C10019966 / invoice 10000

Reason: Diahorrea Since Monday Morning Appointment Notes: owner been giving prokolin since monday night an bland diet of chicken and rice + yogurt and still not resolved JAMHistory:- C/O soft stools since earlier this week- Stayed at pet hotel, didn't eat dinner or breakfast- Given egg (unusual diet item)- Hx extremely sensitive GI tract- Currently on home-cooked chicken breast and rice since episode began- Not eating breakfast, seeking grass, nauseous- Vomited grass and bile this morning- Loose stools 3-4 times overnight- Previous tapeworm infection with liquid diarrhoeaPhysical Exam Findings:- Mentation: Alert but nauseous- Behaviour: Grass seeking, reluctant to eatAbdomen:- Abdominal palpation performed OKDiagnostic Results:- Faecal sample collection recommended - 3 x samplesAssessment:- Problem list:1. Acute gastroenteritis secondary to dietary indiscretion2. Nausea and inappetence3. Chronic GI sensitivityPlan:- prevomax- Continue boiled chicken breast and rice short term- Transition to prescription Biome diet long term (dry and wet formulations available)- Probiotic supplementation - medical grade prescription version- Remove all treats, fruits, vegetables during acute phase- Faecal parasite examination - collect 3 separate samples- Strict dietary management - avoid variety- White fish (flathead, whiting) acceptable alternative to chickenCommunications:- Discussed chronic GI sensitivity and need for specialised diet- Explained risks of repeated inflammatory episodes on adjacent organs (liver, pancreas)- Advised strict dietary compliance to prevent future episodes- Counselled on long-term dietary restrictions and prescription diet benefitsEmail sent to O : Dietary Plan for Abby SmithDate: 12/03/2026This summary outlines the recommended long-term dietary plan to help manage the chronic gastrointestinal sensitivity. The goal is to minimise digestive upset by providing a consistent, specialised diet.Primary Diet:- The primary food should be a prescription veterinary diet called Hills Prescription Diet Biome.- This is available in both dry (kibble) and wet (canned) formulations. You can use a combination of both to make meals more palatable.- This diet is specifically formulated with prebiotics to support a healthy gut and should be fed exclusively for all main meals.Treats and Extras:- Once the current episode of gastroenteritis has fully resolved and the transition to the Biome diet is complete, a very small amount of low-fibre fruit or vegetables can be offered.- Limit this to one small piece per day (e.g., a single slice of banana, a blueberry, or a small piece of carrot).- If you notice any digestive upset returning, even while on the strict Biome diet, these extras may need to be removed completely. The key to management is minimising dietary variety as much as possible.Foods to Avoid:- All other commercial pet foods, treats, and human foods should be permanently discontinued. This includes flavoured yoghurts, fatty meats, and table scraps.Strict adherence to this plan is crucial for preventing future inflammatory episodes and protecting long-term health. Please contact us if you have any questions or if you notice a recurrence of symptoms despite following these guidelines.    Vital Signs    Weight: 19.7;