management would be recommended. 

Thank you 

Regards

Lea